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Essentials of PsychiatricNursing 2nd Edition by Mary Ann Boyd
Chapter 1-31
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business exams
and Writing Skills: Business
Test Generator Questions,
Chapter 1, Mental Health and Mental Disorders
Multiple Choice
1. As part of a class activity, nursing students are engaged in a small group discussion about the
epidemiology of mental illness. Which statement best explainsthe importance of epidemiology in
understanding the impact of mental disorders? Epidemiology:
A) Helps promote understanding of the patterns of occurrence associated withmental disorders.
B) Helps explain research findings about the neurophysiology that causes mentaldisorders.
C) Provides a thorough theoretical explanation of why specific mental disordersoccur.
D) Predicts when a specific psychiatric client will recover from a specific mentaldisorder.
Ans: A
Chapter: 1
Client Needs: Safe, Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Teaching/ Objective:
4
Page Number: 2
Feedback: Epidemiology is the study of patterns of disease distribution and determinants of health
within populations. It contributes to the overall understandingof the mental health status of population
groups, or aggregates, and it examines theassociations among possible factors. Epidemiology does not
explain research findingsabout neurophysiology, provide theoretical explanations for why specific
disorders occur, or predict recovery.
2. A nurse is working in a community mental health center that provides care to a large population of
people of Asian descent. When developing programs for this community, which of the following would be
most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
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Boyd
Test Bank for (Test Bank PDF Files)
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in this
cultural group, label avoidance would be most important. Label avoidance or avoiding treatment/care so
as not to be labeled mentally ill is a type ofstigma that influences why so few people with mental health
problems actually receive assistance. Asian cultures commonly have negative views of mental illness that
influence the willingness of members to seek treatment; they possibly ignore thesymptoms or refuse to seek
treatment because of this stigma. Negative life events affect anyone, not just those of the Asian culture.
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business
exams and Writing Skills: Business
3. A nursing student is assigned to care for a client diagnosed with schizophrenia.When talking about
this client in a clinical post-conference, the student would use which terminology when referring to the
client?
A) Committed client
B) Schizophrenic
C) Schizophrenic client
D) Person with schizophrenia
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Communication and Documentation
Objective: 5
Page Number: 4
Feedback: Just as a person with diabetes should not be referred to as a ―diabetic‖ but rather as a
―person with diabetes,‖ a person with a mental disorder should neverbe referred to as a ―schizophrenic‖ or
―bipolar,‖ but rather as a ―person with schizophrenia‖ or a ―person with bipolar disorder.‖ Doing so helps
to counteract the negative effects of stigma.
4. A nursing student is reviewing journal articles about major depression. One of the articles describes the
number of persons newly diagnosed with the disorder during the past year. The student interprets this as
which of the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 4
Page Number: 3
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Boyd
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Feedback: The article is describing incidence, which refers to a rate that includes only new cases that
have occurred within a clearly defined time period. The most common time period evaluated is 1 year.
Rate reflects the proportion of cases in thepopulation compared with the total population. Prevalence refers
to the total numberof people with the disorder within a given population at a specified time, regardless ofhow
long ago the disorder started. Point prevalence refers to the proportion of individuals in the population
that have a disorder at a specific point in time.
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business
exams and Writing Skills: Business
5. While working in a community mental health treatment center, the nurse overhears one of the
receptionists saying that one of the clients is ―really psycho.‖ Later in the day, the nurse talks with the
receptionist about the comment. This actionby the nurse demonstrates an attempt to address which issue?
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma
Ans: B
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: The receptionist's effects of
stigmatization, more specifically public stigma. Self-stigma reflects a person's internalization of a negative
stereotype; that is, the person with the mental illness begins to believe that he or she is what the public thinks
he or she is. Label avoidancerefers to avoiding treatment or care so as not to be labeled mentally ill. Lack of
knowledge is often the underlying theme associated with any type of stigma.
6. After educating a group of students on mental health and mental illness, the instructor determines
that the education was successful when the group identifieswhich of the following as reflecting mental
disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
D) Lack of impaired functioning
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive
Level: Understand Integrated Process:
Teaching/LearningObjective:
3
Page Number: 3
Feedback: Mental disorders are health conditions characterized by alterations in thinking, mood, or
behavior and are associated with distress or impaired functioning.
