Medical Surgical Nursing 2nd Edition Hoffman Test Bank

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NEEB'S MENTAL HEALTH NURSING 5TH EDITION GORMAN TEST BANK

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Chapter 1. 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: Nightingale.

Benner.

Swanson.

King.

1.

2.

3.

4. ____

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

1. Nursing Sanitation Notes 2. Nursing 101 3. Notes on Nursing 4. Nursing Notes

____

3. A long-term goal for inpatient mental health treatment is generally to: 1. Return the patient to the community.

2. Locate a facility for long-term care.

3. Be arrested and placed in prison.

4. Be completely cured of the disorder.

____

____

NURSIinNmental GTB.C OM 4. The mentally ill were once housed institutions known as: 1. Hospitals.

2. Long-term care facilities.

3. Asylums.

4. Free-standing treatment centers.

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

1. Hildegard Peplau 2. Hattie Bessent 3. Mary Mahoney 4. Linda Richards

Completion Complete each statement.

6. The first psychiatric program of study was established by which nursing leader? ______ _______

_________ 7. Which nurse theorist was the first American-trained nurse credited with teaching how to provide

care for people with mental illness? ___________ ____________

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8. The greatest advance in the early years of mental health care was the introduction of

___________________.

9. The legislation that provided funding for improving the care of the mentally ill is known as the

National Mental Health Act of what year? ______.

10. One of the goals of the American Nurses association (ANA) is to promote ________________ of

nursing care in the United States.

11. ______________ ____________ has always been called the “founder of nursing.”

12. A schoolteacher by the name of _____________ _________helped established asylums and

psychiatric hospitals for the mentally ill.

13. The first psychotropic drug category was known as ____________________.

14. 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. ____ 15. What trends contributed to the deinstitutionalization of mental health facilities to outpatient care

(select all that apply)?

Cost of the facilities NURSINGTB.COM The increased use of phenothiazines Staff cost Establishment of outpatient clinics Development of the Patient Bill of Rights

1.

2.

3.

4.

5.

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Chapter 1. History of Mental Health Nursing Answer Section MULTIPLE CHOICE 1. ANS: 1

Page: 2 Integrated Processes: Teaching/Learning Content Area: Community Health Cognitive Level: Application Client Need: Safe and Effective Care Environment: Safety and Infection Control Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale Feedback 1 The relationship between sanitary conditions and healing became known and accepted due to Nightingale’s observations and diligence. Her commitment to improved outcomes at a military hospital was directly related to introducing sanitation methods.

2 Benner did not emphasize developing a clean environment as a factor in providing effective health care.

3 Swanson did not emphasize developing a clean environment as a factor in providing effective health care.

4 King did not emphasize developing a clean environment as a factor in providing effective health care. NURSINGTB.COM PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale 2. ANS: 3

Page: 3 Integrated Processes: Teaching/Learning Content Area: Nursing Trends Cognitive Level: Knowledge Client Need: Health Promotion and Maintenance: Health Promotion/Disease Prevention Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale Feedback 1 Although Florence Nightingale did write a book on the relationship of sanitary techniques to medical facilities, it was called Notes on Hospitals, not Nursing Sanitation Notes.

2 Florence Nightingale did not write Nursing 101.

3 Florence Nightingale wrote the book Notes on Nursing, which was the most respected nursing textbook of its day.

4 Florence Nightingale did not write Nursing Notes.

PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale 3. ANS: 1

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Page: 8 Integrated Processes: Nursing Process: Planning Content Area: Mental Health Cognitive Level: Comprehension Client Need: Safe and Effective Care Environment: Coordinated Care Chapter 1: History of Mental Health Nursing; The Breakthroughs Feedback 1 People who had formerly required long hospital stays were now able to leave the institutions and return to their communities due to appropriate medications and deinstitutionalization.

2 Locating a facility for long-term care is not a long-term goal for inpatient mental health treatment.

3 Being arrested and placed in prison is not a long-term goal for inpatient mental health treatment.

4 The long-term goal is not to be completely cured of the disorder but control unwanted behaviors.

PTS: 1 4. ANS: 3

REF: Chapter 1: History of Mental Health Nursing; The Breakthroughs

Page: 7 Integrated Processes: Teaching/Learning Content Area: Mental Health Cognitive Level: Comprehension NURSINTherapeutic GTB.COMEnvironment Client Need: Psychosocial Integrity: Chapter 1: History of Mental Health Nursing; The Facilities; Asylums Feedback 1 Hospitals are not mental institutions but can handle patients with psychological needs according to the size of the hospital and its resources.

