ESSENTIALS OF PSYCHIATRIC NURSING,
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1 — Chapter 1: Mental Health and Mental Disorder, Mental
Health and Wellness
Type: Conceptual recall
Stem: A patient asks, “What does recovery from mental illness
mean?” Which nurse statement best reflects a recovery-
oriented definition?
Options:
A. “Recovery means returning to your exact functioning before
illness.”
B. “Recovery is about building a meaningful, self-directed life
despite symptoms.”
C. “Recovery requires long-term hospitalization to ensure
safety.”
D. “Recovery means you will no longer need any medications.”
Correct Answer: B
Rationale — Correct: Recovery-oriented care emphasizes
,person-centered goals, empowerment, and living a meaningful
life despite ongoing symptoms. This definition aligns with
recovery frameworks in psychiatric nursing.
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Rationales — Incorrect:
A. Incorrect—recovery is not always restoration to prior
functioning; it focuses on meaning and goals.
C. Incorrect—long-term hospitalization is not a defining feature
of recovery-oriented care.
D. Incorrect—some people require ongoing medications;
recovery is broader than medication cessation.
NCLEX/HESI applicability: Tests psychosocial integrity and
health promotion: the nurse educates about recovery-oriented
care, a common NCLEX focus.
Teaching Point: Recovery emphasizes meaningful, self-directed
life goals.
Mapping: Chapter 1 — Mental Health and Wellness — Key
Concept: Recovery-oriented definition and goals.
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2 — Chapter 2: Cultural Communities and Spiritual
Considerations Related to Mental Health Care, Cultural
Identity
Type: Application
Stem: A Somali refugee with depression prefers an imam to a
psychiatrist for counseling. The nurse’s best response is:
,Options:
A. Insist the patient meet the psychiatric team first.
B. Document the preference and facilitate culturally appropriate
supports.
C. Discharge the patient for noncompliance.
D. Advise that religious leaders can’t treat depression.
Correct Answer: B
Rationale — Correct: Respecting cultural/religious preferences
and coordinating supportive resources improves engagement
and cultural competence. This aligns with linguistic and cultural
competence principles. assets.contenthub.wolterskluwer.com
Rationales — Incorrect:
A. Incorrect—forcing psychiatric care undermines trust and
cultural humility.
C. Incorrect—discharge for preference is unethical and unsafe.
D. Incorrect—dismissing cultural supports neglects patient
values and collaboration.
NCLEX/HESI applicability: Addresses cultural competence and
therapeutic communication—key psychosocial integrity tasks.
Teaching Point: Facilitate culturally congruent supports to
improve engagement.
Mapping: Chapter 2 — Cultural Identity — Key Concept:
Cultural competence and patient-centered care.
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, 3 — Chapter 4: Ethics, Standards, and Nursing Frameworks —
Informed Consent & Patient Rights
Type: Clinical scenario
Stem: A 19-year-old with schizophrenia refuses antipsychotic
medication. He is competent and understands risks/benefits.
The nurse should:
Options:
A. Administer the medication anyway for safety.
B. Respect his refusal and document informed refusal.
C. Call security to force medication.
D. Use restraints to prevent him from leaving.
Correct Answer: B
Rationale — Correct: Competent adults may refuse treatment;
nurses respect autonomy, provide information, assess capacity,
and document informed refusal. Ethical/legal standards require
respecting informed refusal.
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Rationales — Incorrect:
A. Incorrect—administering without consent violates autonomy
unless court order or emergency.
C. Incorrect—forcing medication without legal basis is unlawful
except emergency or judicial order.
D. Incorrect—restraints are not appropriate to compel
medication and carry strict criteria.
NCLEX/HESI applicability: Tests legal/ethical care, patient rights,
and safety—priority NCLEX topics.
Teaching Point: Respect autonomy; document and educate
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1 — Chapter 1: Mental Health and Mental Disorder, Mental
Health and Wellness
Type: Conceptual recall
Stem: A patient asks, “What does recovery from mental illness
mean?” Which nurse statement best reflects a recovery-
oriented definition?
Options:
A. “Recovery means returning to your exact functioning before
illness.”
B. “Recovery is about building a meaningful, self-directed life
despite symptoms.”
C. “Recovery requires long-term hospitalization to ensure
safety.”
D. “Recovery means you will no longer need any medications.”
Correct Answer: B
Rationale — Correct: Recovery-oriented care emphasizes
,person-centered goals, empowerment, and living a meaningful
life despite ongoing symptoms. This definition aligns with
recovery frameworks in psychiatric nursing.
assets.contenthub.wolterskluwer.com
Rationales — Incorrect:
A. Incorrect—recovery is not always restoration to prior
functioning; it focuses on meaning and goals.
C. Incorrect—long-term hospitalization is not a defining feature
of recovery-oriented care.
D. Incorrect—some people require ongoing medications;
recovery is broader than medication cessation.
NCLEX/HESI applicability: Tests psychosocial integrity and
health promotion: the nurse educates about recovery-oriented
care, a common NCLEX focus.
Teaching Point: Recovery emphasizes meaningful, self-directed
life goals.
Mapping: Chapter 1 — Mental Health and Wellness — Key
Concept: Recovery-oriented definition and goals.
assets.contenthub.wolterskluwer.com
2 — Chapter 2: Cultural Communities and Spiritual
Considerations Related to Mental Health Care, Cultural
Identity
Type: Application
Stem: A Somali refugee with depression prefers an imam to a
psychiatrist for counseling. The nurse’s best response is:
,Options:
A. Insist the patient meet the psychiatric team first.
B. Document the preference and facilitate culturally appropriate
supports.
C. Discharge the patient for noncompliance.
D. Advise that religious leaders can’t treat depression.
Correct Answer: B
Rationale — Correct: Respecting cultural/religious preferences
and coordinating supportive resources improves engagement
and cultural competence. This aligns with linguistic and cultural
competence principles. assets.contenthub.wolterskluwer.com
Rationales — Incorrect:
A. Incorrect—forcing psychiatric care undermines trust and
cultural humility.
C. Incorrect—discharge for preference is unethical and unsafe.
D. Incorrect—dismissing cultural supports neglects patient
values and collaboration.
NCLEX/HESI applicability: Addresses cultural competence and
therapeutic communication—key psychosocial integrity tasks.
Teaching Point: Facilitate culturally congruent supports to
improve engagement.
Mapping: Chapter 2 — Cultural Identity — Key Concept:
Cultural competence and patient-centered care.
assets.contenthub.wolterskluwer.com
, 3 — Chapter 4: Ethics, Standards, and Nursing Frameworks —
Informed Consent & Patient Rights
Type: Clinical scenario
Stem: A 19-year-old with schizophrenia refuses antipsychotic
medication. He is competent and understands risks/benefits.
The nurse should:
Options:
A. Administer the medication anyway for safety.
B. Respect his refusal and document informed refusal.
C. Call security to force medication.
D. Use restraints to prevent him from leaving.
Correct Answer: B
Rationale — Correct: Competent adults may refuse treatment;
nurses respect autonomy, provide information, assess capacity,
and document informed refusal. Ethical/legal standards require
respecting informed refusal.
assets.contenthub.wolterskluwer.com
Rationales — Incorrect:
A. Incorrect—administering without consent violates autonomy
unless court order or emergency.
C. Incorrect—forcing medication without legal basis is unlawful
except emergency or judicial order.
D. Incorrect—restraints are not appropriate to compel
medication and carry strict criteria.
NCLEX/HESI applicability: Tests legal/ethical care, patient rights,
and safety—priority NCLEX topics.
Teaching Point: Respect autonomy; document and educate
