Test Bank For
f f
Psychiatric Nursing
f f
Contemporary Practice
f f
7th Edition
f f
By
Mary Ann Boyd; Rebecca
f f f
Luebbert
f
,Test fBank f- fPsychiatric fNursing: fContemporary fPractice f(7th fEdition fby 1
fBoyd)
Table f of f Contents
Table f of 1
f Contents
Chapter f01: fPsychiatric-Mental fHealth fNursing fand f Evidence-Based fPractice 2
Chapter f02: fMental fHealth fand fMental fDisorders 6
Chapter f03: fCultural f and fSpiritual fIssues fRelated fto fMental fHealth fCare 10
Chapter f04: fPatient fRights fand fLegal fIssues 14
Chapter f05: fMental fHealth fCare fin fthe fCommunity 18
Chapter f06: fEthics, fStandards, fand fNursing fFrameworks 21
Chapter f07: fPsychosocial fTheoretic fBasis fof fPsychiatric fNursing 25
Chapter f08: fBiologic fFoundations fof fPsychiatric fNursing 29
Chapter f09: fCommunication fand fthe fTherapeutic fRelationship 33
Chapter f10: fThe fPsychiatric-Mental fHealth fNursing fProcess 37
Chapter f 11: f Psychopharmacology, f Dietary f Supplements, f and f Biologic f Interventions 41
Chapter f12: fCognitive fInterventions fin fPsychiatric fNursing 46
Chapter f13: fGroup fInterventions 50
Chapter f14: fFamily fAssessment fand fInterventions 54
Chapter f15: fMental fHealth fPromotion ffor fChildren fand fAdolescents 58
Chapter f16: fMental fHealth fPromotion ffor fYoung fand fMiddle-Aged fAdults 61
Chapter f17: fMental fHealth fPromotion ffor fOlder fAdults 64
Chapter f18: fStress fand fMental fHealth 68
Chapter f19: fManagement fof fAnger, fAggression, fand fViolence 72
Chapter f 20: f Crisis, f Loss, f Grief, f Response, f Bereavement, f and f Disaster f Management 76
Chapter f21: fSuicide fPrevention: fScreening, fAssessment, fand fIntervention 80
Chapter f 22: f Schizophrenia f and f Related f Disorders: f Nursing f Care f of f Persons f with f Thought
Disorders 84
Chapter f 23: f Depression: f Management f of f Depressive f Moods f and f Suicidal 92
f BehaviorfChapter f24: fBipolar f Disorders: fManagement fof fMood f Lability 96
Chapter f 25: f Anxiety f Disorders: f Management f of f Anxiety, f Phobia, f and 99
f PanicfChapter f26: fObsessive f Compulsive fand f Related fDisorders 103
Chapter f 27: f Trauma f and f Stressor f Related f Disorders 105
Chapter f 28: f Personality f and f Borderline f Personality f Disorder: f Management f of
f EmotionalfDysregulation fand fSelf-Harm 106
Chapter f 29: f Antisocial f Personality f and f Disruptive, f Impulse f Control, f and f Conduct
f Disorders
109
Chapter f 30: f Addiction f and f Substance-Related f Disorders 113
Chapter f 31: f Eating f Disorders: f Management f of f Eating f and f Weight 117
fChapter f 32: f Somatic f Symptom f and f Related fDisorders 121
Chapter f 33: f Nursing f Care f of f Persons f with f Insomnia f and f Sleep f Problems 125
Chapter f 34: f Sexual f Disorders: f Management f of f Sexual f Dysfunction f and 129
f ParaphiliasfChapter f 35: f Mental f Health f Assessment f of f Children f and fAdolescents 132
Chapter f 36: f Mental f Health f Disorders f of f Childhood f and 135
f AdolescencefChapter f37: fMental f Health f Assessment f of fOlder 139
f Adults 142
Chapter f 38: f Neurocognitive f Disorders 146
Chapter f39: fCaring ffor fPersons fWho fAre fHomeless fand fMentally 150
fIll fChapter f40: fCaring ffor fPersons fWith fCo-occurring fMental 154
fDisorders fChapter f41: fCaring f for fSurvivors f of f Violence f and f Abuse 158
Chapter f42: fCaring ffor fPersons fWith fMental fIllness fand fCriminal 162
fBehavior fChapter f43: fCaring ffor fMedically fCompromised fPersons
,Test fBank f- fPsychiatric fNursing: fContemporary fPractice f(7th fEdition fby 2
fBoyd)
Chapter f 01: f Psychiatric-Mental f Health f Nursing f and f Evidence-Based
fPractice
1. A f group f of f nursing f students f are f reviewing f information f about f the f evolution f of f mental f health f care
f and f are fdiscussing fthe frecommendations fof fthe ffinal freport fof fthe fJoint fCommission fon
fMental fIllness fand fHealth. fThe fstudents fdemonstrate funderstanding fof fthis finformation fwhen
fthey fidentify fthat fthe freportfrecommended fan fincrease fin fwhich fof fthe ffollowing?
