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 following as most strongly linked to this holist
A) Sigmund 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 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 psychiatric– mental health nur
within nursing history. Which of the following would be most appropriate to include?
A)
Certification for the psychiatric– mental health nursing specialty was first emphasize
Adelaide Nutting.
B) Psychiatric nurses played a part in seeing that all deinstitutionalized patients got trea

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

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 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 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 training 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

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) 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 or h
D) The focus was on moral treatment to promote the individual’s safety and comfort.

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.

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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

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papers due this past week.” After ruling out 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

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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,

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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

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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

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

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