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

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Chapter 1-Introduction to Psychiatric-MentalHealth Nursing1.AgroupofnursingstudentsarereviewinginformationabouttheevolutionofmentalhealthdiscussingtherecommendationsofthefinalreportoftheJointCommissiononMentalIllneThestudentsdemonstrateunderstandingofthisinformationwhentheyidentifythattherepanincreaseinwhichofthefollowing?A)NumbersofmentalhealthhospitalsB)StatefundingformentalhealthcareC)ClinicssupplementedbygeneralhospitalunitsD)Useofpsychotherapybypsychiatrists2.AnurseisreviewingtheAmericanNursesAssociation’sStatementonPsychiatricNursingPracticepublishedin1967,whichsanctionedtheinvolvementofpsychiatric– mentalhealtprovisionofholisticnursingcare.Integratingknowledgeofthevarioustheoriesandviewsandillness,thenurseidentifieswhichofthefollowingasmoststronglylinkedtothisholistA)SigmundFreud’spsychoanalytictheoryB)FlorenceNightingale’sNotesonNursingC)HildegardeD)CliffordBeers’AMindThatFoundItselfE)Peplau’sInterpersonalRelationsinNursing3.Anursinginstructorispreparingapresentationaboutkeyeventsandpeoplethatinfluenceddevelopmentofcontemporarymentalhealthandillnesscare.Whendescribingtheeffectsowhichofthefollowingwouldtheinstructorinclude?A)Peoplebegantoviewmentalillnessasmorecommonplaceandacceptable.B)Thebiologicunderstandingofmentalillnesswasalmostfullydeveloped.C)Deinstitutionalizationoccurredinresponsetothecommunityhealthmovement.D)Mentalillnessesbecamecategorizedaspsychosesorneuroses.4.Anursingstudentispresentingadiscussionofthehistoryofpsychiatric– mentalhealthnurwithinnursinghistory.Whichofthefollowingwouldbemostappropriatetoinclude?A)Certificationforthepsychiatric– mentalhealthnursingspecialtywasfirstemphasizeAdelaideNutting.B)Psychiatricnursesplayedapartinseeingthatalldeinstitutionalizedpatientsgottrea

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communitymentalhealthcenters.C)Thereisahistoricallinkbetweenthefirstnursingprogramtoadmitmalestudentsantrainingschoolforpsychiatricnursing.D)Thefirstgraduateprograminpsychiatricnurseswasestablishedinresponsetotheppsychiatricnursingspecialtyjournals.5.Twonursingstudentsarediscussingpsychiatric– mentalhealthnursingandtheroleithaspnursing’soverallhistory.Whichstatementismostaccurate?A)TheimportanceofusingtherapeuticcommunicationwasstressedbyNightingale.B)Theuseofself-caretoenhancetheimmunesystemwastaughtbyDorotheaDix.C)Themoraltreatmentofmentalillnesswasaprimaryfocusofdeinstitutionalization.D)Peplauwasthefirstnursetostresstheimportanceoftherapeuticcommunication.6.Whenreviewingtheevolutionofmentalhealthandillnesscare,whicheventisassociatedwdisordersbeginningtobeviewedasillnessesrequiringtreatment?A)EstablishmentofPennsylvaniaHospitalinPhiladelphiaB)QuakerestablishmentofasylumsC)CreationofthestatehospitalsystemD)Freud’sviewsonthecausesofmentalillnesses7.Apsychiatric– mentalhealthnurseisworkingonacommitteethatisdevelopingprogramsobjectivesformentalhealthandmentaldisordersasidentifiedinHealthyPeople2020.Whprogramwouldbeleastappropriate?A)SinglesubstanceabusetreatmentprogramsB)DepressionscreeningprogramsforprimarycareprovidersC)MentalhealthprogramsforthehomelesspopulationD)Employmentprogramsforthosewithseriousmentalillness8.Anursinginstructorisdescribingtheconceptofevidence-basedpracticeinpsychiatric– mnursing.Whichofthefollowingwouldtheinstructorincludeasbeingimportant?SelectallA)ResearchfindingsB)ExpertopinionC)ClinicalexperiencesD)PatientdataE)Establishedroutines9.Thefollowingeventsareimportantinthedevelopmentofpsychiatric– mentalhealthnursin

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Whicheventoccurredfirst?A)PublicationofStandardsofPsychiatric-MentalHealthNursingbytheANAB)PublicationofStandardsofChildandAdolescentPsychiatricandMentalHealthNuC)EstablishmentofthefirstgraduateprograminpsychiatricnursingatRutgersUniversD)Publicationofthefirstpsychiatricnursingtext,NursingMentalDisease,byHarrietB10.AnurseispreparingapresentationaboutthecurrentstatusofmentalhealthservicesinthWhichstatementwouldthenurseincludeasthemostreflectiveofthisstatus?A)“ MentalhealthcareintheUnitedStatesisequallyaccessibletoindividuals.”B)“ Mentalillnessrankssecondintermsofcausingdisabilityincomparison.”C)“ Mentalhealthcareprimarilyfocusesonthecureofmentalillness.”D)“ Mentalhealthcareservicesareinadequateandfragmented.”11.AgroupofstudentsarereviewingthegoalsidentifiedbytheNewFreedomCommissionoHealth.Thestudentsdemonstrateunderstandingofthisreportwhentheyidentifywhichoasagoal?A)Mentalhealthisviewedasonecomponentofoverallhealth.B)Theconsumerandfamilyarethedrivingforcesformentalhealthcare.C)Screeningisofgreaterimportancethanassessmentandreferralforservices.D)Disparitiesinmentalhealthservicesaredecreased.12.Thefollowingareimportantlegislativeandpolicyeffortsinfluencingcurrentmentalhealthefollowingisthemostrecent?A)MentalHealth:AReportoftheSurgeonGeneralB)NewFreedomCommissiononMentalHealthC)ActionforMentalHealthD)MentalRetardationFacilitiesandCommunityMentalHealthCentersConstruction13.Aspartofacareerdaypresentationtoagroupofnursingstudents,apsychiatric– mentalplanstodescribehowthisspecialtydeveloped.Whichindividualwouldthenursedescribmajorroleinthedevelopmentofspecialtytrainingprogramsforpsychiatricnurses?A)MaryAdelaideNuttingB)HildegardePeplauC)HarrietBaileyD)LindaRichards14.Apsychiatric– mentalhealthnurseisaskedtobeaguestspeakeratacommunityfund-ra

