Details of Test Bank Neeb's Mental Health Nursing (5e by Gorman and Anwar)Contents Chapter 01: History of Mental Health Nursing
... [Show More] ................................ ................. 1 Chapter 02: Basics of Communications ................................ ....................... 7 Chapter 03: Ethics and Law ................................ ................................ 14 Chapter 04: Developmental Psychology Throughout the Life Span ............................... 24 Chapter 05: Sociocultural Influences on Mental Health ................................ ......... 37 Chapter 06: Nursing Process in Mental Health ................................ ................ 41 Chapter 07: Coping and Defense Mechanisms ................................ ................ 53 Chapter 08: Mental Health Treatments ................................ ...................... 64 Chapter 09: Complementary and Alternative Treatment Modalities ............................. 81 Chapter 10: Anxiety, Anxiety-Related, and Somatic Symptom Disorders .......................... 85 Chapter 11: Depressive Disorders ................................ ........................... 96 Chapter 12: Bipolar Disorders ................................ ............................. 109 Chapter 13: Suicide ................................ ................................ ...... 117 Chapter 14: Personality Disorders ................................ ......................... 125 Chapter 15: Schizophrenia Spectrum and Other Psychotic Disorders ........................... 134 Chapter 16: Neurocognitive Disorders: Delirium and Dementia ................................ 155 Chapter 17: Substance Use and Addictive Disorders ................................ .......... 165 Chapter 18: Eating Disorders ................................ .............................. 176 Chapter 19: Childhood and Adolescent Mental Health Issues ................................ .. 185 Chapter 20: Postpartum Issues in Mental Health ................................ ............. 191 Chapter 21: Aging Population ................................ ............................. 194 Chapter 22: Victims of Abuse and Violence ................................ .................. 197
Chapter 01: History of Mental Health Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The act of developing a clean environment is a factor in providing effective
health care as demonstrated by: A.
Nightingale. B. C. D. Benner. Swanson. King. 2. What is the name of the publication written by Florence Nightingale? A. 1 | P a g e Nursing Sanitation NotesB.
C.
D.
Nursing 101
Notes on Nursing
Nursing Notes
3. A long-term goal for in-patient mental health treatment is generally to:
A.
B.
C.
D.
Return the patient to the community.
Locate a facility for long term care.
Be arrested and placed in prison.
Be completely cured of the disorder.
4. The mentally ill were once housed in mental institutions known as:
A.
B.
C.
D.
patient?
A.
B.
C.
D.
Hospitals.
Long-term care facilities.
Asylums.
Free-standing treatment centers.
5. Which nursing theorists promoted the interpersonal theory between the nurse and the
Hildegard Peplau
Hattie Bessent
Mary Mahoney
Linda Richards
Completion
Complete each statement.
6. Phenothiazines were discovered in what year?
.
7. The first psychiatric program of study was established by which nursing leader?
8. Who was the nurse theorist who was the first American-trained nurse credited with teaching
how to provide care for people with mental illness?
9. The greatest advance in the early years of mental health care was the introduction of
.
2 | P a g e10. The legislation that provided funding for improving the care of the mentally ill is known as
the National Mental Health Act of what year?
.
11. Which nursing organization established the first certification of psychiatric nursing?
12. One of the goals of the American Nurses Association (ANA) is to promote
nursing care in the United States.
13.
has always been called the founder of nursing.
14. A schoolteacher by the name of
established asylums and a psychiatric
hospital for the mentally ill.
15. Special facilities designed to care for the mentally ill in the past were known as
16. The first psychotropic drug category was known as
.
17. Each state adopts its own set of rules and guidelines that govern the nurses performance.
These rules are known as the
Practice Act.
18. The first major federal law to address mental illness was called the
Act.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
19. What trends contributed to the deinstitutionalization of mental health facilities to
outpatient care (select all that apply):
A.
Cost of the facilities.
B.
C.
D.
The increased use of phenothiazines.