GARDESLAB.COM
, Stuvia.com - The Marketplace to Buy and Sell your Study MaterialEssentials of Psychiatric Nursing 2nd Edition
Boyd
Test Bank for (Test Bank PDF Files)
Mental health is the emotional and psychological well-being of an individual who hasthe capacity to
interact with others, deal with ordinary stress, and perceive one's surroundings realistically.
7. A nurse is preparing a presentation for a local community group about mentaldisorders and plans
to include how mental disorders are different from medical disorders. Which statement would be most
appropriate for the nurse to include?
A) ―Mental disorders are defined by an underlying biological pathology.‖
B) ―Numerous laboratory tests are used to aid in the diagnosis of mental disorders.‖
C) ―Clusters of behaviors, thoughts, and feelings characterize mental disorders.‖
D) ―Manifestations of mental disorders are within normal, expected parameters.‖
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 3
Page Number: 2
Feedback: Unlike many medical disorders, mental disorders are defined by clustersof behaviors,
thoughts, and feelings, not underlying biologic pathology. The alterations in thoughts, behaviors, and
feelings are unexpected and outside the
normal, culturally defined limits. Laboratory tests are not used in diagnosing mentaldisorders.
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business
exams and Writing Skills: Business
8. A psychiatric–mental health nurse is providing care for a client with a mentaldisorder. The client
is participating in the decision-making process. The nurse interprets this as which component of
recovery?
A) Self-direction
B) Collaborative
C) Person-centered
D) Holistic
Ans: B
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 6
Page Number: 4
Feedback: In recovery-oriented care, the person with a mental health problemdevelops a
partnership with a clinician to manage the illness, strengthen coping
abilities, and build resilience for life‘s challenges. Being involved in decision making helps the client
transition from a dependent-driven relationship to a collaborative recovery-oriented one. Self-direction is
reflected as individuals define their own goalsand design a path to meet those goals. Individualized and
person-centered is reflected by the individual's use of his or her own unique strengths and resilience as
GARDESLAB.COM
Boyd
Test Bank for (Test Bank PDF Files)
TEST BANK FOR
Essentials of PsychiatricNursing 2nd Edition by Mary Ann Boyd
Chapter 1-31
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business exams
and Writing Skills: Business
Test Generator Questions,
Chapter 1, Mental Health and Mental Disorders
Multiple Choice
1. As part of a class activity, nursing students are engaged in a small group discussion about the
epidemiology of mental illness. Which statement best explainsthe importance of epidemiology in
understanding the impact of mental disorders? Epidemiology:
A) Helps promote understanding of the patterns of occurrence associated withmental disorders.
B) Helps explain research findings about the neurophysiology that causes mentaldisorders.
C) Provides a thorough theoretical explanation of why specific mental disordersoccur.
D) Predicts when a specific psychiatric client will recover from a specific mentaldisorder.
Ans: A
Chapter: 1
Client Needs: Safe, Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Teaching/ Objective:
4
Page Number: 2
Feedback: Epidemiology is the study of patterns of disease distribution and determinants of health
within populations. It contributes to the overall understandingof the mental health status of population
groups, or aggregates, and it examines theassociations among possible factors. Epidemiology does not
explain research findingsabout neurophysiology, provide theoretical explanations for why specific
disorders occur, or predict recovery.
2. A nurse is working in a community mental health center that provides care to a large population of
people of Asian descent. When developing programs for this community, which of the following would be
most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
GARDESLAB.COM
,Stuvia.com - The Marketplace to Buy and Sell your Study MaterialEssentials of Psychiatric Nursing 2nd Edition
Boyd
Test Bank for (Test Bank PDF Files)
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in this
cultural group, label avoidance would be most important. Label avoidance or avoiding treatment/care so
as not to be labeled mentally ill is a type ofstigma that influences why so few people with mental health
problems actually receive assistance. Asian cultures commonly have negative views of mental illness that
influence the willingness of members to seek treatment; they possibly ignore thesymptoms or refuse to seek
treatment because of this stigma. Negative life events affect anyone, not just those of the Asian culture.
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business
exams and Writing Skills: Business
3. A nursing student is assigned to care for a client diagnosed with schizophrenia.When talking about
this client in a clinical post-conference, the student would use which terminology when referring to the
client?
