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 ........................................................................4
chapter 02: mental health and mental illness ................................... 16
chapter 03: theories and therapies ................................................... 29
chapter 04: biological basis for understanding psychopharmacology 49
chapter 05: settings for psychiatric care ........................................... 69
chapter 06: legal and ethical basis for practice ................................. 86
chapter 07: the nursing process in psychiatric–mental health nursing
...................................................................................................... 107
chapter 08: communication skills: medium for all nursing practice .. 127
chapter 09: therapeutic relationships and the clinical interview ...... 144
chapter 10: trauma and stress-related disorders and dissociative
disorders ........................................................................................ 166
chapter 11: anxiety, anxiety disorders, and obsessive-compulsive and
related disorders ............................................................................ 183
chapter 12: somatic symptom disorders ......................................... 212
chapter 13: personality disorders ................................................... 234
chapter 14: eating disorders ........................................................... 255
chapter 15: mood disorders: depression ......................................... 276
chapter 16: bipolar spectrum disorders........................................... 301
chapter 17: schizophrenia spectrum disorders and other psychotic
disorders ........................................................................................ 325
chapter 18: neurocognitive disorders .............................................. 354
chapter 19: substance-related and addictive disorders.................... 376
chapter 20: crisis and mass disaster ................................................ 407
,chapter 21: child, partner, and elder violence ................................. 426
chapter 22: sexual violence ............................................................ 446
chapter 23: suicidal thoughts and behavior .................................... 464
chapter 24: anger, aggression, and violence ................................... 487
chapter 25: care for the dying and those who grieve ....................... 509
chapter 26: children and adolescents .............................................. 530
chapter 27: adults .......................................................................... 549
chapter 28: older adults ................................................................. 572
,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.‖
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 ........................................................................4
chapter 02: mental health and mental illness ................................... 16
chapter 03: theories and therapies ................................................... 29
chapter 04: biological basis for understanding psychopharmacology 49
chapter 05: settings for psychiatric care ........................................... 69
chapter 06: legal and ethical basis for practice ................................. 86
chapter 07: the nursing process in psychiatric–mental health nursing
...................................................................................................... 107
chapter 08: communication skills: medium for all nursing practice .. 127
chapter 09: therapeutic relationships and the clinical interview ...... 144
chapter 10: trauma and stress-related disorders and dissociative
disorders ........................................................................................ 166
chapter 11: anxiety, anxiety disorders, and obsessive-compulsive and
related disorders ............................................................................ 183
chapter 12: somatic symptom disorders ......................................... 212
chapter 13: personality disorders ................................................... 234
chapter 14: eating disorders ........................................................... 255
chapter 15: mood disorders: depression ......................................... 276
chapter 16: bipolar spectrum disorders........................................... 301
chapter 17: schizophrenia spectrum disorders and other psychotic
disorders ........................................................................................ 325
chapter 18: neurocognitive disorders .............................................. 354
chapter 19: substance-related and addictive disorders.................... 376
chapter 20: crisis and mass disaster ................................................ 407
,chapter 21: child, partner, and elder violence ................................. 426
chapter 22: sexual violence ............................................................ 446
chapter 23: suicidal thoughts and behavior .................................... 464
chapter 24: anger, aggression, and violence ................................... 487
chapter 25: care for the dying and those who grieve ....................... 509
chapter 26: children and adolescents .............................................. 530
chapter 27: adults .......................................................................... 549
chapter 28: older adults ................................................................. 572
,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.‖
