ESSENTIALS OF PSYCHIATRIC NURSING,
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1
Question 1 — Chapter 1: Mental Health and Mental Disorders
— Mental Health and Wellness
Type: Conceptual recall
Stem: A nursing student asks the instructor how “recovery” is
defined in contemporary psychiatric care. Which definition best
reflects the recovery framework described in Essentials of
Psychiatric Nursing?
Options:
A. Recovery means complete symptom elimination and full
return to prior functioning.
B. Recovery is a personal, ongoing process focused on hope,
,empowerment, and meaningful life despite symptoms.
C. Recovery requires long-term residential care to prevent
relapse.
D. Recovery is primarily achieved through pharmacologic
stabilization.
Correct Answer: B
Rationale — Correct: Recovery is framed as a personal,
nonlinear journey emphasizing hope, self-direction,
empowerment, and living a meaningful life even with ongoing
symptoms. (Essentials of Psychiatric Nursing, Ch. 1: Recovery
From Mental Illness). Wolters Kluwer Content Hub
Rationales — Incorrect:
A. Incorrect — Recovery is not defined solely as symptom
elimination; it includes broader psychosocial goals.
C. Incorrect — Long-term residential care may be needed for
some, but recovery is not dependent on institutionalization.
D. Incorrect — Medication can be important, but recovery is
multidimensional (social, vocational, spiritual).
NCLEX/HESI applicability: Links to Psychosocial Integrity and
patient-centered care competencies: recognizing recovery-
oriented goals and supporting patient autonomy.
Teaching Point: Recovery centers on hope, choice, and
meaningful life — not only symptom remission.
Mapping: Chapter 1 — Recovery From Mental Illness — Key
concept: recovery framework and hope. Wolters Kluwer
Content Hub
,2
Question 2 — Chapter 1: Mental Health and Mental Disorders
— Stigma
Type: Application
Stem: A 28-year-old man with a new diagnosis of major
depressive disorder says, “If my manager finds out, they’ll think
I’m weak.” Which nursing response is most therapeutic and
stigma-reducing?
Options:
A. “You should avoid telling anyone at work; it’s nobody’s
business.”
B. “Many people experience depression; it’s a health condition,
not a personal failing.”
C. “If you tell your manager, they’ll probably fire you.”
D. “You need to be tougher; resilience will help you get through
this.”
Correct Answer: B
Rationale — Correct: Normalizing and reframing mental illness
as a health condition reduces shame and counters stigma while
supporting therapeutic rapport (Ch. 1: Mental Health and
Wellness). Wolters Kluwer Content Hub
Rationales — Incorrect:
A. Incorrect — Advising secrecy avoids addressing stigma and
may isolate the patient.
, C. Incorrect — Predicting negative outcomes undermines trust
and may increase anxiety.
D. Incorrect — Blaming or minimizing is nontherapeutic.
NCLEX/HESI applicability: Therapeutic communication and
cultural competence; promotes Psychosocial Integrity
(therapeutic relationship).
Teaching Point: Use nonjudgmental, normalizing language to
reduce stigma.
Mapping: Chapter 1 — Mental Health and Wellness — Key
concept: stigma reduction. Wolters Kluwer Content Hub
3
Question 3 — Chapter 3: Patient Rights and Legal Issues —
Privacy and Confidentiality
Type: Clinical scenario
Stem: A hospitalized patient with mania demands that the
nurse not document their behaviors because “it will ruin my
reputation.” Which action by the nurse is ethically and legally
correct?
Options:
A. Omit documentation of the incident to respect the patient’s
wishes.
B. Document objective observations of behaviors and
interventions while maintaining confidentiality.
C. Refuse to document anything about mental status, citing
3RD EDITION
MARY ANN BOYD; REBECCA LUEBBERT
TEST BANK
1
Question 1 — Chapter 1: Mental Health and Mental Disorders
— Mental Health and Wellness
Type: Conceptual recall
Stem: A nursing student asks the instructor how “recovery” is
defined in contemporary psychiatric care. Which definition best
reflects the recovery framework described in Essentials of
Psychiatric Nursing?
Options:
A. Recovery means complete symptom elimination and full
return to prior functioning.
B. Recovery is a personal, ongoing process focused on hope,
,empowerment, and meaningful life despite symptoms.
C. Recovery requires long-term residential care to prevent
relapse.
D. Recovery is primarily achieved through pharmacologic
stabilization.
Correct Answer: B
Rationale — Correct: Recovery is framed as a personal,
nonlinear journey emphasizing hope, self-direction,
empowerment, and living a meaningful life even with ongoing
symptoms. (Essentials of Psychiatric Nursing, Ch. 1: Recovery
From Mental Illness). Wolters Kluwer Content Hub
Rationales — Incorrect:
A. Incorrect — Recovery is not defined solely as symptom
elimination; it includes broader psychosocial goals.
C. Incorrect — Long-term residential care may be needed for
some, but recovery is not dependent on institutionalization.
D. Incorrect — Medication can be important, but recovery is
multidimensional (social, vocational, spiritual).
NCLEX/HESI applicability: Links to Psychosocial Integrity and
patient-centered care competencies: recognizing recovery-
oriented goals and supporting patient autonomy.
Teaching Point: Recovery centers on hope, choice, and
meaningful life — not only symptom remission.
Mapping: Chapter 1 — Recovery From Mental Illness — Key
concept: recovery framework and hope. Wolters Kluwer
Content Hub
,2
Question 2 — Chapter 1: Mental Health and Mental Disorders
— Stigma
Type: Application
Stem: A 28-year-old man with a new diagnosis of major
depressive disorder says, “If my manager finds out, they’ll think
I’m weak.” Which nursing response is most therapeutic and
stigma-reducing?
Options:
A. “You should avoid telling anyone at work; it’s nobody’s
business.”
B. “Many people experience depression; it’s a health condition,
not a personal failing.”
C. “If you tell your manager, they’ll probably fire you.”
D. “You need to be tougher; resilience will help you get through
this.”
Correct Answer: B
Rationale — Correct: Normalizing and reframing mental illness
as a health condition reduces shame and counters stigma while
supporting therapeutic rapport (Ch. 1: Mental Health and
Wellness). Wolters Kluwer Content Hub
Rationales — Incorrect:
A. Incorrect — Advising secrecy avoids addressing stigma and
may isolate the patient.
, C. Incorrect — Predicting negative outcomes undermines trust
and may increase anxiety.
D. Incorrect — Blaming or minimizing is nontherapeutic.
NCLEX/HESI applicability: Therapeutic communication and
cultural competence; promotes Psychosocial Integrity
(therapeutic relationship).
Teaching Point: Use nonjudgmental, normalizing language to
reduce stigma.
Mapping: Chapter 1 — Mental Health and Wellness — Key
concept: stigma reduction. Wolters Kluwer Content Hub
3
Question 3 — Chapter 3: Patient Rights and Legal Issues —
Privacy and Confidentiality
Type: Clinical scenario
Stem: A hospitalized patient with mania demands that the
nurse not document their behaviors because “it will ruin my
reputation.” Which action by the nurse is ethically and legally
correct?
Options:
A. Omit documentation of the incident to respect the patient’s
wishes.
B. Document objective observations of behaviors and
interventions while maintaining confidentiality.
C. Refuse to document anything about mental status, citing
