l O M oA R c P S D | 1 1 7 0 0 5 9 1
Test Bank for Essentials of Psychiatric Nursing
3rd Edition
by Mary Ann Boyd & Rebecca Ann Luebbert
| Verified Chapter's 1 - 31 | Complete
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Table of Contents
Chapter 1 Mental Health and Mental Disorders
Chapter 2 Cultural and Spiritual Issues Related to Mental
Chapter 3 Patient Rights and Legal Issues
Chapter 4 Ethics, Standards, and Nursing Frameworks
Chapter 5 Theoretical Basis of Psychiatric Nursing
Chapter 6 Biologic Foundations of Psychiatric
Chapter 7 Recovery Framework for Mental Health
Chapter 8 Therapeutic Communication
Chapter 9 The Nurse–Patient Relationship
Chapter 10 The Psychiatric–Mental Health Nursing
Chapter 11 Psychopharmacology, Dietary Supplements, and Biologic Interventions
Chapter 12 Group Interventions
Chapter 13 Stress and Mental Health
Chapter 14 Management of Anger, Aggression, and Violence
Chapter 15 Crisis, Loss, Grief, Response, Bereavement, and Disaster Management
Chapter 16 Suicide Prevention
Chapter 17 Mental Health Care for Survivors of Violence
Chapter 18 Anxiety Disorders
Chapter 19 Trauma and Stressor-Related Disorders
Chapter 20 Obsessive–Compulsive and Related Disorders
Chapter 21 Depression
Chapter 22 Bipolar Disorders
Chapter 23 Schizophrenia and Related Disorders
Chapter 24 Personality and Impulse-Control Disorders
Chapter 25 Addiction and Substance-Related Disorders
Chapter 26 Eating Disorders
Chapter 27 Somatic Symptom and Dissociative Disorders
Chapter 28 Sleep–Wake Disorders
Chapter 29 Sexual Disorders
Chapter 30 Mental Health Disorders of Childhood and Adolescence
Chapter 31 Mental Health Disorders of Older Adults
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
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 explains the importance of epidemiology in
understanding the impact of mental disorders? Epidemiology:
A) Helps promote understanding of the patterns of occurrence associated with mental disorders.
B) Helps explain research findings about the neurophysiology that causes mental disorders.
C) Provides a thorough theoretical explanation of why specific mental disorders occur.
D) Predicts when a specific psychiatric client will recover from a specific mental disorder.
Ans: A
Chapter: 1
Client Needs: Safe, Effective
Cognitive Level: Apply
Integrated Process: Teaching/Learning 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 understanding of the mental health status of population
groups, or aggregates, and it examines the associations among possible factors. Epidemiology does not
explain research findings about neurophysiology, provide theoretical explanations for why specific
disorders occur, or predict recovery.
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
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
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 of stigma 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 the symptoms or refuse to
seek treatment because of this stigma. Negative life events affect anyone, not just those of the Asian
culture.
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
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
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 never be 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
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 the population compared with the total population. Prevalence
refers to the total number of people with the disorder within a given population at a specified time,
regardless of how 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.
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
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 action by 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 negative 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 avoidance refers 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 identifies which 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
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Client Needs: Psychosocial Integrity Cognitive Level: Understand Integrated Process:
Teaching/Learning Objective: 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.
Mental health is the emotional and psychological well-being of an individual who has the 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 mental disorders 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 clusters of 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 mental disorders.
8. A psychiatric–mental health nurse is providing care for a client with a mental disorder. 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
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
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 problem develops a partnership
with a clinician to manage the illness, strengthen coping abilities, and build resilience for life9s 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 goals and
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 well as needs, preferences, experiences, and cultural
background. Holistic involves the whole life of the individual4mind, body, spirit, and community.
9. A nurse is explaining recovery to the family of a client diagnosed with a mental disorder. Which
statement would be most appropriate for the nurse to include about this process?
A) <It is a step-by-step process from being ill to being well.=
B) <The client focuses mainly on the emotional aspects of their condition.=
C) <The client is helped to live a meaningful life to their fullest potential.=
D) <Although peer support is important, the self-acceptance is essential.=
Ans: C Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Integrated Process: Teaching/Learning Objective: 6
Page Number: 4
Feedback: Recovery from mental disorders and/or substance use disorders is a process of change
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
through which individuals improve their health and wellness, live a self-directed life, and strive to reach
their full potential. It is a nonlinear process with setbacks. It also is strength-based. Peer support is
important, but so is respect by the community and consumers, along with self-acceptance to ensure
inclusion and participation in all aspects of life.
