,Test Bank - Psychiatric Nursing: Contemporary Practice (6th Edition by Mary Ann Boyd)
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Table of Contents ll ll
Table of Contents ll ll 1
Chapter 01: Psychiatric-Mental Health Nursing and Evidence-Based Practice
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Chapter 02: Mental Health and Mental Disorders
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Chapter 03: Cultural and Spiritual Issues Related to Mental Health Care
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Chapter 04: Patient Rights and Legal Issues
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Chapter 05: Mental Health Care in the Community
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Chapter 06: Ethics, Standards, and Nursing Frameworks
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Chapter 07: Psychosocial Theoretic Basis of Psychiatric Nursing
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Chapter 08: Biologic Foundations of Psychiatric Nursing
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Chapter 09: Communication and the Therapeutic Relationship
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Chapter 10: The Psychiatric-Mental Health Nursing Process
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Chapter 11: Psychopharmacology, Dietary Supplements, and Biologic Interventions
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Chapter 12: Cognitive Interventions in Psychiatric Nursing
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Chapter 13: Group Interventions
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Chapter 14: Family Assessment and Interventions
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Chapter 15: Mental Health Promotion for Children and Adolescents
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Chapter 16: Mental Health Promotion for Young and Middle-Aged Adults
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Chapter 17: Mental Health Promotion for Older Adults
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Chapter 18: Stress and Mental Health
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Chapter 19: Management of Anger, Aggression, and Violence
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Chapter 20: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management
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Chapter 21: Suicide Prevention: Screening, Assessment, and Intervention
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Chapter 22: Schizophrenia and Related Disorders: Nursing Care of Persons with Thought
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Disorders 84
Chapter 23: Depression: Management of Depressive Moods and Suicidal Behavior Chapter
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24: Bipolar Disorders: Management of Mood Lability
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Chapter 25: Anxiety Disorders: Management of Anxiety, Phobia, and Panic Chapter
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26: Obsessive Compulsive and Related Disorders
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Chapter 27: Trauma and Stressor Related Disorders
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Chapter 28: Personality and Borderline Personality Disorder: Management of
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Emotional Dysregulation and Self-Harm
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Chapter 29: Antisocial Personality and Disruptive, I mpulse Control, and Conduct Disorders
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109
Chapter 30: Addiction and Substance-Related Disorders
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Chapter 31: Eating Disorders: Management of Eating andW eight Chapter
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32: Somatic Symptom and Related Disorders
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Chapter 33: Nursing Care of Persons with Insomnia and SleepProblems
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Chapter 34: Sexual Disorders: Management of Sexual Dysfunction and
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Paraphilias Chapter 35: Mental Health Assessment of Children and Adolescents
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Chapter 36: Mental Health Disorders of Childhood and
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Adolescence Chapter 37: Mental Health Assessment of Older Adults
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Chapter 38: Neurocognitive Disorders
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Chapter 39: Caring for Persons Who Are Homeless and Mentally
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Ill Chapter 40: Caring f or Persons W ith Co-occurring Mental
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Disorders Chapter 41: Caring for Survivors of Violence and Abuse
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Chapter 42: Caring f or Persons W ith Mental Illness and Criminal
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Behavior Chapter 43: Caring for Medically Compromised Persons
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Chapter 01: Psychiatric-Mental Health Nursing
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and Evidence-Based Practice
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1. A group of nursing students are reviewing information about
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theevolution of mental health care and are discussing the
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recommendations of the final report of the Joint Commission
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on Mental Illness and Health. The students demonstrate
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understanding of this information when they identify that
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thereport recommended an increase in which of the following?
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A) Numbersof mental health hospitals l l l ll
B) State funding for mentalhealth care ll ll ll l ll
C) Clinics supplemented by general hospitalunits l ll ll ll l
D) Use of psychotherapy by psychiatrists ll ll ll ll
2. A nurse is reviewing the American Nurses Association’s
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Statementon Psychiatric Nursing Practice published in 1967, l ll ll ll ll ll ll
which sanctioned the involvement of psychiatricmental health nurses in the provision of holistic
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nursing care. Integrating knowledge of the various theories and views of mental health and
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illness, the nurse identifies which of the following as most strongly linked to this holistic approach?
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A) Sigmund Freud’s psychoanalytic theory ll ll ll
B) Florence Nightingale’s Notes on Nursing ll ll ll ll
C) Hildegarde
D) Clifford Beers’ A Mind That Found Itself ll ll ll ll ll ll
E) Peplau’s Interpersonal Relationsi n Nursing ll ll l ll
3. A nursing instructor is preparing a presentation about key events and people that influenced the
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development of contemporary mental health and illness care. When describing the effects of World
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WarII, which of the following would the instructor include?
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A) People began to view mental illness as more commonplace and acceptable. ll ll ll ll ll ll ll ll ll ll
B) The biologic understanding of mental illness was almost fully developed.
