Skip to content
Exam Guides

Test Bank For Psychiatric Nursing: Contemporary Practice (Boyd, Psychiatric Nursing) Fifth Edition

  • Nursing
  • 203 pages
  • Shared February 2025
  • 108 downloads

Learn more effectively with Test Bank For Psychiatric Nursing: Contemporary Practice (Boyd, Psychiatric Nursing) Fifth Edition, a reliable test bank designed for student success.

Preview 31 of 203 pages

See the first 31 pages exactly as they appear in the document.

  1. Page 1
    Read page 1 as text

    Chapter 1 - Introduction to Psychiatric - Mental Health Nursing 1. A group of nursing students are reviewing information about the evolution of mental health discussing the recommendations of the final report of the Joint Commission on Mental Illne The students demonstrate understanding of this information when they identify that the rep an increase in which of the following? A) Numbers of mental health hospitals B) State funding for mental health care C) Clinics supplemented by general hospital units D) Use of psychotherapy by psychiatrists 2. A nurse is reviewing the American Nurses Association’s Statement on Psychiatric Nursing Practice published in 1967, which sanctioned the involvement of psychiatric – mental healt provision of holistic nursing care. Integrating knowledge of the various theories and views and illness, the nurse identifies which of the follo wing as most strongly linked to this holist A) Sigmun d Freud’s psychoanalytic theory B) Florence Nightingale’s Notes on Nursing C) Hildegarde D) Clifford Beers’ A Mind That Found Itself E) Peplau’s Interpersonal Relations in Nursing 3. A nursing instructor is preparing a presentation about key events and people that influenced development of contemporary mental health and illness care. When describing the effects o which of the following would the instructor include? A) People began to view mental illness as more commonplace and acc eptable. 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 psychiatric – mental health nur within nursing history. Which of the following would be most appropriate to include ? A) Certification for the psychiatric – mental health nu rsing specialty was fir st emphasize Adelaide Nutting. B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got trea

  2. Page 2
  3. Page 3
    Read page 3 as text

    community mental health centers. C) There is a historical link between the first nursing program to admit male students an training school for psychiatric nursing. D) The first graduate program in psychiatric nurses was established in response to the p psychiatric nursing specialty journals. 5. Two nursing students are discussing psychiatric – mental health nursing and the role it has p 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 associated w disorders beginning to be viewed as illnesses requiring treatment? A) Establishment of Pennsylvania Hospital in Philadelphia B) Quaker establishment of asylums C) Creation of the state hospital system D) Freud’s views on the causes of mental illnesses 7. A psychiatric – mental health nurse is working on a committee that is developing programs objectives for mental health and mental disorders as identified in Healthy People 2020. Wh program would be least appropriate? A) Single substance abuse treatment programs B) Depression screening programs for primary care providers C) Mental health programs for the homeless population D) Employment programs for those with serious mental illness 8. A nursing instructor is describing the concept of evidence - based practice in psychiatric – m nursing. Which of the following would the instructor include as being important? Select all A) Research findings B) Expert opinion C) Clinical experiences D) Patient data E) Established routines 9. The following events are important in the development of psychiatric – mental health nursin

  4. Page 4
    Read page 4 as text

    Which event occurred first ? A) Publication of Standards of Psychiatric - Mental Health Nursing by the ANA B) Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nu C) Establishment of the first graduate program in psychiatric nursing at Rutgers Univers D) Publication of the first psychiatric nursing text, Nursing Mental Disease , by Harriet B 10. A nurse is preparing a presentation about the current status of mental health services in th Which statement would the nurse include as the most reflective of this status? A) “ Mental health care in the United States is equally access ible 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 the New Freedom Commission o Health. The students demonstrate understanding of this report when they identify which o 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 mental heal the following is the most recent? A) Mental Health: A Report of the Surgeon General B) New Freedom Commission on Mental Health C) Action for Mental Health D) Mental Retardation Facilities and Community Mental Health Centers Construction 13. As part of a career day presentation to a group of nursing students, a psychiatric – mental plans to describe how this specialty developed. Which individual would the nurse describ major role in the development of specialty trainin g programs for psychiatric nurses? A) Mary Adelaide Nutting B) Hildegarde Peplau C) Harriet Bailey D) Linda Richards 14. A psychiatric – mental health nurse is asked to be a guest speaker at a community fund - ra

