Test Bank for Psychiatric Nursing 6th
Edition by Keltner
Chapter 01: Introduction to Psychiatric Nursing
Test Bank
MULTIPLE CHOICE
1. A person says, “Now that many state hospitals are closed, patients with
psychiatric problems are free in our community. It is not safe for me.” The
nurse’s reply should be based on knowledge that:
a. depressed patients are nonviolent.
b. state hospitals are no longer needed.
c. anxiety disorders are most prevalent.
d. bizarre behavior is viewed as sensational.
ANS: C
The question calls for applying knowledge of the prevalence of psychiatric disorders.
The nurse can use the knowledge that anxiety disorders are the most prevalent
psychiatric disorder in formulating a response. Individuals with anxiety disorders
often go unnoticed in the community and are at low risk for harm to others.
DIF: Cognitive level: Application REF: 2
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
2. Select the most accurate characterization of treatment of the mentally ill prior to the
Period of Enlightenment.
a. Large asylums provided custodial care.
b. Care for the mentally ill was more compassionate.
c. Care focused on reducing stress and meeting basic human needs.
d. The mentally ill were banished from communities or displayed for public amusement.
ANS: D
In the 1700s, it was common practice for caretakers to display mentally ill patients for the
amusement of the paying public. The creation of large asylums took place during the
Period of Enlightenment. Mental illness was first studied during the Period of Scientific
Study. Dealing with stress and meeting basic needs are concerns of the modern era.
DIF: Cognitive level: Comprehension REF: 2
TOP: Nursing process: Assessment MSC: NCLEX: Safe, Effective Care Environment
3. What concerns were shared by society during both the Period of Enlightenment and the
Period of Community Mental Health?
a. Moving patients out of asylums
b. Studying brain structure and function
, c. Meeting basic human needs humanely
d. Providing medication to control symptoms
ANS: C
The use of asylums signaled concern for meeting basic needs of the mentally ill, who in
earlier times often wandered the countryside. With deinstitutionalization, many patients
who were poorly equipped to provide for their own needs were returned to the
community. The current system must now concern itself with ensuring that patients
have such basic needs as food, shelter, and clothing. Studying brain structure and
function is more a concern of modern times, as is the provision of medication.
DIF: Cognitive level: Analysis REF: 2-4 | 5-7 TOP: Nursing process: Planning
MSC: NCLEX: Safe, Effective Care Environment
4. Which option shows a correct formulation of diagnoses in accordance with the DSMIV-
TR?
a. Axis I: Generalized anxiety disorder
Axis II: Avoidant personality disorder
Axis III: Fibromyalgia
Axis IV: Declared bankruptcy 6 months ago
Axis V: 60
b. Axis I: Schizophrenia, paranoid
Axis II: Death of spouse last year
Axis III: 40
Axis IV: None
Axis V: Alcohol abuse
c. Axis I: Mental retardation
Axis II: Histrionic personality disorder
Axis III: 75
Axis IV: Hypertension
Axis V: Home destroyed by tornado last year
d. Axis I: Rheumatoid arthritis
Axis II: 100
Axis III: Posttraumatic stress disorder
Axis IV: Arrested for shoplifting 2 months ago
Axis V: None
ANS: A
The correct response places a clinical disorder on axis I, a personality disorder on axis
II, a medical problem on axis III, a psychosocial problem on axis IV, and GAF on axis
V. The other options misplace and incorrectly order the clinical data.
DIF: Cognitive level: Analysis REF: 9
TOP: Nursing process: Assessment MSC: NCLEX: Safe, Effective Care
Environment
5. A key factor motivating passage of the Community Mental Health Centers Act in
1963 was that mentally ill individuals had been:
a. hospitalized only if they demonstrated violent behavior.
b. geographically isolated from family and community.
Edition by Keltner
Chapter 01: Introduction to Psychiatric Nursing
Test Bank
MULTIPLE CHOICE
1. A person says, “Now that many state hospitals are closed, patients with
psychiatric problems are free in our community. It is not safe for me.” The
nurse’s reply should be based on knowledge that:
a. depressed patients are nonviolent.
b. state hospitals are no longer needed.
c. anxiety disorders are most prevalent.
d. bizarre behavior is viewed as sensational.
ANS: C
The question calls for applying knowledge of the prevalence of psychiatric disorders.
The nurse can use the knowledge that anxiety disorders are the most prevalent
psychiatric disorder in formulating a response. Individuals with anxiety disorders
often go unnoticed in the community and are at low risk for harm to others.
DIF: Cognitive level: Application REF: 2
TOP: Nursing process: Implementation MSC: NCLEX: Psychosocial Integrity
2. Select the most accurate characterization of treatment of the mentally ill prior to the
Period of Enlightenment.
a. Large asylums provided custodial care.
b. Care for the mentally ill was more compassionate.
c. Care focused on reducing stress and meeting basic human needs.
d. The mentally ill were banished from communities or displayed for public amusement.
ANS: D
In the 1700s, it was common practice for caretakers to display mentally ill patients for the
amusement of the paying public. The creation of large asylums took place during the
Period of Enlightenment. Mental illness was first studied during the Period of Scientific
Study. Dealing with stress and meeting basic needs are concerns of the modern era.
DIF: Cognitive level: Comprehension REF: 2
TOP: Nursing process: Assessment MSC: NCLEX: Safe, Effective Care Environment
3. What concerns were shared by society during both the Period of Enlightenment and the
Period of Community Mental Health?
a. Moving patients out of asylums
b. Studying brain structure and function
, c. Meeting basic human needs humanely
d. Providing medication to control symptoms
ANS: C
The use of asylums signaled concern for meeting basic needs of the mentally ill, who in
earlier times often wandered the countryside. With deinstitutionalization, many patients
who were poorly equipped to provide for their own needs were returned to the
community. The current system must now concern itself with ensuring that patients
have such basic needs as food, shelter, and clothing. Studying brain structure and
function is more a concern of modern times, as is the provision of medication.
DIF: Cognitive level: Analysis REF: 2-4 | 5-7 TOP: Nursing process: Planning
MSC: NCLEX: Safe, Effective Care Environment
4. Which option shows a correct formulation of diagnoses in accordance with the DSMIV-
TR?
a. Axis I: Generalized anxiety disorder
Axis II: Avoidant personality disorder
Axis III: Fibromyalgia
Axis IV: Declared bankruptcy 6 months ago
Axis V: 60
b. Axis I: Schizophrenia, paranoid
Axis II: Death of spouse last year
Axis III: 40
Axis IV: None
Axis V: Alcohol abuse
c. Axis I: Mental retardation
Axis II: Histrionic personality disorder
Axis III: 75
Axis IV: Hypertension
Axis V: Home destroyed by tornado last year
d. Axis I: Rheumatoid arthritis
Axis II: 100
Axis III: Posttraumatic stress disorder
Axis IV: Arrested for shoplifting 2 months ago
Axis V: None
ANS: A
The correct response places a clinical disorder on axis I, a personality disorder on axis
II, a medical problem on axis III, a psychosocial problem on axis IV, and GAF on axis
V. The other options misplace and incorrectly order the clinical data.
DIF: Cognitive level: Analysis REF: 9
TOP: Nursing process: Assessment MSC: NCLEX: Safe, Effective Care
Environment
5. A key factor motivating passage of the Community Mental Health Centers Act in
1963 was that mentally ill individuals had been:
a. hospitalized only if they demonstrated violent behavior.
b. geographically isolated from family and community.
