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Test Bank
,TABLE OF CONTENT
Chapter 1, Foundations of Psychiatric–Mental Health Nursing ............................................................................ 3
Chapter 2, Neurobiologic Theories and Psychopharmacology ............................................................................ 13
Chapter 3, Psychosocial Theories and Therapy ................................................................................................... 26
Chapter 4, Treatment Settings and Therapeutic Programs .................................................................................. 41
Chapter 5, Therapeutic Relationships .................................................................................................................. 56
Chapter 6, Therapeutic Communication .............................................................................................................. 72
Chapter 7, Client’s Response to Illness ............................................................................................................... 91
Chapter 8, Assessment ....................................................................................................................................... 103
Chapter 9, Legal and Ethical Issues ................................................................................................................... 118
Chapter 10, Grief and Loss ................................................................................................................................ 134
Chapter 11, Anger, Hostility, and Aggression ................................................................................................... 151
Chapter 12, Abuse and Violence ....................................................................................................................... 165
Chapter 13, Trauma and Stressor- Related Disorders ........................................................................................ 179
Chapter 14, Anxiety and Anxiety Disorders ...................................................................................................... 192
Chapter 15, Obsessive–Compulsive and Related Disorders .............................................................................. 209
Chapter 16, Schizophrenia ................................................................................................................................. 222
Chapter 17, Mood Disorders and Suicide .......................................................................................................... 243
Chapter 18, Personality Disorders ..................................................................................................................... 262
Chapter 19, Addiction ........................................................................................................................................ 274
Chapter 20, Eating Disorders ............................................................................................................................. 289
Chapter 21, Somatic Symptom Illnesses ........................................................................................................... 302
Chapter 22, Neurodevelopmental Disorders ...................................................................................................... 317
Chapter 23, Disruptive Behavior Disorders ....................................................................................................... 330
Chapter 24, Cognitive Disorders........................................................................................................................ 343
,Chapter 1, Foundations of Psychiatric–Mental Health Nursing
1. The nurse is assessing a newly admitted client with cholecystitis. When performing the
admission assessment, which statement by the client is an indicator of optimal mental
health?
a. “I don’t need anyone in my life, I manage well on my own.”
b. “I practice yoga regularly since it helps manage any stress I am feeling.”
c. “My family has several people with mental health problems.”
d. “I had a history of alcohol use disorder and have been sober for 2 months.”
ANS: B
Feedback: Individual factors influencing mental health include coping or stress management
abilities. Interpersonal factors such as intimacy and a balance of separateness and
connectedness are both needed for good mental health, and therefore a healthy person would
need others for companionship. A family history of mental illness could relate to the
biologic makeup of an individual, which may have a negative impact on an individual’s
mental health. A recent history of the use of maladaptive coping mechanisms such as
alcohol does not indicate that the client is mentally healthy.
PTS: 1 REF: Page and Header: p. 2, Mental Health and Mental Illness,
OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric–Mental Health Nursing
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. The nurse is performing an admission assessment for a client admitted to the behavioral
health unit. Which social/cultural category will the nurse document that may be contributing
to the client’s degree of mental illness? Select all that apply.
a. The client is unable to find work and does not have enough money for housing.
b. The client states that they are discriminated against due to their country of origin.
c. The client attributes life’s problems to being without family support.
d. The client reports being unable to find anything meaningful within their life.
e. The client reports not belonging anywhere and is without family support.
ANS: A, B
Feedback: Social or cultural categories relate to a lack of resources, poverty, negative view
of the world, and discrimination and may result in isolation and violent or criminal behavior.
The client that attributes life’s problems to being without family support is not able to find
meaning in life. Being without support is interpersonal determinant of mental illness.