A) Numbers f of f mental f health f hospitals
B) State f funding f for f mental f health f care
C) Clinics f supplemented f by f general f hospital f units
D) Use f of f psychotherapy f by f psychiatrists
2. A f nurse f is f reviewing f the f American f Nurses f Association‟s fStatement f on f Psychiatric f Nursing
f Practice fpublished fin f1967, fwhich fsanctioned fthe finvolvement fof fpsychiatricmental fhealth
fnurses fin fthe fprovision f of f holistic f nursing f care. f Integrating f knowledge f of f the f various
f theories f and f views f of f mental fhealth f and f illness, f the f nurse f identifies f which f of f the f following
f as f most f strongly f linked f to f this f holistic fapproach?
A) Sigmund f Freud‟s f psychoanalytic f theory
B) Florence f Nightingale‟s fNotes f on f Nursing
C) Hildegarde
D) Clifford fBeers‟ fA f Mind fThat fFound f Itself
E) Peplau‟s f Interpersonal f Relations f in f Nursing
3. A fnursing finstructor fis fpreparing fa fpresentation fabout fkey fevents fand fpeople fthat finfluenced
fthe fdevelopment f of f contemporary f mental f health f and f illness f care. f When f describing f the f effects f of
f World f War fII, fwhich fof fthe ffollowing fwould fthe finstructor finclude?
A) People f began f to f view f mental f illness f as f more f commonplace f and f acceptable.
B) The f biologic f understanding f of f mental f illness f was f almost f fully f developed.
C) Deinstitutionalization f occurred f in f response f to f the f community f health f movement.
D) Mental f illnesses f became f categorized f as f psychoses f or f neuroses.
4. A f nursing f student f is f presenting f a f discussion f of f the f history f of f psychiatricmental f health f nursing
f and f its fplace fwithin fnursing fhistory. fWhich fof fthe ffollowing fwould fbe fmost fappropriate fto
finclude?
A) Certification f for f the f psychiatricmental f health f nursing f specialty f was f first f emphasized f by
f MaryfAdelaide fNutting.
B) Psychiatric f nurses f played f a f part f in f seeing f that f all f deinstitutionalized f patients f got
f treatment f atfcommunity fmental fhealth fcenters.
C) There f is f a f historical f link f between f the f first f nursing f program f to f admit f male f students f and
f the f first ftraining fschool ffor fpsychiatric fnursing.
D) The f first f graduate f program f in f psychiatric f nurses f was f established f in f response f to f the
f publication f of fpsychiatric fnursing fspecialty fjournals.
5. Two f nursing f students f are f discussing f psychiatricmental f health f nursing f and f the f role f it f has
f played f in fnursing‟s foverall fhistory. fWhich fstatement fis fmost faccurate?
A) The f importance f of f using f therapeutic f communication f was f stressed f by f Nightingale.
B) The f use f of f self-care f to f enhance f the f immune f system f was f taught f by f Dorothea f Dix.
C) The f moral f treatment f of f mental f illness f was f a f primary f focus f of f deinstitutionalization.
D) Peplau f was f the f first f nurse f to f stress f the f importance f of f therapeutic f communication.