2 Long-term care facilities are not mental institutions.

3 Early on, these special facilities were called asylums, which Webster’s online dictionary defines as “an institution for the care of the needy or sick and especially of the insane.”

4 Free-standing treatment centers are not mental institutions but can handle patients that need detoxification (detox centers) or help managing a crisis (crisis centers).

PTS: 1 5. ANS: 1

REF: Chapter 1: History of Mental Health Nursing; The Facilities; Asylums

Page: 5 Integrated Processes: Communication and Documentation Content Area: Nursing Trends Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Coordinated Care Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization Feedback Copyright © 2019 F. A. Davis Company

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1

2

3 4

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In her book Interpersonal Relations in Nursing (1952), Peplau brought together interpersonal theories from psychiatry and melded them with theories of nursing and communication.

Dr. Hattie Bessent is credited with the development and directorship of a grant that researched minority nurses who were choosing to upgrade to master’s and doctorate levels of practice.

Mary Mahoney is considered to be America’s first African American professional nurse.

Linda Richards worked to upgrade nursing education, opened a nursing school, and taught the care of the mentally ill.

PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Hildegard Peplau COMPLETION 6. ANS:

Effie Jane Taylor Page: 4 Rationale: In 1913, the first psychiatric program for nurses was established by Effie Jane Taylor. Ms. Taylor also believed in patient-centered care.

Integrated Processes: Teaching/Learning Content Level: Nursing Trends NURSINGTB.COM Cognitive Level: Knowledge Client Need: Psychosocial Integrity: Mental Health Concepts Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Effie Jane Taylor 7. ANS:

Linda Richards Page: 4 Rationale: Linda Richards wanted to upgrade the nursing education field and opened the Boston City Hospital Training School for Nurses to teach the specialty of caring for the mentally ill.

Integrated Processes: Teaching/Learning Content Area: Nursing Trends Cognitive Level: Knowledge Client Need: Psychosocial Integrity: Mental Health Concepts Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization PTS: 1 8. ANS:

REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Linda Richards

phenothiazines Page: 7 Rationale: With the discovery of phenothiazines, people living with mental disorders could control unwanted behaviors (to a degree) and were able to function more independently.

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Integrated Processes: Teaching/Learning Content Area: Mental Health: Pharmacology Cognitive Level: Knowledge Client Need: Physiological Integrity: Pharmacological Therapies; Expected Actions/Outcomes Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Breakthroughs; Psychotropic Medications 9. ANS:

1946 Page: 10 Rationale: The National Mental Health Act of 1946 provided money for training nurses and several other disciplines to improve treatment for the mentally ill.

Integrated Processes: Teaching/Learning Content Area: Mental Health: Treatment Cognitive Level: Knowledge Client Need: Psychosocial Integrity: Mental Health Concepts Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Law; The National Mental Health Act of 1946 10. ANS:

standardization Page: 8 NURSINGTB.COM Rationale: The ANA has developed standards for a number of different nursing practices areas in the United States, including psychiatric nursing.

Integrated Processes: Teaching/Learning Content Area: Nursing Trends Cognitive Level: Knowledge Client Need: Safe and Effective Care Management: Coordinated Care: Establishing Priorities Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Breakthroughs; Organizations for Mental-Health Nurses and Others 11. ANS:

Florence Nightingale Page: 2 Rationale: Florence Nightingale has been called the founder of nursing based upon her numerous contributions to the nursing profession.

Integrated Processes: Teaching/Learning Content Area: Nursing Trends Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Safety and Infection Control Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization PTS: 1

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REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Florence Nightingale 12. ANS:

Dorothea Dix Page: 3 Rationale: Dorothea Dix was not a nurse but was concerned about the treatment of the mentally ill and prisoners. Because of her efforts, 32 states developed asylums or “psychiatric hospitals” to care for the mentally ill that treated patients humanely.

Integrated Processes: Teaching/Learning Content Area: Nursing Trends Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Coordinated Care: Advocacy Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization PTS: 1 13. ANS:

REF: Chapter 1: History of Mental Health Nursing; The Trailblazers; Dorothea Dix

phenothiazines Page: 7 Rationale: In 1955, a group of psychotropic medications called phenothiazines was discovered to have the effect of calming and tranquilizing people.