  5. Page 5
    Read page 5 as text

    mental health services. Which of the following would the nurse emphasize as the primary health services ? A) Access to affordable mental health care B) Removal of exclusions because of preexisting conditions C) Recovery from mental illness D) Effective treatment for mental health care needs 15. A psychiatric – mental health nurse is implementing evidence - based practice. The nurse u this approach is developed by doing which of the following first ? A) Conducting research B) Identifying a clinical question C) Determining outcomes D) Collaborating with the patient 16. A group of students are reviewing information about mental health care after World War demonstrate understanding of this information when they identify which of the following National Mental Health Act? A) Discovery of psychopharmacology B) Passage of the Hill - Burton Act C) Establishment of the National Institute of Mental Health D) Development of community mental health centers 17. When providing care to a patient, the psychiatric – mental health nurse is implementing th of self. The nurse is applying the concepts based on the work of which individual ? A) Hildegarde Peplau B) Florence Nightingale C) Dorothea Dix D) Sigmund Freud 18. After teaching a class to a group of nursing students about the historical perspectives of m the instructor determines that the group has understood the information when they identif following as a common belief about mental illness during the medieval period? A) Ment al 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 or h D) The focus was on moral treatment to promote the individual’s safety and comfort.

  6. Page 6
    Read page 6 as text

    Answer Key 1. C 2. B 3. A 4. C 5. A 6. A 7. A 8. A, B, C, D 9. D 10. D 11. B 12. A 13. B 14. C 15. B 16. C 17. A 18. B Page 1 Chapter 2 - Mental Health and Mental Disorders 1. A nursing instructor is describing the DSM - IV - TR to a group of nursing students. Which of 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 the DSM - IV - TR.

  7. Page 7
    Read page 7 as text

    understands that although the first three axes appear to contain all the diagnostic informatio a truly accurate picture of the client is incomplete without considering other factors such as current functioning and: A) Life stressors B) Cultural background C) Marital status D) Genetic history 3. A patient’s global assessment functioning reveals that he has minimal symptoms with good 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 trea determined that she was experiencing alcohol dependence because she began experiencing withdrawal while she was in the hospital. When the psychiatrist who was called in as a con documented the patient’s mental disorder, he identified her alc ohol dependence on which a 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 was determined that she had a borderline personality disorder. During the first week on the determined that she also has diabetes. Her diabetes mellitus would be listed in which axis o TR diagnosis? A) Axis I B) Axis II C) Axis III D) Axis IV 6. As part of a class activity, nursing students are engaged in a small group discussion about t of mental illness. Which statement best explains the importance of epidemiology in underst impact of mental disorders? A) Epidemiology helps promote understanding of the patterns of occ urrence associated

  8. Page 8
    Read page 8 as text

    disorders. B) Epidemiology helps explain research findings about the neurophysiology that causes disorders. C) Epidemiology provides a thorough theoretical explanation of why specific mental dis D) Epidemiology predicts when a specific psychiatric client will recover from a specific 7. A nurse is working in a community mental health center that provides care to a large popul descent. When developing programs for this community, which of the following would be 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 demonstrate understanding of the axes when they identify that each axis represents which o 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 talk patient in a clinical postconference, the student would use which terminology when referrin A) Committed patient B) Schizophrenic C) Schizophrenic patient D) Person with schizophrenia 10. Mrs. Green is a patient on a psychiatric unit. At the time of her admission, her dog was ki accidentally ran over it; in addition to that, she just found out that her mother has been dia 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

  9. Page 9
    Read page 9 as text

    number of persons newly diagnosed with the disorder during the past year. The student in which of the following? A) Rate B) Prevalence C) Point prevalence D) Incidence 12. While working in a community mental health treatment center, the nurse overhears one of saying that one of the patients is “ really psycho. ” Later in the day, the nurse talks with t about the comment. This action by the nurs e demonstrates an attempt to address which iss A) Lack of knowledge B) Public stigma C) Label avoidance D) Self - stigma 13. After teaching a group of students about mental health and mental illness, the instructor d the teaching was successful when the group identifies which of the following as reflecting 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 14. A nurse is preparing a presentation for a local community group about mental disorders a include how mental disorders are different from medical disorders. Which statement wou appropriate for the nurse to include? A) “ Mental disorders are define d 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 the DSM - that apply. A) Paranoid personality disorder B) Posttraumatic stress disorder C) Anorexia nervosa