6. When f reviewing f the f evolution f of f mental f health f and f illness f care, f which f event f is f associated
f with f mental fdisorders fbeginning fto fbe fviewed fas fillnesses frequiring ftreatment?
A) Establishment f of f Pennsylvania f Hospital f in f Philadelphia
, Test fBank f- fPsychiatric fNursing: fContemporary fPractice f(7th fEdition fby 3
fBoyd)
B) Quaker f establishment f of f asylums
C) Creation f of f the f state f hospital f system
D) Freud‟s f views f on fthe f causes f of fmental fillnesses
7. A fpsychiatricmental fhealth fnurse fis fworking fon fa fcommittee fthat fis fdeveloping f programs fthat
fintegrate fthe f objectives f for f mental f health f and f mental f disorders f as f identified f in f Healthy f People
f 2020. f Which f typefof fprogram fwould fbe fleast fappropriate?
A) Single f substance f abuse f treatment f programs
B) Depression f screening f programs f for f primary f care f providers
C) Mental f health f programs f for f the f homeless f population
D) Employment f programs f for f those f with f serious f mental f illness
8. A fnursing finstructor fis fdescribing fthe fconcept fof fevidence-based fpractice fin fpsychiatricmental
fhealthfnursing. f Which f of f the f following f would f the f instructor f include f as f being f important? f Select
f all f that f apply.
A) Research ffindings
B) Expert f opinion
C) Clinical f experiences
D) Patient f data
E) Established f routines
9. The f following f events f are f important f in f the f development f of f psychiatricmental f health f nursing
f practice.fWhich fevent foccurred ffirst?
A) Publication f of f Standards f of f Psychiatric-Mental f Health f Nursing f by f the f ANA
B) Publication f of fStandards f of f Child f and f Adolescent f Psychiatric f and f Mental f Health f Nursing
f Practice
C) Establishment f of f the f first f graduate f program f in f psychiatric f nursing f at f Rutgers f University
D) Publication f of f the f first f psychiatric f nursing f text, fNursing f Mental f Disease, f by f Harriet f Bailey
10. A f nurse f is f preparing f a f presentation f about f the f current f status f of f mental f health f services f in
f the f United fStates. fWhich fstatement fwould fthe fnurse finclude fas fthe fmost freflective fof fthis
fstatus?
A) Mental f health f care f in f the f United f States f is f equally f accessible f to f individuals.
B) Mental f illness f ranks f second f in f terms f of f causing f disability f in f comparison.
C) Mental f health f care f primarily f focuses f on fthe f cure f of f mental f illness.
D) Mental f health f care f services f are f inadequate f and f fragmented.
11. A f group f of f students f are f reviewing f the f goals f identified f by f the fNew f Freedom f Commission
f on f MentalfHealth. f The f students f demonstrate f understanding f of f this f report f when f they
f identify f which f of f the ffollowing fas fa fgoal?
A) Mental f health f is f viewed f as f one f component f of f overall f health.
B) The f consumer f and f family f are f the f driving f forces f for f mental f health f care.
C) Screening f is f of f greater f importance f than f assessment f and f referral f for f services.
D) Disparities f in f mental f health f services f are f decreased.
12. The f following f are f important f legislative f and f policy f efforts f influencing f current f mental f health f care.
f Whichfof fthe ffollowing fis fthe fmost frecent?
A) Mental f Health: f A f Report f of f the f Surgeon f General
B) New f Freedom f Commission f on f Mental f Health
C) Action f for f Mental fHealth
D) Mental f Retardation f Facilities f and f Community f Mental f Health f Centers f Construction f Act
13. As fpart fof fa fcareer fday fpresentation fto fa fgroup fof fnursing fstudents, fa fpsychiatricmental fhealth
fnurse fplans f to f describe f how f this f specialty f developed. f Which f individual f would f the f nurse
f describe f as f playing f a fmajor frole fin fthe fdevelopment fof fspecialty ftraining fprograms ffor
fpsychiatric fnurses?
