ESSENTIALS OF PSYCHIATRIC NURSING,
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1 — Chapter 1: Mental Health and Mental Disorders, Mental
Health and Wellness
Type: Conceptual recall
Stem: A community health nurse conducts a wellness group
and explains that recovery in serious mental illness primarily
emphasizes:
Options:
A. Complete symptom elimination and lifelong clinical
remission.
B. Restoration of previous functioning without need for
supports.
C. Personal responsibility, hope, and building a meaningful life
despite symptoms.
D. Exclusive focus on pharmacologic stabilization.
Correct Answer: C
Rationale — Correct: Recovery is defined as a person-driven
,process emphasizing hope, empowerment, and building a
meaningful life even if symptoms persist (Boyd & Luebbert,
Chapter 1, Recovery From Mental Illness). This aligns with
recovery-oriented care principles. (DSM-5-TR not required
here.)
Rationales — Incorrect:
A. Overemphasizes symptom elimination; recovery can occur
without full symptom remission.
B. Unrealistic—recovery may involve new roles and supports
rather than simple restoration.
D. Pharmacologic stabilization is one component, not the sole
focus; recovery is broader.
NCLEX/HESI applicability: Tests psychosocial integrity (recovery
model, patient-centered care).
Teaching Point: Recovery centers on hope, meaning, and
functioning — not only symptom removal.
Mapping: Chapter 1 — Recovery From Mental Illness — Key
Concept: Recovery model and principles.
2 — Chapter 1: Mental Health and Mental Disorders, Stigma
Type: Application
Stem: A patient with bipolar disorder says, “I’m afraid telling my
family will make them treat me differently.” The nurse’s best
therapeutic response is:
Options:
A. “You shouldn’t worry — most families accept mental illness.”
,B. “Let’s talk about what worries you and plan how to share
information safely.”
C. “If you tell them, they’ll understand eventually.”
D. “You need to be honest with your family; I can’t hide this for
you.”
Correct Answer: B
Rationale — Correct: Validating concerns and collaboratively
planning disclosure supports autonomy and reduces stigma-
related harm (Chapter 1, Mental Health and Wellness). This is
aligned with trauma-informed and recovery-oriented
communication.
Rationales — Incorrect:
A. Minimizes patient concerns and is dismissive.
C. Assumes outcome and provides false reassurance.
D. Pushes disclosure without collaboration and may violate
autonomy.
NCLEX/HESI applicability: Tests therapeutic communication,
psychosocial integrity, and patient advocacy.
Teaching Point: Validate stigma fears and co-create disclosure
strategies.
Mapping: Chapter 1 — Mental Health and Wellness — Key
Concept: Stigma and patient-centered communication.
3 — Chapter 7: Recovery Framework for Psychiatric–Mental
Health Nursing, Recovery-Oriented Care
Type: Preventive/psychosocial guidance
, Stem: A nurse on discharge planning is using a recovery-
oriented approach. Which plan best reflects recovery
principles?
Options:
A. A list of medical appointments the patient must attend
weekly.
B. A collaborative plan listing patient goals, supports, and self-
management strategies.
C. A directive to enter the intensive outpatient program without
patient input.
D. A medication-only follow-up schedule.
Correct Answer: B
Rationale — Correct: Recovery-oriented care is collaborative,
goal-directed, and includes supports and self-management
(Chapter 7, Recovery Framework).
Rationales — Incorrect:
A. Provider-centered and prescriptive, not collaborative.
C. Coercive and undermines self-determination.
D. Too narrow; recovery includes psychosocial supports beyond
medication.
NCLEX/HESI applicability: Emphasizes discharge planning,
patient education, and psychosocial integrity.
Teaching Point: Discharge planning should be collaborative and
goal-driven.
Mapping: Chapter 7 — Recovery Framework for Psychiatric–
Mental Health Nursing — Key Concept: Collaborative recovery
planning.
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1 — Chapter 1: Mental Health and Mental Disorders, Mental
Health and Wellness
Type: Conceptual recall
Stem: A community health nurse conducts a wellness group
and explains that recovery in serious mental illness primarily
emphasizes:
Options:
A. Complete symptom elimination and lifelong clinical
remission.
B. Restoration of previous functioning without need for
supports.
C. Personal responsibility, hope, and building a meaningful life
despite symptoms.
D. Exclusive focus on pharmacologic stabilization.
Correct Answer: C
Rationale — Correct: Recovery is defined as a person-driven
,process emphasizing hope, empowerment, and building a
meaningful life even if symptoms persist (Boyd & Luebbert,
Chapter 1, Recovery From Mental Illness). This aligns with
recovery-oriented care principles. (DSM-5-TR not required
here.)
Rationales — Incorrect:
A. Overemphasizes symptom elimination; recovery can occur
without full symptom remission.
B. Unrealistic—recovery may involve new roles and supports
rather than simple restoration.
D. Pharmacologic stabilization is one component, not the sole
focus; recovery is broader.
NCLEX/HESI applicability: Tests psychosocial integrity (recovery
model, patient-centered care).
Teaching Point: Recovery centers on hope, meaning, and
functioning — not only symptom removal.
Mapping: Chapter 1 — Recovery From Mental Illness — Key
Concept: Recovery model and principles.
2 — Chapter 1: Mental Health and Mental Disorders, Stigma
Type: Application
Stem: A patient with bipolar disorder says, “I’m afraid telling my
family will make them treat me differently.” The nurse’s best
therapeutic response is:
Options:
A. “You shouldn’t worry — most families accept mental illness.”
,B. “Let’s talk about what worries you and plan how to share
information safely.”
C. “If you tell them, they’ll understand eventually.”
D. “You need to be honest with your family; I can’t hide this for
you.”
Correct Answer: B
Rationale — Correct: Validating concerns and collaboratively
planning disclosure supports autonomy and reduces stigma-
related harm (Chapter 1, Mental Health and Wellness). This is
aligned with trauma-informed and recovery-oriented
communication.
Rationales — Incorrect:
A. Minimizes patient concerns and is dismissive.
C. Assumes outcome and provides false reassurance.
D. Pushes disclosure without collaboration and may violate
autonomy.
NCLEX/HESI applicability: Tests therapeutic communication,
psychosocial integrity, and patient advocacy.
Teaching Point: Validate stigma fears and co-create disclosure
strategies.
Mapping: Chapter 1 — Mental Health and Wellness — Key
Concept: Stigma and patient-centered communication.
3 — Chapter 7: Recovery Framework for Psychiatric–Mental
Health Nursing, Recovery-Oriented Care
Type: Preventive/psychosocial guidance
, Stem: A nurse on discharge planning is using a recovery-
oriented approach. Which plan best reflects recovery
principles?
Options:
A. A list of medical appointments the patient must attend
weekly.
B. A collaborative plan listing patient goals, supports, and self-
management strategies.
C. A directive to enter the intensive outpatient program without
patient input.
D. A medication-only follow-up schedule.
Correct Answer: B
Rationale — Correct: Recovery-oriented care is collaborative,
goal-directed, and includes supports and self-management
(Chapter 7, Recovery Framework).
Rationales — Incorrect:
A. Provider-centered and prescriptive, not collaborative.
C. Coercive and undermines self-determination.
D. Too narrow; recovery includes psychosocial supports beyond
medication.
NCLEX/HESI applicability: Emphasizes discharge planning,
patient education, and psychosocial integrity.
Teaching Point: Discharge planning should be collaborative and
goal-driven.
Mapping: Chapter 7 — Recovery Framework for Psychiatric–
Mental Health Nursing — Key Concept: Collaborative recovery
planning.