  10. Page 10
    Read page 10 as text

    D) Mental retardation E) Unemployment F) Coronary artery disease 16. A psychiatric – mental health nurse is providing care for a patient with a mental disorder. participating in the decision - making process. The nurse interprets this as which componen A) Self - direction B) Empowerment C) Person - centered D) Holistic 17. A nurse is explaining recovery to the family of a patient diagnosed with a mental disorder statement would be most appropriate for the nurse to include about this process? A) “ It is a step - by - step process from being ill to being well. ” 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 psychiatric – mental health nurse is preparing a presentation about recovery for a group nurses for the mental health facility. Which of the following would the nurse identify as o important concepts ? A) Self - direction B) Peer support C) Respect D) Hope 19. The nurse is reviewing the medical record of a patient and notes the information below. W following would be found on Axis III? Select all that apply. A) Cocaine dependence B) Bipolar I disorder C) Chronic obstructive pulmonary disorder D) Cellulitis E) Homelessness F) Arrest for cocaine possession with intent to sell 20. A college - aged student and his friend arrive at the student health center. The friend report has been having difficulties concentrating, remembering, and thinking. “He’s had quite a

  11. Page 11
    Read page 11 as text

    papers due this past week. ” After ruling ou t other problems, the nurse determines that the experiencing a culture - bound syndrome. Which of the following would the nurse most lik A) Ataque de nervios B) Brain fog C) Mal de ojo D) Shenjing shuairo Answer Key 1. A 2. A 3. B 4. A 5. C 6. A 7. C 8. C 9. D 10. D 11. D 12. B 13. C 14. C 15. B, C 16. B 17. C 18. D 19. C, D 20. B Page 1 Chapter 3 - Cultural and Spiritual Issues Related to Mental Health Care

  12. Page 12
    Read page 12 as text

    1. When reviewing several studies about Hispanic Americans and their use of mental health c nurse notes that this cultural group tends to use all other resources before seeking help from professionals. Which of the following would the nurse identify as a reason for this b elief ab health facilities? A) Require periods of hospitalization B) Do not provide 24 - hour emergency services C) Are not reimbursed by third party payers D) Do not accommodate their cultural needs 2. A nurse is preparing a presentation about mental health problems associated with specific c When describing mental health problems associated with Asian Americans, Polynesians, an Islanders, the nurse would address high rates of which of the following? A ) Schizophrenia B) Manic disorders C) Dementia D) Suicide 3. The nurse is doing an assessment interview of a patient. During the interview, the patient co people are connected with nature. Our world, our seasons, and our weather — they all have m teach us. ” The nurse interprets the patient’s statement as an expression of which of the foll A) Religiousness B) Tribal law C) Spirituality D) Ecological values 4. A psychiatric – mental health nurse is providing care to a patient who has recently emigrate States from Eastern Europe. Which of the following would be least effective in providing c competent care ? A) Demonstrating a genuine interest in the patient B) Avoiding assumptions about the patient’s culture C) Speaking to the patient in his native language. D) Acquiring information about the patient’s country. 5. A psychiatric – mental health nurse working in a Veteran’s Administration Medical Center military wife who is an Asian American. The woman is to be joining a support group for w who have posttraumatic stress syndrome. When a sking her to describe her husband ’s menta

  13. Page 13
    Read page 13 as text

    problems, which response would the nurse most likely expect? A) “ Oh, he may seem depressed, but it is just a vitamin deficiency. It runs in his family B) “ I know the war messed his mind up. He’ll never be the same. ” C) “ Sometimes he hallucinates that he is back in Vietnam. ” D) “ He just stays to himself; he never talks to me about what is bothering him. ” 6. A psychiatric – mental health nurse is working with a patient who is being treated for depre patient statement would indicate that her spirituality is intact ? A) “ My church friends came to visit me this past Sunday afternoon. ” B) “ No thing will ever be the same again; my life is not worth living. ” C) “ I know I am as well off as I can be under the circumstances. ” D) “ I know God must be punishing me for all my sins. ” 7. A patient is being treated for prostate cancer; his prognosis is very poor. The patient has a s he has been active in his church for many years. He is concerned about his health and the c faces as his cancer progresses. Which comment by the nurse reflects the most appropriate s intervention for the patient? A) “I’ll take you to visit my church if you can get a pass. ” B) “ You have to belong to the same church I do if you’re going to go to heaven. ” C) “ Would you like me to bring you a guided imagery audiotape? ” D) “ We can pray together if you’d like. ” 8. A psychiatric – mental health nurse is teaching a class about social factors associated with m community health center. When describing the influence of poverty and effects of the down spiral on mental health, which population would the nur se identify as being the most at risk A) Older adults B) Individuals with physical disabilities C) Single - parent families D) Homeless individuals 9. During an assessment, the patient states, “ We rely on our large extensive family for moral and we treat our elders with a great deal of respect. If someone gets sick, the family takes c nurse interprets this as indicating w hich of the following? A) Acculturation B) Cultural identity C) Cultural competence