A) Mary f Adelaide f Nutting
f f
Psychiatric Nursing
f f
Contemporary Practice
f f
7th Edition
f f
By
Mary Ann Boyd; Rebecca
f f f
Luebbert
f
,Test fBank f- fPsychiatric fNursing: fContemporary fPractice f(7th fEdition fby 1
fBoyd)
Table f of f Contents
Table f of 1
f Contents
Chapter f01: fPsychiatric-Mental fHealth fNursing fand f Evidence-Based fPractice 2
Chapter f02: fMental fHealth fand fMental fDisorders 6
Chapter f03: fCultural f and fSpiritual fIssues fRelated fto fMental fHealth fCare 10
Chapter f04: fPatient fRights fand fLegal fIssues 14
Chapter f05: fMental fHealth fCare fin fthe fCommunity 18
Chapter f06: fEthics, fStandards, fand fNursing fFrameworks 21
Chapter f07: fPsychosocial fTheoretic fBasis fof fPsychiatric fNursing 25
Chapter f08: fBiologic fFoundations fof fPsychiatric fNursing 29
Chapter f09: fCommunication fand fthe fTherapeutic fRelationship 33
Chapter f10: fThe fPsychiatric-Mental fHealth fNursing fProcess 37
Chapter f 11: f Psychopharmacology, f Dietary f Supplements, f and f Biologic f Interventions 41
Chapter f12: fCognitive fInterventions fin fPsychiatric fNursing 46
Chapter f13: fGroup fInterventions 50
Chapter f14: fFamily fAssessment fand fInterventions 54
Chapter f15: fMental fHealth fPromotion ffor fChildren fand fAdolescents 58
Chapter f16: fMental fHealth fPromotion ffor fYoung fand fMiddle-Aged fAdults 61
Chapter f17: fMental fHealth fPromotion ffor fOlder fAdults 64
Chapter f18: fStress fand fMental fHealth 68
Chapter f19: fManagement fof fAnger, fAggression, fand fViolence 72
Chapter f 20: f Crisis, f Loss, f Grief, f Response, f Bereavement, f and f Disaster f Management 76
Chapter f21: fSuicide fPrevention: fScreening, fAssessment, fand fIntervention 80
Chapter f 22: f Schizophrenia f and f Related f Disorders: f Nursing f Care f of f Persons f with f Thought
Disorders 84
Chapter f 23: f Depression: f Management f of f Depressive f Moods f and f Suicidal 92
f BehaviorfChapter f24: fBipolar f Disorders: fManagement fof fMood f Lability 96
Chapter f 25: f Anxiety f Disorders: f Management f of f Anxiety, f Phobia, f and 99
f PanicfChapter f26: fObsessive f Compulsive fand f Related fDisorders 103
Chapter f 27: f Trauma f and f Stressor f Related f Disorders 105
Chapter f 28: f Personality f and f Borderline f Personality f Disorder: f Management f of
f EmotionalfDysregulation fand fSelf-Harm 106
Chapter f 29: f Antisocial f Personality f and f Disruptive, f Impulse f Control, f and f Conduct
f Disorders
109
Chapter f 30: f Addiction f and f Substance-Related f Disorders 113
Chapter f 31: f Eating f Disorders: f Management f of f Eating f and f Weight 117
fChapter f 32: f Somatic f Symptom f and f Related fDisorders 121
Chapter f 33: f Nursing f Care f of f Persons f with f Insomnia f and f Sleep f Problems 125
Chapter f 34: f Sexual f Disorders: f Management f of f Sexual f Dysfunction f and 129
f ParaphiliasfChapter f 35: f Mental f Health f Assessment f of f Children f and fAdolescents 132
Chapter f 36: f Mental f Health f Disorders f of f Childhood f and 135
f AdolescencefChapter f37: fMental f Health f Assessment f of fOlder 139
f Adults 142
Chapter f 38: f Neurocognitive f Disorders 146
Chapter f39: fCaring ffor fPersons fWho fAre fHomeless fand fMentally 150
fIll fChapter f40: fCaring ffor fPersons fWith fCo-occurring fMental 154
fDisorders fChapter f41: fCaring f for fSurvivors f of f Violence f and f Abuse 158
Chapter f42: fCaring ffor fPersons fWith fMental fIllness fand fCriminal 162
fBehavior fChapter f43: fCaring ffor fMedically fCompromised fPersons
,Test fBank f- fPsychiatric fNursing: fContemporary fPractice f(7th fEdition fby 2
fBoyd)
Chapter f 01: f Psychiatric-Mental f Health f Nursing f and f Evidence-Based
fPractice
1. A f group f of f nursing f students f are f reviewing f information f about f the f evolution f of f mental f health f care
f and f are fdiscussing fthe frecommendations fof fthe ffinal freport fof fthe fJoint fCommission fon
fMental fIllness fand fHealth. fThe fstudents fdemonstrate funderstanding fof fthis finformation fwhen
fthey fidentify fthat fthe freportfrecommended fan fincrease fin fwhich fof fthe ffollowing?
