EssentialsofPsychiatricNursing2ndEditionBoyd-
latest-2023-2024
kk
,Table of Contents
ss ss
Chapter ss1 ss Mental ssHealth ssand ssMental s s Disorders
Chapter ss2 ssCultural ssand ssSpiritual ssIssues ssRelated ssto
ss Mental ssChapter ss3 ssPatient ssRights ssand ssLegal ssIssues
Chapter ss4 ssEthics, ssStandards, ssand ssNursing
Frameworks ssChapter ss5 ssTheoretical ssBasis ssof
ss
ss Psychiatric ssNursing ssChapter ss6 ssBiologic
ss Foundations ssof ssPsychiatric ssChapter ss7 ssRecovery
ss Framework ssfor ssMental ssHealth ssChapter ss8
ss Therapeutic ssCommunication
Chapter ss9 s s The ssNurse–Patient s s Relationship
Chapter ss10 ssThe ssPsychiatric–Mental ss Health s s Nursing
Chapter ss11 ssPsychopharmacology, ssDietary ssSupplements, ssand ssBiologic
ss Interventions ssChapter ss12 ssGroup ssInterventions
Chapter ss13 ssStress s s and ssMental s s Health
Chapter ss14 ssManagement s s of ssAnger, ssAggression, ssand s s Violence
Chapter ss15 ssCrisis, ssLoss, ssGrief, ssResponse, ssBereavement, ssand ssDisaster
ss Management ssChapter ss16 ssSuicide ssPrevention
Chapter ss17 ssMental ssHealth ssCare ssfor ssSurvivors ssof
ss Violence ssChapter ss18 ssAnxiety ssDisorders
Chapter ss19 ssTrauma ssand ssStressor-Related ssDisorders
ss Chapter ss20 ssObsessive–Compulsive ssand ssRelated
Disorders ssChapter ss21 ssDepression
ss
Chapter ss22 s s Bipolar s s Disorders
Chapter ss23 ssSchizophrenia ssand ssRelated ssDisorders
ss Chapter ss24 ssPersonality ssand ssImpulse-Control
ss Disorders ssChapter ss25 ssAddiction ssand ssSubstance-
Related ssDisorders ssChapter ss26 ssEating ssDisorders
Chapter ss27 ssSomatic ssSymptom ssand ssDissociative ssDisorders
ss Chapter ss28 ssSleep–Wake ssDisorders
Chapter ss29 ss Sexual s s Disorders
Chapter ss30 ssMental ssHealth ssDisorders ssof ssChildhood ssand ssAdolescence
ss Chapter ss31 ssMental ssHealth ssDisorders ssof ssOlder ssAdults
,Test Generator Questions, Chapter 1, Mental Health and Mental
ss ss ss ss ss ss ss ss
Disorders
ss
Multiple ssChoice
1. As sspart ssof ssa ssclass ssactivity, ssnursing ssstudents ssare ssengaged ssin ssa sssmall ssgroup ssdiscussion
ssabout ssthe ssepidemiology ssof ssmental ssillness. ssWhich ssstatement ssbest ssexplains ssthe ssimportance ssof
ssepidemiology ssin ssunderstanding ssthe ssimpact ssof ssmental ssdisorders? ssEpidemiology:
A) Helps sspromote ss understanding ssof s s the sspatterns ss of ssoccurrence s s associated ss with s s mental s s disorders.
B) Helps ssexplain ssresearch s s findings s s about s s the ss neurophysiology ssthat ss causes ssmental s s disorders.
C) Provides ssa ssthorough sstheoretical s s explanation ssof sswhy ssspecific ssmental ssdisorders s s occur.
D) Predicts sswhen ssa ssspecific s s psychiatric ssclient s s will s s recover ss from s s a ssspecific s s mental s s disorder.