  14. Page 14
    Read page 14 as text

    D) Linguistic competence 10. Within the context of the culture of poverty, which of the following most clearly describe who are part of this culture become trapped in a downward economic spiral? A) Unemployment causes poverty; a lack of willpower and motivation can, in turn, ca unemployment in people who do not have a strong work ethic. B) Individuals lack the finances to pay rent, so they eventually do not have an address out job applications. C) Characteristics of poverty (joblessness and lack of financial independence) can, in t attributes (feelings of powerlessness and low self - esteem) that sustain poverty. D) Poverty is passed on from generation to generation; individuals learn at an early ag way to escape living in poverty. 11. A group of nursing students are reviewing information about spirituality and religiousnes demonstrates understanding of these concepts when they identify religiousness as which o A) Feeling of connectedness B) Way of interpreting life events C) Relationship with a unifying force D) Community participation in common worship 12. A nursing instructor is preparing a class about rural cultures and the influence on mental h Which of the following would the instructor include as impacting the use of mental health group? Select all that apply. A) Limited access to care B) Lack of available resources C) Geographical similarities D) Diverse cultural groups E) Consistency in treatment approaches 13. A psychiatric – mental health nurse is working on developing cultural competence. Which would be most appropriate for the nurse to do ? A) Research information about the cultures of the population being served after assess B) Recognize that one’s own culture is the predominant way of addressing a patient’s needs. C) Assume that any individual of a racial or ethnic group is the same as another indivi group. D) Demonstrate an appreciation of and a genuine interest in the individual and his or h

  15. Page 15
    Read page 15 as text

    beliefs. 14. During assessment, a patient tells the nurse that he follows Buddhist beliefs. The nurse w understanding of which of the following when developing the patient’s plan of care? A) Desire is the cause of all human suffering and misery. B) Self - indulgence is necessary to reach nirvana. C) Present behavior is based on current unhappiness. D) Salvation is achieved through faith and humility. 15. After teaching a group of students about the beliefs associated with the major religions, th determines that additional teaching is needed when the students identify which belief as a Confucianism? A) People are born good. B) People are assigned to castes. C) Authority figures are respected. D) Self - responsibility leads to improvement. 16. During an interview, a patient states, “ God does not exist for me. ” The nurse interprets t reflecting which of the following ? A) Animism B) Agnosticism C) Atheism D) Polytheism 17. After reviewing the major beliefs of Hinduism, a nursing student identifies the following student demonstrates understanding by identifying which of the following as the highest c A) Kshatriyas B) Vaisyas C) Brahmans D) Untouchables 18. The nurse is assessing an Asian American patient. During the interview, the nurse determ patient likely follows Taoism based on which statement? A) “ Purity and balance guide all of my actions. ” B) “ I strive to be in happy harmony with nature. ” C) “Nature’s powers must be respected in life. ” D) “ God is worshipped out of love, not fear. ”

  16. Page 16
    Read page 16 as text

    Answer Key 1. D 2. D 3. C 4. C 5. A 6. C 7. D 8. D 9. B 10. C 11. D 12. A, B, D 13. D 14. A 15. B 16. C 17. C 18. B Page 1 Chapter 4 - Patient Rights and Legal Issues 1. A nurse is explaining advance care directives, or “ living wills, ” to a patient and the patien Which of the following would the nurse include in the description ? A) The document tells what treatment is to be omitted if the patient is unable to make th B) It requires that the patient sign the “ living will ” document while an attorney is pres C) The patient’s physician must act as a witness when the patient signs the document. D) An attorney draws up the papers to be given to the patient and his or her family. 2. A psychiatric – mental health nurse determines that a patient is competent when he is able to following ?

  17. Page 17
    Read page 17 as text

    A) Speak coherent English. B) Communicate his or her choices. C) Write a “ living will. ” D) Comply with the medical regimen. 3. A patient receives a court order for commitment. Which of the following best exemplifies t “ least restrictive environment? ” A) Involuntary commitment to an outpatient community mental health center B) Medication administration for sedation so the patient cannot get out of bed C) Placing the patient in a locked padded room in response to threats of self - harm D) Allowing the patient to make the decision about whether treatment is necessary 4. A nurse is caring for a patient who is hospitalized for a mental disorder. The nurse is legally breach the patient’s confidentiality if the patient states which of the following? A) “ I think that the federal government is spying on me. ” B) “ I get really ‘turned on’ by your appearance. ” C) “ That doctor I had today really made me angry. ” D) “ When I get out of here, I’m going to kill my neighbor. ” 5. Which patient would the nurse determine to be the most likely a candidate for involuntary c A) The client who refuses to take the prescribed medication B) The client who is screaming in the street disturbing neighbors C) The client who refuses to participate in the planned therapy D) The client with a mental disorder who is homeless 6. The nurse is providing care to a male patient who is hospitalized with a diagnosis of schizo of the following would be appropriate for the nurse to include in the patient’s medical recor A) “ Patient states that he had a good night with no complaints. ” B) “ Complained of being unable to sleep because he heard voices throughout the night C) “ Had a typical night without incidence of insomnia or nightmares. ” D) “ Acted crazily throughout the night; kept hearing voices and noises. ” 7. A nurse working on the psychiatric unit receives a telephone call from the employer of one on the unit. The employer asks to be sent a copy of Mr. Murray’s latest laboratory work and testing results so Mr. Murray’s medical records in employee healt h can be kept up to date. nurse’s knowledge about issues surrounding breach of confidentiality, which response wou appropriate?

