ESSENTIALS OF PSYCHIATRIC NURSING,
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1 — Chapter & Subtopic: Chapter 1 — Mental Health and
Mental Disorders: Mental Health and Wellness
Type: Conceptual recall
Stem: A nurse is teaching a community group about factors that
promote mental wellness. Which statement best reflects a
population-level, recovery-oriented definition of mental
wellness?
Options:
A. "Mental wellness is absence of any psychiatric diagnosis."
B. "Mental wellness is having full symptom remission without
supports."
C. "Mental wellness includes hope, purpose, and the ability to
manage life stressors."
D. "Mental wellness is only achievable after long-term
hospitalization."
Correct Answer: C
,Rationale — Correct: Recovery-oriented models define wellness
as more than symptom absence; it includes hope, meaningful
roles, and coping skills. (Essentials of Psychiatric Nursing, 3rd
Ed. — Chapter 1, Mental Health and Wellness). LWW Official
Store
Rationales — Incorrect:
A. Incorrect — Wellness is not defined solely by absence of
diagnosis.
B. Incorrect — Recovery may include ongoing supports;
remission alone is not required for wellness.
D. Incorrect — Hospitalization is not a prerequisite for wellness;
community-based recovery is emphasized.
NCLEX/HESI applicability: Links to Psychosocial Integrity
(promoting health and prevention, health teaching).
Teaching Point: Recovery emphasizes hope, function, and
supports — not only symptom elimination.
Mapping: Chapter 1 — Mental Health and Wellness — Key
concept: Recovery-oriented definition of wellness.
2 — Chapter & Subtopic: Chapter 1 — Mental Health and
Mental Disorders: Overview of Mental Health Disorders
Type: Application
Stem: A nurse screens a 28-year-old man who reports
persistent worry that interferes with work and sleep for 6
months. According to DSM-5-TR considerations used in clinical
reasoning, which diagnostic feature most strongly supports
,generalized anxiety disorder (GAD)?
Options:
A. Panic attacks occurring for 2 weeks.
B. Worry that is excessive and difficult to control across multiple
domains for ≥6 months.
C. A single traumatic event 1 month ago.
D. Recurrent intrusive memories interfering with sleep.
Correct Answer: B
Rationale — Correct: DSM-5-TR criteria for GAD emphasize
excessive, hard-to-control worry across domains for ≥6 months.
(Essentials of Psychiatric Nursing, 3rd Ed. — Chapter 1,
Overview of Disorders; DSM-5-TR, 2022). Psychiatry Online+1
Rationales — Incorrect:
A. Incorrect — Panic attacks alone do not define GAD.
C. Incorrect — A single trauma suggests acute stressor/possible
PTSD, not GAD.
D. Incorrect — Intrusive memories are more characteristic of
trauma-related disorders.
NCLEX/HESI applicability: Assesses Psychosocial Integrity —
diagnostic reasoning and screening.
Teaching Point: Duration and control of worry are key to
diagnosing GAD.
Mapping: Chapter 1 — Overview of Mental Health Disorders —
Key concept: DSM-5-TR diagnostic features for anxiety.
, 3 — Chapter & Subtopic: Chapter 1 — Mental Health and
Mental Disorders: Diagnosis of Mental Health Conditions
Type: Clinical scenario
Stem: A 45-year-old woman reports low mood, anhedonia,
poor appetite, and hopelessness for 3 weeks. The nurse knows
that for major depressive disorder (MDD) DSM-5-TR requires
symptoms for at least how long to make the diagnosis?
Options:
A. 1 week
B. 2 weeks
C. 6 weeks
D. 3 months
Correct Answer: B
Rationale — Correct: DSM-5-TR criteria require at least a 2-
week period of symptoms for MDD. (Essentials of Psychiatric
Nursing, 3rd Ed. — Chapter 1, Diagnosis of Mental Health
Conditions; DSM-5-TR, 2022). Psychiatry Online+1
Rationales — Incorrect:
A. Incorrect — 1 week is too short for DSM-5-TR MDD criteria.
C. Incorrect — 6 weeks exceeds the minimum duration; 2 weeks
is the threshold.
D. Incorrect — 3 months is longer than required; persistent
depressive disorder has longer duration.
NCLEX/HESI applicability: Tests Psychosocial Integrity —
knowledge of diagnostic criteria for safe assessment.
Teaching Point: MDD diagnostic threshold: ≥2 weeks of core
symptoms.