Ans: A
Chapter: 1
ClientssNeeds: ssSafe,ssEffective
ssCognitive ss Level: Apply
Integrated ssProcess: Teaching/Learning ssObjective: 4
Page s s Number: s s 2
Feedback: Epidemiology ssis ssthe ssstudy ssof sspatterns ssof ssdisease ssdistribution ssand ssdeterminants
ssof sshealth sswithin sspopulations. ssIt sscontributes ssto ssthe ssoverall ssunderstanding ssof ssthe ssmental sshealth
ssstatus ssof sspopulation ssgroups, ssor ssaggregates, ssand ssit ssexamines ssthe ssassociations ssamong sspossible
ssfactors.
Epidemiology ssdoes ssnot ssexplain ssresearch ssfindings ssabout ssneurophysiology, ssprovide sstheoretical
ssexplanations ssfor sswhy ssspecific ssdisorders ssoccur, ssor sspredict ssrecovery.
2. A s s nurse s s is s s working s s in s s a s s community ssmental s s health s s center s s that s s provides s s care ssto s s a s s large
s s population ssof sspeople ssof ssAsian ssdescent. ssWhen ssdeveloping ssprograms ssfor ssthis sscommunity, sswhich ssof
ssthe ssfollowing s s would ssbe ssmost ssimportant ssfor ssthe ssnurse ssto ssaddress?
A) Public ssstigma
B) Self-stigma
C) Label ssavoidance
D) Negative sslife ssevents
Ans: C
Chapter: 1
Client ssNeeds: s s Psychosocial ssIntegrity ssCognitive ssLevel: Understand
ssIntegrated ssProcess: Nursing ssProcess ssObjective: 5
Page s s Number: s s 4
Feedback: Although sspublic ssstigma ssand ssself-stigma ssmay ssbe ssareas ssneeding ssto ssbe ssaddressed, ssin
ssthis sscultural ssgroup, sslabel ssavoidance sswould ssbe ssmost ssimportant. ssLabel ssavoidance ssor ssavoiding
sstreatment/care ssso ssas s s not s s to s s be s s labeled s s mentally ssill s s is s s a s s type s s of s s stigma s s that s s influences
s s why ssso s s few s s people s s with s s mental sshealth ssproblems ssactually ssreceive ssassistance. ssAsian sscultures
sscommonly sshave ssnegative ssviews ssof ssmental ssillness ssthat ssinfluence ssthe sswillingness ssof ssmembers ssto
ssseek sstreatment; ssthey sspossibly ssignore ssthe sssymptoms s s or ssrefuse ssto ssseek sstreatment ssbecause ssof ssthis
ssstigma. ssNegative sslife ssevents ssaffect ssanyone, ssnot ssjust ssthose ssof s s the ssAsian ssculture.
3. A ssnursing ssstudent ssis ssassigned ssto sscare ssfor ssa ssclient ssdiagnosed sswith ssschizophrenia. ssWhen
sstalking ssabout ssthis ssclient ssin ssa ssclinical sspost-conference, ssthe ssstudent sswould ssuse sswhich ssterminology
sswhen ssreferring s s to ssthe ssclient?
A) Committed ssclient
B) Schizophrenic
C) Schizophrenic ssclient
D) Person sswith ss schizophrenia
, Ans: D s s Chapter: 1
Client ssNeeds: s s Psychosocial ssIntegrity ssCognitive ssLevel: Apply
ssObjective: 5
Page ssNumber: s s 4
Feedback: Just ssas s s a ssperson sswith s s diabetes ssshould s s not s s be ssreferred s s to s s as ssa ss<diabetic= s s but s s rather
s s as ss a
<person sswith ssdiabetes,= ssa ssperson sswith ssa ssmental ssdisorder ssshould ssnever ssbe ssreferred ssto ssas ssa
ss<schizophrenic= ssor s s <bipolar,= s s but s s rather s s as s s a s s <person s s with s s schizophrenia= s s or s s a s s <person
s s with s s bipolar s s disorder.= s s Doing ssso sshelps ssto sscounteract ssthe ssnegative sseffects ssof ssstigma.