A) Numbers f of f mental f health f hospitals
B) State f funding f for f mental f health f care
C) Clinics f supplemented f by f general f hospital f units
D) Use f of f psychotherapy f by f psychiatrists
2. A f nurse f is f reviewing f the f American f Nurses f Association‟s fStatement f on f Psychiatric f Nursing
f Practice fpublished fin f1967, fwhich fsanctioned fthe finvolvement fof fpsychiatricmental fhealth
fnurses fin fthe fprovision f of f holistic f nursing f care. f Integrating f knowledge f of f the f various
f theories f and f views f of f mental fhealth f and f illness, f the f nurse f identifies f which f of f the f following
f as f most f strongly f linked f to f this f holistic fapproach?
A) Sigmund f Freud‟s f psychoanalytic f theory
B) Florence f Nightingale‟s fNotes f on f Nursing
C) Hildegarde
D) Clifford fBeers‟ fA f Mind fThat fFound f Itself
E) Peplau‟s f Interpersonal f Relations f in f Nursing
3. A fnursing finstructor fis fpreparing fa fpresentation fabout fkey fevents fand fpeople fthat finfluenced
fthe fdevelopment f of f contemporary f mental f health f and f illness f care. f When f describing f the f effects f of
f World f War fII, fwhich fof fthe ffollowing fwould fthe finstructor finclude?
A) People f began f to f view f mental f illness f as f more f commonplace f and f acceptable.
B) The f biologic f understanding f of f mental f illness f was f almost f fully f developed.
C) Deinstitutionalization f occurred f in f response f to f the f community f health f movement.
D) Mental f illnesses f became f categorized f as f psychoses f or f neuroses.
4. A f nursing f student f is f presenting f a f discussion f of f the f history f of f psychiatricmental f health f nursing
f and f its fplace fwithin fnursing fhistory. fWhich fof fthe ffollowing fwould fbe fmost fappropriate fto
finclude?
A) Certification f for f the f psychiatricmental f health f nursing f specialty f was f first f emphasized f by
f MaryfAdelaide fNutting.
B) Psychiatric f nurses f played f a f part f in f seeing f that f all f deinstitutionalized f patients f got
f treatment f atfcommunity fmental fhealth fcenters.
C) There f is f a f historical f link f between f the f first f nursing f program f to f admit f male f students f and
f the f first ftraining fschool ffor fpsychiatric fnursing.
D) The f first f graduate f program f in f psychiatric f nurses f was f established f in f response f to f the
f publication f of fpsychiatric fnursing fspecialty fjournals.
5. Two f nursing f students f are f discussing f psychiatricmental f health f nursing f and f the f role f it f has
f played f in fnursing‟s foverall fhistory. fWhich fstatement fis fmost faccurate?
A) The f importance f of f using f therapeutic f communication f was f stressed f by f Nightingale.
B) The f use f of f self-care f to f enhance f the f immune f system f was f taught f by f Dorothea f Dix.
C) The f moral f treatment f of f mental f illness f was f a f primary f focus f of f deinstitutionalization.
D) Peplau f was f the f first f nurse f to f stress f the f importance f of f therapeutic f communication.