Staff cost.
Establishment of Outpatient clinics.
Chapter 1: History of Mental Health Nursing
Answer Section
MULTIPLE CHOICE
1. ANS: A
Florence Nightingales commitments to improved outcomes at a military hospital were directly
related to introducing sanitation methods.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Community Health | Cognitive
Level: Application | Client Need: Safe and Effective Care Environment: Safety and Infection
Control
2. ANS: C
3 | P a g e
.
ofFlorence Nightingale wrote the book Notes on Nursing, which specified the importance
of a clean environment.
PTS: 1
KEY: Integrated Processes: Teaching/Learning| Content Area: Nursing Trends| Cognitive Level:
Knowledge| Client Need: Health Promotion and Maintenance: Health Promotion/Disease Prevention
3. ANS: A
To eventually return the patient to the community by creating a good support system and
appropriate medication if needed is generally the long-term goal.
PTS: 1
KEY: Integrated Processes: Nursing Process: Planning | Content Area: Mental Health | Cognitive
Level: Comprehension | Client Need: Safe and Effective Care Environment: Management of Care:
Coordinated Care
4. ANS: C
Asylums were known as a refuge for the mentally ill as well as the poor in
the past. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health |
Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic
Environment
5. ANS: A
Dr. Peplau brought together theories from psychiatry and merged them with theories for nursing and
communication.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Nursing Trends |
Cognitive Level: Knowledge | Client Need: Safe and Effective Care Environment: Coordinated
Care
COMPLETION
6. ANS:
1955
Phenothiazine is a group of psychotropics that have a calming effect on patients with
psychotic through processes.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health Pharmacology |
Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral
Therapies: Expected Actions/Outcomes
7. ANS:
Effie Jane Taylor
4 | P a g eIn 1913 the first psychiatric program for nurses was established. Ms. Taylor also believed in
patient-centered care.
PTS: 1
KEY: Integrated Processes: Teaching/Learning
8. ANS:
Linda Richards
Linda Richards wanted to upgrade the nursing education field and the Boston city hospital training
school for nurses to teach the specialty of caring for the mentally ill.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level:
Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts
9. ANS:
phenothiazines
This medication controlled psychotic symptoms and led to reductions in the population in mental
health institutions.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology |
Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral
Therapies
10. ANS:
1946
Money was provided by this legislation for research and training for the improvement of care for
patients with mental health issues.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Treatment | Cognitive
Level: Knowledge | Client Need: Psychosocial Integrity: Mental Health Concepts
11. ANS:
ANA
The American Nurses Association (ANA) developed the certification criteria for psychiatric nurses.
The ANA has developed standards for professional nursing.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends |
Cognitive Level: Comprehension | Client Need: Safe and Effective Care Environment:
Coordinated Care
12. ANS:
standardization
5 | P a g eThe ANA has developed standards for a number of different
specialties. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level:
Knowledge | Client Need: Safe and Effective Care Management: Management of care: establishing
priorities
13. ANS:
Florence Nightingale
Florence Nightingale observed that a clean environment improved the health of the soldiers in the
Crimean War. As a result, deaths from infection decreased.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level:
Knowledge | Client Need: Safe and Effective Care Environment: Safety and Infection Control
14. ANS:
Dorothea Dix
Dorothea Dix was not a nurse but was concerned about the treatment of the mentally ill and
prisoners. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Trends | Cognitive Level:
Knowledge | Client Need: Safe and Effective Care Environment: Management of Care: Advocacy
15. ANS:
asylums
In the early days of health care asylums were special facilities designed for care of the needy
including prisoners and the mentally ill.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level:
Knowledge |
Client Need: Psychosocial Integrity: Mental Health Concepts
16. ANS:
phenothiazines
Phenothiazine medications were introduced in the 1950s. These drugs had a calming and
tranquilizing effect and treated psychotic thought processes.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Pharmacology |
Cognitive Level: Knowledge | Client Need: Physiological Integrity: Pharmacological and Parenteral
Therapies: Expected Actions/Outcomes
17. ANS:
Nurse
6 | P a g eThe Nurse Practice Act of each state is based on federal guidelines. Each state has its own Nurse
Practice Act. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Nursing Licensure/Legal | Cognitive
Level: Knowledge | Client Need: Safe and Effective Care Environment: Legal Rights and
Responsibilities
18. ANS:
Hill-Burton
The Hill-Burton Act of 1946 provided much needed funding for psychiatric care in the United
States. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Legal | Cognitive Level:
Knowledge | Client Need: Safe and Effective Care Environment: Coordinated Care
MULTIPLE RESPONSE
19. ANS: A, B, C, D
All of the above led to the deinstitutionalization of mental health
facilities. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health | Cognitive Level:
Synthesis | Client Need: Safe and Effective Care Environment: Advocacy
Chapter 02: Basics of Communications
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which question by the nurse would gain the most information from a patient
experiencing a marital crisis?
