Test Bank Gorman Neebs Mental Health Nursing 5e 2019 PDF

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TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

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TableofContents TableofContents Chapter01:HistoryofMentalHealthNursing Chapter02:BasicsofCommunications Chapter03:EthicsandLaw Chapter04:DevelopmentalPsychologyThroughouttheLifeSpan Chapter05:SocioculturalInfluencesonMentalHealth Chapter06:NursingProcessinMentalHealth Chapter07:CopingandDefenseMechanisms Chapter08:MentalHealthTreatments Chapter09:ComplementaryandAlternativeTreatmentModalities Chapter10:Anxiety,Anxiety-Related,andSomaticSymptomDisorders Chapter11:DepressiveDisorders Chapter12:BipolarDisorders Chapter13:Suicide Chapter14:PersonalityDisorders Chapter15:SchizophreniaSpectrumandOtherPsychoticDisorders Chapter16:NeurocognitiveDisorders:DeliriumandDementia Chapter17:SubstanceUseandAddictiveDisorders Chapter18:EatingDisorders Chapter19:ChildhoodandAdolescentMentalHealthIssues Chapter20:PostpartumIssuesinMentalHealth Chapter21:AgingPopulation Chapter22:VictimsofAbuseandViolence

1 2 8 16 25 38 43 55 67 84 89 100 114 122 130 139 160 170 182 192 198 201 204

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

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.

Benner.

C.

Swanson.

D.

King.

____2.WhatisthenameofthepublicationwrittenbyFlorenceNightingale? A.

NursingSanitationNotes

B.

Nursing101

C.

NotesonNursing

D.

NursingNotes

____3.Along-termgoalforin-patientmentalhealthtreatmentisgenerallyto: A.

Returnthepatienttothecommunity.

B.

Locateafacilityforlongtermcare.

C.

Bearrestedandplacedinprison.

D.

Becompletelycuredofthedisorder.

____4.Thementallyillwereoncehousedinmentalinstitutionsknownas: A.

Hospitals.

B.

Long-termcarefacilities.

C.

Asylums.

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TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

D.

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Free-standingtreatmentcenters.

____5.Whichnursingtheoristspromotedtheinterpersonaltheorybetweenthenurseandthepatient? A.

HildegardPeplau

B.

HattieBessent

C.

MaryMahoney

D.

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 ___________________. 10.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________________of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):

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

A.

Costofthefacilities.

B.

Theincreaseduseofphenothiazines.

C.

Staffcost.

D.

EstablishmentofOutpatientclinics.

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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 Florence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.

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

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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 In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.

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

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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 The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|

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

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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 The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

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

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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.

Doyougetalongwithyourin-laws?

C.

Doyoutalkoutyourproblemswithyourspouse?

D.

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.

Well,youknow,thatispartoftheillness.

C.

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.

Howaboutwatchingafootballgame?

B.

Tellmehowyouarefeelingtoday.

C.

Whatdoyouhavetobeupsetaboutnow?

D.

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.Wha therapeuticcommunicationwouldhelpthispatient? A.

Askforwhatyouneed

B.

Silence

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

C.

Usinggeneralleads

D.

Givinginformation

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____5.Topracticeeffectivelyinmentalhealth,thenurseshouldbeableto: A.

Solvehisorherownpersonalproblemswithoutassistancefromothers.

B.

Comfortablypointoutthepatientshortcomingsandprovideadviceabouthowtoimprove.

C.

Bringpatientsandcoworkersintocompliancewithsocietalrulesandnorms.

D.

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_____________________aspartofaninteractionwhenthereisno talking.Thiscancommunicatesupport. 9.Atheoryofcommunicationthatemphasizesthethreewaystocommunicatehearing,seeing,andtouchingis called_________________________ 10.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.

Clarifyingterms.

B.

Remainingsilent.

C.

Askingopen-endedquestions.

D.

Offeringfalsereassurance

E.

Discouragingthepersonfromexpressingfeelingsthatareunacceptable.

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

10

____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.

Eyecontact.

B.

Slangterms.

C.

Handgestures.

D.

Genderreferences.

____14.Thethreecomponentsofcommunicationare(selectallthatapply): A.

Impairment.

B.

Message.

C.

Sender.

D.

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.

B.

Acomplexactivity.

C.

Exchanginginformation.

D.

Verbalandnonverbal.

E.

Aonewaypathfromnursetopatient.

F.

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.

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

B.

Itgivestheideathatthenursesvaluesarethecorrectones.

C.

Itputswordsinthepatientsmouth.

D.

Ithurtsthenursescredibilityifthesolutiondoesnthelpthepatient.

E.

Itdiscouragesyesornoanswers.

F.

Itinhibitsthepatientfromtellingyouwhathisconcernsare.

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____17.Thefollowingtypesofpatientsrequireadaptivecommunicationtechniques(selectallthatapply): A.

Apatientwhoisblind.

B.

Apatientwhohasdysphasia.

C.

Apatientwhoisschizophrenic.

D.

Apatientwhoiselderly.

E.

Apatientwithdysphagia.

F.

Apatientwhohaslanguagedifferencesfromthestaff.

____18.Whichofthefollowingarecharacteristicsofassertivecommunication(selectallthatapply)? A.

Statementsbeginwiththewordyou.

B.

Statementsdealwiththoughtsandfeelings.

C.

Itisaformofblaming.

D.

Itputsresponsibilityfortheinteractionontheotherperson.

E.

Itisatechniqueofpersonalempowerment.

F.

Itisself-responsible.

Chapter2:BasicsofCommunications AnswerSection MULTIPLECHOICE 1.ANS:D

TestBank-Neeb'sMentalHealthNursing(5ebyGormanandAnwar)

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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/Lear...