TEST BANK FOR
ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING:
A COMMUNICATION APPROACH TO EVIDENCE-BASED CARE, 4TH
EDITION LATEST EDITION WITH COMPLETE CHAPTERS 1-28
,Table of Contents
Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing ..................... 3
Chapter 02: Mental Health And Mental Illness .......................................................................................... 10
Chapter 03: Theories And Therapies .......................................................................................................... 18
Chapter 04: Biological Basis For Understanding Psychopharmacology ...................................................... 30
Chapter 05: Settings For Psychiatric Care ................................................................................................... 43
Chapter 06: Legal And Ethical Basis For Practice ........................................................................................ 53
Chapter 07: The Nursing Process In Psychiatric–Mental Health Nursing ................................................... 66
Chapter 08: Communication Skills: Medium For All Nursing Practice ........................................................ 78
Chapter 09: Therapeutic Relationships And The Clinical Interview ............................................................ 88
Chapter 10: Trauma And Stress-Related Disorders And Dissociative Disorders ...................................... 101
Chapter 11: Anxiety, Anxiety Disorders, And Obsessive-Compulsive And Related Disorders.................. 112
Chapter 12: Somatic Symptom Disorders ................................................................................................. 129
Chapter 13: Personality Disorders ............................................................................................................ 143
Chapter 14: Eating Disorders .................................................................................................................... 156
Chapter 15: Mood Disorders: Depression ................................................................................................ 169
Chapter 16: Bipolar Spectrum Disorders .................................................................................................. 184
Chapter 17: Schizophrenia Spectrum Disorders And Other Psychotic Disorders ..................................... 199
Chapter 18: Neurocognitive Disorders ..................................................................................................... 217
Chapter 19: Substance-Related And Addictive Disorders ......................................................................... 230
Chapter 20: Crisis And Mass Disaster ....................................................................................................... 249
Chapter 21: Child, Partner, And Elder Violence ........................................................................................ 261
Chapter 22: Sexual Violence ..................................................................................................................... 273
Chapter 23: Suicidal Thoughts And Behavior............................................................................................ 284
Chapter 24: Anger, Aggression, And Violence .......................................................................................... 298
Chapter 25: Care For The Dying And Those Who Grieve .......................................................................... 312
Chapter 26: Children And Adolescents ..................................................................................................... 325
Chapter 27: Adults .................................................................................................................................... 337
Chapter 28: Older Adults .......................................................................................................................... 351
,Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric
Mental Health Nursing
MULTIPLE CHOICE
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For A Client
Living In The Community And Diagnosed With Serious And Persistent Mental Illness? Within 3 Months,
The Client Will Demonstrate What Behavior?
A. Denying Suicidal Ideation
B. Reporting A Sense Of Well-Being
C. Taking Medications As Prescribed
D. Attending Clinic Appointments On Time
ANS: B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And Improving Role
Performance. The Goal Of Recovery Is To Empower The Individual With Mental Illness To Achieve A
Sense Of Meaning And Satisfaction In Life And To Function At The Highest Possible Level Of Wellness.
The Incorrect Options Focus On The Classic Medical Model Rather Than Recovery.
DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Outcomes Identification MSC:
NCLEX: Health Promotion And Maintenance
2. A Client Is Hospitalized For Depression And Suicidal Ideation After Their Spouse Asks For A
Divorce. Select The Caregiver‘S Most Caring Comment.
A. ―Let‘S Discuss Healthy Meresponse Of Coping When You Have Suicidal Feelings.‖
B. ―I Understand Why You‘Re So Depressed. When I Got Divorced, I Was Devastated Too.‖
C. ―You Should Forget About Your Marriage And Move On With Your Life.‖
D. ―How Did You Get So Depressed That Hospitalization Was Necessary?‖
ANS: A
The Caregiver‘S Communication Should Evidence Caring And A Commitment To Work With The Client.
This Commitment Lets The Client Know The Caregiver Will Help. Probing And Advice Are Nothelpful For
Therapeutic Interventions.