A.
Do you hate your spouse?
B.
C.
D.
Do you get along with your in-laws?
Do you talk out your problems with your spouse?
What is it like at home with your spouse?
2. Mrs. R., the mother of a young schizophrenic patient, seeks you out and begins to cry.
She expresses concern over her daughters behavior. Your best response to this woman is:
A.
What is it that concerns you the most, Mrs. R.?
B.
C.
7 | P a g e
Well, you know, that is part of the illness.
Here is a book on schizophrenia. This will help you.D.
Are you afraid your daughter will always be like this?
3. Linda is pacing the floor and appears extremely anxious. The day shift nurse approaches
Linda in an attempt to lessen her anxiety. The most therapeutic statement by the nurse would
be:
A.
B.
C.
D.
How about watching a football game?
Tell me how you are feeling today.
What do you have to be upset about now?
Ignore the client.
4. A patient states, I dont know what the pills are for or why I am taking them, so I dont want
them. What therapeutic communication would help this patient?
A.
Ask for what you need
B.
C.
D.
Silence
Using general leads
Giving information
5. To practice effectively in mental health, the nurse should be able to:
A.
B.
C.
D.
Solve his or her own personal problems without assistance from others.
Comfortably point out the patient shortcomings and provide advice about how to improve.
Bring patients and coworkers into compliance with societal rules and norms.
Demonstrate therapeutic communication.
Completion
Complete each statement.
6. The nurse plans to have a therapeutic communication with the client. To begin that
therapeutic communication the nurse must first establish with the client.
7. Communication has three parts: the sender, the message, and the
.
8. When appropriate, the nurse can use
is no talking. This can communicate support.
as part of an interaction when there
9. A theory of communication that emphasizes the three ways to communicatehearing, seeing,
and touchingis called
8 | P a g e10. Expressive, receptive, and global are types of
.
11. Advising, asking closed-ended questions, and changing the subject are examples of
to therapeutic communication.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
12. A nurse is working with a patient and attempts to communicate effectively with
him or her. Techniques the nurse can use to help communication include (select all that
apply):
A.
B.
C.
D.
E.
Clarifying terms.
Remaining silent.
Asking open-ended questions.
Offering false reassurance
Discouraging the person from expressing feelings that are unacceptable.
13. The nurse may find that patients from other countries use different terminology than the
nurse born in the United States. The difference in terminology may seem harmless to us but
offensive to the foreign patient. Differences noted between different cultures are (select all that
apply):
A.
B.
C.
D.
Eye contact.
Slang terms.
Hand gestures.
Gender references.
14. The three components of communication are (select all that apply):
A.
B.
C.
D.
Impairment.
Message.
Sender.
Receiver.
15. Nurses understand that when caring for patients with mental illnesses, a nurses
communication is (select all that apply):
A.
An active process that includes participating and listening and speaking.
9 | P a g eB.
C.
D.
E.
F.
A complex activity.
Exchanging information.
