Test Bank For Psychiatric Nursing, 8th Edition

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Chapter 1- Introduction to Psychiatric-MentalHealth Nursing1.A group of nursing students are reviewing information about the evolution of mentalhealth care and are discussing the recommendations of the final report of the JointCommission on Mental Illness and Health. The students demonstrate understanding ofthis information when they identify that the report recommended an increase in which ofthe following?A)Numbers of mental health hospitalsB)State funding for mental health careC)Clinics supplemented by general hospital unitsD)Use of psychotherapy by psychiatrists2.A nurse is reviewing the American Nurses Association’sStatement on PsychiatricNursing Practicepublished in 1967, which sanctioned the involvement ofpsychiatricmental health nurses in the provision of holistic nursing care. Integratingknowledge of the various theories and views of mental health and illness, the nurseidentifies which of the following as most strongly linked to this holistic approach?A)Sigmund Freud’s psychoanalytic theoryB)Florence Nightingale’sNotes on NursingC)HildegardeD)Clifford Beers’A Mind That Found ItselfE)Peplau’sInterpersonal Relations in Nursing3.A nursing instructor is preparing a presentation about key events and people thatinfluenced the development of contemporary mental health and illness care. Whendescribing the effects of World War II, which of the following would the instructorinclude?

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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.D)Mental illnesses became categorized as psychoses or neuroses.4.A nursing student is presenting a discussion of the history of psychiatricmental healthnursing and its place within nursing history. Which of the following would be mostappropriate to include?A)Certification for the psychiatricmental health nursing specialty was firstemphasized by Mary Adelaide Nutting.B)Psychiatric nurses played a part in seeing that all deinstitutionalized patients gottreatment at community mental health centers.C)There is a historical link between the first nursing program to admit male studentsand the first training school for psychiatric nursing.D)The first graduate program in psychiatric nurses was established in response to thepublication of psychiatric nursing specialty journals.5.Two nursing students are discussing psychiatricmental health nursing and the role it hasplayed 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 associatedwith mental disorders beginning to be viewed as illnesses requiring treatment?A)Establishment of Pennsylvania Hospital in PhiladelphiaB)Quaker establishment of asylumsC)Creation of the state hospital system

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D)Freud’s views on the causes of mental illnesses7.A psychiatricmental health nurse is working on a committee that is developingprograms that integrate the objectives for mental health and mental disorders as identifiedinHealthy People 2020.Which type of program would be least appropriate?A)Single substance abuse treatment programsB)Depression screening programs for primary care providersC)Mental health programs for the homeless populationD)Employment programs for those with serious mental illness8.A nursing instructor is describing the concept of evidence-based practice inpsychiatricmental health nursing. Which of the following would the instructor includeas being important? Select all that apply.A)Research findingsB)Expert opinionC)Clinical experiencesD)Patient dataE)Established routines9.The following events are important in the development of psychiatricmental healthnursing practice. Which event occurred first?A)Publication ofStandards of Psychiatric-Mental Health Nursingby the ANAB)Publication ofStandards of Child and Adolescent Psychiatric and Mental HealthNursing PracticeC)Establishment of the first graduate program in psychiatric nursing at RutgersUniversityD)Publication of the first psychiatric nursing text,Nursing Mental Disease, by HarrietBailey10.A nurse is preparing a presentation about the current status of mental health services in

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the United States. Which statement would the nurse include as the most reflective of thisstatus?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 theNew Freedom Commissionon Mental Health.The students demonstrate understanding of this report when theyidentify 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 mentalhealth care. Which of the following is the most recent?A)Mental Health: A Report of the Surgeon GeneralB)New Freedom Commission on Mental HealthC)Action for Mental HealthD)Mental Retardation Facilities and Community Mental Health Centers ConstructionAct13.As part of a career day presentation to a group of nursing students, a psychiatricmentalhealth nurse plans to describe how this specialty developed. Which individual would thenurse describe as playing a major role in the development of specialty training programsfor psychiatric nurses?A)Mary Adelaide NuttingB)Hildegarde Peplau