A) Committed client
B) Schizophrenic
C) Schizophrenic client
D) Person with schizophrenia
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Communication and Documentation
Objective: 5
Page Number: 4
Feedback: Just as a person with diabetes should not be referred to as a ―diabetic‖ but rather as a
―person with diabetes,‖ a person with a mental disorder should neverbe referred to as a ―schizophrenic‖ or
―bipolar,‖ but rather as a ―person with schizophrenia‖ or a ―person with bipolar disorder.‖ Doing so helps
to counteract the negative effects of stigma.
4. A nursing student is reviewing journal articles about major depression. One of the articles describes the
number of persons newly diagnosed with the disorder during the past year. The student interprets this as
which of the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 4
Page Number: 3
GARDESLAB.COM
,Stuvia.com - The Marketplace to Buy and Sell your Study MaterialEssentials of Psychiatric Nursing 2nd Edition
Boyd
Test Bank for (Test Bank PDF Files)
Feedback: The article is describing incidence, which refers to a rate that includes only new cases that
have occurred within a clearly defined time period. The most common time period evaluated is 1 year.
Rate reflects the proportion of cases in thepopulation compared with the total population. Prevalence refers
to the total numberof people with the disorder within a given population at a specified time, regardless ofhow
long ago the disorder started. Point prevalence refers to the proportion of individuals in the population
that have a disorder at a specific point in time.
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business
exams and Writing Skills: Business
5. While working in a community mental health treatment center, the nurse overhears one of the
receptionists saying that one of the clients is ―really psycho.‖ Later in the day, the nurse talks with the
receptionist about the comment. This actionby the nurse demonstrates an attempt to address which issue?
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma
Ans: B
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: The receptionist's effects of
stigmatization, more specifically public stigma. Self-stigma reflects a person's internalization of a negative
stereotype; that is, the person with the mental illness begins to believe that he or she is what the public thinks
he or she is. Label avoidancerefers to avoiding treatment or care so as not to be labeled mentally ill. Lack of
knowledge is often the underlying theme associated with any type of stigma.
6. After educating a group of students on mental health and mental illness, the instructor determines
that the education was successful when the group identifieswhich of the following as reflecting mental
disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
D) Lack of impaired functioning
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive
Level: Understand Integrated Process:
Teaching/LearningObjective:
3
Page Number: 3
Feedback: Mental disorders are health conditions characterized by alterations in thinking, mood, or
behavior and are associated with distress or impaired functioning.
GARDESLAB.COM
, Stuvia.com - The Marketplace to Buy and Sell your Study MaterialEssentials of Psychiatric Nursing 2nd Edition
Boyd
Test Bank for (Test Bank PDF Files)
Mental health is the emotional and psychological well-being of an individual who hasthe capacity to
interact with others, deal with ordinary stress, and perceive one's surroundings realistically.
7. A nurse is preparing a presentation for a local community group about mentaldisorders and plans
to include how mental disorders are different from medical disorders. Which statement would be most
appropriate for the nurse to include?
A) ―Mental disorders are defined by an underlying biological pathology.‖
B) ―Numerous laboratory tests are used to aid in the diagnosis of mental disorders.‖
C) ―Clusters of behaviors, thoughts, and feelings characterize mental disorders.‖
D) ―Manifestations of mental disorders are within normal, expected parameters.‖
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 3
Page Number: 2
Feedback: Unlike many medical disorders, mental disorders are defined by clustersof behaviors,
thoughts, and feelings, not underlying biologic pathology. The alterations in thoughts, behaviors, and
feelings are unexpected and outside the
normal, culturally defined limits. Laboratory tests are not used in diagnosing mentaldisorders.
theoretical knowledge and practical application. Depending on the subject area, these exams can vary significantly in format. Common types of business
exams and Writing Skills: Business
8. A psychiatric–mental health nurse is providing care for a client with a mentaldisorder. The client
is participating in the decision-making process. The nurse interprets this as which component of
recovery?
A) Self-direction
B) Collaborative
C) Person-centered
D) Holistic
Ans: B
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 6
Page Number: 4
Feedback: In recovery-oriented care, the person with a mental health problemdevelops a
partnership with a clinician to manage the illness, strengthen coping
abilities, and build resilience for life‘s challenges. Being involved in decision making helps the client
transition from a dependent-driven relationship to a collaborative recovery-oriented one. Self-direction is
reflected as individuals define their own goalsand design a path to meet those goals. Individualized and
person-centered is reflected by the individual's use of his or her own unique strengths and resilience as
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