Exam (elaborations)

Test Bank for Essentials of Psychiatric Nursing 2nd Edition Boyd Test Generator Questions

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Chamberlain College Of Nursing

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Test Bank for Essentials of Psychiatric Nursing 2nd Edition Boyd Test Generator
Questions
Table of Contents
Chapter 1, Mental Health and MentalDisorders ............................................................................. 2
Chapter 2, Cultural and SpiritualIssues Related to Mental Health Care ....................................... 10
Chapter 3, Patient Rights and LegalIssues .................................................................................. 19
Chapter 4, Ethics, Standards, andNursing Frameworks ............................................................... 28
Chapter 5, Theoretical Basis ofPsychiatric Nursing ..................................................................... 37
Chapter 6, Biologic Foundations ofPsychiatric Nursing ................................................................ 45
Chapter 7: Recovery Framework for Mental Health Nursing ........................................................ 53
Chapter 8, TherapeuticCommunication ....................................................................................... 62
Chapter 9: The Nurse--PatientRelationship ................................................................................. 72
Chapter 10, The Psychiatric--MentalHealth Nursing Process....................................................... 82
Chapter 11, Psychopharmacology,Dietary Supplements, and Biologic Interventions ................... 91
Chapter 12, Group Interventions ................................................................................................ 101
Chapter 13, Stress and Mental Health ....................................................................................... 110
Chapter 14, Management of Anger,Aggression, and Violence ................................................... 119
Chapter 15, Crisis, Loss, GriefResponse, Bereavement, and Disaster Management ................. 128
Chapter 16, Suicide Prevention:Screening, Assessment, and Intervention ................................ 136
Chapter 17, Mental Health Care forSurvivors of Violence .......................................................... 145
Chapter 18, Anxiety Disorders:Nursing Care of Patients With Anxiety, Phobia, and Panic ......... 155
Chapter 19, Trauma- and Stressor- Related Disorders: Nursing Care of Persons With
PosttraumaticStress and Other Trauma-Related Disorders ....................................................... 165
Chapter 20, Obsessive--Compulsiveand Related Disorders: Nursing Care of Persons With
Obsessions and Compulsions ................................................................................................... 174
Chapter 21, Depression: Nursing Care of Persons With Depressive Moods and Suicidal Behavior
.................................................................................................................................................. 184
Chapter 22, Bipolar Disorders:Nursing Care of Persons With Mood Lability .............................. 193
Chapter 23, Schizophrenia andRelated Disorders: Nursing Care of Persons With Thought
Disorders ................................................................................................................................... 201
Chapter 24, Personality and Impulse-Control Disorders: Nursing Care of Persons WithPersonality
and Impulse-Control Disorders .................................................................................................. 216
Chapter 25, Addiction and Substance-Related Disorders: Nursing Care of Persons WithAlcohol
and Drug Use ............................................................................................................................ 233
Chapter 26, Eating Disorders: Nursing Care of Persons With Eating and Weight-RelatedDisorders
.................................................................................................................................................. 241
Chapter 27, Somatic Symptom andRelated Disorders: Management of Somatic Problems ....... 250
Chapter 28, Sleep–Wake Disorders:Nursing Care of Persons with Insomnia and Sleep Problems
.................................................................................................................................................. 259
Chapter 29, Sexual Disorders:Nursing Care of Persons With Sexual Dysfunction and Paraphilias
.................................................................................................................................................. 268
Chapter 30, Mental Health Disordersof Childhood and Adolescence ......................................... 276
Chapter 31, Mental Health Disordersof Older Adults.................................................................. 285

1|Page

,Chapter 1, Mental Health and MentalDisorders

Multiple Choice

1. As part of a class activity, nursing students are engaged in a small group discussion about
the epidemiology of mental illness. Which statement best explainsthe importance of
epidemiology in understanding the impact of mental disorders? Epidemiology:
A) Helps promote understanding of the patterns of occurrence associated withmental
disorders.
B) Helps explain research findings about the neurophysiology that causes mentaldisorders.
C) Provides a thorough theoretical explanation of why specific mental disordersoccur.
D) Predicts when a specific psychiatric client will recover from a specific mentaldisorder.

