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Test Bank Psychiatric Nursing Contemporary Practice (6th Edition by Boyd)

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Test Bank Psychiatric Nursing Contemporary Practice (6th Edition by Boyd)Table of Contents Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice .............................................. 1 Chapter 02: Mental Health and Mental Disorders ........................................

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Table of Contents
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-BasedPractice .............................................. 1
Chapter 02: Mental Health and Mental Disorders .......................................................................................... 4
Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care ..................................................... 8
Chapter 04: Patient Rights and Legal Issues ............................................................................................... 11
Chapter 05: Mental Health Care in the Community ..................................................................................... 15
Chapter 06: Ethics, Standards, and Nursing Frameworks ........................................................................... 17
Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing ............................................................... 21
Chapter 08: Biologic Foundations of Psychiatric Nursing ............................................................................ 24
Chapter 09: Communication and the Therapeutic Relationship ................................................................... 28
Chapter 10: The Psychiatric-Mental Health Nursing Process ...................................................................... 31
Chapter 11: Psychopharmacology, Dietary Supplements, and BiologicInterventions.................................. 35
Chapter 12: Cognitive Interventions in Psychiatric Nursing ......................................................................... 39
Chapter 13: Group Interventions .................................................................................................................. 43
Chapter 14: Family Assessment and Interventions ...................................................................................... 46
Chapter 15: Mental Health Promotion for Children and Adolescents .......................................................... 49
Chapter 16: Mental Health Promotion for Young and Middle-AgedAdults ................................................... 52
Chapter 17: Mental Health Promotion for Older Adults ................................................................................ 55
Chapter 18: Stress and Mental Health ......................................................................................................... 59
Chapter 19: Management of Anger, Aggression, and Violence ................................................................... 62
Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and DisasterManagement ................................ 65
Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention ................................................ 69

Chapter 01: Psychiatric-Mental Health Nursing and Evidence-BasedPractice

1. A group of nursing students are reviewing information about the evolution of mental
health care and are discussing the recommendations of the final report of the Joint
Commission on Mental Illness and Health. The students demonstrate understanding of
this information when they identify that the report recommended an increase in which of
the following?
A) Numbers of mental health hospitals
B) State funding for mental health care
C) Clinics supplemented by general hospital units
D) Use of psychotherapy by psychiatrists

2. A nurse is reviewing the American Nurses Association’s Statement on Psychiatric
Nursing Practice published in 1967, which sanctioned the involvement of
psychiatricmental health nurses in the provision of holistic nursing care. Integrating
knowledge of the various theories and views of mental health and illness, the nurse
identifies which of the following as most strongly linked to this holistic approach?
A) Sigmund Freud’s psychoanalytic theory
B) Florence Nightingale’s Notes on Nursing
C) Hildegarde
D) Clifford Beers’ A Mind That Found Itself
E) Peplau’s Interpersonal Relations in Nursing

3. A nursing instructor is preparing a presentation about key events and people that
influenced the development of contemporary mental health and illness care. When
describing the effects of World War II, which of the following would the instructor include?
A) People began to view mental illness as more commonplace and acceptable.
B) The biologic understanding of mental illness was almost fully developed.
C) Deinstitutionalization occurred in response to the community health movement.
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, D) Mental illnesses became categorized as psychoses or neuroses.

4. A nursing student is presenting a discussion of the history of psychiatricmental health
nursing and its place within nursing history. Which of the following would be most
appropriate to include?
A) Certification for the psychiatricmental health nursing specialty was first
emphasized by Mary Adelaide Nutting.
B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got
treatment at community mental health centers.
C) There is a historical link between the first nursing program to admit male students
and the first training school for psychiatric nursing.
D) The first graduate program in psychiatric nurses was established in response to the
publication of psychiatric nursing specialty journals.

5. Two nursing students are discussing psychiatricmental health nursing and the role it
has played in nursing’s overall history. Which statement is most accurate?
A) The importance of using therapeutic communication was stressed by Nightingale.
B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
C) The moral treatment of mental illness was a primary focus of deinstitutionalization.
D) Peplau was the first nurse to stress the importance of therapeutic communication.

