Test Bank For Mental Health in Nursing, 6th Edition by 2025 Kim Foster, Peta Marks, , Anth, Exams of Nursing

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Test Bank For

Mental Health in Nursing, 6th Edition 2025 Kim Foster, Peta Marks, Anthony O'Brien, and John H

Chapter 1-

Chapter 1: Why mental health matters

Multiple-choice questions

1. What proportion of the Australian adult population have experienced a mental health problem in the past 12 months? a. 5% b. 10% c. 20% d. 40%

ANS: C

2. The stepped care model of mental health care involves: a. providing different levels of mental health care to different populations b. matching mental health care to the needs of the individual c. providing a full range of mental health services in every community d. initiating high-intensity mental health interventions as an initial approach

ANS: B

3. Cultural safety in mental health care involves: a. treating all consumers as if they are the same, regardless of cultural background b. matching the ethnicity of mental health practitioners to the ethnicity of consumers c. reflecting on one‟s own cultural identity and how that influences nursing care d. understanding the culture of all consumers and communities

ANS: C

4. Which of the following statements about the scope of nursing practice in mental health is TRUE? a. Mental health is part of every nurse‟s scope of practice. b. Mental health care can only be provided by specialist mental health nurses. c. In order to practise, nurses must apply for an endorsement of their practising certificate. d. In most areas of nursing practice, mental health skills are not needed.

ANS: A

5. Assisting mental health consumers to manage their physical health is important because: a. the physical health of people with mental illness is significantly worse than the physical health of the general population. b. poor physical health is the cause of most mental illnesses. c. mental health consumers do not receive primary health care services. d. all nurses need to maintain their physical health care skills.

ANS: A

True/False

1. Depression has been linked to a wide range of physical illnesses, including stroke, cancer and cardiovascular disease.

ANS: True

2. Rates of metabolic syndrome are high in people taking antipsychotic medication.

ANS: True

3. The World Health Organization recommends that mental health care should be based in specialist services.

ANS: False

4. Many people who commit suicide have had recent contact with a health professional.

ANS: True

5. Up to 50% of the population will experience a mental health problem in their lifetime.

ANS: True

ANS: A

True/False

1. Many people have a non-religious worldview while still maintaining spiritual beliefs and values.

ANS: True

2. Hope can be described as the act by which the tendency to despair is actively overcome.

ANS: True

3. Maintaining professional boundaries in clinical practice is always the responsibility of the nurse.

ANS: True

4. Self-disclosure should never occur in a professional relationship.

ANS: False

5. The concept of neuroplasticity refers to the brain‟s ability to develop new pathways, even after experiencing trauma.

ANS: True

Chapter 3: The mental health and illness continuum

Foster et al: Mental Health in Nursing, 6th Edition

Test Bank

Multiple-choice questions

1. Situational crises include which of the following?

a. Onset of serious illness b. A natural disaster c. Loss of a loved one d. All of the above

ANS: D

2. In order for a situation to be defined as a crisis, the person concerned must experience:

a. symptoms of severe mental illness b. a specific experience that the person perceives to be threatening c. a certain level of dysfunction within facets of their life d. prolonged psychological or physical disability

ANS: B

3. Chronic stress can cause a sustained stress response that can lead to:

a. hypersensitivity of the limbic system of the brain b. immunity from the impacts of new stressors c. improved ability to recognise and respond to stress d. development of a sense of hope and optimism

ANS: A

4. The equilibrium model for crisis intervention is based on which of the following premises?

a. The person‟s perception of the situation (i.e. their faulty thinking) has led to the situation becoming a crisis. b. People in a state of crisis are experiencing psychological or emotional disequilibrium. c. The person‟s genetic code has developed a state of disequilibrium. d. The person‟s current developmental stage has caused a state of disequilibrium.

ANS: B

5. Factors that protect people from the impacts of stress include:

a. maintaining distance in social relationships b. regular physical exercise c. use of alcohol to assist sleep d. limiting the range of coping strategies used

ANS: B

True/False

1. A sudden and perhaps unexpected death through suicide would be a great stress for staff.

ANS: True

2. Providing assistance for people at times of crisis can be emotionally draining and stressful, and nurses need to develop a range of self-care strategies.

