Table of Contents
v v
Tablev ofv Contents 1
Chapterv 01:vPsychiatric-Mentalv Healthv Nursingv andv Evidence-Basedv Practice 2
Chapterv02:vMentalvHealthv andvMentalvDisorders 6
Chapterv 03:vCulturalvandv Spiritualv Issuesv Relatedv tov MentalvHealthv Care 10
Chapterv04:vPatientvRightsvandvLegalvIssues 14
Chapterv05:vMentalvHealthvCarev inv thevCommunity 18
Chapterv06:vEthics,vStandards,v andv Nursingv Frameworks 21
Chapterv 07:vPsychosocialvTheoreticv Basisv ofvPsychiatricv Nursing 25
Chapterv08:vBiologicv Foundationsv ofvPsychiatricvNursing 29
Chapterv 09:vCommunicationv andv thevTherapeuticv Relationship 33
Chapterv 10:vThev Psychiatric-MentalvHealthv Nursingv Process 37
Chapterv 11:v Psychopharmacology,v Dietaryv Supplements,v andv Biologicv Interventions 41
Chapterv12:vCognitivev Interventionsv inv Psychiatricv Nursing 46
Chapterv13:vGroupvInterventions 50
Chapterv14:vFamilyvAssessmentvandv Interventions 54
Chapterv 15:vMentalvHealthv Promotionv forvChildrenv andv Adolescents 58
Chapterv 16:vMentalvHealthv Promotionv forv Youngv andv Middle-Agedv Adults 61
Chapterv17:vMentalvHealthv PromotionvforvOldervAdults 64
Chapterv18:vStressvandvMentalvHealth 68
Chapterv 19:vManagementv ofvAnger,vAggression,vandv Violence 72
Chapterv 20:v Crisis,v Loss,v Grief,v Response,v Bereavement,v andv Disasterv Management 76
Chapterv 21:vSuicidev Prevention:v Screening,v Assessment,vandv Intervention 80
Chapterv 22:v Schizophreniav andv Relatedv Disorders:v Nursingv Carev ofv Personsv withv Thought
Disorders 84
Chapterv 23:v Depression:v Managementv ofv Depressivev Moodsv andv Suicidalv BehaviorvChapt 92
erv 24:vBipolarv Disorders:vManagementv ofvMoodv Lability 96
Chapterv 25:v Anxietyv Disorders:v Managementv ofv Anxiety,v Phobia,v andv PanicvChapterv 99
26:vObsessivev Compulsivevandv Relatedv Disorders 103
Chapterv 27:v Traumav andv Stressorv Relatedv Disorders 105
Chapterv 28:v Personalityv andv Borderlinev Personalityv Disorder:v Managementv ofv Emotionalv
DysregulationvandvSelf-Harm 106
Chapterv 29:v Antisocialv Personalityv andv Disruptive,v Impulsev Control,v andv Conductv Disorders
109
Chapterv 30:v Addictionv andv Substance-Relatedv Disorders 113
Chapterv 31:v Eatingv Disorders:v Managementv ofv Eatingv andv WeightvChapterv 117
32:vSomaticv Symptomv andv Relatedv Disorders 121
Chapterv 33:v Nursingv Carev ofv Personsv withv Insomniav andv Sleepv Problems 125
Chapterv 34:v Sexualv Disorders:v Managementv ofv Sexualv Dysfunctionv andv ParaphiliasvC 129
hapterv 35:vMentalvHealthv Assessmentvofv Childrenv andv Adolescents 132
Chapterv 36:v Mentalv Healthv Disordersv ofv Childhoodv andv AdolescencevChapt 135
erv 37:vMentalvHealthv AssessmentvofvOlderv Adults 139
Chapterv 38:v Neurocognitivev Disorders 142
Chapterv39:vCaringvforvPersonsvWhovArevHomelessvandvMentallyvIllvCh 146
apterv40:vCaringvforvPersonsvWithvCo- 150
occurringvMentalvDisordersvChapterv 41:vCaringv forv Survivorsv ofvViolen 154
cev andv Abuse 158
Chapterv42:vCaringvforvPersonsvWithvMentalvIllnessvandvCriminalvBehaviorvC 162
hapterv 43:vCaringv forv MedicallyvCompromisedv Persons
,TestvBankv-vPsychiatricvNursing:vContemporaryvPracticev(6thvEditionvbyvMaryvAnnvBoyd) 2
Chapter 01: Psychiatric-
v v
Mental HealthNursing and Evidence-
v v v v
BasedPractice
1. Av groupv ofv nursingv studentsv arevreviewingv informationv aboutv thev
evolutionvofv mentalvhealthvcarevandvarediscussingv thevrecommend
ationsvofv thev finalvreportv ofv thevJointv CommissionvonvMentalvIll
nessvandvHealth.vThevstudentsvdemonstratevunderstandingvofvthisvi
nformationvwhenvtheyvidentifyvthatvthevreportrecommendedv anv inc
reasev inv whichv ofv thev following?
