ESSENTIALS OF PSYCHIATRIC NURSING,
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1
Chapter & Subtopic: Chapter 1 — Mental Health and Mental
Disorders: Fighting Stigma and Promoting Recovery
Type: Preventive/psychosocial guidance
Stem: A 26-year-old woman with recurrent major depressive
episodes tells a nurse, “My coworkers act as if I’m weak when I
tell them I’m getting treatment.” Which nursing intervention
best addresses public stigma and promotes recovery in the
workplace?
Options:
A. Encourage the patient to avoid discussing her illness at work.
B. Offer psychoeducation materials the patient can share with
coworkers.
C. Advise the patient to seek employment elsewhere to avoid
,stigma.
D. Suggest she disclose only medication side effects, not
diagnosis.
Correct Answer: B
Rationale — Correct: Providing psychoeducation for coworkers
reduces misinformation and supports a recovery-oriented
environment; it empowers the patient and fosters workplace
understanding (Boyd & Luebbert, Ch. 1). WHO guidance
emphasizes person-centered, rights-based approaches (2021).
Rationales — Incorrect:
A. Avoidance reinforces secrecy and internalized stigma rather
than reducing it.
C. Encouraging job change shifts burden to the patient instead
of addressing stigma systemically.
D. Partial disclosure that hides diagnosis may reduce support
and perpetuate shame.
NCLEX/HESI applicability: Addresses Psychosocial Integrity
(stigma, patient education) and Safe and Effective Care
Environment (advocacy/advancing patient rights).
Teaching Point: Psychoeducation reduces stigma and supports
recovery-oriented inclusion.
Cite: Essentials of Psychiatric Nursing, 3rd Ed. — Chapter 1:
Mental Health and Mental Disorders: Fighting Stigma and
Promoting Recovery; WHO Guidance on community mental
health services (2021).
,2
Chapter & Subtopic: Chapter 8 — Therapeutic Communication
— Active Listening & Reflective Techniques
Type: Conceptual recall
Stem: During a first therapeutic session, a patient says, “I feel
like nobody understands me.” Which therapeutic response most
demonstrates reflective listening?
Options:
A. “Everyone feels that way sometimes.”
B. “Tell me more about why you think that.”
C. “You feel misunderstood and alone right now.”
D. “You should try to look at the positives in your life.”
Correct Answer: C
Rationale — Correct: Reflective listening restates the patient’s
feelings, validating and clarifying emotional content to deepen
the therapeutic relationship (Boyd & Luebbert, Ch. 8).
Rationales — Incorrect:
A. Minimizes the patient’s feeling—nontherapeutic.
B. An open-ended prompt but lacks reflection of feeling.
D. Prematurely redirects to positives without validating present
emotion.
NCLEX/HESI applicability: Tests Psychosocial Integrity and
therapeutic communication skills required for safe, patient-
centered care.
Teaching Point: Reflecting feelings validates and strengthens
, therapeutic rapport.
Cite: Essentials of Psychiatric Nursing, 3rd Ed. — Chapter 8:
Therapeutic Communication.
3
Chapter & Subtopic: Chapter 9 — The Nurse–Patient
Relationship — Boundaries & Self-Disclosure
Type: Application
Stem: A nurse on an inpatient psychiatric unit is approached by
a patient who asks the nurse to babysit on their day off. What is
the nurse’s best response regarding professional boundaries?
Options:
A. Agree—informal support fosters rapport.
B. Decline and explain why accepting would violate professional
boundaries.
C. Offer personal contact information for off-duty social
support.
D. Ignore the request and change the subject.
Correct Answer: B
Rationale — Correct: Declining with an explanation preserves a
therapeutic boundary while maintaining respect and
transparency—best nursing practice per Boyd & Luebbert, Ch.
9.
Rationales — Incorrect:
A. Accepting blurs therapeutic boundaries and risks dual
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1
Chapter & Subtopic: Chapter 1 — Mental Health and Mental
Disorders: Fighting Stigma and Promoting Recovery
Type: Preventive/psychosocial guidance
Stem: A 26-year-old woman with recurrent major depressive
episodes tells a nurse, “My coworkers act as if I’m weak when I
tell them I’m getting treatment.” Which nursing intervention
best addresses public stigma and promotes recovery in the
workplace?
Options:
A. Encourage the patient to avoid discussing her illness at work.
B. Offer psychoeducation materials the patient can share with
coworkers.
C. Advise the patient to seek employment elsewhere to avoid
,stigma.
D. Suggest she disclose only medication side effects, not
diagnosis.
Correct Answer: B
Rationale — Correct: Providing psychoeducation for coworkers
reduces misinformation and supports a recovery-oriented
environment; it empowers the patient and fosters workplace
understanding (Boyd & Luebbert, Ch. 1). WHO guidance
emphasizes person-centered, rights-based approaches (2021).
Rationales — Incorrect:
A. Avoidance reinforces secrecy and internalized stigma rather
than reducing it.
C. Encouraging job change shifts burden to the patient instead
of addressing stigma systemically.
D. Partial disclosure that hides diagnosis may reduce support
and perpetuate shame.
NCLEX/HESI applicability: Addresses Psychosocial Integrity
(stigma, patient education) and Safe and Effective Care
Environment (advocacy/advancing patient rights).
Teaching Point: Psychoeducation reduces stigma and supports
recovery-oriented inclusion.
Cite: Essentials of Psychiatric Nursing, 3rd Ed. — Chapter 1:
Mental Health and Mental Disorders: Fighting Stigma and
Promoting Recovery; WHO Guidance on community mental
health services (2021).
,2
Chapter & Subtopic: Chapter 8 — Therapeutic Communication
— Active Listening & Reflective Techniques
Type: Conceptual recall
Stem: During a first therapeutic session, a patient says, “I feel
like nobody understands me.” Which therapeutic response most
demonstrates reflective listening?
Options:
A. “Everyone feels that way sometimes.”
B. “Tell me more about why you think that.”
C. “You feel misunderstood and alone right now.”
D. “You should try to look at the positives in your life.”
Correct Answer: C
Rationale — Correct: Reflective listening restates the patient’s
feelings, validating and clarifying emotional content to deepen
the therapeutic relationship (Boyd & Luebbert, Ch. 8).
Rationales — Incorrect:
A. Minimizes the patient’s feeling—nontherapeutic.
B. An open-ended prompt but lacks reflection of feeling.
D. Prematurely redirects to positives without validating present
emotion.
NCLEX/HESI applicability: Tests Psychosocial Integrity and
therapeutic communication skills required for safe, patient-
centered care.
Teaching Point: Reflecting feelings validates and strengthens
, therapeutic rapport.
Cite: Essentials of Psychiatric Nursing, 3rd Ed. — Chapter 8:
Therapeutic Communication.
3
Chapter & Subtopic: Chapter 9 — The Nurse–Patient
Relationship — Boundaries & Self-Disclosure
Type: Application
Stem: A nurse on an inpatient psychiatric unit is approached by
a patient who asks the nurse to babysit on their day off. What is
the nurse’s best response regarding professional boundaries?
Options:
A. Agree—informal support fosters rapport.
B. Decline and explain why accepting would violate professional
boundaries.
C. Offer personal contact information for off-duty social
support.
D. Ignore the request and change the subject.
Correct Answer: B
Rationale — Correct: Declining with an explanation preserves a
therapeutic boundary while maintaining respect and
transparency—best nursing practice per Boyd & Luebbert, Ch.
9.
Rationales — Incorrect:
A. Accepting blurs therapeutic boundaries and risks dual