  18. Page 18
    Read page 18 as text

    A) “I’m sorry; we’re not allowed to give out that information about our patient. ” B) “I’ll have to get the patient’s signed consent before we can send that information to C) “ I am unable to acknowledge whether or not a Mr. Murray is a patient on this unit. ” D) “ Sure, give me your address, and I will see that the information is sent to you. ” 8. A patient is going to be discharged this afternoon from the mental health unit. The patient a copy of his medical record could be sent to the psychologist he will be seeing on an outpati response by the nurse would be mos t appropriate? A) “ Sure, we’ll have that information sent out in today’s mail. ” B) “ You will need to sign written authorization for us before we can do this. ” C) “ I think it would just be best if you just told your psychologist everything he needs t D) “ How are you feeling about being discharged this afternoon? ” 9. A patient’s psychiatrist informs her that he thinks she needs to participate in a 3 - month outp program after her discharge. Which of the following would protect the patient’s right to req opinion before agreeing to this suggestion? A) Self - determinism B) Least restrictive environment C) Confidentiality D) Mandates to inform 10. A nurse is preparing to administer an as - needed (PRN) medication. Which of the followin nurse need to keep in mind when documenting administration? A) It requires a separate entry that includes reason for administration, dosage, route, an medication the first time it is administered to a pati ent. B) It requires a separate entry that includes reason for administration, dosage, route, an medication every time it is administered to a patient. C) It requires a separate entry that includes reason for administration, dosage, and rout is administered to a patient. D) It requires a separate entry that includes reason for administration, dosage, and rout administered to a patient. 11. A nursing instructor is preparing a class discussion on the topic of self - determinism. Whic following would the instructor expect to include? Select all that apply. A) Personal autonomy as a key value B) Choices based on pleasing others C) Activities reflect personal goals

  19. Page 19
    Read page 19 as text

    D) Right to refuse treatment E) Lack of empowerment 12. A group of nursing students are reviewing information about internal rights protection sys students demonstrate understanding of this information when they identify which of the f example? A) American Hospital Association B) American Public Health Association C) State mental health provider D) The Joint Commission 13. After teaching a class about competency and how it is assessed, the nursing instructor det for additional instruction when the class identifies which ability as being evaluated? A) Communication of choices B) Understanding of relevant information C) Appreciation for situation and consequences D) Discussion of what is right and wrong 14. A patient is involuntarily committed without a court order. The nurse understands that the short - term hospitalization can occur for which time frame? A) A maximum of 24 hours B) 48 to 92 hours C) 3 to 5 days D) One week 15. A nurse is explaining the distinction between confidentiality and privacy. Which of the fo the nurse include as reflecting privacy? A) Part of personal life not governed by society’s laws B) Ethical duty for nondisclosure C) Involvement of two individuals D) Knowledge of treatment costs and benefits 16. A psychiatric – mental health patient has an advance care directive on his medical record. provides treatment that disregards the patient’s directive. The clinician would be liable fo following ? A) Assault B) Battery

  20. Page 20
    Read page 20 as text

    C) Medical battery D) False imprisonment 17. A group of students are preparing a class presentation about negligence. Which of the foll group include as an element required for proving negligence? Select all that apply. A) Duty to provide care B) Proximate cause C) Resultant damages D) Breach of duty E) Cause in fact F) Evidence of mistake 18. A psychiatric – mental health nurse is documenting information in a patient’s medical reco following would be least likely to increase the nurse’s legal liability ? A) “ Patient reported that he was feeling better today than yesterday. ” B) “ Administered haloperidol 10 mg IM stat as ordered for agitation. ” C) “ Patient was talking with another staff member and started screaming. ” D) “ Applied restraints to all four patient extremities. ” 19. After teaching a class of nursing students about the rights of persons receiving mental hea instructor determines a need for additional instruction when the students identify which o a right? A) Freedom from restraints or seclusion B) Access to one’s own mental health records on request C) An individualized written treatment plan D) Refuse treatment during an emergency situation Answer Key 1. A 2. B 3. A 4. D 5. B 6. B 7. C