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C)Harriet BaileyD)Linda Richards14.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 nurseemphasize as the primary goal of mental health services?A)Access to affordable mental health careB)Removal of exclusions because of preexisting conditionsC)Recovery from mental illnessD)Effective treatment for mental health care needs15.A psychiatricmental health nurse is implementing evidence-based practice. The nurseunderstands that this approach is developed by doing which of the following first?A)Conducting researchB)Identifying a clinical questionC)Determining outcomesD)Collaborating with the patient16.A group of students are reviewing information about mental health care after World WarII. The students demonstrate understanding of this information when they identify whichof the following as a result of the National Mental Health Act?A)Discovery of psychopharmacologyB)Passage of the Hill-Burton ActC)Establishment of the National Institute of Mental HealthD)Development of community mental health centers17.When providing care to a patient, the psychiatricmental health nurse is implementingthe therapeutic use of self. The nurse is applying the concepts based on the work of whichindividual?A)Hildegarde Peplau

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B)Florence NightingaleC)Dorothea DixD)Sigmund Freud18.After teaching a class to a group of nursing students about the historical perspectives ofmental health care, the instructor determines that the group has understood theinformation when they identify which of the following as a common belief about mentalillness 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 orher sins.D)The focus was on moral treatment to promote the individual’s safety and comfort.Answer Key1.C2.B3.A4.C5.A6.A7.A8.A, B, C, D9.D10.D11.B12.A

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13.B14.C15.B16.C17.A18.B

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Chapter 2- Mental Health and Mental Disorders1.A nursing instructor is describing theDSM-IV-TRto a group of nursing students. Whichof 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 theDSM-IV-TR.The nurse understands that although the first three axes appear to contain all thediagnostic information about a patient, a truly accurate picture of the client is incompletewithout considering other factors such as an estimate of current functioning and:A)Life stressorsB)Cultural backgroundC)Marital statusD)Genetic history3.A patient’s global assessment functioning reveals that he has minimal symptoms withgood functioning in all areas. Which score would the nurse correlate with these findings?A)94B)82C)75D)634.A female patient was admitted to the hospital with pneumonia, and in the course of hertreatment, it was determined that she was experiencing alcohol dependence because shebegan experiencing alcohol withdrawal while she was in the hospital. When the

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psychiatrist who was called in as a consultant documented the patient’s mental disorder,he identified her alcohol dependence on which axis?A)Axis IB)Axis IIC)Axis IIID)Axis IV5.A 25-year-old woman who recently had abdominal surgery was admitted to thepsychiatric 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. Herdiabetes mellitus would be listed in which axis of herDSM-IV-TRdiagnosis?A)Axis IB)Axis IIC)Axis IIID)Axis IV6.As part of a class activity, nursing students are engaged in a small group discussion aboutthe epidemiology of mental illness. Which statement best explains the importance ofepidemiology in understanding the impact of mental disorders?A)Epidemiology helps promote understanding of the patterns of occurrence associatedwith mental disorders.B)Epidemiology helps explain research findings about the neurophysiology that causesmental disorders.C)Epidemiology provides a thorough theoretical explanation of why specific mentaldisorders occur.D)Epidemiology predicts when a specific psychiatric client will recover from a specificmental disorder.

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7.A nurse is working in a community mental health center that provides care to a largepopulation of Asian descent. When developing programs for this community, which ofthe following would be most important for the nurse to address?A)Public stigmaB)Self-stigmaC)Label avoidanceD)Negative life events8.A group of students are reviewing the multiaxial diagnostic system of theDSM-IV-TR.The students demonstrate understanding of the axes when they identify that each axisrepresents which of the following?A)An evidence-based research findingB)An experimental design to guide careC)A domain of informationD)A laboratory test finding9.A nursing student is assigned to care for a patient diagnosed with schizophrenia. Whentalking about this patient in a clinical postconference, the student would use whichterminology when referring to the patient?A)Committed patientB)SchizophrenicC)Schizophrenic patientD)Person with schizophrenia10.Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog waskilled when a car accidentally ran over it; in addition to that, she just found out that hermother has been diagnosed with colon cancer. This information would be addressed inwhichDSM-IVaxis?

