Foundations of Psychiatric Mental Health Nursing:
yr yr yr yr yr yr
A ClinicalApproach, 8th Edition fall 2024_2025
yr r
y yr yr yr yr
Chapter 01: Mental Health and Mental Illness
yr yr yr yr yr yr
MULTIPLEyrCHOICE
• Ayrnurseyrwantsyrtoyrfindyrayrdescriptionyrofyrdiagnosticyrcriteriayrforyranxietyyrdisorders.yrWhichyrreso
urceyrwouldyrhaveyrtheyrmostyrcompleteyrinformation?
a. NursingyrOutcomesyrClassificationyr(NOC)
b. DSM-V
c. TheyrANA’syrPsychiatric-MentalyrHealthyrNursingyrScopeyrandyrStandardsyrofyrPractice
d. ICD-10
ANS:y r B
TheyrDSM-
Vyrdetailsyrtheyrdiagnosticyrcriteriayrforyrpsychiatricyrclinicalyrconditions.yrItyrisyrtheyrofficialyrguidelin
eyrforyrdiagnosingyrpsychiatricyrdisorders.yrTheyrotheryrreferencesyrareyrgoodyrresourcesyrbutyrdoyrnotyrd
efineyrtheyrdiagnosticyrcriteria.
PTS:yryry r 1 DIF: CognitiveyrLevel:yrUnderstandyr(Comprehension)
REF:yryryrPagesyr1-18,yr19
TOP:y r NursingyrProcess:yrImplementatio
nyrMSC:y r ClientyrNeeds:yrSafe,yrEffectiveyrCareyrEnvironment
• Whichyrindividualyrisyrdemonstratingyrtheyrhighestyrlevelyrofyrresilience?yrOneyrwho
a. isyrableyrtoyrrepressyrstressors.
b. becomesyrdepressedyrafteryrtheyrdeathyrofyrayrspouse.
c. livesyrinyrayrshelteryrforyr2yryearsyrafteryrtheyrhomeyrisyrdestroyedyrbyyrfir
e.
d. takesyrayrtemporaryyrjobyrtoyrmaintainyrfinancialyrstabilityyrafteryrlossyrofyrayrpermanentyrjo
b.
ANS:y r D
Resilienceyrisyrcloselyyrassociatedyrwithyrtheyrprocessyrofyradaptingyrandyrhelpsyrpeopleyrfacingyrtrage
dies,yrloss,yrtrauma,yrandyrsevereyrstress.yrItyrisyrtheyrabilityyrandyrcapacityyrforyrpeopleyrtoyrsecureyrtheyrr
esourcesyrtheyyrneedyrtoyrsupportyrtheiryrwell-being.yrRepressionyrandyrdepressionyrareyrunhealthy.
Livingyrinyrayrshelteryrforyr2yryearsyrshowsyrayrfailureyrtoyrmoveyrforwardyrafteryrayrtragedy.yrSeeyrrel
atedyraudienceyrresponseyrquestion.
PTS:yryry r 1 DIF:
CognitiveyrLevel:yrApplyyr(Application)yrREF:yr
yryrPagesyr1-5,yr6 TOP:y r NursingyrProcess:yrAssessment
MSC:y r ClientyrNeeds:yrPsychosocialyrIntegrity
• Completeyrthisyranalogy.yrNANDA:yrclinicalyrjudgment:yrNIC:yryr
a. patientyroutcomes.
b. nursingyractions.
c. diagnosis.
d. symptoms.
ANS:y r B
Analogiesyrshowyrparallelyrrelationships.yrNANDA,yrtheyrNorthyrAmericanyrNursingyrDiagnosisyrA
ssociation,yridentifiesyrdiagnosticyrstatementsyrregardingyrhumanyrresponsesyrtoyractualyroryrpotentialyr
, healthyrproblems.yrTheseyrstatementsyrrepresentyrclinicalyrjudgments.yrNICyr(NursingyrIntervention
syrClassification)yridentifiesyractionsyrprovidedyrbyyrnursesyrthatyrenhanceyrpatientyroutcomes.yrNursi
ngyrcareyractivitiesyrmayyrbeyrdirectyroryrindirect.
PTS:yryry r 1 DIF: CognitiveyrLevel:yrAnalyzeyr(Analysis)
REF:yryryrPagesyr1-21,yr22
TOP:y r NursingyrProcess:yrEvaluatio
nyrMSC:y r ClientyrNeeds:yrSafe,yrEffectiveyrCareyrEnvironment
• Anyradultyrsays,yr“MostyrofyrtheyrtimeyrI’myrhappyyrandyrfeelyrgoodyraboutyrmyself.yrIyrhaveyrlearnedyr
thatyrwhatyrIyrgetyroutyrofyrsomethingyrisyrproportionalyrtoyrtheyreffortyrIyrputyrintoyrit.”yrWhichyrnumbe
ryronyrthisyrmentalyrhealthyrcontinuumyrshouldyrtheyrnurseyrselect?