PTS: 1 REF: Page and Header: p. 2, Mental Illness
OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric–Mental Health Nursing
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Select
, 3. A client grieving the recent loss of a spouse, asks, “Am I becoming mentally ill? I feel so
sad” Which is the nurse’s best response?
a. “You may have a temporary mental illness because you are experiencing so much
pain.”
b. “You are not mentally ill. This is an expected reaction to the loss you have
experienced.”
c. “Were you generally dissatisfied with your relationship before your husband’s
death?”
d. “Try not to worry about that right now. You never know what the future brings.”
ANS: B
Feedback: Acute grief reactions are expected and therefore not considered mental illness.
Downplaying the client’s grief does not appropriately address the client’s concerns. The
quality of the relationship does not determine the presence of absence of mental illness.
PTS: 1 REF: Page and Header: p. 2, Mental Health and Mental Illness
OBJ: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1: Foundations of Psychiatric–Mental Health Nursing
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
4. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with bipolar I
disorder. Which information will the nurse obtain to assist with the use of this resource?
a. Devise a plan of care for a newly admitted client
b. Predict the client’s prognosis of treatment outcomes
c. Document the appropriate diagnostic code in the client’s medical record
d. Use as a guide for client assessment
ANS: D
Feedback: The DSM-5-TR provides standard nomenclature, presents defining
characteristics, and identifies underlying causes of mental disorders. It does not provide care
plans or prognostic outcomes of treatment. The DSM-5-TR does not provide coding for
record-keeping or billing purposes.
PTS: 1 REF: Page and Header: p. 2, Mental Illness
OBJ: 2
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric–Mental Health Nursing
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. A client with the inability to work due to relapsing schizophrenia is receiving Social
Security Benefits. Which benefit will this provide to the client experiencing serious mental
illness?
a. The client will be able to maintain some level of independence financially.
b. The client will have the option to only obtain inpatient treatment.
c. The client will be able to pay all of their bills as well as purchase medication.
d. The client will have the ability to obtain psychiatric service regardless of setting.
ANS: A
Test Bank
,TABLE OF CONTENT
Chapter 1, Foundations of Psychiatric–Mental Health Nursing ............................................................................ 3
Chapter 2, Neurobiologic Theories and Psychopharmacology ............................................................................ 13
Chapter 3, Psychosocial Theories and Therapy ................................................................................................... 26
Chapter 4, Treatment Settings and Therapeutic Programs .................................................................................. 41
Chapter 5, Therapeutic Relationships .................................................................................................................. 56
Chapter 6, Therapeutic Communication .............................................................................................................. 72
Chapter 7, Client’s Response to Illness ............................................................................................................... 91
Chapter 8, Assessment ....................................................................................................................................... 103
Chapter 9, Legal and Ethical Issues ................................................................................................................... 118
Chapter 10, Grief and Loss ................................................................................................................................ 134
Chapter 11, Anger, Hostility, and Aggression ................................................................................................... 151
Chapter 12, Abuse and Violence ....................................................................................................................... 165
Chapter 13, Trauma and Stressor- Related Disorders ........................................................................................ 179
Chapter 14, Anxiety and Anxiety Disorders ...................................................................................................... 192
Chapter 15, Obsessive–Compulsive and Related Disorders .............................................................................. 209
Chapter 16, Schizophrenia ................................................................................................................................. 222
Chapter 17, Mood Disorders and Suicide .......................................................................................................... 243
Chapter 18, Personality Disorders ..................................................................................................................... 262
Chapter 19, Addiction ........................................................................................................................................ 274
Chapter 20, Eating Disorders ............................................................................................................................. 289
Chapter 21, Somatic Symptom Illnesses ........................................................................................................... 302
Chapter 22, Neurodevelopmental Disorders ...................................................................................................... 317
Chapter 23, Disruptive Behavior Disorders ....................................................................................................... 330
Chapter 24, Cognitive Disorders........................................................................................................................ 343
,Chapter 1, Foundations of Psychiatric–Mental Health Nursing
1. The nurse is assessing a newly admitted client with cholecystitis. When performing the
admission assessment, which statement by the client is an indicator of optimal mental
health?
a. “I don’t need anyone in my life, I manage well on my own.”
b. “I practice yoga regularly since it helps manage any stress I am feeling.”
c. “My family has several people with mental health problems.”
d. “I had a history of alcohol use disorder and have been sober for 2 months.”