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mentalhealthservices.Whichofthefollowingwouldthenurseemphasizeastheprimaryhealthservices?A)AccesstoaffordablementalhealthcareB)RemovalofexclusionsbecauseofpreexistingconditionsC)RecoveryfrommentalillnessD)Effectivetreatmentformentalhealthcareneeds15.Apsychiatric– mentalhealthnurseisimplementingevidence-basedpractice.Thenurseuthisapproachisdevelopedbydoingwhichofthefollowingfirst?A)ConductingresearchB)IdentifyingaclinicalquestionC)DeterminingoutcomesD)Collaboratingwiththepatient16.AgroupofstudentsarereviewinginformationaboutmentalhealthcareafterWorldWardemonstrateunderstandingofthisinformationwhentheyidentifywhichofthefollowingNationalMentalHealthAct?A)DiscoveryofpsychopharmacologyB)PassageoftheHill-BurtonActC)EstablishmentoftheNationalInstituteofMentalHealthD)Developmentofcommunitymentalhealthcenters17.Whenprovidingcaretoapatient,thepsychiatric– mentalhealthnurseisimplementingthofself.Thenurseisapplyingtheconceptsbasedontheworkofwhichindividual?A)HildegardePeplauB)FlorenceNightingaleC)DorotheaDixD)SigmundFreud18.Afterteachingaclasstoagroupofnursingstudentsaboutthehistoricalperspectivesofmtheinstructordeterminesthatthegrouphasunderstoodtheinformationwhentheyidentiffollowingasacommonbeliefaboutmentalillnessduringthemedievalperiod?A)Mentalillnessinanindividualwastheresultofbeingpossessedbydemons.B)Apersonwasremovedfromacontaminatedenvironmenttoprotecthimorher.C)ExorcismswereusedasprimarymodeoftreatmenttocleansethepersonofhisorhD)Thefocuswasonmoraltreatmenttopromotetheindividual’ssafetyandcomfort.

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Answer Key1.C2.B3.A4.C5.A6.A7.A8.A,B,C,D9.D10.D11.B12.A13.B14.C15.B16.C17.A18.BPage 1Chapter 2-Mental Health andMentalDisorders1.AnursinginstructorisdescribingtheDSM-IV-TRtoagroupofnursingstudents.Whichofwouldtheinstructorincludeastheprimarypurposeofthisclassification?A)Provideacommonlyunderstooddiagnosticcategoryforclinicalpractice.B)Describetreatmentmodalitiesforpsychiatricdisordersandmentalillnesses.C)Identifyvariousetiologiesformentaldisordersbasedonfamilyhistories.D)Provideoptimaloutcomesfortreatmentforindividualswithmentalillnesses.2.AnurseisprovidingcaretoapatientwithamentaldisorderclassifiedbytheDSM-IV-TR.

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understandsthatalthoughthefirstthreeaxesappeartocontainallthediagnosticinformatioatrulyaccuratepictureoftheclientisincompletewithoutconsideringotherfactorssuchascurrentfunctioningand:A)LifestressorsB)CulturalbackgroundC)MaritalstatusD)Genetichistory3.Apatient’sglobalassessmentfunctioningrevealsthathehasminimalsymptomswithgoodallareas.Whichscorewouldthenursecorrelatewiththesefindings?A)94B)82C)75D)634.Afemalepatientwasadmittedtothehospitalwithpneumonia,andinthecourseofhertreadeterminedthatshewasexperiencingalcoholdependencebecauseshebeganexperiencingwithdrawalwhileshewasinthehospital.Whenthepsychiatristwhowascalledinasacondocumentedthepatient’smentaldisorder,heidentifiedheralcoholdependenceonwhichaA)AxisIB)AxisIIC)AxisIIID)AxisIV5.A25-year-oldwomanwhorecentlyhadabdominalsurgerywasadmittedtothepsychiatricwasdeterminedthatshehadaborderlinepersonalitydisorder.Duringthefirstweekonthedeterminedthatshealsohasdiabetes.HerdiabetesmellituswouldbelistedinwhichaxisoTRdiagnosis?A)AxisIB)AxisIIC)AxisIIID)AxisIV6.Aspartofaclassactivity,nursingstudentsareengagedinasmallgroupdiscussionabouttofmentalillness.Whichstatementbestexplainstheimportanceofepidemiologyinunderstimpactofmentaldisorders?A)Epidemiologyhelpspromoteunderstandingofthepatternsofoccurrenceassociated

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disorders.B)Epidemiologyhelpsexplainresearchfindingsabouttheneurophysiologythatcausesdisorders.C)EpidemiologyprovidesathoroughtheoreticalexplanationofwhyspecificmentaldisD)Epidemiologypredictswhenaspecificpsychiatricclientwillrecoverfromaspecific7.Anurseisworkinginacommunitymentalhealthcenterthatprovidescaretoalargepopuldescent.Whendevelopingprogramsforthiscommunity,whichofthefollowingwouldbeforthenursetoaddress?A)PublicstigmaB)Self-stigmaC)LabelavoidanceD)Negativelifeevents8.AgroupofstudentsarereviewingthemultiaxialdiagnosticsystemoftheDSM-IV-TR.ThedemonstrateunderstandingoftheaxeswhentheyidentifythateachaxisrepresentswhichoA)Anevidence-basedresearchfindingB)AnexperimentaldesigntoguidecareC)AdomainofinformationD)Alaboratorytestfinding9.Anursingstudentisassignedtocareforapatientdiagnosedwithschizophrenia.Whentalkpatientinaclinicalpostconference,thestudentwouldusewhichterminologywhenreferrinA)CommittedpatientB)SchizophrenicC)SchizophrenicpatientD)Personwithschizophrenia10.Mrs.Greenisapatientonapsychiatricunit.Atthetimeofheradmission,herdogwaskiaccidentallyranoverit;inadditiontothat,shejustfoundoutthathermotherhasbeendiacoloncancer.ThisinformationwouldbeaddressedinwhichDSM-IVaxis?A)AxisIB)AxisIIC)AxisIIID)AxisIV11.Anursingstudentisreviewingjournalarticlesaboutmajordepression.Oneofthearticles