4. A ssnursing ssstudent ssis ssreviewing ssjournal ssarticles ssabout ssmajor ssdepression. ssOne ssof ssthe ssarticles
ssdescribes ssthe ssnumber ssof sspersons ssnewly ssdiagnosed sswith ssthe ssdisorder ssduring ssthe sspast ss year. ssThe
ssstudent ssinterprets ssthis ssas sswhich ssof ssthe ssfollowing?
A) Rate
B) Prevalence
C) Point ssprevalence
D) Incidence
Ans: D s s Chapter: 1
Client ssNeeds: s s Psychosocial ssIntegrity ssCognitive ssLevel: Apply
ssIntegrated ssProcess: Nursing ssProcess ssObjective: 4
Page s s Number: s s 3
Feedback: The ssarticle ssis ssdescribing ssincidence, sswhich ssrefers ssto ssa ssrate ssthat ssincludes ssonly ssnew
sscases ssthat sshave ssoccurred sswithin ssa ssclearly ssdefined sstime ssperiod. ssThe ssmost sscommon sstime ssperiod
ssevaluated ssis ss1 s s year.
Rate ssreflects ssthe ssproportion ssof sscases ssin ssthe sspopulation sscompared sswith ssthe sstotal sspopulation.
ssPrevalence ssrefers ssto ssthe sstotal ssnumber ssof sspeople sswith ssthe ssdisorder sswithin ssa ssgiven sspopulation ssat ssa
ssspecified sstime, s s regardless ssof sshow sslong ssago ssthe ssdisorder ssstarted. ssPoint ssprevalence ssrefers ssto ssthe
ssproportion ssof ssindividuals ssin ssthe sspopulation ssthat sshave ssa ssdisorder ssat ssa ssspecific sspoint ssin sstime.
5. While ssworking ssin ssa sscommunity ssmental sshealth sstreatment sscenter, ssthe ssnurse ssoverhears ssone ssof
ssthe ssreceptionists s s saying ssthat s s one ssof s s the s s clients ssis s s <really sspsycho.= s s Later s s in s s the ssday, s s the
s s nurse s s talks s s with ssthe ssreceptionist ssabout ssthe sscomment. ssThis ssaction ssby ssthe ssnurse ssdemonstrates ssan
ssattempt ssto ssaddress sswhich ssissue?
A) Lack ssof s s knowledge
B) Public ssstigma
C) Label ssavoidance
D) Self-stigma
Ans: B s s Chapter: 1
Client ssNeeds: s s Psychosocial ssIntegrity ssCognitive ssLevel: Apply
ssIntegrated ssProcess: Nursing ssProcess ssObjective: 5
Page s s Number: s s 4
Feedback: The ssreceptionist's ssnegative sseffects ssof ssstigmatization, ssmore ssspecifically sspublic
ssstigma. ssSelf- ssstigma ssreflects ssa ssperson's ssinternalization ssof ssa ssnegative ssstereotype; ssthat ssis, ssthe
ssperson sswith ssthe ssmental ssillness s s begins s s to s s believe s s that s s he s s or s s she s s is s s what s s the s s public s s thinks
s s he s s or s s she s s is. s s Label s s avoidance
refers ssto ssavoiding sstreatment ssor sscare ssso ssas ssnot ssto ssbe sslabeled ssmentally ssill. ssLack ssof ssknowledge ssis ssoften
ssthe s s underlying sstheme ssassociated sswith ssany sstype ssof ssstigma.
6. After sseducating ssa ssgroup ssof ssstudents sson ssmental sshealth ssand ssmental ssillness, ssthe ssinstructor
ssdetermines ssthat ssthe sseducation sswas sssuccessful sswhen ssthe ssgroup ssidentifies sswhich ssof ssthe
ssfollowing ssas ssreflecting ssmental ssdisorders?