3. Which of the following practices can help in maintaining psychological and emotional wellbeing?

a. Working collaboratively b. Being honest and transparent about your limitations c. Engaging in structured processes of reflective practice d. All of the above

ANS: D

4. Which of the following are principles to consider when engaging a person with challenging behaviour?

a. Being flexible b. Active listening c. Demonstrating empathy d. All of the above

ANS: D

5. In mental health care, the term “positive risk-taking” refers to:

a. the clinician’s readiness to respect and respond to service user’s own recovery goals. b. taking risks that are likely to lead to a positive outcome. c. making a conscious decision to take a clinical risk. d. agreeing to consumers’ requests to take risks in their social relationships.

ANS: A

True/false

1. Deliberate self-harm can be a prolonged and unpredictable problem.

ANS: True

2. Restraint carries significant risk of injury to consumers and staff, including death.

ANS: True

3. Assault is an intentional act by someone which creates fear of imminent harm in another.

ANS: True

4. Reasonable force is the amount of force deemed necessary at the time in relation to the risk presented.

ANS: True

5. Positive risk-taking involves a process of reasoning whereby the potential benefits and harms of one choice over another are considered before a decision is made.

ANS: True

Chapter 5: Working with families in mental health

Foster et al: Mental Health in Nursing, 6th Edition

Test Bank

MULTIPLE-CHOICE QUESTIONS

1. An integral component of family-focused practices in mental health is:

a. administration of medication.

b. awareness of environmental influences.

c. ensuring compliance to the therapeutic regimen.

d. providing information/support and specific strategies and interventions.

ANS: D

2. A strengths-based approach focuses on all of the following, except:

a. what is working well.

b. what is going wrong and/or what is lacking.

c. being open to recognising the positive attributes and resources of families.

d. recognising the resources of families.

True/False

1. A coordinated system of care involves collaboration and partnership with family members, clinicians and other services.

ANS: True

2. Collaborative care planning excludes the development of crisis plans with family.

ANS: False

3. Communication and discussion about mental illness between family members is essential to support family resilience.

ANS: True

4. It is possible to support consumers via their family.

ANS: True

5. Families are often defined by their carer role.

ANS: True

Chapter 6: Aboriginal and Torres Strait Islander mental health

Foster et al: Mental Health in Nursing, 6th Edition

Test Bank

Multiple-choice questions

1. When working with Aboriginal and Torres Strait Islander peoples, it is important to recognise that the burden of historical trauma: a. does not impact on Indigenous communities in cities. b. leads to higher rates of psychotic disorders, compared to mood disorders. c. impacts on older people, rather than the younger generation

d. not only impacts communities, but also across generations.

ANS: D

2. For Aboriginal and Torres Strait Islander people specifically, coercive and restrictive practices can: a. be used more regularly, compared to non-Indigenous people. b. further compound a fear and distrust of government institutions. c. be used effectively within a well-developed care plan. d. cause greater risk of injury, compared to non-Indigenous people.

ANS: B

3. A practical example for assisting an Aboriginal and Torres Strait Islander consumer during their admission is: a. ensuring they have access to a private room on admission. b. ensuring that they are not prescribed any psychotropic medications. c. ensuring the consumer and their families/carers are informed about their care wherever possible. d. ensuring that you know what mob they are from.

ANS: C

4. Through their approach to care with Aboriginal and Torres Strait Islander people, nurses have a key role in supporting: a. clinical recovery b. self-management c. adherence d. social and emotional wellbeing

ANS: D

5. For non-Indigenous nurses to work in a culturally safe way they must: a. apologise for their privileged background. b. have knowledge of all Aboriginal and Torres Strait Islander customs and traditions. c. engage in ongoing reflection of their assumptions and beliefs about Aboriginal and Torres Strait islander peoples. d. have extensive experience working with Aboriginal and Torres Strait islander peoples.

Multiple-choice questions

1. Māori experience significant rates of mental illness compared to the general population due to which factors?

a. Lack of trust, culturally inappropriate healthcare and social economic reasons b. Colonisation and substance use c. Urbanisation and cultural practices d. A shortage of Māori health professionals and role models.

ANS: A

2. There are five principles of Te Tiriti o Waitangi. Which two of the following are correct?

a. Partnership and property b. Tino rangatiratanga and equity c. Equity and equality d. Protection and Te Ao Māori practices

ANS: B

3. Culturally safe mental health care for Māori is based on the Māori principle of:

a. whakawhānaungatanga b. tino rangatiratanga c. mana d. manākitanga

ANS: A

4. Kaupapa Māori services were set up in response to:

a. a shortage of Māori health professionals b. culturally inappropriate healthcare c. Te Tiriti o Waitangi d. addressing Māori mental health needs

ANS: C

5 At Tūmata Kōkiritia wānanga, four concepts that are critical to health and wellbeing for Māori were identified. These are:

a. Mātauranga Māori, holistic practices, manākitanga and kotahitanga b. Manākitanga, tino rangatiratanga, active protection, whānau c. Mātauranga Māori, mana enhancing practices, tino rangatiratanga and kotahitanga d. Tinana, hinengaro, wairua, whānau

ANS: C

True/False

1. Within the Māori health model, Te Whare Tapa Whā, all four components (wairua - spirituality; whanāu – family and relational values; tinana – physical wellbeing and hinengaro – emotional and mental wellbeing) are considered essential to wellbeing.