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numberofpersonsnewlydiagnosedwiththedisorderduringthepastyear.Thestudentinwhichofthefollowing?A)RateB)PrevalenceC)PointprevalenceD)Incidence12.Whileworkinginacommunitymentalhealthtreatmentcenter,thenurseoverhearsoneofsayingthatoneofthepatientsis“ reallypsycho.”Laterintheday,thenursetalkswithtaboutthecomment.ThisactionbythenursedemonstratesanattempttoaddresswhichissA)LackofknowledgeB)PublicstigmaC)LabelavoidanceD)Self-stigma13.Afterteachingagroupofstudentsaboutmentalhealthandmentalillness,theinstructordtheteachingwassuccessfulwhenthegroupidentifieswhichofthefollowingasreflectingdisorders?A)CapacitytointeractwithothersB)AbilitytodealwithordinarystressC)AlterationinmoodorthinkingD)Lackofimpairedfunctioning14.Anurseispreparingapresentationforalocalcommunitygroupaboutmentaldisordersaincludehowmentaldisordersaredifferentfrommedicaldisorders.Whichstatementwouappropriateforthenursetoinclude?A)“ Mentaldisordersaredefinedbyanunderlyingbiologicalpathology.”B)“ Numerouslaboratorytestsareusedtoaidinthediagnosisofmentaldisorders.”C)“ Clusterofbehaviors,thoughts,andfeelingscharacterizementaldisorders.”D)“ Manifestationsofmentaldisordersarewithinnormal,expectedparameters.”15.WhichofthefollowingwouldanurseidentifyasbeingcategorizedasAxisIintheDSM-thatapply.A)ParanoidpersonalitydisorderB)PosttraumaticstressdisorderC)Anorexianervosa

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D)MentalretardationE)UnemploymentF)Coronaryarterydisease16.Apsychiatric– mentalhealthnurseisprovidingcareforapatientwithamentaldisorder.participatinginthedecision-makingprocess.ThenurseinterpretsthisaswhichcomponenA)Self-directionB)EmpowermentC)Person-centeredD)Holistic17.Anurseisexplainingrecoverytothefamilyofapatientdiagnosedwithamentaldisorderstatementwouldbemostappropriateforthenursetoincludeaboutthisprocess?A)“ Itisastep-by-stepprocessfrombeingilltobeingwell.”B)“ Thepatientfocusesmainlyontheemotionalaspectsofhiscondition.”C)“ Thepatientishelpedtoliveameaningfullifetohisfullestpotential.”D)“ Althoughpeersupportisimportant,theself-acceptanceisessential.”18.Apsychiatric– mentalhealthnurseispreparingapresentationaboutrecoveryforagroupnursesforthementalhealthfacility.Whichofthefollowingwouldthenurseidentifyasoimportantconcepts?A)Self-directionB)PeersupportC)RespectD)Hope19.Thenurseisreviewingthemedicalrecordofapatientandnotestheinformationbelow.WfollowingwouldbefoundonAxisIII?Selectallthatapply.A)CocainedependenceB)BipolarIdisorderC)ChronicobstructivepulmonarydisorderD)CellulitisE)HomelessnessF)Arrestforcocainepossessionwithintenttosell20.Acollege-agedstudentandhisfriendarriveatthestudenthealthcenter.Thefriendreporthasbeenhavingdifficultiesconcentrating,remembering,andthinking.He’shadquitea

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papersduethispastweek.”Afterrulingoutotherproblems,thenursedeterminesthattheexperiencingaculture-boundsyndrome.WhichofthefollowingwouldthenursemostlikA)AtaquedenerviosB)BrainfogC)MaldeojoD)ShenjingshuairoAnswer Key1.A2.A3.B4.A5.C6.A7.C8.C9.D10.D11.D12.B13.C14.C15.B,C16.B17.C18.D19.C,D20.BPage 1Chapter 3-Cultural and Spiritual IssuesRelated to Mental Health Care

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1.WhenreviewingseveralstudiesaboutHispanicAmericansandtheiruseofmentalhealthcnursenotesthatthisculturalgrouptendstouseallotherresourcesbeforeseekinghelpfromprofessionals.Whichofthefollowingwouldthenurseidentifyasareasonforthisbeliefabhealthfacilities?A)RequireperiodsofhospitalizationB)Donotprovide24-houremergencyservicesC)ArenotreimbursedbythirdpartypayersD)Donotaccommodatetheirculturalneeds2.AnurseispreparingapresentationaboutmentalhealthproblemsassociatedwithspecificcWhendescribingmentalhealthproblemsassociatedwithAsianAmericans,Polynesians,anIslanders,thenursewouldaddresshighratesofwhichofthefollowing?A)SchizophreniaB)ManicdisordersC)DementiaD)Suicide3.Thenurseisdoinganassessmentinterviewofapatient.Duringtheinterview,thepatientcopeopleareconnectedwithnature.Ourworld,ourseasons,andourweather—theyallhavemteachus.”Thenurseinterpretsthepatient’sstatementasanexpressionofwhichofthefollA)ReligiousnessB)TriballawC)SpiritualityD)Ecologicalvalues4.Apsychiatric– mentalhealthnurseisprovidingcaretoapatientwhohasrecentlyemigrateStatesfromEasternEurope.Whichofthefollowingwouldbeleasteffectiveinprovidingccompetentcare?A)DemonstratingagenuineinterestinthepatientB)Avoidingassumptionsaboutthepatient’scultureC)Speakingtothepatientinhisnativelanguage.D)Acquiringinformationaboutthepatient’scountry.5.Apsychiatric– mentalhealthnurseworkinginaVeteran’sAdministrationMedicalCentermilitarywifewhoisanAsianAmerican.Thewomanistobejoiningasupportgroupforwwhohaveposttraumaticstresssyndrome.Whenaskinghertodescribeherhusband’smenta