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1 — Chapter & Subtopic: Chapter 1 — Mental Health and
Mental Disorders: Mental Health and Wellness
Type: Conceptual recall
Stem: A nurse is teaching a community group about factors that
promote mental wellness. Which statement best reflects a
population-level, recovery-oriented definition of mental
wellness?
Options:
A. "Mental wellness is absence of any psychiatric diagnosis."
B. "Mental wellness is having full symptom remission without
supports."
C. "Mental wellness includes hope, purpose, and the ability to
manage life stressors."
D. "Mental wellness is only achievable after long-term
hospitalization."
Correct Answer: C
,Rationale — Correct: Recovery-oriented models define wellness
as more than symptom absence; it includes hope, meaningful
roles, and coping skills. (Essentials of Psychiatric Nursing, 3rd
Ed. — Chapter 1, Mental Health and Wellness). LWW Official
Store
Rationales — Incorrect:
A. Incorrect — Wellness is not defined solely by absence of
diagnosis.
B. Incorrect — Recovery may include ongoing supports;
remission alone is not required for wellness.
D. Incorrect — Hospitalization is not a prerequisite for wellness;
community-based recovery is emphasized.
NCLEX/HESI applicability: Links to Psychosocial Integrity
(promoting health and prevention, health teaching).
Teaching Point: Recovery emphasizes hope, function, and
supports — not only symptom elimination.
Mapping: Chapter 1 — Mental Health and Wellness — Key
concept: Recovery-oriented definition of wellness.
2 — Chapter & Subtopic: Chapter 1 — Mental Health and
Mental Disorders: Overview of Mental Health Disorders
Type: Application
Stem: A nurse screens a 28-year-old man who reports
persistent worry that interferes with work and sleep for 6
months. According to DSM-5-TR considerations used in clinical
reasoning, which diagnostic feature most strongly supports
,generalized anxiety disorder (GAD)?
Options:
A. Panic attacks occurring for 2 weeks.
B. Worry that is excessive and difficult to control across multiple
domains for ≥6 months.
C. A single traumatic event 1 month ago.
D. Recurrent intrusive memories interfering with sleep.
Correct Answer: B
Rationale — Correct: DSM-5-TR criteria for GAD emphasize
excessive, hard-to-control worry across domains for ≥6 months.
(Essentials of Psychiatric Nursing, 3rd Ed. — Chapter 1,
Overview of Disorders; DSM-5-TR, 2022). Psychiatry Online+1
Rationales — Incorrect:
A. Incorrect — Panic attacks alone do not define GAD.
C. Incorrect — A single trauma suggests acute stressor/possible
PTSD, not GAD.
D. Incorrect — Intrusive memories are more characteristic of
trauma-related disorders.
NCLEX/HESI applicability: Assesses Psychosocial Integrity —
diagnostic reasoning and screening.
Teaching Point: Duration and control of worry are key to
diagnosing GAD.
Mapping: Chapter 1 — Overview of Mental Health Disorders —
Key concept: DSM-5-TR diagnostic features for anxiety.
, 3 — Chapter & Subtopic: Chapter 1 — Mental Health and
Mental Disorders: Diagnosis of Mental Health Conditions
Type: Clinical scenario
Stem: A 45-year-old woman reports low mood, anhedonia,
poor appetite, and hopelessness for 3 weeks. The nurse knows
that for major depressive disorder (MDD) DSM-5-TR requires
symptoms for at least how long to make the diagnosis?
Options:
A. 1 week
B. 2 weeks
C. 6 weeks
D. 3 months
Correct Answer: B
Rationale — Correct: DSM-5-TR criteria require at least a 2-
week period of symptoms for MDD. (Essentials of Psychiatric
Nursing, 3rd Ed. — Chapter 1, Diagnosis of Mental Health
Conditions; DSM-5-TR, 2022). Psychiatry Online+1
Rationales — Incorrect:
A. Incorrect — 1 week is too short for DSM-5-TR MDD criteria.
C. Incorrect — 6 weeks exceeds the minimum duration; 2 weeks
is the threshold.
D. Incorrect — 3 months is longer than required; persistent
depressive disorder has longer duration.
NCLEX/HESI applicability: Tests Psychosocial Integrity —
knowledge of diagnostic criteria for safe assessment.
Teaching Point: MDD diagnostic threshold: ≥2 weeks of core
symptoms.