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C) Deinstitutionalization occurred in responseto the community health movement. l ll ll l l l l ll
D) Mental illnesses became categorized as psychoses or neuroses. ll ll ll ll ll ll ll
4. A nursing studentis presenting a discussion of the history of psychiatricmental health nursing and its
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place within nursing history. Which of the following would be most appropriate to include?
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A) Certification forthe psychiatricmentalhealth nursing specialty was first emphasized by ll l ll l ll ll ll ll ll ll
MaryAdelaide Nutting.
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B) Psychiatric nurses played a part in seeing that alldeinstitutionalized patients got treatment ll ll ll ll ll ll ll ll l ll ll ll
atcommunity mental health centers.
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C) There is a historical link between the first nursing program to admit male students and the first
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training schoolfor psychiatricnursing. ll l ll l ll
D) The first graduate program in psychiatric nurses was established in response to the publication of
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5. Two nursing students are discussing psychiatricmental health nursing and the role it has played in
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nursing’s overall history. Which statement is most accurate?
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A) The importance of using therapeutic communication was stressed by Nightingale.
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B) The use of self-care to enhance the immune system was taught by Dorothea Dix.
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C) The moraltreatment of mental illness was a primary focus of deinstitutionalization.
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D) Peplau was the first nurse to stress the importance of therapeutic communication. ll ll ll ll ll ll ll ll ll ll ll
6. When reviewing the evolution of mental health and illness care, which event is associated with
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mentaldisorders beginning to be viewed as illnesses requiring treatment?
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A) Establishmentof P ennsylvania Hospital in Philadelphia l l ll ll ll ll l l
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B) Quakerestablishment of asylums l ll ll
C) Creation of the state hospital system ll ll ll ll ll
D) Freud’s views on the causes of mental illnesses ll ll ll ll ll ll ll
7. A psychiatricmental health nurse is working on a committee that is developing programs that integrate
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the objectives for mental health and mental disorders as identified in Healthy People 2020. Which
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typeof program would be least appropriate?
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A) Single substance abuse treatment programs l ll ll ll
B) Depression screening programs for primary care providers ll ll ll ll ll ll
C) Mental health programs for the homeless population ll ll ll ll ll ll
D) Employmentprograms for those with serious mental illness l ll ll ll ll ll ll
8. A nursing instructor is describing the concept of evidence-based practice in psychiatricmental health
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nursing. Which of the following would the instructor include as being important? Select all that apply.
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A) Researchfindings l
B) Expertopinion l
C) Clinical
experiencesD)
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E) Established routines l l
9. The following events are important in the development of psychiatricmental health nursing
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practice. Which event occurred first?
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A) Publication of Standards of Psychiatric-Mental Health Nursing by the ANA ll ll ll ll ll ll ll ll ll
B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice ll ll ll ll ll ll ll ll ll ll ll ll
C) Establishment of the first graduate program in psychiatric nursing at Rutgers University ll ll ll ll ll ll ll ll ll ll ll
D) Publication of the first psychiatric nursing text, Nursing Mental Disease, by Harriet Bailey ll ll ll ll ll ll ll ll ll ll ll ll l
10. A nurse is preparing a presentation about the current status of mental health services in the
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UnitedStates. Which statement would the nurse include as the most reflective of this status?
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A) Mental health care in the United States is equally accessible to individuals. ll ll ll ll ll ll ll ll ll ll ll
B) Mental illness ranks second in terms of causing disability in comparison. ll ll ll ll ll ll ll ll ll ll
C) Mental health care primarily focuses on the cure of mental ll ll ll ll ll ll ll ll ll
illness. D) Mental health care services are inadequate and fragmented.
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11. A group of students are reviewing the goals identified by the New Freedom Commission on
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MentalHealth. The students demonstrate understanding of this report when they identify which of
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the following as a goal?
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A) Mental health is viewed as one component of overall health. ll ll ll ll ll ll ll ll ll
B) The consumer and family are the driving forces for mental health care. ll ll ll ll ll ll ll ll ll ll ll ll
C) Screening is of greater importance than assessment and referral for services. ll ll ll ll ll ll ll ll ll ll
D) Disparities in mental health services are decreased. ll ll ll ll ll ll
12. The following are important legislative and policy efforts influencing current mental health care. Which
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of the following is the most recent?
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A) Mental Health: A Report of the Surgeon General ll ll ll ll ll ll ll
B) New Freedom Commission on Mental Health ll ll ll ll ll
C) Action for Mental Health ll ll ll
D) Mental Retardation Facilities and Community MentalHealth Centers Construction Act ll ll ll ll ll l ll ll ll
13. As part of a career day presentation to a group of nursing students, a psychiatricmental health nurse
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plans to describe how this specialty developed. Which individual would the nurse describe as playing
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a major role in the development of specialty training programs for psychiatric nurses?
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A) Mary Adelaide ll
NuttingB) Hildegarde Peplau
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