A) Capacity ssto ssinteract ss with s s others
B) Abilityssto s s deal s s with s s ordinary ssstress
C) Alteration ssin ssmood s s or ssthinking
D) Lack ssof ssimpaired ssfunctioning
Ans: C
Chapter: 1
latest-2023-2024
kk
,Table of Contents
ss ss
Chapter ss1 ss Mental ssHealth ssand ssMental s s Disorders
Chapter ss2 ssCultural ssand ssSpiritual ssIssues ssRelated ssto
ss Mental ssChapter ss3 ssPatient ssRights ssand ssLegal ssIssues
Chapter ss4 ssEthics, ssStandards, ssand ssNursing
Frameworks ssChapter ss5 ssTheoretical ssBasis ssof
ss
ss Psychiatric ssNursing ssChapter ss6 ssBiologic
ss Foundations ssof ssPsychiatric ssChapter ss7 ssRecovery
ss Framework ssfor ssMental ssHealth ssChapter ss8
ss Therapeutic ssCommunication
Chapter ss9 s s The ssNurse–Patient s s Relationship
Chapter ss10 ssThe ssPsychiatric–Mental ss Health s s Nursing
Chapter ss11 ssPsychopharmacology, ssDietary ssSupplements, ssand ssBiologic
ss Interventions ssChapter ss12 ssGroup ssInterventions
Chapter ss13 ssStress s s and ssMental s s Health
Chapter ss14 ssManagement s s of ssAnger, ssAggression, ssand s s Violence
Chapter ss15 ssCrisis, ssLoss, ssGrief, ssResponse, ssBereavement, ssand ssDisaster
ss Management ssChapter ss16 ssSuicide ssPrevention
Chapter ss17 ssMental ssHealth ssCare ssfor ssSurvivors ssof
ss Violence ssChapter ss18 ssAnxiety ssDisorders
Chapter ss19 ssTrauma ssand ssStressor-Related ssDisorders
ss Chapter ss20 ssObsessive–Compulsive ssand ssRelated
Disorders ssChapter ss21 ssDepression
ss
Chapter ss22 s s Bipolar s s Disorders
Chapter ss23 ssSchizophrenia ssand ssRelated ssDisorders
ss Chapter ss24 ssPersonality ssand ssImpulse-Control
ss Disorders ssChapter ss25 ssAddiction ssand ssSubstance-
Related ssDisorders ssChapter ss26 ssEating ssDisorders
Chapter ss27 ssSomatic ssSymptom ssand ssDissociative ssDisorders
ss Chapter ss28 ssSleep–Wake ssDisorders
Chapter ss29 ss Sexual s s Disorders
Chapter ss30 ssMental ssHealth ssDisorders ssof ssChildhood ssand ssAdolescence
ss Chapter ss31 ssMental ssHealth ssDisorders ssof ssOlder ssAdults
,Test Generator Questions, Chapter 1, Mental Health and Mental
ss ss ss ss ss ss ss ss
Disorders
ss
Multiple ssChoice
1. As sspart ssof ssa ssclass ssactivity, ssnursing ssstudents ssare ssengaged ssin ssa sssmall ssgroup ssdiscussion
ssabout ssthe ssepidemiology ssof ssmental ssillness. ssWhich ssstatement ssbest ssexplains ssthe ssimportance ssof
ssepidemiology ssin ssunderstanding ssthe ssimpact ssof ssmental ssdisorders? ssEpidemiology:
A) Helps sspromote ss understanding ssof s s the sspatterns ss of ssoccurrence s s associated ss with s s mental s s disorders.
B) Helps ssexplain ssresearch s s findings s s about s s the ss neurophysiology ssthat ss causes ssmental s s disorders.
C) Provides ssa ssthorough sstheoretical s s explanation ssof sswhy ssspecific ssmental ssdisorders s s occur.
D) Predicts sswhen ssa ssspecific s s psychiatric ssclient s s will s s recover ss from s s a ssspecific s s mental s s disorder.