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problems,whichresponsewouldthenursemostlikelyexpect?A)“ Oh,hemayseemdepressed,butitisjustavitamindeficiency.ItrunsinhisfamilyB)“ Iknowthewarmessedhismindup.He’llneverbethesame.”C)“ SometimeshehallucinatesthatheisbackinVietnam.”D)“ Hejuststaystohimself;henevertalkstomeaboutwhatisbotheringhim.”6.Apsychiatric– mentalhealthnurseisworkingwithapatientwhoisbeingtreatedfordeprepatientstatementwouldindicatethatherspiritualityisintact?A)“ MychurchfriendscametovisitmethispastSundayafternoon.”B)“ Nothingwilleverbethesameagain;mylifeisnotworthliving.”C)“ IknowIamaswelloffasIcanbeunderthecircumstances.”D)“ IknowGodmustbepunishingmeforallmysins.”7.Apatientisbeingtreatedforprostatecancer;hisprognosisisverypoor.Thepatienthasashehasbeenactiveinhischurchformanyyears.Heisconcernedabouthishealthandthecfacesashiscancerprogresses.Whichcommentbythenursereflectsthemostappropriatesinterventionforthepatient?A)I’lltakeyoutovisitmychurchifyoucangetapass.”B)“ YouhavetobelongtothesamechurchIdoifyou’regoingtogotoheaven.”C)“ Wouldyoulikemetobringyouaguidedimageryaudiotape?”D)“ Wecanpraytogetherifyou’dlike.”8.Apsychiatric– mentalhealthnurseisteachingaclassaboutsocialfactorsassociatedwithmcommunityhealthcenter.Whendescribingtheinfluenceofpovertyandeffectsofthedownspiralonmentalhealth,whichpopulationwouldthenurseidentifyasbeingthemostatriskA)OlderadultsB)IndividualswithphysicaldisabilitiesC)Single-parentfamiliesD)Homelessindividuals9.Duringanassessment,thepatientstates,“ Werelyonourlargeextensivefamilyformoralandwetreatourelderswithagreatdealofrespect.Ifsomeonegetssick,thefamilytakescnurseinterpretsthisasindicatingwhichofthefollowing?A)AcculturationB)CulturalidentityC)Culturalcompetence

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D)Linguisticcompetence10.Withinthecontextofthecultureofpoverty,whichofthefollowingmostclearlydescribewhoarepartofthisculturebecometrappedinadownwardeconomicspiral?A)Unemploymentcausespoverty;alackofwillpowerandmotivationcan,inturn,caunemploymentinpeoplewhodonothaveastrongworkethic.B)Individualslackthefinancestopayrent,sotheyeventuallydonothaveanaddressoutjobapplications.C)Characteristicsofpoverty(joblessnessandlackoffinancialindependence)can,intattributes(feelingsofpowerlessnessandlowself-esteem)thatsustainpoverty.D)Povertyispassedonfromgenerationtogeneration;individualslearnatanearlyagwaytoescapelivinginpoverty.11.AgroupofnursingstudentsarereviewinginformationaboutspiritualityandreligiousnesdemonstratesunderstandingoftheseconceptswhentheyidentifyreligiousnessaswhichoA)FeelingofconnectednessB)WayofinterpretinglifeeventsC)RelationshipwithaunifyingforceD)Communityparticipationincommonworship12.AnursinginstructorispreparingaclassaboutruralculturesandtheinfluenceonmentalhWhichofthefollowingwouldtheinstructorincludeasimpactingtheuseofmentalhealthgroup?Selectallthatapply.A)LimitedaccesstocareB)LackofavailableresourcesC)GeographicalsimilaritiesD)DiverseculturalgroupsE)Consistencyintreatmentapproaches13.Apsychiatric– mentalhealthnurseisworkingondevelopingculturalcompetence.Whichwouldbemostappropriateforthenursetodo?A)ResearchinformationabouttheculturesofthepopulationbeingservedafterassessB)Recognizethatone’sowncultureisthepredominantwayofaddressingapatient’sneeds.C)Assumethatanyindividualofaracialorethnicgroupisthesameasanotherindivigroup.D)Demonstrateanappreciationofandagenuineinterestintheindividualandhisorh

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beliefs.14.Duringassessment,apatienttellsthenursethathefollowsBuddhistbeliefs.Thenursewunderstandingofwhichofthefollowingwhendevelopingthepatient’splanofcare?A)Desireisthecauseofallhumansufferingandmisery.B)Self-indulgenceisnecessarytoreachnirvana.C)Presentbehaviorisbasedoncurrentunhappiness.D)Salvationisachievedthroughfaithandhumility.15.Afterteachingagroupofstudentsaboutthebeliefsassociatedwiththemajorreligions,thdeterminesthatadditionalteachingisneededwhenthestudentsidentifywhichbeliefasaConfucianism?A)Peopleareborngood.B)Peopleareassignedtocastes.C)Authorityfiguresarerespected.D)Self-responsibilityleadstoimprovement.16.Duringaninterview,apatientstates,“ Goddoesnotexistforme.”Thenurseinterpretstreflectingwhichofthefollowing?A)AnimismB)AgnosticismC)AtheismD)Polytheism17.AfterreviewingthemajorbeliefsofHinduism,anursingstudentidentifiesthefollowingstudentdemonstratesunderstandingbyidentifyingwhichofthefollowingasthehighestcA)KshatriyasB)VaisyasC)BrahmansD)Untouchables18.ThenurseisassessinganAsianAmericanpatient.Duringtheinterview,thenursedetermpatientlikelyfollowsTaoismbasedonwhichstatement?A)“ Purityandbalanceguideallofmyactions.”B)“ Istrivetobeinhappyharmonywithnature.”C)Nature’spowersmustberespectedinlife.”D)“ Godisworshippedoutoflove,notfear.”

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Answer Key1.D2.D3.C4.C5.A6.C7.D8.D9.B10.C11.D12.A,B,D13.D14.A15.B16.C17.C18.BPage 1Chapter 4-Patient Rights and Legal Issues1.Anurseisexplainingadvancecaredirectives,or“ livingwills,”toapatientandthepatienWhichofthefollowingwouldthenurseincludeinthedescription?A)ThedocumenttellswhattreatmentistobeomittedifthepatientisunabletomakethB)Itrequiresthatthepatientsignthe“ livingwill”documentwhileanattorneyispresC)Thepatient’sphysicianmustactasawitnesswhenthepatientsignsthedocument.D)Anattorneydrawsupthepaperstobegiventothepatientandhisorherfamily.2.Apsychiatric– mentalhealthnursedeterminesthatapatientiscompetentwhenheisabletofollowing?