A) Numbersv ofv mentalv healthv hospitals
B) Statevfundingvforv mentalv healthvcare
C) Clinicsvsupplementedv byv generalv hospitalv units
D) Usev ofv psychotherapyvbyv psychiatrists
2. Av nursev isv reviewingv thev Americanv Nursesv Association’s
Statementv onv Psychiatricv Nursingv Practicev publishedv inv 1967,
whichvsanctionedvthevinvolvementvofvpsychiatricmentalvhealthvnursesvinvthevprovisionvofvholisticvnur
singvcare.vIntegratingvknowledgevofvthevvariousvtheoriesvandvviewsvofvmentalhealthvandvillness,vthevn
ursevidentifiesv whichvofvthevfollowingvasv mostvstronglyvlinkedvtovthisv holisticv approach?
A) Sigmundv Freud’sv psychoanalyticv theory
B) Florencev Nightingale’sv Notesv onv Nursing
C) Hildegarde
D) CliffordvBeers’v Av Mindv ThatvFoundv Itself
E) Peplau’sv Interpersonalv Relationsv inv Nursing
3. Avnursingvinstructorvisvpreparingvavpresentationvaboutvkeyveventsvandvpeoplevthatvinfluencedvthevdevelopme
ntv ofv contemporaryv mentalv healthvandvillnessv care.vWhenv describingvthev effectsv ofv WorldvWarvII,v whichvof
vthevfollowingv wouldvthevinstructorv include?
A) Peoplev beganvtov viewv mentalvillnessv asv morev commonplacev andvacceptable.
B) Thevbiologicv understandingv ofv mentalv illnessv wasv almostv fullyvdeveloped.
C) Deinstitutionalizationv occurredv invresponsev tov thev communityv healthv movement.
D) Mentalvillnessesv becamev categorizedv asv psychosesv orv neuroses.
4. Avnursingvstudentv isv presentingvav discussionv ofvthev historyv ofv psychiatricmentalv healthvnursingvandvitsv
placev withinv nursingvhistory.v Whichvofv thevfollowingv wouldvbev mostv appropriatevtovinclude?
A) Certificationv forv thev psychiatricmentalv healthv nursingvspecialtyv wasvfirstv emphasizedv byvMaryv
Adelaidev Nutting.
B) Psychiatricvnursesvplayedvavpartvinvseeingvthatvallvdeinstitutionalizedvpatientsvgotvtreatmentvatvco
mmunityv mentalvhealthvcenters.
C) Therevisv av historicalv linkvbetweenvthev firstv nursingv programvtovadmitv malevstudentsvandvthev firstvt
rainingvschoolv forvpsychiatricv nursing.
D) Thevfirstv graduatev programvinv psychiatricv nursesv wasv establishedv invresponsevtovthev publicationv ofv
psychiatricvnursingvspecialtyvjournals.
5. Twovnursingvstudentsv arevdiscussingv psychiatricmentalv healthv nursingv andv thev rolev itv hasv playedv inv
nursing’svoverallvhistory.v Whichvstatementv isv mostvaccurate?
A) Thev importancev ofv usingv therapeuticv communicationv wasvstressedv byvNightingale.
B) Thev usev ofvself-carevtovenhancevthev immunev systemv wasv taughtv byvDorotheav Dix.
C) Thev moralvtreatmentv ofv mentalv illnessv wasvav primaryv focusv ofv deinstitutionalization.
D) Peplauvwasv thev firstv nursevtovstressvthev importancev ofv therapeuticv communication.
6. Whenvreviewingvthevevolutionv ofv mentalv healthvandvillnessv care,v whichveventv isv associatedv withv mentalv
disordersvbeginningvtovbev viewedvasvillnessesv requiringvtreatment?