10. After teaching a group of nursing students on recovery, the instructor determines that more
education is needed when the group identifies which of the following as a characteristic?
A) Self-direction in life
B) Improvement in health and wellness
C) Achievement of full potential
D) One-time change situation
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Integrated Process: Teaching/Learning Objective: 6
Page Number: 4
Feedback: Recovery from mental disorders and/or substance use disorders is a process of change
through which individuals improve their health and wellness, live a self-directed life, and strive to reach
their full potential.
11. When describing the treatment of mental illness, which of the following would a nurse identify as
the primary goal?
A) Functional status
B) Stigma reduction
C) Stress reduction
D) Recovery
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Understand Integrated Process: Nursing
Process Objective: 6
Page Number: 4
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Feedback: Although reducing stigma, reducing stress, and improving functional status are important
components involved in the treatment of mental illness, recovery is the single most important goal for
individuals with mental disorders.
12. A nurse is working as part of the multidisciplinary team and developing a plan of care for a client
who is receiving recovery-oriented treatment. Which of the following would the nurse integrate into this
plan?
A) Focusing primarily on the mind
B) Limiting support from others
C) Using hope as motivation
D) Avoiding underlying trauma
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Integrated Process: Nursing Process Objective: 6
Page Number: 5
Feedback: Recovery emerges from hope: The belief that recovery is real provides the essential and
motivating message of a better future4that people can and do overcome the internal and external
challenges, barriers, and obstacles that confront them.. Recovery is also holistic, addressing an individual's
whole life, including body, mind, spirit and community. Recovery is supported by peers and allies and
through relationships and social networks. Finally, recovery is supported by addressing trauma, such that
services and supports should be trauma-informed to foster safety.
13. A nurse is assessing a client to evaluate the client's mental health and wellness. Applying the eight
dimensions of wellness, which of the following would the nurse identify as reflecting emotional wellness?
A) Finding ways to expand creative abilities
Test Bank for Essentials of Psychiatric Nursing
3rd Edition
by Mary Ann Boyd & Rebecca Ann Luebbert
| Verified Chapter's 1 - 31 | Complete
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Table of Contents
Chapter 1 Mental Health and Mental Disorders
Chapter 2 Cultural and Spiritual Issues Related to Mental
Chapter 3 Patient Rights and Legal Issues
Chapter 4 Ethics, Standards, and Nursing Frameworks
Chapter 5 Theoretical Basis of Psychiatric Nursing
Chapter 6 Biologic Foundations of Psychiatric
Chapter 7 Recovery Framework for Mental Health
Chapter 8 Therapeutic Communication
Chapter 9 The Nurse–Patient Relationship
Chapter 10 The Psychiatric–Mental Health Nursing
Chapter 11 Psychopharmacology, Dietary Supplements, and Biologic Interventions
Chapter 12 Group Interventions
Chapter 13 Stress and Mental Health
Chapter 14 Management of Anger, Aggression, and Violence
Chapter 15 Crisis, Loss, Grief, Response, Bereavement, and Disaster Management
Chapter 16 Suicide Prevention
Chapter 17 Mental Health Care for Survivors of Violence
Chapter 18 Anxiety Disorders
Chapter 19 Trauma and Stressor-Related Disorders
Chapter 20 Obsessive–Compulsive and Related Disorders
Chapter 21 Depression
Chapter 22 Bipolar Disorders
Chapter 23 Schizophrenia and Related Disorders
Chapter 24 Personality and Impulse-Control Disorders
Chapter 25 Addiction and Substance-Related Disorders
Chapter 26 Eating Disorders
Chapter 27 Somatic Symptom and Dissociative Disorders
Chapter 28 Sleep–Wake Disorders
Chapter 29 Sexual Disorders
Chapter 30 Mental Health Disorders of Childhood and Adolescence
Chapter 31 Mental Health Disorders of Older Adults
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
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 explains the importance of epidemiology in
understanding the impact of mental disorders? Epidemiology:
A) Helps promote understanding of the patterns of occurrence associated with mental disorders.
B) Helps explain research findings about the neurophysiology that causes mental disorders.