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A)SpeakcoherentEnglish.B)Communicatehisorherchoices.C)Writea“ livingwill.”D)Complywiththemedicalregimen.3.Apatientreceivesacourtorderforcommitment.Whichofthefollowingbestexemplifiest“ leastrestrictiveenvironment?”A)InvoluntarycommitmenttoanoutpatientcommunitymentalhealthcenterB)MedicationadministrationforsedationsothepatientcannotgetoutofbedC)Placingthepatientinalockedpaddedroominresponsetothreatsofself-harmD)Allowingthepatienttomakethedecisionaboutwhethertreatmentisnecessary4.Anurseiscaringforapatientwhoishospitalizedforamentaldisorder.Thenurseislegallybreachthepatient’sconfidentialityifthepatientstateswhichofthefollowing?A)“ Ithinkthatthefederalgovernmentisspyingonme.”B)“ Igetreally‘turnedon’byyourappearance.”C)“ ThatdoctorIhadtodayreallymademeangry.”D)“ WhenIgetoutofhere,I’mgoingtokillmyneighbor.”5.WhichpatientwouldthenursedeterminetobethemostlikelyacandidateforinvoluntarycA)TheclientwhorefusestotaketheprescribedmedicationB)TheclientwhoisscreaminginthestreetdisturbingneighborsC)TheclientwhorefusestoparticipateintheplannedtherapyD)Theclientwithamentaldisorderwhoishomeless6.Thenurseisprovidingcaretoamalepatientwhoishospitalizedwithadiagnosisofschizoofthefollowingwouldbeappropriateforthenursetoincludeinthepatient’smedicalrecorA)“ Patientstatesthathehadagoodnightwithnocomplaints.”B)“ ComplainedofbeingunabletosleepbecauseheheardvoicesthroughoutthenightC)“ Hadatypicalnightwithoutincidenceofinsomniaornightmares.”D)“ Actedcrazilythroughoutthenight;kepthearingvoicesandnoises.”7.Anurseworkingonthepsychiatricunitreceivesatelephonecallfromtheemployerofoneontheunit.TheemployeraskstobesentacopyofMr.Murray’slatestlaboratoryworkandtestingresultssoMr.Murray’smedicalrecordsinemployeehealthcanbekeptuptodate.nurse’sknowledgeaboutissuessurroundingbreachofconfidentiality,whichresponsewouappropriate?

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A)I’msorry;we’renotallowedtogiveoutthatinformationaboutourpatient.”B)I’llhavetogetthepatient’ssignedconsentbeforewecansendthatinformationtoC)“ IamunabletoacknowledgewhetherornotaMr.Murrayisapatientonthisunit.”D)“ Sure,givemeyouraddress,andIwillseethattheinformationissenttoyou.”8.Apatientisgoingtobedischargedthisafternoonfromthementalhealthunit.Thepatientacopyofhismedicalrecordcouldbesenttothepsychologisthewillbeseeingonanoutpatiresponsebythenursewouldbemostappropriate?A)“ Sure,we’llhavethatinformationsentoutintoday’smail.”B)“ Youwillneedtosignwrittenauthorizationforusbeforewecandothis.”C)“ IthinkitwouldjustbebestifyoujusttoldyourpsychologisteverythingheneedstD)“ Howareyoufeelingaboutbeingdischargedthisafternoon?”9.Apatient’spsychiatristinformsherthathethinkssheneedstoparticipateina3-monthoutpprogramafterherdischarge.Whichofthefollowingwouldprotectthepatient’srighttoreqopinionbeforeagreeingtothissuggestion?A)Self-determinismB)LeastrestrictiveenvironmentC)ConfidentialityD)Mandatestoinform10.Anurseispreparingtoadministeranas-needed(PRN)medication.Whichofthefollowinnurseneedtokeepinmindwhendocumentingadministration?A)Itrequiresaseparateentrythatincludesreasonforadministration,dosage,route,anmedicationthefirsttimeitisadministeredtoapatient.B)Itrequiresaseparateentrythatincludesreasonforadministration,dosage,route,anmedicationeverytimeitisadministeredtoapatient.C)Itrequiresaseparateentrythatincludesreasonforadministration,dosage,androutisadministeredtoapatient.D)Itrequiresaseparateentrythatincludesreasonforadministration,dosage,androutadministeredtoapatient.11.Anursinginstructorispreparingaclassdiscussiononthetopicofself-determinism.Whicfollowingwouldtheinstructorexpecttoinclude?Selectallthatapply.A)PersonalautonomyasakeyvalueB)ChoicesbasedonpleasingothersC)Activitiesreflectpersonalgoals

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D)RighttorefusetreatmentE)Lackofempowerment12.Agroupofnursingstudentsarereviewinginformationaboutinternalrightsprotectionsysstudentsdemonstrateunderstandingofthisinformationwhentheyidentifywhichofthefexample?A)AmericanHospitalAssociationB)AmericanPublicHealthAssociationC)StatementalhealthproviderD)TheJointCommission13.Afterteachingaclassaboutcompetencyandhowitisassessed,thenursinginstructordetforadditionalinstructionwhentheclassidentifieswhichabilityasbeingevaluated?A)CommunicationofchoicesB)UnderstandingofrelevantinformationC)AppreciationforsituationandconsequencesD)Discussionofwhatisrightandwrong14.Apatientisinvoluntarilycommittedwithoutacourtorder.Thenurseunderstandsthattheshort-termhospitalizationcanoccurforwhichtimeframe?A)Amaximumof24hoursB)48to92hoursC)3to5daysD)Oneweek15.Anurseisexplainingthedistinctionbetweenconfidentialityandprivacy.Whichofthefothenurseincludeasreflectingprivacy?A)Partofpersonallifenotgovernedbysociety’slawsB)EthicaldutyfornondisclosureC)InvolvementoftwoindividualsD)Knowledgeoftreatmentcostsandbenefits16.Apsychiatric– mentalhealthpatienthasanadvancecaredirectiveonhismedicalrecord.providestreatmentthatdisregardsthepatient’sdirective.Theclinicianwouldbeliablefofollowing?A)AssaultB)Battery

