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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Foster, 2023), Chapter 1-32 | All Chapters
Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Foster, 2023), Chapter 1-32 | All Chapters
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TEST BANKEssentials of Psychiatric Nursing
Mary Ann Boyd, and Rebecca Luebbert
3rd Edition
,Table of Contents
Chapter 01 Mental Health and Mental Disorders 1
Chapter 02 Cultural Communities and Spiritual Considerations Related to Mental Health
Care 9
Chapter 03 Patient Rights and Legal Issues 17
Chapter 04 Ethics, Standards, and Nursing Frameworks 30
Chapter 05 Psychosocial Theoretic Basis of Psychiatric Nursing 38
Chapter 06 Biologic Foundations of Psychiatric Nursing 47
Chapter 07 Recovery Framework for Psychiatric-Mental Health Nursing 56
Chapter 08 Therapeutic Communications 64
Chapter 09 The Nurse-Patient Relationship 69
Chapter 10 The Psychiatric–Mental Health Nursing Process 73
Chapter 11 Psychopharmacology, Dietary Supplements, and Biologic Interventions 81
Chapter 12 Group Interventions 92
Chapter 13 Stress and Mental Health 102
Chapter 14 Anger, Aggression, and Violence 111
Chapter 15 Crisis, Loss, Grief, Bereavement, and Disaster Management 120
Chapter 16 Suicide Prevention 129
Chapter 17 Mental Health Care for Survivors of Violence 138
Chapter 18 Anxiety Disorders 147
Chapter 19 Trauma and Stressor-Related Disorders 155
Chapter 20 Obsessive-Compulsive and Related Disorders 164
Chapter 21 Depression 173
Chapter 22 Bipolar and Related Disorders 181
Chapter 23 Schizophrenia and Related Disorders 190
Chapter 24 Personality and Impulse-Control Disorders 207
Chapter 25 Addiction and Substance Use-Related Disorders 220
Chapter 26 Eating Disorders 228
Chapter 27 Somatic Symptom and Dissociative Disorders 236
Chapter 28 Sleep–Wake Disorders 245
Chapter 29 Sexual Disorders 254
Chapter 30 Mental Health Disorders of Childhood and Adolescence 263
Chapter 31 Mental Health Disorders of Older Adults 272
Chapter 32 Care of Veterans with Mental Health Needs 281
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Foster, 2023)
Chapter 1, Mental Health and Mental Disorders
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 explains the importance of
epidemiology in understanding the impact of mental disorders?
a. Epidemiology helps promote understanding of the patterns of occurrence
associated with mental disorders.
b. Epidemiology helps explain research findings about the neurophysiology that
causes mental disorders.
c. Epidemiology provides a thorough theoretical explanation of why specific mental
disorders occur.
d. Epidemiology predicts when a specific psychiatric client will recover from a
specific mental disorder.
ANS: A
Feedback:
Epidemiology is the study of patterns of disease distribution and determinants of health
within populations. It contributes to the overall understanding of the mental health status of
population groups, or aggregates, and it examines the associations among possible factors.
Epidemiology does not explain research findings about neurophysiology, provide theoretical
explanations for why specific disorders occur, or predict recovery.
PTS: 1
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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 would be most important topic for the nurse to address?
a. public stigma
b. self-stigma
c. label avoidance
d. negative life events
ANS: C
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 of stigma 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 the symptoms or refuse to seek treatment because of
this stigma. Negative life events affect anyone, not just those of the Asian culture.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Foster, 2023)
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?
a. Committed client
b. Schizophrenic
c. Schizophrenic client
d. Person with schizophrenia
ANS: D
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 never be 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.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
4. A nurse is reviewing journal articles that discuss the occurrence of major depression. One of
the articles describes the number of persons newly diagnosed with the disorder during the
past year. The nurse interprets this as which type of data?
a. rate
b. prevalence
c. point prevalence
d. incidence
ANS: D
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 the population compared with the total
population. Prevalence refers to the total number of people with the disorder within a given
population at a specified time, regardless of how long ago the disorder started. Point
prevalence refers to the proportion of individuals in the population who have a disorder at a
specific point in time.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
5. While working in a community mental health treatment center, a 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 action by the nurse demonstrates an
attempt to address which issue?
a. lack of knowledge
b. public stigma
c. label avoidance
d. self-stigma
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Foster, 2023)
ANS: B
Feedback:
The receptionist’s statement reflects 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 avoidance refers 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.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Communication/Documentation
BLM: Cognitive Level: Apply NOT: Multiple Choice
6. After educating a group of students on mental health and mental illness, the instructor
determines that the education was successful when the group identifies what 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
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 has the capacity to interact
with others, deal with ordinary stress, and perceive one’s surroundings realistically.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
7. A nurse is preparing a presentation for a local community group about mental disorders 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
Feedback:
Unlike many medical disorders, mental disorders are defined by clusters of behaviors,
thoughts, and feelings, not underlying biological pathology. The alterations in thoughts,
behaviors, and feelings are unexpected and outside normal, culturally defined limits.