ANS: True

2. If a person identifies as Māori there are aspects of Te Ao Māori (Māori worldview) that must be understood to provide safe and effective mental health care.

ANS: True

3. In pre-colonial times, Māori whānau who suffered with mental illness or trauma were given special status and were cared for by whānau members at home and in their communities, not in isolated rural hospitals.

ANS: True

4. Te Tiriti o Waitangi is an agreement between Māori and the first European settlers to live in New Zealand.

ANS: False

5. The concept of cultural safety includes all people encountered by the nurse who differed in any way from the nurse‟s own culture or ethnicity.

5. Emotional labour is (mark all that apply): a. a form of workplace stress b. a source of satisfaction c. about managing emotions d. All of the above

ANS: D

True/False

1. Prolonged stress can be harmful and have a negative effect on physical and mental health.

ANS: True

2. The caring philosophy of nursing prevents nurses from experiencing burnout.

ANS: False

3. Events that are unexpected and involve threats of or actual serious injury are not usually traumatic.

ANS: False

4. Making meaning out of the experiences of life is central to survival and important in understanding human responses to adversity

ANS: True

5. Clinical supervision means having a senior nurse review all the nurse‟s clinical decisions.

ANS: False

Chapter 9: Mental health assessment

Foster et al: Mental Health in Nursing, 6th Edition

Test Bank

Multiple-choice questions

1. Assessment is one of the most important and fundamental skills of the mental health nurse and enables all of the following, except:

a. Formulation of a plan of care

b. Contribution to decision-making

c. An understanding of consumers

d. Deciding on the most effective medication

ANS: D

2. Assessment comprises several main threads woven together. These include:

a. process

b. content

c. communication

d. All of the above

ANS: D

3. An important nursing skill used in the assessment interview process is:

a. role-modelling

b. providing guidance

c. listening

d. providing advice

ANS: C

4. Important questions for mental health triage include all of the following, except:

a. Is the consumer at imminent risk of self-harm?

b. Is the consumer likely to stay where they are or are they likely to leave?

c. How soon does the consumer need to be seen?

d. How many children does the consumer have?

ANS: D

Chapter 10: Legal and ethical issues

Foster et al: Mental Health in Nursing, 6th Edition

Test Bank

Multiple-choice questions

1. Paternalism in mental health care means that: a. the rights of older people are considered to be more important than the rights of younger people. b. people are given the right to make their own decisions, regardless of the consequences. c. health professionals limit the autonomy of consumers with the consumers’ best interests in mind. d. health professionals act to ensure that the potential benefits of an intervention are greater than the potential harms.

ANS: C

2. Which of the following is an example of substituted decision-making? a. A consumer tells their nurse they have medication side effects and the nurse suggests a substitute. b. A consumer is made a compulsory patient under the Mental Health Act and their psychiatrist makes decisions on their behalf. c. When a consumer is assessed as lacking capacity a family member provides decision-making support. d. All consumer decisions are subject to judicial review and the consumer is represented by a lawyer.

ANS: B

3. A consumer presents in a mental health crisis and a close family member asks to speak to the clinical team about the treatment plan. What consumer right may be at risk in this situation? a. Confidentiality b. Access to information c. Informed consent d. Respect

ANS: A

4. Codes of professional ethics are important so that: a. nursing practice adheres to legal obligations. b. consumers are aware of professional boundaries c. there will be no violations of personal boundaries d. consumers are protected from misuse of professional power.

ANS: D

5. An advance directive is aimed at ensuring that: a. all consumer preferences are known in advance b. consumers are able to communicate their healthcare preferences c. there is a plan in place in case a consumer has a medical emergency d. consumers always retain decision-making capacity

ANS: B

True/False

1. Ethical issues are uncommon in mental health settings because of the legal framework of legislation.

ANS: False

2. A mental health advance directive is not valid unless it is signed by the consumer’s psychiatrist or keyworker.

ANS: False

3. A client who is subject to a community treatment order is likely to be receiving treatment in their own home.

ANS: True