6. When f reviewing f the f evolution f of f mental f health f and f illness f care, f which f event f is f associated
f with f mental fdisorders fbeginning fto fbe fviewed fas fillnesses frequiring ftreatment?
A) Establishment f of f Pennsylvania f Hospital f in f Philadelphia
, Test fBank f- fPsychiatric fNursing: fContemporary fPractice f(7th fEdition fby 3
fBoyd)
B) Quaker f establishment f of f asylums
C) Creation f of f the f state f hospital f system
D) Freud‟s f views f on fthe f causes f of fmental fillnesses
7. A fpsychiatricmental fhealth fnurse fis fworking fon fa fcommittee fthat fis fdeveloping f programs fthat
fintegrate fthe f objectives f for f mental f health f and f mental f disorders f as f identified f in f Healthy f People
f 2020. f Which f typefof fprogram fwould fbe fleast fappropriate?
A) Single f substance f abuse f treatment f programs
B) Depression f screening f programs f for f primary f care f providers
C) Mental f health f programs f for f the f homeless f population
D) Employment f programs f for f those f with f serious f mental f illness
8. A fnursing finstructor fis fdescribing fthe fconcept fof fevidence-based fpractice fin fpsychiatricmental
fhealthfnursing. f Which f of f the f following f would f the f instructor f include f as f being f important? f Select
f all f that f apply.
A) Research ffindings
B) Expert f opinion
C) Clinical f experiences
D) Patient f data
E) Established f routines
9. The f following f events f are f important f in f the f development f of f psychiatricmental f health f nursing
f practice.fWhich fevent foccurred ffirst?
A) Publication f of f Standards f of f Psychiatric-Mental f Health f Nursing f by f the f ANA
B) Publication f of fStandards f of f Child f and f Adolescent f Psychiatric f and f Mental f Health f Nursing
f Practice
C) Establishment f of f the f first f graduate f program f in f psychiatric f nursing f at f Rutgers f University
D) Publication f of f the f first f psychiatric f nursing f text, fNursing f Mental f Disease, f by f Harriet f Bailey
10. A f nurse f is f preparing f a f presentation f about f the f current f status f of f mental f health f services f in
f the f United fStates. fWhich fstatement fwould fthe fnurse finclude fas fthe fmost freflective fof fthis
fstatus?
A) Mental f health f care f in f the f United f States f is f equally f accessible f to f individuals.
B) Mental f illness f ranks f second f in f terms f of f causing f disability f in f comparison.
C) Mental f health f care f primarily f focuses f on fthe f cure f of f mental f illness.
D) Mental f health f care f services f are f inadequate f and f fragmented.
11. A f group f of f students f are f reviewing f the f goals f identified f by f the fNew f Freedom f Commission
f on f MentalfHealth. f The f students f demonstrate f understanding f of f this f report f when f they
f identify f which f of f the ffollowing fas fa fgoal?
A) Mental f health f is f viewed f as f one f component f of f overall f health.
B) The f consumer f and f family f are f the f driving f forces f for f mental f health f care.
C) Screening f is f of f greater f importance f than f assessment f and f referral f for f services.
D) Disparities f in f mental f health f services f are f decreased.
12. The f following f are f important f legislative f and f policy f efforts f influencing f current f mental f health f care.
f Whichfof fthe ffollowing fis fthe fmost frecent?
A) Mental f Health: f A f Report f of f the f Surgeon f General
B) New f Freedom f Commission f on f Mental f Health
C) Action f for f Mental fHealth
D) Mental f Retardation f Facilities f and f Community f Mental f Health f Centers f Construction f Act
13. As fpart fof fa fcareer fday fpresentation fto fa fgroup fof fnursing fstudents, fa fpsychiatricmental fhealth
fnurse fplans f to f describe f how f this f specialty f developed. f Which f individual f would f the f nurse
f describe f as f playing f a fmajor frole fin fthe fdevelopment fof fspecialty ftraining fprograms ffor
fpsychiatric fnurses?
A) Mary f Adelaide f Nutting