Verbal and nonverbal.
A one way path from nurse to patient.
Advising.
16. The patient is concerned about his doctor and what the doctor has prescribed. The
nurse making rounds notices the patient sitting on the side of the bed in deep thought. The nurse
comes into the room and the patient begins to tell her his concerns about a new order. The nurse
advises the patient, If I were you, I would find another doctor.
How does this statement by the nurse block communication (select all that apply)?
A.
It tells the patient that his concerns are not valid.
B.
C.
D.
E.
F.
apply):
A.
B.
C.
D.
E.
F.
It gives the idea that the nurses values are the correct ones.
It puts words in the patients mouth.
It hurts the nurses credibility if the solution doesnt help the patient.
It discourages yes or no answers.
It inhibits the patient from telling you what his concerns are.
17. The following types of patients require adaptive communication techniques (select all that
A patient who is blind.
A patient who has dysphasia.
A patient who is schizophrenic.
A patient who is elderly.
A patient with dysphagia.
A patient who has language differences from the staff.
18. Which of the following are characteristics of assertive communication (select all that apply)?
A.
10 | P a g e
Statements begin with the word you.B.
C.
D.
E.
F.
Statements deal with thoughts and feelings.
It is a form of blaming.
It puts responsibility for the interaction on the other person.
It is a technique of personal empowerment.
It is self-responsible.
Chapter 2: Basics of
Communications Answer Section
MULTIPLE CHOICE
1. ANS: D
Encourages expression of feelings rather than a yes/no answer. Use of open-ended questions
facilitates more open communication.
PTS: 1
KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health:
Therapeutic communication | Cognitive Level: Comprehension | Client Need: Psychosocial
Integrity: Therapeutic communication
2. ANS: A
The correct response is open ended to seek out more specifically why she is upset. Responses B
and C shut down communication. Response D is making an assumption of why she is upset.
PTS: 1
KEY: Integrated Processes: Nursing Process: Implementation | Content Area: Mental Health:
Psychotic disorders: Therapeutic nursing process | Cognitive Level: Application | Client Need:
Psychosocial Integrity: Therapeutic communication
3. ANS: B
To keep open communication with the patient, the nurse should ask open-ended
questions. PTS: 1
KEY: Integrated Processes: Caring | Content Area: Mental Health: Communication | Cognitive
Level: Synthesis | Client Need: Psychosocial Integrity: Stress Management
4. ANS: D
Giving information can increase rapport, reduce patient anxiety, and suggest patient
collaboration. PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Therapeutic
Communication | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic
Communication/Health Promotion and Maintenance: Principles of Teaching/Learning
11 | P a g e5. ANS: A
Good communication skills are essential for working in mental health. Good communication skills
center around being able to promote open communication with such techniques as good listening,
use of open-ended questions, and appropriate use of silence to be therapeutic.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Nursing Process | Cognitive Level: Application | Client Need: Psychosocial Integrity:
Therapeutic Communication
COMPLETION
6. ANS:
rapport
Rapport implies there is mutual understanding and trust. The communication can be both verbal
and nonverbal PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Synthesis | Client Need: Psychosocial Integrity:
Therapeutic Communication
7. ANS:
receiver
Communication is not just about getting your message out, it also includes how the message
is received. PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental
Health: Communication | Cognitive Level: Knowledge | Client Need: Psychosocial
Integrity: Therapeutic Communication
8. ANS:
silence
Silence allows the nurse and the patient time to collect their thoughts. It is a therapeutic technique of
communication and demonstrates support and acceptance.
PTS: 1
KEY: Integrated Processes: Caring/Communication and documentation | Content Area:
Mental Health: Therapeutic Communication | Cognitive Level: Comprehension | Client Need:
Psychosocial Integrity: Therapeutic Communication
9. ANS:
neurolinguistic programming
Neurolinguistic programming (NLP) was developed by Milton Erickson, John Grinder, and Richard
Bandler. NLP can be used in conjunction with hypnosis and other treatment modalities giving
insight into how one views the world.