Integrated Processes: Teaching/Learning Content Area: Mental Health: Pharmacology Cognitive Level: Knowledge Client Need: Physiological Integrity: Pharmacological Therapies: Expected Actions/Outcomes Chapter 1: History of Mental NUHealth RSINNursing; GTB.CThe OM Breakthroughs; Deinstitutionalization PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Breakthroughs; Psychotropic Medications 14. ANS:

Hill-Burton Page: 10 Rationale: The Hill-Burton Act of 1946 provided much needed funding to build psychiatric units in hospitals and was the first major federal law to address mental illness.

Integrated Processes: Teaching/Learning Content Area: Mental Health: Legal Cognitive Level: Knowledge Client Need: Safe and Effective Care Environment: Coordinated Care Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization PTS: 1

REF: Chapter 1: History of Mental Health Nursing; The Law; Hill-Burton Act

MULTIPLE RESPONSE 15. ANS: 1, 2, 3, 4

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Cognitive Level: Synthesis Client Need: Safe and Effective Care Environment: Coordinated Care: Advocacy Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization

1.

2.

3.

4.

5.

Feedback Correct. It became costly to run these large buildings even though the patient population was declining.

Correct. Phenothiazines were so effective that state hospitals saw a large decline in population.

Correct. It became costly to continue to employ staff even though the patient population was declining.

Correct. Other facilities, such as outpatient clinics, dedicated to the care and treatment of people with mental illness caused a decline in state hospitals’ patient population.

Incorrect. The Patient Bill of Rights provides “vulnerable” people with certain rights.

PTS: 1 REF: Chapter 1: History of Mental Health Nursing; The Breakthroughs; Deinstitutionalization

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Chapter 2. Basics of Communication 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?

“Do you hate your spouse?”

“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?”

1.

2.

3.

4. ____

2. The mother of a young patient with schizophrenia seeks out the nurse and begins to cry. The mother

____

3. Linda is pacing the floor and appears extremely anxious. The day-shift nurse approaches Linda in an

expresses concern over her daughter’s behavior. The nurse’s best response to this woman is: 1. “What is it that concerns you the most?”

2. “Well, you know, that is part of the illness.”

3. “Here is a book on schizophrenia. This will help you.”

4. “Are you afraid your daughter will always be like this?” attempt to lessen her anxiety. The most therapeutic statement by the nurse would be: 1. “How about watching a football game?”

2. “Tell me how you are feeling today.”

3. “What do you have to be upset NU RSIabout NGTnow?”

B.COM 4. Ignore the patient.

____

4. A patient states, “I don’t know what the pills are for or why I am taking them, so I don’t want them.”

What therapeutic communication would best help this patient?

1. Ask for what you need 2. Silence 3. Using general leads 4. Giving information ____

5. To practice effectively in mental health, the nurse should be able to: 1. Solve his or her own personal problems without assistance from others.

2. Comfortably point out patient shortcomings and provide advice about how to

improve.

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

4. Demonstrate therapeutic communication.

Completion Complete each statement.

6. Communication has three parts including the sender, the message, and the _____________.

7. When appropriate, the nurse can use _____________________ as part of an interaction when there

is no talking. This can communicate support.

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8. A theory of communication that emphasizes the three ways to communicate—hearing, seeing, and

touching—is called ___________ ______________.

9. Expressive, receptive, and global are types of _______________.

Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 10. A nurse is working with a patient and attempts to communicate effectively with the patient.

Techniques the nurse can use to help communication include (select all that apply): Clarifying terms.

Remaining silent.

Asking open-ended questions.

Offering false reassurance.

Discouraging the person from expressing feelings that are unacceptable.

1.

2.

3.

4.

5.

____ 11. The three components of communication are (select all that apply): 1. Impairment.

2. Message.

3. Sender.

4. Receiver.

5. Therapeutic.

NURSINGTB.COM

____ 12. Nurses understand that when caring for patients with mental illnesses, a nurse’s communication is

(select all that apply): 1. An active process that includes participating and listening and speaking.

2. A complex activity.

3. Exchanging information.

4. Verbal and nonverbal.

5. A one-way path from nurse to patient.

6. Advising. ____ 13. 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 the nurse 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)?

1. It tells the patient that his concerns are not valid.

2. It gives the idea that the nurse’s values are the correct ones.

3. It sounds judgmental.

4. It sets the stage for expectations that the patient may not be able to meet.

5. It discourages yes or no answers.

6. It blocks the patient from telling the nurse what his concerns are. ____ 14. The following types of patients require adaptive communication techniques (select all that apply): 1. A patient who is blind 2. A patient who has aphasia

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3.