ANS: B
Feedback: Individual factors influencing mental health include coping or stress management
abilities. Interpersonal factors such as intimacy and a balance of separateness and
connectedness are both needed for good mental health, and therefore a healthy person would
need others for companionship. A family history of mental illness could relate to the
biologic makeup of an individual, which may have a negative impact on an individual’s
mental health. A recent history of the use of maladaptive coping mechanisms such as
alcohol does not indicate that the client is mentally healthy.
PTS: 1 REF: Page and Header: p. 2, Mental Health and Mental Illness,
OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric–Mental Health Nursing
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. The nurse is performing an admission assessment for a client admitted to the behavioral
health unit. Which social/cultural category will the nurse document that may be contributing
to the client’s degree of mental illness? Select all that apply.
a. The client is unable to find work and does not have enough money for housing.
b. The client states that they are discriminated against due to their country of origin.
c. The client attributes life’s problems to being without family support.
d. The client reports being unable to find anything meaningful within their life.
e. The client reports not belonging anywhere and is without family support.
ANS: A, B
Feedback: Social or cultural categories relate to a lack of resources, poverty, negative view
of the world, and discrimination and may result in isolation and violent or criminal behavior.
The client that attributes life’s problems to being without family support is not able to find
meaning in life. Being without support is interpersonal determinant of mental illness.
PTS: 1 REF: Page and Header: p. 2, Mental Illness
OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric–Mental Health Nursing
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze NOT: Multiple Select
, 3. A client grieving the recent loss of a spouse, asks, “Am I becoming mentally ill? I feel so
sad” Which is the nurse’s best response?
a. “You may have a temporary mental illness because you are experiencing so much
pain.”
b. “You are not mentally ill. This is an expected reaction to the loss you have
experienced.”
c. “Were you generally dissatisfied with your relationship before your husband’s
death?”
d. “Try not to worry about that right now. You never know what the future brings.”
ANS: B
Feedback: Acute grief reactions are expected and therefore not considered mental illness.
Downplaying the client’s grief does not appropriately address the client’s concerns. The
quality of the relationship does not determine the presence of absence of mental illness.
PTS: 1 REF: Page and Header: p. 2, Mental Health and Mental Illness
OBJ: 1 NAT: Client Needs: Psychosocial Integrity
TOP: Chapter 1: Foundations of Psychiatric–Mental Health Nursing
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
4. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with bipolar I
disorder. Which information will the nurse obtain to assist with the use of this resource?
a. Devise a plan of care for a newly admitted client
b. Predict the client’s prognosis of treatment outcomes
c. Document the appropriate diagnostic code in the client’s medical record
d. Use as a guide for client assessment
ANS: D
Feedback: The DSM-5-TR provides standard nomenclature, presents defining
characteristics, and identifies underlying causes of mental disorders. It does not provide care
plans or prognostic outcomes of treatment. The DSM-5-TR does not provide coding for
record-keeping or billing purposes.
PTS: 1 REF: Page and Header: p. 2, Mental Illness
OBJ: 2
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter 1: Foundations of Psychiatric–Mental Health Nursing
KEY: Integrated Process: Communication and Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. A client with the inability to work due to relapsing schizophrenia is receiving Social
Security Benefits. Which benefit will this provide to the client experiencing serious mental
illness?
a. The client will be able to maintain some level of independence financially.
b. The client will have the option to only obtain inpatient treatment.
c. The client will be able to pay all of their bills as well as purchase medication.
d. The client will have the ability to obtain psychiatric service regardless of setting.
ANS: A