DIF: Cognitive Level: Application (Applying)
, TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In The Shift-Change Report, An Off-Going Caregiver Criticizes A Client Who Wears Extremely
Heavymakeup. Which Comment By The Caregiver Who Receives The Report Best Demonstrates
Advocacy?
A. ―This Is A Psychiatric Hospital, So We Expect Our Clients To Behave Bizarrely.‖
B. ―Let‘S All Show Acceptance Of This Client By Wearing Lots Of Makeup Too.‖
C. ―Your Comments Are Inconsiderate And Inappropriate. Keep The Report Objective.‖
D. ―Our Clients Need Our Help To Learn Behaviors That Will Help Them Get Along In Society.‖
ANS: D
Accepting Clients‘ Needs For Self-Expression And Seeking To Teach Skills That Will Contribute To Their
Well-Being Demonstrate Respect And Are Important Parts Of Advocacy. The On-Coming Caregiver Needs
To Take Action To Ensure That Others Are Not Prejudiced Against The Client.
Humor Can Be Appropriate Within The Privacy Of A Shift Report But Not At The Expense Of Respect For
Clients. Judging The Off-Going Caregiver In A Critical Way Will Create Conflict. Caregivers Must Show
Compassion For Each Other.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
4. A Caregiver Assesses A Newly Admitted Client Diagnosed With Major Depressive Disorder.
Whichstatement Is An Example Of ―Attending‖?
A. ―We All Have Stress In Life. Being In A Psychiatric Hospital Is Not The End Of The World.‖
B. ―Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your
Depression.‖
C. ―You Will Feel Better After We Get Some Antidepressant Medication Started For You.‖
D. ―I‘D Like To Sit With You For A While, So You May Feel More Comfortable Talking With Me.‖
ANS: D
Attending Is A Technique That Demonstrates The Caregiver‘S Commitment To The Relationship And
Reduces Feelings Of Isolation. This Technique Shows Respect For The Client And Demonstrates caring.
Generalizations, Probing, And False Reassurances Are Nontherapeutic.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A Client Shows The Caregiver An Article From The Internet About A Health Problem. Which
ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING:
A COMMUNICATION APPROACH TO EVIDENCE-BASED CARE, 4TH
EDITION LATEST EDITION WITH COMPLETE CHAPTERS 1-28
,Table of Contents
Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric Mental Health Nursing ..................... 3
Chapter 02: Mental Health And Mental Illness .......................................................................................... 10
Chapter 03: Theories And Therapies .......................................................................................................... 18
Chapter 04: Biological Basis For Understanding Psychopharmacology ...................................................... 30
Chapter 05: Settings For Psychiatric Care ................................................................................................... 43
Chapter 06: Legal And Ethical Basis For Practice ........................................................................................ 53
Chapter 07: The Nursing Process In Psychiatric–Mental Health Nursing ................................................... 66
Chapter 08: Communication Skills: Medium For All Nursing Practice ........................................................ 78
Chapter 09: Therapeutic Relationships And The Clinical Interview ............................................................ 88
Chapter 10: Trauma And Stress-Related Disorders And Dissociative Disorders ...................................... 101
Chapter 11: Anxiety, Anxiety Disorders, And Obsessive-Compulsive And Related Disorders.................. 112
Chapter 12: Somatic Symptom Disorders ................................................................................................. 129
Chapter 13: Personality Disorders ............................................................................................................ 143
Chapter 14: Eating Disorders .................................................................................................................... 156
Chapter 15: Mood Disorders: Depression ................................................................................................ 169
Chapter 16: Bipolar Spectrum Disorders .................................................................................................. 184
Chapter 17: Schizophrenia Spectrum Disorders And Other Psychotic Disorders ..................................... 199
Chapter 18: Neurocognitive Disorders ..................................................................................................... 217
Chapter 19: Substance-Related And Addictive Disorders ......................................................................... 230
Chapter 20: Crisis And Mass Disaster ....................................................................................................... 249
Chapter 21: Child, Partner, And Elder Violence ........................................................................................ 261
Chapter 22: Sexual Violence ..................................................................................................................... 273
Chapter 23: Suicidal Thoughts And Behavior............................................................................................ 284
Chapter 24: Anger, Aggression, And Violence .......................................................................................... 298
Chapter 25: Care For The Dying And Those Who Grieve .......................................................................... 312
Chapter 26: Children And Adolescents ..................................................................................................... 325
Chapter 27: Adults .................................................................................................................................... 337
Chapter 28: Older Adults .......................................................................................................................... 351
,Chapter 01: Science And The Therapeutic Use Of Self In Psychiatric
Mental Health Nursing
MULTIPLE CHOICE
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For A Client
Living In The Community And Diagnosed With Serious And Persistent Mental Illness? Within 3 Months,
The Client Will Demonstrate What Behavior?