Ans: A
Chapter: 1
Client Needs: Safe, Effective Care Environment:M
anagement of Care
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 4
Page Number: 2
Feedback: Epidemiology is the study of patterns of disease distribution and determinants of
health within populations. It contributes to the overall understandingof the mental health status of
population groups, or aggregates, and it examines theassociations among possible factors.
Epidemiology does not explain research findingsabout neurophysiology, provide theoretical
explanations for why specific disorders occur, or predict recovery.

2. A nurse is working in a community mental health center that provides care to a large
population of people of Asian descent. When developing programs for this community, which of
the following would be most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events

Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand

Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in
this cultural group, label avoidance would be most important. Label avoidance or avoiding
treatment/care so as not to be labeled mentally ill is a type ofstigma that influences why so few
people with mental health problems actually receive assistance. Asian cultures commonly have
negative views of mental illness that influence the willingness of members to seek treatment; they
possibly ignore thesymptoms or refuse to seek treatment because of this stigma. Negative life
events affect anyone, not just those of the Asian culture.

3. A nursing student is assigned to care for a client diagnosed with schizophrenia.When
talking about this client in a clinical post-conference, the student would use which terminology
when referring to the client?
2|Page

,A) Committed client
B) Schizophrenic
C) Schizophrenic client
D) Person with schizophrenia

Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Communica tionandDocum
en
tation
Objective: 5
Page Number: 4
Feedback: Just as a person with diabetes should not be referred to as a “diabetic” but rather
as a “person with diabetes,” a person with a mental disorder should neverbe referred to as a
“schizophrenic” or “bipolar,” but rather as a “person with schizophrenia” or a “person with bipolar
disorder.” Doing so helps to counteract the negative effects of stigma.

4. A nursing student is reviewing journal articles about major depression. One of the articles
describes the number of persons newly diagnosed with the disorder during the past year. The
student interprets this as which of the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence

Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 4
Page Number: 3

Feedback: The article is describing incidence, which refers to a rate that includes only new
cases that have occurred within a clearly defined time period. The most common time period
evaluated is 1 year. Rate reflects the proportion of cases in thepopulation compared with the
total population. Prevalence refers to the total numberof people with the disorder within a given
population at a specified time, regardless ofhow long ago the disorder started. Point prevalence
refers to the proportion of individuals in the population that have a disorder at a specific point in
time.

5. While working in a community mental health treatment center, the nurse overhears one of
the receptionists saying that one of the clients is “really psycho.” Later in the day, the nurse talks
with the receptionist about the comment. This actionby the nurse demonstrates an attempt to
address which issue?
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma

Ans: B
Chapter: 1
Client Needs: Psychosocial Integrity
3|Page

, Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: The receptionist's statementreflects the negative effects of
stigmatization, more specifically public stigma. Self-stigma reflects a person's internalization of a
negative stereotype; that is, the person with the mental illness begins to believe that he or she is
what the public thinks he or she is. Label avoidancerefers to avoiding treatment or care so as not
to be labeled mentally ill. Lack of knowledge is often the underlying theme associated with any
type of stigma.

6. After educating a group of students on mental health and mental illness, the instructor
determines that the education was successful when the group identifieswhich of the following
as reflecting mental disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
D) Lack of impaired functioning

Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand Integrated
Process: Teaching/LearningObjective: 3
Page Number: 3
Feedback: Mental disorders are health conditions characterized by alterations in thinking,
mood, or behavior and are associated with distress or impaired functioning.

Mental health is the emotional and psychological well-being of an individual who hasthe capacity
to interact with others, deal with ordinary stress, and perceive one's surroundings realistically.

7. A nurse is preparing a presentation for a local community group about mentaldisorders
and plans to include how mental disorders are different from medical disorders. Which
statement would be most appropriate for the nurse to include?
A) “Mental disorders are defined by an underlying biological pathology.”
B) “Numerous laboratory tests are used to aid in the diagnosis of mental disorders.”
C) “Clusters of behaviors, thoughts, and feelings characterize mental disorders.”
D) “Manifestations of mental disorders are within normal, expected parameters.”

Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 3
Page Number: 2
Feedback: Unlike many medical disorders, mental disorders are defined by clustersof
behaviors, thoughts, and feelings, not underlying biologic pathology. The alterations in thoughts,
behaviors, and feelings are unexpected and outside the
normal, culturally defined limits. Laboratory tests are not used in diagnosing mentaldisorders.
8. A psychiatric–mental health nurse is providing care for a client with a mentaldisorder.
The client is participating in the decision-making process. The nurse interprets this as which
component of recovery?
4|Page

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