TEST BANK -
PSYCHIATRIC NURSING:
CONTEMPORARY
PRACTICE (6TH EDITION
BY BOYD)
, Table of Contents
Table of Contents 0
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice 2
Chapter 02: Mental Health and Mental Disorders 7
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care 11
Chapter 04: Patient Rights and Legal Issues 16
Chapter 05: Mental Health Care in the Community 21
Chapter 06: Ethics, Standards, and Nursing Frameworks 24
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing 29
Chapter 08: Biologic Foundations of Psychiatric Nursing 33
Chapter 09: Communication and the Therapeutic Relationship 38
Chapter 10: The Psychiatric-Mental Health Nursing Process 42
Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions 48
Chapter 12: Cognitive Interventions in Psychiatric Nursing 54
Chapter 13: Group Interventions 59
Chapter 14: Family Assessment and Interventions 63
Chapter 15: Mental Health Promotion for Children and Adolescents 68
Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults 71
Chapter 17: Mental Health Promotion for Older Adults 75
Chapter 18: Stress and Mental Health 81
Chapter 19: Management of Anger, Aggression, and Violence 86
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management 91
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention 95
Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with
ThoughtDisorders 101
Chapter 23: Depression: Management of Depressive Moods and Suicidal Behavior 110
Chapter 24: Bipolar Disorders: Management of Mood Lability 115
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic 119
Chapter 26: Obsessive Compulsive and Related Disorders 124
Chapter 27: Trauma and Stressor Related Disorders 126
Chapter 28: Personality and Borderline Personality Disorder: Management of
EmotionalDysregulation and Self-Harm 127
Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct
Disorders109 130
Chapter 30: Addiction and Substance-Related Disorders 135
Chapter 31: Eating Disorders: Management of Eating and Weight 141
Chapter 32: Somatic Symptom and Related Disorders 146
Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems 151
Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and Paraphilias 156
Chapter 35: Mental Health Assessment of Children and Adolescents 159
Chapter 36: Mental Health Disorders of Childhood and Adolescence 163
Chapter 37: Mental Health Assessment of Older Adults 168
Chapter 38: Neurocognitive Disorders 171
Chapter 39: Caring for Persons Who Are Homeless and Mentally Ill 177
Chapter 40: Caring for Persons With Co-occurring Mental Disorders 182
Chapter 41: Caring for Survivors of Violence and Abuse 187
,Chapter 42: Caring for Persons With Mental Illness and Criminal Behavior 192
Chapter 43: Caring for Medically Compromised Persons 197
Chapter 01: Psychiatric-Mental Health Nursing and
Evidence-Based Practice
1. A group of nursing students are reviewing information about
the evolution of mental health care and are discussing the
recommendations of the final report of the Joint Commission on
Mental Illness and Health. The students demonstrate understanding of
this information when they identify that the report recommended an
increase in which of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
2. A nurse is reviewing the American Nurses Association’s Statement
on Psychiatric Nursing Practice published in 1967, which sanctioned
the involvement of psychiatricmental health nurses in the provision of
holistic nursing care. Integrating knowledge of the various theories and
views of mental health and illness, the nurse identifies which of
the following as most strongly linked to this holistic approach?
A) Sigmund Freud’s psychoanalytic theory
B) Florence Nightingale’s Notes on Nursing
C) Hildegarde
D) Clifford Beers’ A Mind That Found Itself
E) Peplau’s Interpersonal Relations in Nursing
3. A nursing instructor is preparing a presentation about key
events and people that influenced the development of contemporary
mental health and illness care. When describing the effects of World
War II, which of the following would the instructor include?
A) People began to view mental illness as more commonplace and
acceptable.
B) The biologic understanding of mental illness was almost fully developed.
C) Deinstitutionalization occurred in response to the community
health movement.
D) Mental illnesses became categorized as psychoses or neuroses.