  21. Page 21
    Read page 21 as text

    8. B 9. A 10. B 11. A, C, D 12. C 13. D 14. B 15. A 16. C 17. A, B, C, D, E 18. B 19. D Page 1 Chapter 5 - Mental Health Care in the Community 1. A nursing instructor is explaining the concept of the continuum of care to a group of studen following would the nurse include in this description? A) Care provided in episodic intervals B) System of care that focuses primarily on wellness C) A single organization as responsible for care delivery D) Integrated system spanning illness to wellness states 2. The nurse is employed by a long - term residential treatment center that provides care to a va with chronic mental disorders. Which role would the nurse primarily assume when working patients? A) Therapist B) Medication administrator C) Mediator D) Educator 3. A patient has threatened to kill his wife, and it is not anticipated that this crisis will resolve

  22. Page 22
    Read page 22 as text

    patient is to be admitted to an inpatient psychiatric unit on an involuntary basis. When expl family about this plan, the nurse would identify which of the following as the focus of care A) Long - term therapy B) Rehabilitative services C) Acute symptom stabilization D) 24 - hour supervision 4. A nurse is reviewing information about the various types of outpatient mental health care p nurse demonstrates understanding of these types when identifying which of the following a providing the most intensive outpatient nursing care? A) Partial hospitalization programs B) Crisis intervention programs C) Outpatient detoxification programs D) Rehabilitation programs 5. A patient who has attempted suicide with a drug overdose has been released from an inpati has returned to school. The patient continues to need routine psychiatric services. The nurse this patient will most likely be referred to which of the following? A) Partial hospita lization program B) In - home mental health care C) Intensive outpatient program D) Crisis center in the community 6. The nurse is caring for a group of patients in a partial hospitalization program. The nurse w be involved in which of the following activities? A) Facilitating a drug abuse prevention group B) Providing spiritual assessment and related interventions C) Teaching patients how to plan a menu and to shop for groceries D) Providing an educational group about the nutritional content of canned foods 7. A nurse is providing in - home mental health care and determines that the care was effective demonstrated which of the following? A) A need for continued intensive monitoring in the home B) A need for crisis intervention services on an ongoing basis C) A decrease in admission frequency to inpatient psychiatric hospitals D) A dependence on parents to participate in the patient’s care

  23. Page 23
    Read page 23 as text

    8. A patient with a psychiatric disorder is considering joining a clubhouse with other patients disorders. The patient asks the nurse to explain what services the clubhouses provide. Whic nurse would be most accurate? A) “ They are open 24 hours a day to provide care and support for th e clubhouse memb B) “ They are run entirely by psychiatric mental health nurses. ” C) “ Their primary focus is on providing ongoing intensive psychotherapy for patients i setting. ” D) “ They are predominately run by psychiatric patients with minimal assistance from m staff. ” 9. The nurse is working as part of the interdisciplinary staff of a psychiatric inpatient facility w developing discharge plans for a patient who requires alternative housing arrangements. Th referred to a personal care home. When explaining this housing arrangement to the patient, following would the nurse include? A) “You’ll be living with a family in their home, and the family will help supervise and B) “You’ll be living in an apartment with a roommate, and a staff member will come b you. ” C) “You’ll be living in a house with about 50 other people and receive 24 - hour supervi assistance. ” D) “You’ll be living in a house with about si x to 10 other people, and a health care atte provide 24 - hour supervision. ” 10. A nurse is developing a community education program for a local women’s club on the to care in mental health. Which of the following would the nurse include as the main focus? A) Cost savings B) Consistent third - party reimbursement C) Improved access to less costly services D) Individualized care for additional inpatient stays 11. When working within the continuum of care, which of the following occurs first? A) Referral B) Transfer C) Assessment D) Discharge planning 12. A nurse who is working as part of an interdisciplinary team is looking at potential outpati patient. The patient requires a setting that provides a program of about 4 hours per day, th week with a 24 - hour crisis and consultation service. The nurse would identify which of th