Ans: A
Chapter: 1
ClientssNeeds: ssSafe,ssEffective
ssCognitive ss Level: Apply
Integrated ssProcess: Teaching/Learning ssObjective: 4
Page s s Number: s s 2
Feedback: Epidemiology ssis ssthe ssstudy ssof sspatterns ssof ssdisease ssdistribution ssand ssdeterminants
ssof sshealth sswithin sspopulations. ssIt sscontributes ssto ssthe ssoverall ssunderstanding ssof ssthe ssmental sshealth
ssstatus ssof sspopulation ssgroups, ssor ssaggregates, ssand ssit ssexamines ssthe ssassociations ssamong sspossible
ssfactors.
Epidemiology ssdoes ssnot ssexplain ssresearch ssfindings ssabout ssneurophysiology, ssprovide sstheoretical
ssexplanations ssfor sswhy ssspecific ssdisorders ssoccur, ssor sspredict ssrecovery.
2. A s s nurse s s is s s working s s in s s a s s community ssmental s s health s s center s s that s s provides s s care ssto s s a s s large
s s population ssof sspeople ssof ssAsian ssdescent. ssWhen ssdeveloping ssprograms ssfor ssthis sscommunity, sswhich ssof
ssthe ssfollowing s s would ssbe ssmost ssimportant ssfor ssthe ssnurse ssto ssaddress?
A) Public ssstigma
B) Self-stigma
C) Label ssavoidance
D) Negative sslife ssevents
Ans: C
Chapter: 1
Client ssNeeds: s s Psychosocial ssIntegrity ssCognitive ssLevel: Understand
ssIntegrated ssProcess: Nursing ssProcess ssObjective: 5
Page s s Number: s s 4
Feedback: Although sspublic ssstigma ssand ssself-stigma ssmay ssbe ssareas ssneeding ssto ssbe ssaddressed, ssin
ssthis sscultural ssgroup, sslabel ssavoidance sswould ssbe ssmost ssimportant. ssLabel ssavoidance ssor ssavoiding
sstreatment/care ssso ssas s s not s s to s s be s s labeled s s mentally ssill s s is s s a s s type s s of s s stigma s s that s s influences
s s why ssso s s few s s people s s with s s mental sshealth ssproblems ssactually ssreceive ssassistance. ssAsian sscultures
sscommonly sshave ssnegative ssviews ssof ssmental ssillness ssthat ssinfluence ssthe sswillingness ssof ssmembers ssto
ssseek sstreatment; ssthey sspossibly ssignore ssthe sssymptoms s s or ssrefuse ssto ssseek sstreatment ssbecause ssof ssthis
ssstigma. ssNegative sslife ssevents ssaffect ssanyone, ssnot ssjust ssthose ssof s s the ssAsian ssculture.
3. A ssnursing ssstudent ssis ssassigned ssto sscare ssfor ssa ssclient ssdiagnosed sswith ssschizophrenia. ssWhen
sstalking ssabout ssthis ssclient ssin ssa ssclinical sspost-conference, ssthe ssstudent sswould ssuse sswhich ssterminology
sswhen ssreferring s s to ssthe ssclient?
A) Committed ssclient
B) Schizophrenic
C) Schizophrenic ssclient
D) Person sswith ss schizophrenia
, Ans: D s s Chapter: 1
Client ssNeeds: s s Psychosocial ssIntegrity ssCognitive ssLevel: Apply
ssObjective: 5
Page ssNumber: s s 4
Feedback: Just ssas s s a ssperson sswith s s diabetes ssshould s s not s s be ssreferred s s to s s as ssa ss<diabetic= s s but s s rather
s s as ss a
<person sswith ssdiabetes,= ssa ssperson sswith ssa ssmental ssdisorder ssshould ssnever ssbe ssreferred ssto ssas ssa
ss<schizophrenic= ssor s s <bipolar,= s s but s s rather s s as s s a s s <person s s with s s schizophrenia= s s or s s a s s <person
s s with s s bipolar s s disorder.= s s Doing ssso sshelps ssto sscounteract ssthe ssnegative sseffects ssof ssstigma.