4. A nursing student is presenting a discussion of the history of
psychiatricmental health nursing and its place within nursing history. Which of
the following would be most appropriate to include?
A) Certification for the psychiatricmental health nursing specialty was
first emphasized by Mary Adelaide Nutting.
B) Psychiatric nurses played a part in seeing that all deinstitutionalized
patients got treatment at community mental health centers.
, C) There is a historical link between the first nursing
program to admit male students and the first training
school for psychiatric nursing.
D) The first graduate program in psychiatric nurses was
established in response to the publication of psychiatric
nursing specialty journals.
5. Two nursing students are discussing psychiatricmental health nursing
and the role it has played in nursing’s overall history. Which statement
is most accurate?
A) The importance of using therapeutic communication was stressed by
Nightingale.
B) The use of self-care to enhance the immune system
was taught by Dorothea Dix.
C) The moral treatment of mental illness was a primary focus of
deinstitutionalization.
D) Peplau was the first nurse to stress the importance of
therapeutic communication.
6. When reviewing the evolution of mental health and illness care,
which event is associated with mental disorders beginning to be
viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia
B) Quaker establishment of asylums
C) Creation of the state hospital system
D) Freud’s views on the causes of mental illnesses
7. A psychiatricmental health nurse is working on a committee
that is developing programs that integrate the objectives for
mental health and mental disorders as identified in Healthy People
2020. Which type of program would be least appropriate?
A) Single substance abuse treatment programs
B) Depression screening programs for primary care providers
C) Mental health programs for the homeless population
D) Employment programs for those with serious mental illness
8. A nursing instructor is describing the concept of evidence-based
practice in psychiatricmental health nursing. Which of the following
would the instructor include as being important? Select all that
apply.
A) Research findings
B) Expert opinion
C) Clinical experiences
D) Patient data
E) Established routines
9. The following events are important in the development of
psychiatricmental health nursing practice. Which event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by
the ANA
PSYCHIATRIC NURSING:
CONTEMPORARY
PRACTICE (6TH EDITION
BY BOYD)
, Table of Contents
Table of Contents 0
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice 2
Chapter 02: Mental Health and Mental Disorders 7
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care 11
Chapter 04: Patient Rights and Legal Issues 16
Chapter 05: Mental Health Care in the Community 21
Chapter 06: Ethics, Standards, and Nursing Frameworks 24
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing 29
Chapter 08: Biologic Foundations of Psychiatric Nursing 33
Chapter 09: Communication and the Therapeutic Relationship 38
Chapter 10: The Psychiatric-Mental Health Nursing Process 42
Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions 48
Chapter 12: Cognitive Interventions in Psychiatric Nursing 54
Chapter 13: Group Interventions 59
Chapter 14: Family Assessment and Interventions 63
Chapter 15: Mental Health Promotion for Children and Adolescents 68
Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults 71
Chapter 17: Mental Health Promotion for Older Adults 75
Chapter 18: Stress and Mental Health 81
Chapter 19: Management of Anger, Aggression, and Violence 86
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management 91
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention 95
Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with
ThoughtDisorders 101
Chapter 23: Depression: Management of Depressive Moods and Suicidal Behavior 110
Chapter 24: Bipolar Disorders: Management of Mood Lability 115
Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic 119
Chapter 26: Obsessive Compulsive and Related Disorders 124
Chapter 27: Trauma and Stressor Related Disorders 126
Chapter 28: Personality and Borderline Personality Disorder: Management of
EmotionalDysregulation and Self-Harm 127
Chapter 29: Antisocial Personality and Disruptive, Impulse Control, and Conduct
Disorders109 130
Chapter 30: Addiction and Substance-Related Disorders 135
Chapter 31: Eating Disorders: Management of Eating and Weight 141
Chapter 32: Somatic Symptom and Related Disorders 146
Chapter 33: Nursing Care of Persons with Insomnia and Sleep Problems 151
Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and Paraphilias 156