4.

5.

6.

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A patient with schizophrenia A patient who is elderly A patient with dysphagia A patient who has language differences from the staff

____ 15. Which of the following are characteristics of assertive communication (select all that apply)?

1. Statements begin with the word “you.”

2. Statements deal with thoughts and feelings.

3. It is a form of blaming.

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

5. It is a technique of personal empowerment.

6. It is self-responsible.

NURSINGTB.COM

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Chapter 2. Basics of Communication Answer Section MULTIPLE CHOICE 1. ANS: 4

Page: 21 Integrated Processes: Nursing Process: Implementation Content Area: Mental Health: Therapeutic Communication Cognitive Level: Comprehension Client Need: Psychosocial Integrity: Therapeutic Communication Chapter 2: Basics of Communication; Therapeutic Communication Feedback 1 This is a closed-ended question. These are forms of questions that make it possible for a one-word “yes” or “no” answer. They discourage the patient from giving full answers to the questions. “Hate” is judgmental and makes an assumption for the marital crisis.

2 This is a closed-ended question. These are forms of questions that make it possible for a one-word “yes” or “no” answer. They discourage the patient from giving full answers to the questions.

3 This is a closed-ended question. These are forms of questions that make it possible for a one-word “yes” or “no” answer. They discourage the patient from giving full answers to the questions.

NUR SINGTB.COM 4 This is an open-ended question which encourages expression of feelings rather than a yes/no answer. Use of open-ended questions facilitate more open communication.

PTS: 1 2. ANS: 1

REF: Chapter 2: Basics of Communication; Therapeutic Communication

Page: 21 Integrated Processes: Nursing Process: Implementation Content Area: Mental Health: Psychotic Disorders: Therapeutic Nursing Process Cognitive Level: Application Client Need: Psychosocial Integrity: Therapeutic Communication Chapter 2: Basics of Communication; Therapeutic Communication Feedback 1 2 3 4

This is an open-ended question allowing the mother to explain why she is upset.

This minimizes the problem, implying the mother’s feelings are not special.

Changing the subject sends the message to the mother that the nurse does not care or that this problem is not worthy of the nurse’s time.

This is a closed-ended question and makes an assumption of why the mother is upset.

PTS: 1 3. ANS: 2

REF: Chapter 2: Basics of Communication; Therapeutic Communication

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Page: 21 Integrated Processes: Caring Content Area: Mental Health: Communication Cognitive Level: Synthesis Client Need: Psychosocial Integrity: Stress Management Chapter 2: Basics of Communication; Therapeutic Communication 1 2 3 4

Feedback Although this is an open-ended question, it changes the subject and does not deal with the anxiety.

To keep open communication with the patient, the nurse should ask open-ended questions that will facilitate discussion.

Although this is an open-ended question, it belittles the patient and implies that the patient’s feelings are not special.

Ignoring the patient is not therapeutic communication and will make the anxiety worse.

PTS: 1 4. ANS: 4

REF: Chapter 2: Basics of Communication; Therapeutic Communication

Page: 19–20 Integrated Processes: Teaching/Learning Content Area: Mental Health: Therapeutic Communication Cognitive Level: Application NURSINTherapeutic GTB.COMCommunication/Health Promotion and Client Need: Psychosocial Integrity: Maintenance: Principles of Teaching/Learning Chapter 2: Basics of Communication; Therapeutic Communication; Techniques of Therapeutic/Helping Communication 1 2

3

4

Feedback Asking for what you need requires the user to start the sentence with the words “I want” or “I need,” which is not needed in this instance.

Although silence can be therapeutic, it is not appropriate for this situation. The patient does not need time to collect thoughts; an answer is needed in the form of patient teaching.

Although general leads are therapeutic, they are not appropriate in this instance.

Saying “Yes” or “Go on” is not best because the patient has already stated the need: “I don’t know what the pills are for and why I am taking them.”

Giving information relates to the helping relationship because it involves a form of patient teaching, which is what this patient needs.

PTS: 1 REF: Chapter 2: Basics of Communication; Therapeutic Communication; Techniques of Therapeutic/Helping Communication 5. ANS: 4

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Medical Surgical Nursing 2nd Edition Hoffman Test Bank Full ACCESS Test Bank From Link Below https://nursylab.com/products/medical-surgical-nursing-2nd-e dition-hoffman-test-bank/ Test Bank Directly From The publisher, 100% Verified Answers.

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