MentalyrIllness MentalyrHealth
1 2 3 4 5
a. 1
b. 2
c. 3
d. 4
e. 5
ANS:y r E
Theyradultyrisyrgenerallyyrhappyyrandyrhasyranyradequateyrself-
concept.yrTheyrstatementyrindicatesyrtheyradultyrisyrreality-
oriented,yrworksyreffectively,yrandyrhasyrcontrolyroveryrownyrbehavior.yrMentalyrhealthyrdoesyrnotyrme
anyrthatyrayrpersonyrisyralwaysyrhappy.
PTS:yryry r 1 DIF: CognitiveyrLevel:yrApplyyr(Application)
REF:yryryrPagesyr1-2,yr3,yr32yr(Figureyr1-1)
TOP:y r NursingyrProcess:yrAssessme
ntyrMSC:y r ClientyrNeeds:yrPsychosocialyrIntegrity
• Ayrstaffyrnurseyrcompletesyrorientationyrtoyrayrpsychiatricyrunit.yrThisyrnurseyrmayyrexpectyranyradvan
cedyrpracticeyrnurseyrtoyrperformyrwhichyradditionalyrintervention?
a. Conductyrmentalyrhealthyrassessments.
b. Prescribeyrpsychotropicyrmedication.
c. Establishyrtherapeuticyrrelationships.
d. Individualizeyrnursingyrcareyrplans.
ANS:y r B
Inyrmostyrstates,yrprescriptiveyrprivilegesyrareyrgrantedyrtoyrmaster’s-
preparedyrnurseyrpractitionersyrandyrclinicalyrnurseyrspecialistsyrwhoyrhaveyrtakenyrspecialyrcoursesyron
yrprescribingyrmedication.yrTheyrnurseyrpreparedyratyrtheyrbasicyrlevelyrisyrpermittedyrtoyrperformyrment
alyrhealthyrassessments,yrestablishyrrelationships,yrandyrprovideyrindividualizedyrcareyrplanning.
PTS:yryry r 1 DIF:
CognitiveyrLevel:yrUnderstandyr(Comprehension)yrREF:yr
yryrPageyr1-23 TOP:y r NursingyrProcess:yrImplementation
MSC:y r ClientyrNeeds:yrSafe,yrEffectiveyrCareyrEnvironment
• Ayrnursingyrstudentyrexpressesyrconcernsyrthatyrmentalyrhealthyrnursesyr“loseyrallyrtheiryrclinicalyrnurs
ingyrskills.”yrSelectyrtheyrbestyrresponseyrbyyrtheyrmentalyrhealthyrnurse.
, a. “Psychiatricyrnursesyrpracticeyrinyrsaferyrenvironmentsyrthanyrotheryrspecialties.
Nurse-to-
yr
patientyrratiosyrmustyrbeyrbetteryrbecauseyrofyrtheyrnatureyrofyrtheyrpatients’
problems.”
b. “Psychiatricyrnursesyruseyrcomplexyrcommunicationyrskillsyrasyrwellyrasyrcriticalyrthinking
toyrsolveyrmultidimensionalyrproblems.yrIyramyrchallengedyrbyyrthoseyrsituations.”
c. “That’syrayrmisconception.yrPsychiatricyrnursesyrfrequentlyyruseyrhighyrtechnology
monitoringyrequipmentyrandyrmanageyrcomplexyrintravenousyrtherapies.”
d. “Psychiatricyrnursesyrdoyrnotyrhaveyrtoyrdealyrwithyrasyrmuchyrpainyrandyrsufferingyras
medical–surgicalyrnursesyrdo.yrThatyrappealsyrtoyrme.”
ANS:y r B
Theyrpracticeyrofyrpsychiatricyrnursingyrrequiresyrayrdifferentyrsetyrofyrskillsyrthanyrmedical–
surgicalyrnursing,yrthoughyrthereyrisyrsubstantialyroverlap.yrPsychiatricyrnursesyrmustyrbeyrableyrtoyrh
elpyrpatientsyrwithyrmedicalyrasyrwellyrasyrmentalyrhealthyrproblems,yrreflectingyrtheyrholisticyrperspe
ctiveyrtheseyrnursesyrmustyrhave.yrNurse–
patientyrratiosyrandyrworkloadsyrinyrpsychiatricyrsettingsyrhaveyrincreased,yrjustyrlikeyrotheryrspecialti
es.yrPsychiatricyrnursingyrinvolvesyrclinicalyrpractice,yrnotyrjustyrdocumentation.yrPsychosocialyrpa
inyrandyrsufferingyrareyrasyrrealyrasyrphysicalyrpainyrandyrsuffering.
