ESSENTIALS OF PSYCHIATRIC NURSING,
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1. Question 1 — Chapter 1: Mental Health and Mental
Disorders — Fighting Stigma and Promoting Recovery
Type: Preventive/psychosocial guidance
Stem: A newly hired nurse on an inpatient psychiatric unit
notices staff referring to patients by diagnoses (e.g., “the
bipolar on 3B”). Which nursing action best demonstrates
recovery-oriented, stigma-reducing practice?
Options:
A. Ask staff to use diagnostic labels only during treatment
rounds.
B. Introduce person-first language (e.g., “person with
bipolar disorder”) and role-model it.
C. Encourage patients to accept the staff’s routine as part
of institutional culture.
D. Limit patient conversations to avoid reinforcing stigma
, in group activities.
Correct answer: B
Rationale — Correct: Person-first language reduces stigma
and supports recovery-oriented care; nurses should role-
model respectful language. Essentials of Psychiatric
Nursing, 3rd Ed. — Chapter 1: Mental Health and Mental
Disorders — Fighting Stigma and Promoting Recovery.
(Also consistent with recovery frameworks emphasizing
personhood.)
Rationales — Incorrect:
A. Still centers diagnosis rather than person and doesn’t
model respectful language.
C. Accepting stigmatizing routine perpetuates harm and
impedes recovery.
D. Avoiding conversation removes therapeutic opportunity
and social support.
NCLEX/HESI applicability: Addresses Psychosocial Integrity
— therapeutic communication, promoting patient dignity
and advocacy.
Teaching Point: Use person-first language to reduce stigma
and support recovery.
2. Question 2 — Chapter 8: Therapeutic Communication
Type: Conceptual recall
Stem: Which therapeutic communication technique most
helps a nurse encourage a quiet, withdrawn patient to
,share feelings?
Options:
A. Giving direct advice about what the patient should do.
B. Using silence and occasional open-ended prompts.
C. Changing the subject to distract from painful topics.
D. Minimizing feelings by offering reassurance that “things
will get better.”
Correct answer: B
Rationale — Correct: Therapeutic silence plus open-ended
prompts facilitates patient expression and encourages
elaboration. Essentials of Psychiatric Nursing, 3rd Ed. —
Chapter 8: Therapeutic Communication.
Rationales — Incorrect:
A. Giving advice can reduce patient autonomy and block
exploration.
C. Changing subject avoids emotional processing and may
build mistrust.
D. Minimizing feelings with premature reassurance can be
invalidating.
NCLEX/HESI applicability: Psychosocial Integrity —
therapeutic communication skills and patient-centered
care.
Teaching Point: Use silence and open prompts to invite
patient disclosure.
, 3. Question 3 — Chapter 9: The Nurse–Patient Relationship
Type: Clinical scenario**
Stem: A patient says, “I don’t trust my psychiatrist.” The
nurse replies, “Tell me what makes you feel that way.” This
response is an example of:
Options:
A. Confrontation.
B. Reflection of content.
C. Interpretation of meaning.
D. Advice giving.
Correct answer: B
Rationale — Correct: Asking the patient to describe
reasons reflects content and invites clarification—
strengthening the therapeutic alliance. Essentials of
Psychiatric Nursing, 3rd Ed. — Chapter 9: The Nurse–
Patient Relationship.
Rationales — Incorrect:
A. Confrontation challenges discrepancies, not shown
here.
C. Interpretation attributes hidden meanings—this
question asks for description, not interpretation.
D. Advice giving would tell the patient what to do instead
of eliciting experience.
NCLEX/HESI applicability: Psychosocial Integrity —
therapeutic relationship and communication techniques.
Teaching Point: Reflect content to clarify patient concerns
and build trust.
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1. Question 1 — Chapter 1: Mental Health and Mental
Disorders — Fighting Stigma and Promoting Recovery
Type: Preventive/psychosocial guidance
Stem: A newly hired nurse on an inpatient psychiatric unit
notices staff referring to patients by diagnoses (e.g., “the
bipolar on 3B”). Which nursing action best demonstrates
recovery-oriented, stigma-reducing practice?
Options:
A. Ask staff to use diagnostic labels only during treatment
rounds.
B. Introduce person-first language (e.g., “person with
bipolar disorder”) and role-model it.
C. Encourage patients to accept the staff’s routine as part
of institutional culture.
D. Limit patient conversations to avoid reinforcing stigma
, in group activities.
Correct answer: B
Rationale — Correct: Person-first language reduces stigma
and supports recovery-oriented care; nurses should role-
model respectful language. Essentials of Psychiatric
Nursing, 3rd Ed. — Chapter 1: Mental Health and Mental
Disorders — Fighting Stigma and Promoting Recovery.
(Also consistent with recovery frameworks emphasizing
personhood.)
Rationales — Incorrect:
A. Still centers diagnosis rather than person and doesn’t
model respectful language.
C. Accepting stigmatizing routine perpetuates harm and
impedes recovery.
D. Avoiding conversation removes therapeutic opportunity
and social support.
NCLEX/HESI applicability: Addresses Psychosocial Integrity
— therapeutic communication, promoting patient dignity
and advocacy.
Teaching Point: Use person-first language to reduce stigma
and support recovery.
2. Question 2 — Chapter 8: Therapeutic Communication
Type: Conceptual recall
Stem: Which therapeutic communication technique most
helps a nurse encourage a quiet, withdrawn patient to
,share feelings?
Options:
A. Giving direct advice about what the patient should do.
B. Using silence and occasional open-ended prompts.
C. Changing the subject to distract from painful topics.
D. Minimizing feelings by offering reassurance that “things
will get better.”
Correct answer: B
Rationale — Correct: Therapeutic silence plus open-ended
prompts facilitates patient expression and encourages
elaboration. Essentials of Psychiatric Nursing, 3rd Ed. —
Chapter 8: Therapeutic Communication.
Rationales — Incorrect:
A. Giving advice can reduce patient autonomy and block
exploration.
C. Changing subject avoids emotional processing and may
build mistrust.
D. Minimizing feelings with premature reassurance can be
invalidating.
NCLEX/HESI applicability: Psychosocial Integrity —
therapeutic communication skills and patient-centered
care.
Teaching Point: Use silence and open prompts to invite
patient disclosure.
, 3. Question 3 — Chapter 9: The Nurse–Patient Relationship
Type: Clinical scenario**
Stem: A patient says, “I don’t trust my psychiatrist.” The
nurse replies, “Tell me what makes you feel that way.” This
response is an example of:
Options:
A. Confrontation.
B. Reflection of content.
C. Interpretation of meaning.
D. Advice giving.
Correct answer: B
Rationale — Correct: Asking the patient to describe
reasons reflects content and invites clarification—
strengthening the therapeutic alliance. Essentials of
Psychiatric Nursing, 3rd Ed. — Chapter 9: The Nurse–
Patient Relationship.
Rationales — Incorrect:
A. Confrontation challenges discrepancies, not shown
here.
C. Interpretation attributes hidden meanings—this
question asks for description, not interpretation.
D. Advice giving would tell the patient what to do instead
of eliciting experience.
NCLEX/HESI applicability: Psychosocial Integrity —
therapeutic relationship and communication techniques.
Teaching Point: Reflect content to clarify patient concerns
and build trust.