4. A ssnursing ssstudent ssis ssreviewing ssjournal ssarticles ssabout ssmajor ssdepression. ssOne ssof ssthe ssarticles
ssdescribes ssthe ssnumber ssof sspersons ssnewly ssdiagnosed sswith ssthe ssdisorder ssduring ssthe sspast ss year. ssThe
ssstudent ssinterprets ssthis ssas sswhich ssof ssthe ssfollowing?
A) Rate
B) Prevalence
C) Point ssprevalence
D) Incidence
Ans: D s s Chapter: 1
Client ssNeeds: s s Psychosocial ssIntegrity ssCognitive ssLevel: Apply
ssIntegrated ssProcess: Nursing ssProcess ssObjective: 4
Page s s Number: s s 3
Feedback: The ssarticle ssis ssdescribing ssincidence, sswhich ssrefers ssto ssa ssrate ssthat ssincludes ssonly ssnew
sscases ssthat sshave ssoccurred sswithin ssa ssclearly ssdefined sstime ssperiod. ssThe ssmost sscommon sstime ssperiod
ssevaluated ssis ss1 s s year.
Rate ssreflects ssthe ssproportion ssof sscases ssin ssthe sspopulation sscompared sswith ssthe sstotal sspopulation.
ssPrevalence ssrefers ssto ssthe sstotal ssnumber ssof sspeople sswith ssthe ssdisorder sswithin ssa ssgiven sspopulation ssat ssa
ssspecified sstime, s s regardless ssof sshow sslong ssago ssthe ssdisorder ssstarted. ssPoint ssprevalence ssrefers ssto ssthe
ssproportion ssof ssindividuals ssin ssthe sspopulation ssthat sshave ssa ssdisorder ssat ssa ssspecific sspoint ssin sstime.
5. While ssworking ssin ssa sscommunity ssmental sshealth sstreatment sscenter, ssthe ssnurse ssoverhears ssone ssof
ssthe ssreceptionists s s saying ssthat s s one ssof s s the s s clients ssis s s <really sspsycho.= s s Later s s in s s the ssday, s s the
s s nurse s s talks s s with ssthe ssreceptionist ssabout ssthe sscomment. ssThis ssaction ssby ssthe ssnurse ssdemonstrates ssan
ssattempt ssto ssaddress sswhich ssissue?
A) Lack ssof s s knowledge
B) Public ssstigma
C) Label ssavoidance
D) Self-stigma
Ans: B s s Chapter: 1
Client ssNeeds: s s Psychosocial ssIntegrity ssCognitive ssLevel: Apply
ssIntegrated ssProcess: Nursing ssProcess ssObjective: 5
Page s s Number: s s 4
Feedback: The ssreceptionist's ssnegative sseffects ssof ssstigmatization, ssmore ssspecifically sspublic
ssstigma. ssSelf- ssstigma ssreflects ssa ssperson's ssinternalization ssof ssa ssnegative ssstereotype; ssthat ssis, ssthe
ssperson sswith ssthe ssmental ssillness s s begins s s to s s believe s s that s s he s s or s s she s s is s s what s s the s s public s s thinks
s s he s s or s s she s s is. s s Label s s avoidance
refers ssto ssavoiding sstreatment ssor sscare ssso ssas ssnot ssto ssbe sslabeled ssmentally ssill. ssLack ssof ssknowledge ssis ssoften
ssthe s s underlying sstheme ssassociated sswith ssany sstype ssof ssstigma.
6. After sseducating ssa ssgroup ssof ssstudents sson ssmental sshealth ssand ssmental ssillness, ssthe ssinstructor
ssdetermines ssthat ssthe sseducation sswas sssuccessful sswhen ssthe ssgroup ssidentifies sswhich ssof ssthe
ssfollowing ssas ssreflecting ssmental ssdisorders?
A) Capacity ssto ssinteract ss with s s others
B) Abilityssto s s deal s s with s s ordinary ssstress
C) Alteration ssin ssmood s s or ssthinking
D) Lack ssof ssimpaired ssfunctioning
Ans: C
Chapter: 1