  24. Page 24
    Read page 24 as text

    appropriate? A) Primary care setting B) Ambulatory level one C) Ambulatory level two D) Multimodal outpatient setting 13. After teaching a group of students about the service and patient variables used when deter along the continuum of behavioral care, the instructor determines that the teaching was su the students identify which of the following as a service variable? A) Signs and symptoms B) Milieu C) Risk D) Social support 14. The parents of a young adult diagnosed with schizophrenia are providing care for the pati During a home visit, the parents state, “It’s been so difficult taking care of our son. We n he needs constant supervision. ” Which o f the following would be appropriate for the nur A) Partial hospitalization B) Acute inpatient care C) Respite residential care D) Intensive outpatient program 15. A patient is referred to a psychosocial rehabilitation program. When explaining this type patient, the nurse would emphasize which of the following? A) Intensive treatment that prepares the patient to live in the community B) Services that promote the patient’s reintegration into the community C) Detoxification services for alcohol and drugs in an outpatient setting D) Frequent monitoring within a therapeutic milieu for relapse prevention 16. As part of an interdisciplinary team, a nurse is assisting with a patient assessment to deter appropriate setting for treatment. The team decides that an acute ambulatory setting woul appropriate. Which of the following would support the team’s decision? A) The patient exhibits moderate to severe symptoms. B) The patient demonstrates marked impairment in two areas of daily life C) The patient is unable to contract for treatment beyond initial care. D) The patient demonstrates a limited ability to seek support.

  25. Page 25
    Read page 25 as text

    Answer Key 1. D 2. D 3. C 4. A 5. C 6. C 7. C 8. D 9. D 10. C 11. C 12. C 13. B 14. C 15. B 16. C Page 1 Chapter 6 - Ethics, Standards, and Nursing Frameworks 1. When applying the biopsychosocial model to client care, the nurse integrates the psycholog when involved with which of the following? A) Behavior therapy B) Family support C) Nutritional therapy D) Sleep hygiene measures 2. A nursing instructor is describing the impact of technology and electronic health records on psychiatric – mental health care. Which of the following would the instructor identify as a m associated with it ?

  26. Page 26
    Read page 26 as text

    A) Maintaining confidentiality B) Establishing educational models C) Decreasing fragmented care D) Defining professional standards more clearly 3. A psychiatric nursing class is discussing current trends in mental health care. A student voi that there should be equitable access to mental health care and resources for those who live those without health insurance, and for those with very little in come. The student nurse’s o closely reflects which ethical principle? A) Nonmaleficence B) Paternalism C) Veracity D) Justice 4. A nursing student is initiating a relationship with an assigned patient. After meeting and sp approximately 20 minutes talking with the patient, the student makes arrangements to visit After lunch, fellow classmates invite the student to go to the gym with them and a group of volleyball. The student starts to go with them but then remembers the promise to meet with student decides to stay behind and talk to with her patient. The student’s decision reflects w principle? A) Autonomy B) Beneficence C) Fidelity D) Veracity 5. In a postclinical conference, a group of students are engaged in a discussion with their instr instructor repeatedly has the students analyze and evaluate the nursing interventions implem throughout the clinical experience. The students are engag ed in which of the following? A) Therapeutic use of self B) Critical thinking C) Interdisciplinary care D) Planning care 6. A group of students is reviewing the functions of psychiatric nurses. The students demonstr understanding of the information when they identify which of the following as an advanced function? A) Milieu therapy

  27. Page 27
    Read page 27 as text

    B) Promotion of self - care C) Psychopharmacology interventions D) Health promotion activities 7. A nursing instructor has prepared a lecture about the scope and standards of practice of psy The instructor determines that the teaching was effective when the students identify which as common to both basic and advanced level practice? A) Case management B) Program development C) Clinical supervision D) Community interventions 8. A nurse is working on developing ways to meet the challenge of knowledge development. W following would be most appropriate? A) Access new information through continuing education programs. B) Improve access to community psychiatric care for all populations. C) Reduce the burden of mental illness by fighting stigma. D) Provide culturally competent, high - quality nursing care. 9. A 22 - year - old patient with schizophrenia is refusing his antipsychotic medication. He state the dopey way it makes me feel. I feel like I’m walking under water when I take it. ” The n him, “ Your schizophrenia is caused by a c hemical imbalance in your brain, and this medic that chemical imbalance. You need to take it so your symptoms will get better. ” This conv conflict between which two types of ethical principles ? A) Autonomy and justice B) Paternalism and veracity C) Justice and nonmaleficence D) Autonomy and beneficence 10. A nurse is faced with an ethical dilemma involving a patient. Which question would be m the nurse to ask first when engaging in the process of ethical decision making? A) What are my own feelings about the situation? B) What assumptions am I making that need more data? C) What do I know about the situation? D) What do I know about the patient’s values? 11. A psychiatric – mental health nurse is adhering to t he standards of practice. When engagin decision making, the nurse is integrating which of the following as the foundation?