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A)Axis IB)Axis IIC)Axis IIID)Axis IV11.A nursing student is reviewing journal articles about major depression. One of the articlesdescribes the number of persons newly diagnosed with the disorder during the past year.The student interprets this as which of the following?A)RateB)PrevalenceC)Point prevalenceD)Incidence12.While working in a community mental health treatment center, the nurse overhears one ofthe receptionists saying that one of the patients isreally psycho.Later in the day, thenurse talks with the receptionist about the comment. This action by the nursedemonstrates an attempt to address which issue?A)Lack of knowledgeB)Public stigmaC)Label avoidanceD)Self-stigma13.After teaching a group of students about mental health and mental illness, the instructordetermines that the teaching was successful when the group identifies which of thefollowing as reflecting mental disorders?A)Capacity to interact with othersB)Ability to deal with ordinary stressC)Alteration in mood or thinkingD)Lack of impaired functioning

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14.A nurse is preparing a presentation for a local community group about mental disordersand plans to include how mental disorders are different from medical disorders. Whichstatement 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)Cluster of behaviors, thoughts, and feelings characterize mental disorders.D)Manifestations of mental disorders are within normal, expected parameters.15.Which of the following would a nurse identify as being categorized as Axis I in theDSM-IV-TR? Select all that apply.A)Paranoid personality disorderB)Posttraumatic stress disorderC)Anorexia nervosaD)Mental retardationE)UnemploymentF)Coronary artery disease16.A psychiatricmental health nurse is providing care for a patient with a mental disorder.The patient is participating in the decision-making process. The nurse interprets this aswhich component of recovery?A)Self-directionB)EmpowermentC)Person-centeredD)Holistic17.A nurse is explaining recovery to the family of a patient diagnosed with a mentaldisorder. Which statement would be most appropriate for the nurse to include about thisprocess?A)It is a step-by-step process from being ill to being well.

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B)The patient focuses mainly on the emotional aspects of his condition.C)The patient is helped to live a meaningful life to his fullest potential.D)Although peer support is important, the self-acceptance is essential.18.A psychiatricmental health nurse is preparing a presentation about recovery for a groupof newly hired nurses for the mental health facility. Which of the following would thenurse identify as one of the most important concepts?A)Self-directionB)Peer supportC)RespectD)Hope19.The nurse is reviewing the medical record of a patient and notes the information below.Which of the following would be found on Axis III? Select all that apply.A)Cocaine dependenceB)Bipolar I disorderC)Chronic obstructive pulmonary disorderD)CellulitisE)HomelessnessF)Arrest for cocaine possession with intent to sell20.A college-aged student and his friend arrive at the student health center. The friendreports that the patient has been having difficulties concentrating, remembering, andthinking.He’s had quite a few research papers due this past week.After ruling outother problems, the nurse determines that the patient is experiencing a culture-boundsyndrome. Which of the following would the nurse most likely suspect?A)Ataque de nerviosB)Brain fogC)Mal de ojo

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D)Shenjing shuairoAnswer Key1.A2.A3.B4.A5.C6.A7.C8.C9.D10.D11.D12.B13.C14.C15.B, C16.B17.C18.D19.C, D20.B

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Chapter 3- Cultural and Spiritual Issues Relatedto Mental Health Care1.When reviewing several studies about Hispanic Americans and their use of mental healthcare facilities, the nurse notes that this cultural group tends to use all other resourcesbefore seeking help from mental health professionals. Which of the following would thenurse identify as a reason for this belief about many mental health facilities?A)Require periods of hospitalizationB)Do not provide 24-hour emergency servicesC)Are not reimbursed by third party payersD)Do not accommodate their cultural needs2.A nurse is preparing a presentation about mental health problems associated with specificcultural groups. When describing mental health problems associated with AsianAmericans, Polynesians, and Pacific Islanders, the nurse would address high rates ofwhich of the following?A)SchizophreniaB)Manic disordersC)DementiaD)Suicide3.The nurse is doing an assessment interview of a patient. During the interview, the patientcomments,Our people are connected with nature. Our world, our seasons, and ourweatherthey all have many lessons to teach us.The nurse interprets the patient’sstatement as an expression of which of the following?A)Religiousness

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