A) Establishmentv ofv Pennsylvaniav Hospitalv invPhiladelphia
,TestvBankv-vPsychiatricvNursing:vContemporaryvPracticev(6thvEditionvbyvMaryvAnnvBoyd) 3
B) Quakerv establishmentv ofvasylums
C) Creationv ofvthev statevhospitalvsystem
D) Freud’sv viewsv onvthevcausesv ofv mentalvillnesses
7. Avpsychiatricmentalvhealthvnursevisvworkingvonvavcommitteevthatvisvdevelopingv programsvthatvintegratevth
ev objectivesv forv mentalv healthv andv mentalv disordersv asv identifiedv inv Healthyv Peoplev 2020.vWhichv typevofv
programvwouldvbevleastvappropriate?
A) Singlev substancevabusev treatmentv programs
B) Depressionv screeningv programsv forv primaryv carev providers
C) Mentalv healthvprogramsv forvthev homelessv population
D) Employmentv programsv forv thosev withvseriousv mentalvillness
8. Av nursingv instructorv isv describingv thev conceptv ofv evidence-
basedv practicev inv psychiatricmentalv healthvnursing.v Whichvofvthev followingv wouldv thev instructorv include
v asv beingv important? v Selectv allv thatvapply.
A)
Researchv findingsv
B) Expertvopinion
C)
Clinicalvexperiencesv
D) Patientvdata
E) Establishedv routines
9. Thev followingv eventsvarev importantvinv thev developmentv ofv psychiatricmentalv healthv nursingv practice.v
Whichveventv occurredvfirst?
A) Publicationv ofvStandardsv ofv Psychiatric-Mentalv Healthv Nursingv byv thev ANA
B) Publicationv ofvStandardsv ofv Childv andv Adolescentv Psychiatricv andv Mentalv Healthv Nursingv Practice
C) Establishmentvofvthevfirstvgraduatevprogramvinv psychiatricv nursingvatv Rutgersv UniversityvD
) Publicationv ofv thev firstv psychiatricv nursingv text,vNursingv MentalvDisease,v byvHarrietv Bailey
10. Av nursevisvpreparingvav presentationvaboutv thev currentv statusv ofv mentalv healthvservicesv invthev Unitedv
States.vWhichvstatementv wouldvthev nursevincludevasvthev mostvreflectivev ofvthisvstatus?
A) Mentalv healthvcarevinvthev Unitedv Statesv isv equallyvaccessiblev tovindividuals.
B) Mentalvillnessvranksv secondv invtermsv ofv causingvdisabilityv invcomparison.
C) Mentalv healthvcarev primarilyvfocusesv onvthev curev ofv mentalvillness.v
D) Mentalvhealthvcarevservicesvarevinadequatevandvfragmented.
11. Av groupv ofv studentsv arev reviewingv thev goalsv identifiedv byv thevNewv Freedomv Commissionv onv Mentalv
Health.vThevstudentsvdemonstratevunderstandingvofvthisvreportvwhenvtheyvidentifyvwhichvofvthevfollow
ingvasvavgoal?
A) Mentalv healthvisv viewedvasvonevcomponentv ofv overallv health.
B) Thevconsumerv andvfamilyv arevthev drivingvforcesv forv mentalv healthvcare.
C) Screeningvisv ofvgreaterv importancev thanvassessmentv andvreferralv forv services.
D) Disparitiesvinv mentalv healthv servicesv arev decreased.
12. Thev followingv arev importantv legislativev andvpolicyv effortsvinfluencingv currentv mentalv healthv care.v Whichv
ofvthevfollowingvisvthev mostvrecent?
A) Mentalv Health:v Av Reportv ofv thev Surgeonv General
B) Newv Freedomv Commissionv onv Mentalv Health
C) Actionvforv MentalvHealth
D) MentalvRetardationv Facilitiesv andv Communityv Mentalv Healthv Centersv Constructionv Act
13. Asvpartvofvavcareervdayvpresentationvtovavgroupvofvnursingvstudents,vav psychiatricmentalv healthvnursevplans
v tov describev howv thisvspecialtyv developed.v Whichv individualv wouldv thev nursev describev asv playingv avmajor
v rolev inv thev developmentv ofv specialtyv trainingv programsv forv psychiatricvnurses?
A)
MaryvAdelaidevNuttingv
, TestvBankv-vPsychiatricvNursing:vContemporaryvPracticev(6thvEditionvbyvMaryvAnnvBoyd) 4
B) HildegardevPeplau