  28. Page 28
    Read page 28 as text

    A) Developmental issues B) Nursing process C) Commitment D) Accountability 12. A group of nursing students are reviewing the standards of professional performance. The demonstrate understanding when they identify which as a standard of professional perform A) Prescriptive authority B) Consultation C) Planning D) Collegiality 13. A psychiatric – mental health nurse is providing care to patients with a mental illness and factors related to the patient safety, delivery of care services, and cost effectiveness. The n with which area of professional perfo rm ance? A) Education B) Quality of practice C) Resource utilization D) Collaboration 14. An instructor is preparing a class for a group of students about professional organizations leadership provided. Which of the following would the instructor include as an important International Society of Psychiatric - Mental Health Nurses? A) Advocating for mental health nursing practice through liaison activities B) Advancing psychiatric – mental health nursing practic e C) Improving mental health care for culturally diverse individuals D) Providing a strong voice for psychiatric – mental health nurse s 15. When applying the biopsychosocial model for a patient with a mental health problem, the the psychological domain when assessing which of the following? A) Sleep patterns B) Feelings C) Family functioning D) Cultural groups 16. A nurse had developed a plan of care for a patient with depression. Which nursing diagno the social domain?

  29. Page 29
    Read page 29 as text

    A) Imbalanced Nutrition, Less Than Body Requirements related to lack of appetite. B) Powerlessness related to feelings of lack of control over the situation. C) Ineffective Role Performance related to inability to participate as family provider D) Risk for Suicide related to depressed mood and feelings of oneself as a failure 17. The plan of care for a patient with schizophrenia identifies the following outcomes. Whic following would the nurse identify as addressing the biologic domain? Select all that appl A) Improving problem - solving skills B) Promoting economic stability C) Minimizing adverse effects of drug therapy D) Improving nutritional status E) Providing family education 18. A nurse is engaged in exercises to develop self - awareness. The nurse is using which tool? A) Interdisciplinary care B) Reflection C) Plan of care D) Clinical reasoning Answer Key 1. A 2. A 3. D 4. C 5. B 6. C 7. A 8. A 9. D 10. C 11. B 12. D 13. C 14. D

  30. Page 30
    Read page 30 as text

    15. B 16. C 17. C, D 18. B Page 1 Chapter 7 - Psychosocial Theoretic Basis of Psychiatric Nursing 1. A group of nursing students are reviewing information about Freud’s personality structure. demonstrate understanding of this information when they identify the ability to form mutua relationships as a function of which of the following? A) Defense mechanisms B) Unconscious C) Id D) Ego 2. When describing the influence of Harry Stack Sullivan on psychiatric – mental health nursin following would the instructor address as a major concept ? A) Interpersonal relations B) Harmony between the individual and society C) Collective unconscious D) Unconditional positive regard 3. A nursing student is to provide a class presentation about interpersonal and psychoanalytic of this presentation, the student is planning to address the major way these two categories d the following would the student include as key to interpersonal theorie s? A) Human relationships B) Instincts C) Drives D) Potential for goodness 4. A psychiatric – mental health nurse is integrating Carl Rogers’ theory into the plan of care f a mental illness. The nurse incorporates understanding of this theory by acknowledging tha accomplishes which of the following ?

  31. Page 31
    Read page 31 as text

    A) Provide validation of the terminology used during the session. B) Focus on the client’s instinctual drives. C) Recognize an understanding of the client’s basic needs. D) Develop unconditional positive regard for the client. 5. A nurse is demonstrating behaviors that the treatment team is attempting to get the patient t nurse is integrating which theory? A) Erikson’s model of psychosocial development B) Albert Bandura’s social cognitive theory C) Skinner’s operant conditioning D) Freud’s psychoanalytic model 6. An instructor is preparing a class discussion on the various theoretical models used in psyc health nursing. When describing cognitive theories, which statement would the instructor in A) “ The theories attempt to explain the mental processes development and effects on b B) “ The theories attempt to describe how people learn and act. ” C) “ The theories attempt to link internal thought processes with behavior. ” D) “ The theories attempt to explain normal human growth and development. ” 7. When integrating the Neuman systems model while caring for a patient with a mood disord would focus on which of the following about the patient? A) Behaviors B) Relationships C) Self - care activities D) Stressors 8. The nurse is integrating Peplau’s model when providing care to a patient with a mental illn following would the nurse identify as a key component? A) Suffering B) Anxiety C) Self - care D) Nonverbal behaviors 9. A group of nursing students are reviewing information about the various nursing theorists a application to psychiatric – mental health nursing. The students demonstrate understanding identify which theorist as responsible for developing the theory of cultural care diversity an A) Madeleine Leininger

172 more pages in the full document

Unlock it once and it stays in your library, ready to chat with or turn into flashcards.

Unlock the full document

More Nursing study materials

See all

Study this document with CramX

Once it is in your library, every tool can work from it.