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C)MedicalbatteryD)Falseimprisonment17.Agroupofstudentsarepreparingaclasspresentationaboutnegligence.Whichofthefollgroupincludeasanelementrequiredforprovingnegligence?Selectallthatapply.A)DutytoprovidecareB)ProximatecauseC)ResultantdamagesD)BreachofdutyE)CauseinfactF)Evidenceofmistake18.Apsychiatric– mentalhealthnurseisdocumentinginformationinapatient’smedicalrecofollowingwouldbeleastlikelytoincreasethenurse’slegalliability?A)“ Patientreportedthathewasfeelingbettertodaythanyesterday.”B)“ Administeredhaloperidol10mgIMstatasorderedforagitation.”C)“ Patientwastalkingwithanotherstaffmemberandstartedscreaming.”D)“ Appliedrestraintstoallfourpatientextremities.”19.Afterteachingaclassofnursingstudentsabouttherightsofpersonsreceivingmentalheainstructordeterminesaneedforadditionalinstructionwhenthestudentsidentifywhichoaright?A)FreedomfromrestraintsorseclusionB)Accesstoone’sownmentalhealthrecordsonrequestC)AnindividualizedwrittentreatmentplanD)RefusetreatmentduringanemergencysituationAnswer Key1.A2.B3.A4.D5.B6.B7.C

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8.B9.A10.B11.A,C,D12.C13.D14.B15.A16.C17.A,B,C,D,E18.B19.DPage 1Chapter 5-Mental Health Care in theCommunity1.Anursinginstructorisexplainingtheconceptofthecontinuumofcaretoagroupofstudenfollowingwouldthenurseincludeinthisdescription?A)CareprovidedinepisodicintervalsB)SystemofcarethatfocusesprimarilyonwellnessC)AsingleorganizationasresponsibleforcaredeliveryD)Integratedsystemspanningillnesstowellnessstates2.Thenurseisemployedbyalong-termresidentialtreatmentcenterthatprovidescaretoavawithchronicmentaldisorders.Whichrolewouldthenurseprimarilyassumewhenworkingpatients?A)TherapistB)MedicationadministratorC)MediatorD)Educator3.Apatienthasthreatenedtokillhiswife,anditisnotanticipatedthatthiscrisiswillresolve

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patientistobeadmittedtoaninpatientpsychiatricunitonaninvoluntarybasis.Whenexplfamilyaboutthisplan,thenursewouldidentifywhichofthefollowingasthefocusofcareA)Long-termtherapyB)RehabilitativeservicesC)AcutesymptomstabilizationD)24-hoursupervision4.Anurseisreviewinginformationaboutthevarioustypesofoutpatientmentalhealthcarepnursedemonstratesunderstandingofthesetypeswhenidentifyingwhichofthefollowingaprovidingthemostintensiveoutpatientnursingcare?A)PartialhospitalizationprogramsB)CrisisinterventionprogramsC)OutpatientdetoxificationprogramsD)Rehabilitationprograms5.Apatientwhohasattemptedsuicidewithadrugoverdosehasbeenreleasedfromaninpatihasreturnedtoschool.Thepatientcontinuestoneedroutinepsychiatricservices.Thenursethispatientwillmostlikelybereferredtowhichofthefollowing?A)PartialhospitalizationprogramB)In-homementalhealthcareC)IntensiveoutpatientprogramD)Crisiscenterinthecommunity6.Thenurseiscaringforagroupofpatientsinapartialhospitalizationprogram.Thenursewbeinvolvedinwhichofthefollowingactivities?A)FacilitatingadrugabusepreventiongroupB)ProvidingspiritualassessmentandrelatedinterventionsC)TeachingpatientshowtoplanamenuandtoshopforgroceriesD)Providinganeducationalgroupaboutthenutritionalcontentofcannedfoods7.Anurseisprovidingin-homementalhealthcareanddeterminesthatthecarewaseffectivedemonstratedwhichofthefollowing?A)AneedforcontinuedintensivemonitoringinthehomeB)AneedforcrisisinterventionservicesonanongoingbasisC)AdecreaseinadmissionfrequencytoinpatientpsychiatrichospitalsD)Adependenceonparentstoparticipateinthepatient’scare

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8.Apatientwithapsychiatricdisorderisconsideringjoiningaclubhousewithotherpatientsdisorders.Thepatientasksthenursetoexplainwhatservicestheclubhousesprovide.Whicnursewouldbemostaccurate?A)“ Theyareopen24hoursadaytoprovidecareandsupportfortheclubhousemembB)“ Theyarerunentirelybypsychiatricmentalhealthnurses.”C)“ Theirprimaryfocusisonprovidingongoingintensivepsychotherapyforpatientsisetting.”D)“ Theyarepredominatelyrunbypsychiatricpatientswithminimalassistancefrommstaff.”9.Thenurseisworkingaspartoftheinterdisciplinarystaffofapsychiatricinpatientfacilitywdevelopingdischargeplansforapatientwhorequiresalternativehousingarrangements.Threferredtoapersonalcarehome.Whenexplainingthishousingarrangementtothepatient,followingwouldthenurseinclude?A)You’llbelivingwithafamilyintheirhome,andthefamilywillhelpsuperviseandB)You’llbelivinginanapartmentwitharoommate,andastaffmemberwillcomebyou.”C)You’llbelivinginahousewithabout50otherpeopleandreceive24-hoursuperviassistance.”D)You’llbelivinginahousewithaboutsixto10otherpeople,andahealthcareatteprovide24-hoursupervision.”10.Anurseisdevelopingacommunityeducationprogramforalocalwomen’sclubonthetocareinmentalhealth.Whichofthefollowingwouldthenurseincludeasthemainfocus?A)CostsavingsB)Consistentthird-partyreimbursementC)ImprovedaccesstolesscostlyservicesD)Individualizedcareforadditionalinpatientstays11.Whenworkingwithinthecontinuumofcare,whichofthefollowingoccursfirst?A)ReferralB)TransferC)AssessmentD)Dischargeplanning12.Anursewhoisworkingaspartofaninterdisciplinaryteamislookingatpotentialoutpatipatient.Thepatientrequiresasettingthatprovidesaprogramofabout4hoursperday,thweekwitha24-hourcrisisandconsultationservice.Thenursewouldidentifywhichofth