A. Denying Suicidal Ideation
B. Reporting A Sense Of Well-Being
C. Taking Medications As Prescribed
D. Attending Clinic Appointments On Time
ANS: B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And Improving Role
Performance. The Goal Of Recovery Is To Empower The Individual With Mental Illness To Achieve A
Sense Of Meaning And Satisfaction In Life And To Function At The Highest Possible Level Of Wellness.
The Incorrect Options Focus On The Classic Medical Model Rather Than Recovery.
DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Outcomes Identification MSC:
NCLEX: Health Promotion And Maintenance
2. A Client Is Hospitalized For Depression And Suicidal Ideation After Their Spouse Asks For A
Divorce. Select The Caregiver‘S Most Caring Comment.
A. ―Let‘S Discuss Healthy Meresponse Of Coping When You Have Suicidal Feelings.‖
B. ―I Understand Why You‘Re So Depressed. When I Got Divorced, I Was Devastated Too.‖
C. ―You Should Forget About Your Marriage And Move On With Your Life.‖
D. ―How Did You Get So Depressed That Hospitalization Was Necessary?‖
ANS: A
The Caregiver‘S Communication Should Evidence Caring And A Commitment To Work With The Client.
This Commitment Lets The Client Know The Caregiver Will Help. Probing And Advice Are Nothelpful For
Therapeutic Interventions.
DIF: Cognitive Level: Application (Applying)
, TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
3. In The Shift-Change Report, An Off-Going Caregiver Criticizes A Client Who Wears Extremely
Heavymakeup. Which Comment By The Caregiver Who Receives The Report Best Demonstrates
Advocacy?
A. ―This Is A Psychiatric Hospital, So We Expect Our Clients To Behave Bizarrely.‖
B. ―Let‘S All Show Acceptance Of This Client By Wearing Lots Of Makeup Too.‖
C. ―Your Comments Are Inconsiderate And Inappropriate. Keep The Report Objective.‖
D. ―Our Clients Need Our Help To Learn Behaviors That Will Help Them Get Along In Society.‖
ANS: D
Accepting Clients‘ Needs For Self-Expression And Seeking To Teach Skills That Will Contribute To Their
Well-Being Demonstrate Respect And Are Important Parts Of Advocacy. The On-Coming Caregiver Needs
To Take Action To Ensure That Others Are Not Prejudiced Against The Client.
Humor Can Be Appropriate Within The Privacy Of A Shift Report But Not At The Expense Of Respect For
Clients. Judging The Off-Going Caregiver In A Critical Way Will Create Conflict. Caregivers Must Show
Compassion For Each Other.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
4. A Caregiver Assesses A Newly Admitted Client Diagnosed With Major Depressive Disorder.
Whichstatement Is An Example Of ―Attending‖?
A. ―We All Have Stress In Life. Being In A Psychiatric Hospital Is Not The End Of The World.‖
B. ―Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your
Depression.‖
C. ―You Will Feel Better After We Get Some Antidepressant Medication Started For You.‖
D. ―I‘D Like To Sit With You For A While, So You May Feel More Comfortable Talking With Me.‖
ANS: D
Attending Is A Technique That Demonstrates The Caregiver‘S Commitment To The Relationship And
Reduces Feelings Of Isolation. This Technique Shows Respect For The Client And Demonstrates caring.
Generalizations, Probing, And False Reassurances Are Nontherapeutic.
DIF: Cognitive Level: Application (Applying)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
5. A Client Shows The Caregiver An Article From The Internet About A Health Problem. Which