C) Provides a thorough theoretical explanation of why specific mental disorders occur.
D) Predicts when a specific psychiatric client will recover from a specific mental disorder.
Ans: A
Chapter: 1
Client Needs: Safe, Effective
Cognitive Level: Apply
Integrated Process: Teaching/Learning 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 understanding of the mental health status of population
groups, or aggregates, and it examines the associations among possible factors. Epidemiology does not
explain research findings about neurophysiology, provide theoretical explanations for why specific
disorders occur, or predict recovery.
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
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
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 of stigma 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 the symptoms or refuse to
seek treatment because of this stigma. Negative life events affect anyone, not just those of the Asian
culture.
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
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
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 never be 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
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 the population compared with the total population. Prevalence
refers to the total number of people with the disorder within a given population at a specified time,
regardless of how 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.
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
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 action by 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 negative 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 avoidance refers 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 identifies which 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
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Client Needs: Psychosocial Integrity Cognitive Level: Understand Integrated Process:
Teaching/Learning Objective: 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.
Mental health is the emotional and psychological well-being of an individual who has the 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 mental disorders 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 clusters of 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 mental disorders.
8. A psychiatric–mental health nurse is providing care for a client with a mental disorder. 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
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
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 problem develops a partnership
with a clinician to manage the illness, strengthen coping abilities, and build resilience for life9s 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 goals and
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 well as needs, preferences, experiences, and cultural
background. Holistic involves the whole life of the individual4mind, body, spirit, and community.
9. A nurse is explaining recovery to the family of a client diagnosed with a mental disorder. Which
statement would be most appropriate for the nurse to include about this process?
A) <It is a step-by-step process from being ill to being well.=
B) <The client focuses mainly on the emotional aspects of their condition.=
C) <The client is helped to live a meaningful life to their fullest potential.=
D) <Although peer support is important, the self-acceptance is essential.=
Ans: C Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Integrated Process: Teaching/Learning Objective: 6
Page Number: 4
Feedback: Recovery from mental disorders and/or substance use disorders is a process of change
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
through which individuals improve their health and wellness, live a self-directed life, and strive to reach
their full potential. It is a nonlinear process with setbacks. It also is strength-based. Peer support is
important, but so is respect by the community and consumers, along with self-acceptance to ensure
inclusion and participation in all aspects of life.
10. After teaching a group of nursing students on recovery, the instructor determines that more
education is needed when the group identifies which of the following as a characteristic?
A) Self-direction in life
B) Improvement in health and wellness
C) Achievement of full potential
D) One-time change situation
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Integrated Process: Teaching/Learning Objective: 6
Page Number: 4
Feedback: Recovery from mental disorders and/or substance use disorders is a process of change
through which individuals improve their health and wellness, live a self-directed life, and strive to reach
their full potential.
11. When describing the treatment of mental illness, which of the following would a nurse identify as
the primary goal?
A) Functional status
B) Stigma reduction
C) Stress reduction
D) Recovery
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Understand Integrated Process: Nursing
Process Objective: 6
Page Number: 4
, l O M oA R c P S D | 1 1 7 0 0 5 9 1
Feedback: Although reducing stigma, reducing stress, and improving functional status are important
components involved in the treatment of mental illness, recovery is the single most important goal for
individuals with mental disorders.
12. A nurse is working as part of the multidisciplinary team and developing a plan of care for a client
who is receiving recovery-oriented treatment. Which of the following would the nurse integrate into this
plan?
A) Focusing primarily on the mind
B) Limiting support from others
C) Using hope as motivation
D) Avoiding underlying trauma
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Integrated Process: Nursing Process Objective: 6
Page Number: 5
Feedback: Recovery emerges from hope: The belief that recovery is real provides the essential and
motivating message of a better future4that people can and do overcome the internal and external
challenges, barriers, and obstacles that confront them.. Recovery is also holistic, addressing an individual's
whole life, including body, mind, spirit and community. Recovery is supported by peers and allies and
through relationships and social networks. Finally, recovery is supported by addressing trauma, such that
services and supports should be trauma-informed to foster safety.
13. A nurse is assessing a client to evaluate the client's mental health and wellness. Applying the eight
dimensions of wellness, which of the following would the nurse identify as reflecting emotional wellness?
A) Finding ways to expand creative abilities