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appropriate?A)PrimarycaresettingB)AmbulatoryleveloneC)AmbulatoryleveltwoD)Multimodaloutpatientsetting13.Afterteachingagroupofstudentsabouttheserviceandpatientvariablesusedwhendeteralongthecontinuumofbehavioralcare,theinstructordeterminesthattheteachingwassuthestudentsidentifywhichofthefollowingasaservicevariable?A)SignsandsymptomsB)MilieuC)RiskD)Socialsupport14.TheparentsofayoungadultdiagnosedwithschizophreniaareprovidingcareforthepatiDuringahomevisit,theparentsstate,It’sbeensodifficulttakingcareofourson.Wenheneedsconstantsupervision.”WhichofthefollowingwouldbeappropriateforthenurA)PartialhospitalizationB)AcuteinpatientcareC)RespiteresidentialcareD)Intensiveoutpatientprogram15.Apatientisreferredtoapsychosocialrehabilitationprogram.Whenexplainingthistypepatient,thenursewouldemphasizewhichofthefollowing?A)IntensivetreatmentthatpreparesthepatienttoliveinthecommunityB)Servicesthatpromotethepatient’sreintegrationintothecommunityC)DetoxificationservicesforalcoholanddrugsinanoutpatientsettingD)Frequentmonitoringwithinatherapeuticmilieuforrelapseprevention16.Aspartofaninterdisciplinaryteam,anurseisassistingwithapatientassessmenttodeterappropriatesettingfortreatment.Theteamdecidesthatanacuteambulatorysettingwoulappropriate.Whichofthefollowingwouldsupporttheteam’sdecision?A)Thepatientexhibitsmoderatetoseveresymptoms.B)ThepatientdemonstratesmarkedimpairmentintwoareasofdailylifeC)Thepatientisunabletocontractfortreatmentbeyondinitialcare.D)Thepatientdemonstratesalimitedabilitytoseeksupport.

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Answer Key1.D2.D3.C4.A5.C6.C7.C8.D9.D10.C11.C12.C13.B14.C15.B16.CPage 1Chapter 6-Ethics, Standards, and NursingFrameworks1.Whenapplyingthebiopsychosocialmodeltoclientcare,thenurseintegratesthepsychologwheninvolvedwithwhichofthefollowing?A)BehaviortherapyB)FamilysupportC)NutritionaltherapyD)Sleephygienemeasures2.Anursinginstructorisdescribingtheimpactoftechnologyandelectronichealthrecordsonpsychiatric– mentalhealthcare.Whichofthefollowingwouldtheinstructoridentifyasamassociatedwithit?

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A)MaintainingconfidentialityB)EstablishingeducationalmodelsC)DecreasingfragmentedcareD)Definingprofessionalstandardsmoreclearly3.Apsychiatricnursingclassisdiscussingcurrenttrendsinmentalhealthcare.Astudentvoithatthereshouldbeequitableaccesstomentalhealthcareandresourcesforthosewholivethosewithouthealthinsurance,andforthosewithverylittleincome.Thestudentnurse’socloselyreflectswhichethicalprinciple?A)NonmaleficenceB)PaternalismC)VeracityD)Justice4.Anursingstudentisinitiatingarelationshipwithanassignedpatient.Aftermeetingandspapproximately20minutestalkingwiththepatient,thestudentmakesarrangementstovisitAfterlunch,fellowclassmatesinvitethestudenttogotothegymwiththemandagroupofvolleyball.Thestudentstartstogowiththembutthenremembersthepromisetomeetwithstudentdecidestostaybehindandtalktowithherpatient.Thestudent’sdecisionreflectswprinciple?A)AutonomyB)BeneficenceC)FidelityD)Veracity5.Inapostclinicalconference,agroupofstudentsareengagedinadiscussionwiththeirinstrinstructorrepeatedlyhasthestudentsanalyzeandevaluatethenursinginterventionsimplemthroughouttheclinicalexperience.Thestudentsareengagedinwhichofthefollowing?A)TherapeuticuseofselfB)CriticalthinkingC)InterdisciplinarycareD)Planningcare6.Agroupofstudentsisreviewingthefunctionsofpsychiatricnurses.Thestudentsdemonstrunderstandingoftheinformationwhentheyidentifywhichofthefollowingasanadvancedfunction?A)Milieutherapy

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B)Promotionofself-careC)PsychopharmacologyinterventionsD)Healthpromotionactivities7.AnursinginstructorhaspreparedalectureaboutthescopeandstandardsofpracticeofpsyTheinstructordeterminesthattheteachingwaseffectivewhenthestudentsidentifywhichascommontobothbasicandadvancedlevelpractice?A)CasemanagementB)ProgramdevelopmentC)ClinicalsupervisionD)Communityinterventions8.Anurseisworkingondevelopingwaystomeetthechallengeofknowledgedevelopment.Wfollowingwouldbemostappropriate?A)Accessnewinformationthroughcontinuingeducationprograms.B)Improveaccesstocommunitypsychiatriccareforallpopulations.C)Reducetheburdenofmentalillnessbyfightingstigma.D)Provideculturallycompetent,high-qualitynursingcare.9.A22-year-oldpatientwithschizophreniaisrefusinghisantipsychoticmedication.Hestatethedopeywayitmakesmefeel.IfeellikeI’mwalkingunderwaterwhenItakeit.”Thenhim,“ Yourschizophreniaiscausedbyachemicalimbalanceinyourbrain,andthismedicthatchemicalimbalance.Youneedtotakeitsoyoursymptomswillgetbetter.”Thisconvconflictbetweenwhichtwotypesofethicalprinciples?A)AutonomyandjusticeB)PaternalismandveracityC)JusticeandnonmaleficenceD)Autonomyandbeneficence10.Anurseisfacedwithanethicaldilemmainvolvingapatient.Whichquestionwouldbemthenursetoaskfirstwhenengagingintheprocessofethicaldecisionmaking?A)Whataremyownfeelingsaboutthesituation?B)WhatassumptionsamImakingthatneedmoredata?C)WhatdoIknowaboutthesituation?D)WhatdoIknowaboutthepatient’svalues?11.Apsychiatric– mentalhealthnurseisadheringtothestandardsofpractice.Whenengagindecisionmaking,thenurseisintegratingwhichofthefollowingasthefoundation?

