Test Bank for Psychiatric Nursing: Contemporary
Practice, 7th Edition
Mary A. Boyd & Rebecca A. Luebbert
1|Page
,CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to
perform which additional intervention?
a) conduct mental health assessment
b) prescribe psychotropic medication
c) establish therapeutic relationships
d) individualize nursing care plans -✓✓ Correct - b)prescribe psychotropic medication
A nursing student expresses concerns that mental health nurses "lose all their clinical skills". Select the best response
by the mental health nurse.
a)"psychiatric nurses practice in safer environments than other specialities. nurse to patient ratios most be better
because of the nature of the patients problems"
b)"psychiatric nurses use complex communication as well as critical thinking to solve multidimensional problems. I
am challenged by those situations"
c)"thats a misconception. psychiatric nurses frequently use high technology monitoring equipment and manage
complex intravenous therapies"
d)psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurses do. that appeals
to me" -✓✓ Correct - b)"psychiatric nurses use complex communication as well as critical thinking to solve
multidimensional problems. I am challenged by those situations"
A family has a long history of conflicted relationships among the members. which family members comment best
reflects a mentally healthy perspective?
a)"I've made mistakes but everyone else in this family has also"
b)"I remember joy and mutual respect from our early years together"
c)"I will make some changes in my behavior for the good of the family"
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,d)"its best for me to move away from my family. things will never change" -✓✓ Correct - c)"I will make some
changes in my behavior for the good of the family"
When a new bill introduced in congress reduces funding for care of persons diagnosed with mental illness, a group
of nurses write letters to the elected representatives in opposition to the legislation. which role have the nurses
fulfilled?
a)recovery
b)attending
c)advocacy
d)evidence based practice -✓✓ Correct - c)advocacy
The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of the following
would the nurse identify as having a positive impact on the individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance
Ans: B
Feedback: Individual factors influencing mental health include biologic makeup, autonomy, independence, self-
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or hardiness, sense of
belonging, reality orientation, and coping or stress management abilities. Interpersonal factors such as intimacy and
a balance of separateness and connectedness are both needed for good mental health, and therefore a healthy person
would need others for companionship. A family history of mental illness could relate to the biologic makeup of an
individual, which may have a negative impact on an individual's mental health, as well as a negative impact on an
individual's interpersonal and socialñcultural factors of health. Total self-reliance is not possible, and a positive
social/cultural factor is access to adequate resources.
Which of the following statements about mental illness are true? Select all that apply.
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, A) Mental illness can cause significant distress, impaired functioning, or both. B) Mental illness is only due to
social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependency on or withdrawal from
relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with relationships and self.
Ans: A, D, E
Feedback: Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related
to individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from relationships are
interpersonal factors that relate to mental illness. Individuals suffering from mental illness can feel overwhelmed
with daily life. Individuals suffering from mental illness may experience dissatisfaction with relationships and self.
Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
D) Persons who engage in fantasies are mentally ill.
Ans: C
Feedback: What one society may view as acceptable and appropriate behavior, another society may see that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In most cases,
mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal
relationships, effective behavior and coping, positive self-concept, and emotional stability. Persons who engage in
fantasies may be mentally healthy, but the inability to distinguish reality from fantasy is an individual factor that
may contribute to mental illness
A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so sad. The
nurse's best response would be,
A) You may have a temporary mental illness because you are experiencing so much pain.
B) You are not mentally ill. This is an expected reaction to the loss you have experienced.
C) Were you generally dissatisfied with your relationship before your husband's death?
D) Try not to worry about that right now. You never know what the future brings.
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Practice, 7th Edition
Mary A. Boyd & Rebecca A. Luebbert
1|Page
,CHAPTER 01: MENTAL HEALTH AND MENTAL ILLNESS
A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to
perform which additional intervention?
a) conduct mental health assessment
b) prescribe psychotropic medication
c) establish therapeutic relationships
d) individualize nursing care plans -✓✓ Correct - b)prescribe psychotropic medication
A nursing student expresses concerns that mental health nurses "lose all their clinical skills". Select the best response
by the mental health nurse.
a)"psychiatric nurses practice in safer environments than other specialities. nurse to patient ratios most be better
because of the nature of the patients problems"
b)"psychiatric nurses use complex communication as well as critical thinking to solve multidimensional problems. I
am challenged by those situations"
c)"thats a misconception. psychiatric nurses frequently use high technology monitoring equipment and manage
complex intravenous therapies"
d)psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurses do. that appeals
to me" -✓✓ Correct - b)"psychiatric nurses use complex communication as well as critical thinking to solve
multidimensional problems. I am challenged by those situations"
A family has a long history of conflicted relationships among the members. which family members comment best
reflects a mentally healthy perspective?
a)"I've made mistakes but everyone else in this family has also"
b)"I remember joy and mutual respect from our early years together"
c)"I will make some changes in my behavior for the good of the family"
2|Page
,d)"its best for me to move away from my family. things will never change" -✓✓ Correct - c)"I will make some
changes in my behavior for the good of the family"
When a new bill introduced in congress reduces funding for care of persons diagnosed with mental illness, a group
of nurses write letters to the elected representatives in opposition to the legislation. which role have the nurses
fulfilled?
a)recovery
b)attending
c)advocacy
d)evidence based practice -✓✓ Correct - c)advocacy
The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of the following
would the nurse identify as having a positive impact on the individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance
Ans: B
Feedback: Individual factors influencing mental health include biologic makeup, autonomy, independence, self-
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or hardiness, sense of
belonging, reality orientation, and coping or stress management abilities. Interpersonal factors such as intimacy and
a balance of separateness and connectedness are both needed for good mental health, and therefore a healthy person
would need others for companionship. A family history of mental illness could relate to the biologic makeup of an
individual, which may have a negative impact on an individual's mental health, as well as a negative impact on an
individual's interpersonal and socialñcultural factors of health. Total self-reliance is not possible, and a positive
social/cultural factor is access to adequate resources.
Which of the following statements about mental illness are true? Select all that apply.
3|Page
, A) Mental illness can cause significant distress, impaired functioning, or both. B) Mental illness is only due to
social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependency on or withdrawal from
relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with relationships and self.
Ans: A, D, E
Feedback: Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related
to individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from relationships are
interpersonal factors that relate to mental illness. Individuals suffering from mental illness can feel overwhelmed
with daily life. Individuals suffering from mental illness may experience dissatisfaction with relationships and self.
Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
D) Persons who engage in fantasies are mentally ill.
Ans: C
Feedback: What one society may view as acceptable and appropriate behavior, another society may see that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In most cases,
mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal
relationships, effective behavior and coping, positive self-concept, and emotional stability. Persons who engage in
fantasies may be mentally healthy, but the inability to distinguish reality from fantasy is an individual factor that
may contribute to mental illness
A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so sad. The
nurse's best response would be,
A) You may have a temporary mental illness because you are experiencing so much pain.
B) You are not mentally ill. This is an expected reaction to the loss you have experienced.
C) Were you generally dissatisfied with your relationship before your husband's death?
D) Try not to worry about that right now. You never know what the future brings.
4|Page