PTS:yryry r 1 DIF: CognitiveyrLevel:yrApplyyr(Application)
REF:yryryrPagesyr1-2,yr21
TOP:y r NursingyrProcess:yrImplementatio
nyrMSC:y r ClientyrNeeds:yrSafe,yrEffectiveyrCareyrEnvironment
• WhenyrayrnewyrbillyrintroducedyrinyrCongressyrreducesyrfundingyrforyrcareyrofyrpersonsyrdiagnosedyr
withyrmentalyrillness,yrayrgroupyrofyrnursesyrwriteyrlettersyrtoyrtheiryrelectedyrrepresentativesyrinyroppo
sitionyrtoyrtheyrlegislation.yrWhichyrroleyrhaveyrtheyrnursesyrfulfilled?
, a. Recovery
b. Attending
c. Advocacy
d. Evidence-basedyrpractice
ANS:y r C
Anyradvocateyrdefendsyroryrassertsyranother’syrcause,yrparticularlyyrwhenyrtheyrotheryrpersonyrlacksyrt
heyrabilityyrtoyrdoyrthatyrforyrself.yrExamplesyrofyrindividualyradvocacyyrincludeyrhelpingyrpatientsyrun
derstandyrtheiryrrightsyroryrmakeyrdecisions.yrOnyrayrcommunityyrscale,yradvocacyyrincludesyrpoliticalyr
activity,yrpublicyrspeaking,yrandyrpublicationyrinyrtheyrinterestyrofyrimprovingyrtheyrhumanyrcondition.
Sinceyrfundingyrisyrnecessaryyrtoyrdeliveryrqualityyrprogrammingyrforyrpersonsyrwithyrmentalyrillness,y
rtheyrletter-
writingyrcampaignyradvocatesyrforyrthatyrcauseyronyrbehalfyrofyrpatientsyrwhoyrareyrunableyrtoyrarticulat
eyrtheiryrownyrneeds.
PTS:yryry r 1 DIF:
CognitiveyrLevel:yrUnderstandyr(Comprehension)yrREF:yr
yryrPageyr1-26 TOP:y r NursingyrProcess:yrEvaluation
MSC:y r ClientyrNeeds:yrSafe,yrEffectiveyrCareyrEnvironment
• Ayrfamilyyrhasyrayrlongyrhistoryyrofyrconflictedyrrelationshipsyramongyrtheyrmembers.yrWhichyrfa
milyyrmember’syrcommentyrbestyrreflectsyrayrmentallyyrhealthyyrperspective?
a. “I’veyrmadeyrmistakesyrbutyreveryoneyrelseyrinyrthisyrfamilyyrhasyralso.”
b. “Iyrrememberyrjoyyrandyrmutualyrrespectyrfromyrouryrearlyyryearsyrtogether.”
c. “Iyrwillyrmakeyrsomeyrchangesyrinyrmyyrbehavioryrforyrtheyrgoodyrofyrtheyrfamily.”
d. “It’syrbestyrforyrmeyrtoyrmoveyrawayyrfromyrmyyrfamily.yrThingsyrwillyrneveryrchange.
”
ANS:y r C
Theyrcorrectyrresponseyrdemonstratesyrtheyrbestyrevidenceyrofyrayrhealthyyrrecognitionyrofyrtheyrimport
anceyrofyrrelationships.yrMentalyrhealthyrincludesyrrationalyrthinking,yrcommunicationyrskills,yrlearn
ing,yremotionalyrgrowth,yrresilience,yrandyrself-
esteem.yrRecallingyrjoyyrfromyrearlieryrinyrlifeyrmayyrbeyrhealthy,yrbutyrtheyrcorrectyrresponseyrshowsyrayr
higheryrlevelyrofyrmentalyrhealth.yrTheyrotheryrincorrectyrresponsesyrshowyrblamingyrandyravoidance.
PTS:yryry r 1 DIF: CognitiveyrLevel:yrAnalyzeyr(Analysis)
REF:yryryrPagesyr1-2,yr3,yr32yr(Figureyr1-1)
TOP:y r NursingyrProcess:yrAssessme
ntyrMSC:y r ClientyrNeeds:yrPsychosocialyrIntegrity
• Whichyrassessmentyrfindingyrmostyrclearlyyrindicatesyrthatyrayrpatientyrmayyrbeyrexperiencingyrayrme
ntalyrillness?yrTheyrpatient
a. reportsyroccasionalyrsleeplessnessyrandyranxiety.
b. reportsyrayrconsistentlyyrsad,yrdiscouraged,yrandyrhopelessyrmood.
c. isyrableyrtoyrdescribeyrtheyrdifferenceyrbetweenyr“asyrif”yrandyr“foryrreal.”
d. perceivesyrdifficultyyrmakingyrayrdecisionyraboutyrwhetheryrtoyrchangeyrjobs.
ANS:y r B
Theyrcorrectyrresponseyrdescribesyrayrmoodyralteration,yrwhichyrreflectsyrmentalyrillness.yrTheyrdistract
ersyrdescribeyrbehaviorsyrthatyrareyrmentallyyrhealthyyroryrwithinyrtheyrusualyrscopeyrofyrhumanyrexperien
ce.
PTS:yryry r 1 DIF: CognitiveyrLevel:yrApplyyr(Application)
REF:yryryrPagesyr1-2yrtoyr4