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A)DevelopmentalissuesB)NursingprocessC)CommitmentD)Accountability12.Agroupofnursingstudentsarereviewingthestandardsofprofessionalperformance.ThedemonstrateunderstandingwhentheyidentifywhichasastandardofprofessionalperformA)PrescriptiveauthorityB)ConsultationC)PlanningD)Collegiality13.Apsychiatric– mentalhealthnurseisprovidingcaretopatientswithamentalillnessandfactorsrelatedtothepatientsafety,deliveryofcareservices,andcosteffectiveness.Thenwithwhichareaofprofessionalperformance?A)EducationB)QualityofpracticeC)ResourceutilizationD)Collaboration14.Aninstructorispreparingaclassforagroupofstudentsaboutprofessionalorganizationsleadershipprovided.WhichofthefollowingwouldtheinstructorincludeasanimportantInternationalSocietyofPsychiatric-MentalHealthNurses?A)AdvocatingformentalhealthnursingpracticethroughliaisonactivitiesB)Advancingpsychiatric– mentalhealthnursingpracticeC)ImprovingmentalhealthcareforculturallydiverseindividualsD)Providingastrongvoiceforpsychiatric– mentalhealthnurses15.Whenapplyingthebiopsychosocialmodelforapatientwithamentalhealthproblem,thethepsychologicaldomainwhenassessingwhichofthefollowing?A)SleeppatternsB)FeelingsC)FamilyfunctioningD)Culturalgroups16.Anursehaddevelopedaplanofcareforapatientwithdepression.Whichnursingdiagnothesocialdomain?

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A)ImbalancedNutrition,LessThanBodyRequirementsrelatedtolackofappetite.B)Powerlessnessrelatedtofeelingsoflackofcontroloverthesituation.C)IneffectiveRolePerformancerelatedtoinabilitytoparticipateasfamilyproviderD)RiskforSuiciderelatedtodepressedmoodandfeelingsofoneselfasafailure17.Theplanofcareforapatientwithschizophreniaidentifiesthefollowingoutcomes.Whicfollowingwouldthenurseidentifyasaddressingthebiologicdomain?SelectallthatapplA)Improvingproblem-solvingskillsB)PromotingeconomicstabilityC)MinimizingadverseeffectsofdrugtherapyD)ImprovingnutritionalstatusE)Providingfamilyeducation18.Anurseisengagedinexercisestodevelopself-awareness.Thenurseisusingwhichtool?A)InterdisciplinarycareB)ReflectionC)PlanofcareD)ClinicalreasoningAnswer Key1.A2.A3.D4.C5.B6.C7.A8.A9.D10.C11.B12.D13.C14.D

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15.B16.C17.C,D18.BPage 1Chapter 7-Psychosocial Theoretic Basis ofPsychiatric Nursing1.AgroupofnursingstudentsarereviewinginformationaboutFreud’spersonalitystructure.demonstrateunderstandingofthisinformationwhentheyidentifytheabilitytoformmutuarelationshipsasafunctionofwhichofthefollowing?A)DefensemechanismsB)UnconsciousC)IdD)Ego2.WhendescribingtheinfluenceofHarryStackSullivanonpsychiatric– mentalhealthnursinfollowingwouldtheinstructoraddressasamajorconcept?A)InterpersonalrelationsB)HarmonybetweentheindividualandsocietyC)CollectiveunconsciousD)Unconditionalpositiveregard3.Anursingstudentistoprovideaclasspresentationaboutinterpersonalandpsychoanalyticofthispresentation,thestudentisplanningtoaddressthemajorwaythesetwocategoriesdthefollowingwouldthestudentincludeaskeytointerpersonaltheories?A)HumanrelationshipsB)InstinctsC)DrivesD)Potentialforgoodness4.Apsychiatric– mentalhealthnurseisintegratingCarlRogers’theoryintotheplanofcarefamentalillness.Thenurseincorporatesunderstandingofthistheorybyacknowledgingthaaccomplisheswhichofthefollowing?

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A)Providevalidationoftheterminologyusedduringthesession.B)Focusontheclient’sinstinctualdrives.C)Recognizeanunderstandingoftheclient’sbasicneeds.D)Developunconditionalpositiveregardfortheclient.5.Anurseisdemonstratingbehaviorsthatthetreatmentteamisattemptingtogetthepatienttnurseisintegratingwhichtheory?A)Erikson’smodelofpsychosocialdevelopmentB)AlbertBandura’ssocialcognitivetheoryC)Skinner’soperantconditioningD)Freud’spsychoanalyticmodel6.Aninstructorispreparingaclassdiscussiononthevarioustheoreticalmodelsusedinpsychealthnursing.Whendescribingcognitivetheories,whichstatementwouldtheinstructorinA)“ ThetheoriesattempttoexplainthementalprocessesdevelopmentandeffectsonbB)“ Thetheoriesattempttodescribehowpeoplelearnandact.”C)“ Thetheoriesattempttolinkinternalthoughtprocesseswithbehavior.”D)“ Thetheoriesattempttoexplainnormalhumangrowthanddevelopment.”7.WhenintegratingtheNeumansystemsmodelwhilecaringforapatientwithamooddisordwouldfocusonwhichofthefollowingaboutthepatient?A)BehaviorsB)RelationshipsC)Self-careactivitiesD)Stressors8.ThenurseisintegratingPeplau’smodelwhenprovidingcaretoapatientwithamentalillnfollowingwouldthenurseidentifyasakeycomponent?A)SufferingB)AnxietyC)Self-careD)Nonverbalbehaviors9.Agroupofnursingstudentsarereviewinginformationaboutthevariousnursingtheoristsaapplicationtopsychiatric– mentalhealthnursing.ThestudentsdemonstrateunderstandingidentifywhichtheoristasresponsiblefordevelopingthetheoryofculturalcarediversityanA)MadeleineLeininger

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