Laboratory tests are not used in diagnosing mental disorders.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Foster, 2023)
8. A nurse is explaining recovery to the family of a client diagnosed with a mental disorder.
Which statement about this process would be most appropriate for the nurse to include?
a. “It is a step-by-step process from being ill to being well.”
b. “The client focuses mainly on the emotional aspects of his condition.”
c. “The client is helped to live a meaningful life to the fullest potential.”
d. “Although peer support is important, the self-acceptance is essential.”
ANS: C
Feedback:
Recovery from mental disorders and/or substance use disorders is a process of change
through which individuals improve their health and wellness, live a self- directed life, and
strive to reach their full potential. It is a nonlinear process with setbacks. It also is
strength-based. Peer support is important, but so is respect by the community and
consumers, along with self-acceptance to ensure inclusion and participation in all aspects of
life.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Analysis NOT: Multiple Choice
9. A psychiatric–mental health nurse is preparing a presentation about recovery for a group of
newly hired nurses at a mental health facility. Which concept would the nurse identify as
crucial to recovery?
a. self-direction
b. peer support
c. respect
d. hope
ANS: D
Feedback:
Although self-direction, peer support, and respect are fundamental components of recovery,
hope (the catalyst of the recovery process) is a crucial concept. It is through hope that
individuals and families can overcome the barriers and obstacles facing them.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
10. After teaching a group of nursing students about recovery, the instructor determines that
more education is needed when the group identifies what as a characteristic?
a. self-direction in life
b. improvement in health and wellness
c. achievement of full potential
d. one-time change situation
ANS: D
Feedback:
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Foster, 2023)
Recovery from mental disorders and/or substance use disorders is a process of change
through which individuals improve their health and wellness, live a self- directed life, and
strive to reach their full potential.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
11. The nurse is describing the treatment of mental illness with a client’s family members. What
would a nurse identify as the primary goal?
a. functional status
b. stigma reduction
c. stress reduction
d. recovery
ANS: D
Feedback:
Although reducing stigma, reducing stress, and improving functional status are important
components involved in the treatment of mental illness, recovery is the single most
important goal for individuals with mental disorders.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Understand NOT: Multiple Choice
12. A nurse is working as part of a multidisciplinary team and developing a plan of care for a
client who is receiving recovery-oriented treatment. Which would the nurse integrate into
this plan?
a. Focusing primarily on the mind
b. Limiting support from others
c. Using hope as motivation
d. Avoiding underlying trauma
ANS: C
Feedback:
Recovery emerges from hope. The belief that recovery is real provides the essential and
motivating message of a better future—that people can and do overcome the internal and
external challenges, barriers, and obstacles that confront them. Recovery is also holistic,
addressing an individual’s whole life, including body, mind, spirit, and community.
Recovery is supported by peers and allies and through relationships and social networks.
Finally, recovery is supported by addressing trauma, such that services and supports should
be informed by trauma to foster safety.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
13. A nurse is assessing a client to evaluate the client’s mental health and wellness. Applying
the eight dimensions of wellness, which would the nurse identify as reflecting emotional
wellness?
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Test Bank - Essentials of Psychiatric Nursing, 3rd Edition (Foster, 2023)
a. Finding ways to expand creative abilities
b. Recognizing the need for sleep and nutrition
c. Searching for meaning in life
d. Developing skills for dealing with stress
ANS: D
Feedback:
The emotional dimension of wellness focuses on developing skills and strategies to cope
with stress. The intellectual dimension focuses on recognizing creative abilities and finding
ways to expand one’s knowledge and skills. The physical dimension focuses on recognizing
the need for physical activity, diet, sleep, and nutrition. The spiritual dimension focuses on
the search for meaning and purpose in the human experience.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
14. Which would be a major barrier affecting the treatment of individuals diagnosed with
mental health problems?
a. lack of diagnostic criteria
b. inability to obtain epidemiologic data
c. stigma associated with mental health problems
d. limited hope for recovery
ANS: C
Feedback:
Stigma is one of the major treatment barriers facing individuals with mental health problems
and their families. Diagnostic criteria have been established for mental disorders, and
evidence through epidemiologic research provides valuable information about the mental
health status of population groups and associated factors. A guiding principle of recovery is
hope, the belief that recovery is real and that people can and do overcome the internal and
external challenges, barriers, and obstacles confronting them.
PTS: 1 NAT: Client Needs: Psychosocial Integrity
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
15. The nurse understands the need to use appropriate language to help address public stigma
surrounding mental health issues. Which statement best reflects this understanding?
a. “The client diagnosed with schizophrenia needs additional assistance.”
b. “The bipolar in room 222 is really out of control today.”
c. “That client down the hall is a raving maniac.”
d. “That hyperactive client is acting like a psycho.”
ANS: A
Feedback:
One way to reduce public stigma is to use non-stigmatizing language. Rather than referring
to the client as schizophrenic or bipolar, it is more appropriate to say “the client diagnosed
with schizophrenia” or “the client diagnosed with bipolar disorder.” Terms such as maniac
and psycho reinforce the negative images of mental illness.
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