ESSENTIALS OF PSYCHIATRIC NURSING
2ND EDITION BOYD LUEBBERT TEST BANK
Chapter 1 Mental Health and Mental Disorders1.
A nursing instructor is describing the DSM-IV-TR to a group of nursing students.
Which of the following wouldthe instructor include as the primary purpose of this
classification?
A) Provide a commonly understood diagnosticcategory for clinical
practice.
B) Describe treatment modalities for psychiatricdisorders and mental
illnesses.
C) Identify various etiologies for mental disordersbased on family
histories.
D) Provide optimal outcomes for treatment forindividuals 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
C) Marital status
D) Genetic history
3. A patients global assessment functioning reveals that hehas minimal symptoms with
good functioning in all
areas. Which score would the nurse correlate with these
findings?
A) 94
,B) 82
C) 75
D) 63
4. A female patient was admitted to the hospital with pneumonia, and in the
course of her treatment, it was determined that she was experiencing alcohol
dependence because she began experiencing alcoholwithdrawal while she was in
the hospital. When the psychiatrist who was called in as a consultant documented
the patients mental disorder, he identifiedher alcohol dependence on which axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
5. A 25-year-old woman who recently had abdominal surgery was admitted to the
psychiatric unit, where it was determined that she had a borderline personality
disorder.During the first week on the unit, it was determined that she also has
diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-TR
diagnosis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
,6. As part of a class activity, nursing students are engagedin 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 thepatterns of occurrence
associated with mental disorders.
B) Epidemiology helps explain research findings about theneurophysiology that
causes mental disorders.
C) Epidemiology provides a thorough theoretical explanation of why specific
mental disorders occur.
D) Epidemiology predicts when a specific psychiatricclient will recover from a
specific mental disorder.
7. A nurse is working in a community mental health centerthat provides care to a
large population 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
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-
TR. The students demonstrate understanding of the axes when they identifythat each
axis represents which of the following?
A) An evidence-based research finding
B) An experimental design to guide care
C) A domain of information
D) A laboratory test finding
9. A nursing student is assigned to care for a patient diagnosed with
schizophrenia. When talking about this
, patient in a clinical postconference, the student would usewhich terminology when
referring to the patient?
A) Committed patient
B) Schizophrenic
C) Schizophrenic patient
D) Person with schizophrenia10.
Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog
was killed when a car accidentally ran over it; in addition to that, she just foundout
that her mother has been diagnosed with colon cancer. This information would be
addressed in
which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
11.
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 whichof the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence12.
While working in a community mental health treatment center, the nurse overhears one
of the receptionists sayingthat one of the patients 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
2ND EDITION BOYD LUEBBERT TEST BANK
Chapter 1 Mental Health and Mental Disorders1.
A nursing instructor is describing the DSM-IV-TR to a group of nursing students.
Which of the following wouldthe instructor include as the primary purpose of this
classification?
A) Provide a commonly understood diagnosticcategory for clinical
practice.
B) Describe treatment modalities for psychiatricdisorders and mental
illnesses.
C) Identify various etiologies for mental disordersbased on family
histories.
D) Provide optimal outcomes for treatment forindividuals 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
C) Marital status
D) Genetic history
3. A patients global assessment functioning reveals that hehas minimal symptoms with
good functioning in all
areas. Which score would the nurse correlate with these
findings?
A) 94
,B) 82
C) 75
D) 63
4. A female patient was admitted to the hospital with pneumonia, and in the
course of her treatment, it was determined that she was experiencing alcohol
dependence because she began experiencing alcoholwithdrawal while she was in
the hospital. When the psychiatrist who was called in as a consultant documented
the patients mental disorder, he identifiedher alcohol dependence on which axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
5. A 25-year-old woman who recently had abdominal surgery was admitted to the
psychiatric unit, where it was determined that she had a borderline personality
disorder.During the first week on the unit, it was determined that she also has
diabetes. Her diabetes mellitus would be listed in which axis of her DSM-IV-TR
diagnosis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
,6. As part of a class activity, nursing students are engagedin 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 thepatterns of occurrence
associated with mental disorders.
B) Epidemiology helps explain research findings about theneurophysiology that
causes mental disorders.
C) Epidemiology provides a thorough theoretical explanation of why specific
mental disorders occur.
D) Epidemiology predicts when a specific psychiatricclient will recover from a
specific mental disorder.
7. A nurse is working in a community mental health centerthat provides care to a
large population 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
8. A group of students are reviewing the multiaxial diagnostic system of the DSM-IV-
TR. The students demonstrate understanding of the axes when they identifythat each
axis represents which of the following?
A) An evidence-based research finding
B) An experimental design to guide care
C) A domain of information
D) A laboratory test finding
9. A nursing student is assigned to care for a patient diagnosed with
schizophrenia. When talking about this
, patient in a clinical postconference, the student would usewhich terminology when
referring to the patient?
A) Committed patient
B) Schizophrenic
C) Schizophrenic patient
D) Person with schizophrenia10.
Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog
was killed when a car accidentally ran over it; in addition to that, she just foundout
that her mother has been diagnosed with colon cancer. This information would be
addressed in
which DSM-IV axis?
A) Axis I
B) Axis II
C) Axis III
D) Axis IV
11.
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 whichof the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence12.
While working in a community mental health treatment center, the nurse overhears one
of the receptionists sayingthat one of the patients 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