Chapter 35: Mental Health Assessment of Children and Adolescents 159
Chapter 36: Mental Health Disorders of Childhood and Adolescence 163
Chapter 37: Mental Health Assessment of Older Adults 168
Chapter 38: Neurocognitive Disorders 171
Chapter 39: Caring for Persons Who Are Homeless and Mentally Ill 177
Chapter 40: Caring for Persons With Co-occurring Mental Disorders 182
Chapter 41: Caring for Survivors of Violence and Abuse 187
,Chapter 42: Caring for Persons With Mental Illness and Criminal Behavior 192
Chapter 43: Caring for Medically Compromised Persons 197
Chapter 01: Psychiatric-Mental Health Nursing and
Evidence-Based Practice
1. A group of nursing students are reviewing information about
the evolution of mental health care and are discussing the
recommendations of the final report of the Joint Commission on
Mental Illness and Health. The students demonstrate understanding of
this information when they identify that the report recommended an
increase in which of the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists
2. A nurse is reviewing the American Nurses Association’s Statement
on Psychiatric Nursing Practice published in 1967, which sanctioned
the involvement of psychiatricmental health nurses in the provision of
holistic nursing care. Integrating knowledge of the various theories and
views of mental health and illness, the nurse identifies which of
the following as most strongly linked to this holistic approach?
A) Sigmund Freud’s psychoanalytic theory
B) Florence Nightingale’s Notes on Nursing
C) Hildegarde
D) Clifford Beers’ A Mind That Found Itself
E) Peplau’s Interpersonal Relations in Nursing
3. A nursing instructor is preparing a presentation about key
events and people that influenced the development of contemporary
mental health and illness care. When describing the effects of World
War II, which of the following would the instructor include?
A) People began to view mental illness as more commonplace and
acceptable.
B) The biologic understanding of mental illness was almost fully developed.
C) Deinstitutionalization occurred in response to the community
health movement.
D) Mental illnesses became categorized as psychoses or neuroses.
4. A nursing student is presenting a discussion of the history of
psychiatricmental health nursing and its place within nursing history. Which of
the following would be most appropriate to include?
A) Certification for the psychiatricmental health nursing specialty was
first emphasized by Mary Adelaide Nutting.
B) Psychiatric nurses played a part in seeing that all deinstitutionalized
patients got treatment at community mental health centers.
, C) There is a historical link between the first nursing
program to admit male students and the first training
school for psychiatric nursing.
D) The first graduate program in psychiatric nurses was
established in response to the publication of psychiatric
nursing specialty journals.
5. Two nursing students are discussing psychiatricmental health nursing
and the role it has played in nursing’s overall history. Which statement
is most accurate?
A) The importance of using therapeutic communication was stressed by
Nightingale.
B) The use of self-care to enhance the immune system
was taught by Dorothea Dix.
C) The moral treatment of mental illness was a primary focus of
deinstitutionalization.
D) Peplau was the first nurse to stress the importance of
therapeutic communication.
6. When reviewing the evolution of mental health and illness care,
which event is associated with mental disorders beginning to be
viewed as illnesses requiring treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia
B) Quaker establishment of asylums
C) Creation of the state hospital system
D) Freud’s views on the causes of mental illnesses
7. A psychiatricmental health nurse is working on a committee
that is developing programs that integrate the objectives for
mental health and mental disorders as identified in Healthy People
2020. Which type of program would be least appropriate?
A) Single substance abuse treatment programs
B) Depression screening programs for primary care providers
C) Mental health programs for the homeless population
D) Employment programs for those with serious mental illness
8. A nursing instructor is describing the concept of evidence-based
practice in psychiatricmental health nursing. Which of the following
would the instructor include as being important? Select all that
apply.
A) Research findings
B) Expert opinion
C) Clinical experiences
D) Patient data
E) Established routines
9. The following events are important in the development of
psychiatricmental health nursing practice. Which event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by
the ANA