12 | P a g ePTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity:
Therapeutic Communication
10. ANS:
aphasia
Patients with speech difficulties or challenges have an aphasic disorder. Expressive is difficulty
in verbal expression, receptive is difficulty with interpretation of written or verbal
communication, and global is a combination of receptive and expressive.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity:
Therapeutic Communication
11. ANS:
blocks or barriers
These blocks to communication interfere with patient-nurse interaction to inhibit good
communication. PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity:
Therapeutic Communication
MULTIPLE RESPONSE
12. ANS: A, B, C
Effective communication between the nurse and the patient includes approaches that give
the patient opportunities to express himself or herself.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Application | Client Need: Psychosocial Integrity:
Therapeutic Communication
13. ANS: A, B, C, D
Verbal and nonverbal communication doesnt always have the same meaning in other cultures. The
same communication can be understood by another culture as offensive.
PTS: 1
KEY: Integrated Processes: Teaching/Learning | Content Area: Mental Health: Communication |
Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Therapeutic Communication
14. ANS: B, C, D
Communication with others requires these three
components. PTS: 1
13 | P a g eKEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity:
Therapeutic Communication
15. ANS: A, B, C, D
Communication is important when determining the patients needs. It is not a passive process
but an active, two-way activity between patient and nurse. Generally the nurses role is not to
advise patients but to listen and support.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Application
16. ANS: B, C, D, F
Communication with patients should be purposeful and unbiased. Giving advice when the patient has
not fully expressed his concerns inhibits and distracts the patient from what he is trying to
communicate.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental
Health: Communication | Cognitive Level: Evaluation
17. ANS: A, B, F
Although communication can be challenging, there may be temporary or permanent techniques to
assist with communication. Patients with challenges to sight, sound, and speech require adaptive
techniques. Those who speak a different language than the provider also need adaptive
techniques.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Comprehension
18. ANS: B, E, F
Assertive communication begins with the word I. Other characteristics include speaking up for
oneself in a respectful manner, verbalizing ones thoughts and feelings, and being honest.
PTS: 1
KEY: Integrated Processes: Communication and Documentation | Content Area: Mental Health:
Therapeutic Communication | Cognitive Level: Application | Client Need: Psychosocial Integrity:
Therapeutic Communication
Chapter 03: Ethics and Law
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A patient is expressing anger when the nurse attempts to make him take a
medication that he is refusing. If the nurse pushes to give the medication against his will,
the nurse is:
A.
14 | P a g e
Violating the patients rights.B. C. D. Achieving a treatment goal to get the medication in the patient any way possible. Supporting the familys demand that he take the medication. Following orders from the charge nurse. 2. A mental health nurse bumps into a member of her church, who begins questioning her
about a former neighbor. The woman from the church asks the nurse, How is Rachael? We have been friends for over 20 years and I have seen her come out of your clinic a few times. Is she seeing one of the psychiatrists? The nurses response is:
A. B. C. D. The HIPAA law prevents me from disclosing any information about any patient. All I can say is she is seeing Dr. Leone.
Rachael is seeing Dr. Leone because she is concerned about feeling extremely happy sometimes and about feeling extremely depressed other times.
Rachael was only there to renew her medication. 3. You are working on a mental health unit and have a diverse group of patients. Some of the
patients are of Middle Eastern descent. These patients have communicated to you that they would like to follow the same period for praying as they did prior to admission. What is your response?
A. B. C. D. You are in America now. You can go back to your regular time for praying when you are discharged. How can I accommodate you with your prayer time? Would you like to learn another prayer? 4. The nursing student uses the clients full name on the assigned care plan during her
recent clinical rotation. What is the instructors priority intervention? A.
Express the importance of factual documentation and that it should include the patients name.
B. C. Remind the student of the importance of maintaining patient confidentiality. [Show Less]