6. When reviewing the evolution of mental health and illness care, which event is
associated with mental disorders beginning to be viewed as illnesses requiring
treatment?
A) Establishment of Pennsylvania Hospital in Philadelphia

B) Quaker establishment of asylums
C) Creation of the state hospital system
D) Freud’s views on the causes of mental illnesses

7. A psychiatricmental health nurse is working on a committee that is developing programs
that integrate the objectives for mental health and mental disorders as identified in
Healthy People 2020. Which type of program would be least appropriate?
A) Single substance abuse treatment programs
B) Depression screening programs for primary care providers
C) Mental health programs for the homeless population
D) Employment programs for those with serious mental illness

8. A nursing instructor is describing the concept of evidence-based practice in
psychiatricmental health nursing. Which of the following would the instructor include as
being important? Select all that apply.
A) Research findings
B) Expert opinion
C) Clinical experiences
D) Patient data
E) Established routines

9. The following events are important in the development of psychiatricmental health
nursing practice. Which event occurred first?
A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice
C) Establishment of the first graduate program in psychiatric nursing at Rutgers University
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey

10. A nurse is preparing a presentation about the current status of mental health
services in the United States. Which statement would the nurse include as the most
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, reflective of this status?
A) Mental health care in the United States is equally accessible to individuals.
B) Mental illness ranks second in terms of causing disability in comparison.
C) Mental health care primarily focuses on the cure of mental illness.
D) Mental health care services are inadequate and fragmented.

11. A group of students are reviewing the goals identified by the New Freedom
Commission on Mental Health. The students demonstrate understanding of this
report when they identify which of the following as a goal?
A) Mental health is viewed as one component of overall health.
B) The consumer and family are the driving forces for mental health care.
C) Screening is of greater importance than assessment and referral for services.
D) Disparities in mental health services are decreased.

12. The following are important legislative and policy efforts influencing current mental health
care. Which of the following is the most recent?
A) Mental Health: A Report of the Surgeon General
B) New Freedom Commission on Mental Health
C) Action for Mental Health
D) Mental Retardation Facilities and Community Mental Health Centers Construction Act

13. As part of a career day presentation to a group of nursing students, a psychiatricmental
health nurse plans to describe how this specialty developed. Which individual would the
nurse describe as playing a major role in the development of specialty training programs
for psychiatric nurses?
A) Mary Adelaide Nutting
B) Hildegarde Peplau

C) Harriet Bailey
D) Linda Richards

14. A psychiatricmental health nurse is asked to be a guest speaker at a community fund-
raising event for mental health services. Which of the following would the nurse
emphasize as the primary goal of mental health services?
A) Access to affordable mental health care
B) Removal of exclusions because of preexisting conditions
C) Recovery from mental illness
D) Effective treatment for mental health care needs

15. A psychiatricmental health nurse is implementing evidence-based practice. The nurse
understands that this approach is developed by doing which of the following first?
A) Conducting research
B) Identifying a clinical question
C) Determining outcomes
D) Collaborating with the patient

16. A group of students are reviewing information about mental health care after World
War II. The students demonstrate understanding of this information when they identify
which of the following as a result of the National Mental Health Act?
A) Discovery of psychopharmacology
B) Passage of the Hill-Burton Act
C) Establishment of the National Institute of Mental Health
D) Development of community mental health centers

17. When providing care to a patient, the psychiatricmental health nurse is implementing the
therapeutic use of self. The nurse is applying the concepts based on the work of which
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, individual?
A) Hildegarde Peplau
B) Florence Nightingale
C) Dorothea Dix
D) Sigmund Freud

18. After teaching a class to a group of nursing students about the historical perspectives of
mental health care, the instructor determines that the group has understood the
information when they identify which of the following as a common belief about mental
illness during the medieval period?
A) Mental illness in an individual was the result of being possessed by demons.
B) A person was removed from a contaminated environment to protect him or her.
C) Exorcisms were used as primary mode of treatment to cleanse the person of his or her sins.
D) The focus was on moral treatment to promote the individual’s safety and comfort.

Answer Key

1. C
2. B
3. A
4. C
5. A
6. A
7. A
8. A, B, C, D
9. D
10. D

11. B
12. A
13. B
14. C
15. B
16. C
17. A
18. B

Chapter 02: Mental Health and Mental Disorders

1. A nursing instructor is describing the DSM-IV-TR to a group of nursing students.
Which of the following would the instructor include as the primary purpose of this
classification?
A) Provide a commonly understood diagnostic category for clinical practice.
B) Describe treatment modalities for psychiatric disorders and mental illnesses.
C) Identify various etiologies for mental disorders based on family histories.
D) Provide optimal outcomes for treatment for individuals with mental illnesses.

2. A nurse is providing care to a patient with a mental disorder classified by the DSM-IV-TR.
The nurse understands that although the first three axes appear to contain all the
diagnostic information about a patient, a truly accurate picture of the client is incomplete
without considering other factors such as an estimate of current functioning and:
A) Life stressors
B) Cultural background
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