Psychiatric-MentallHealthlNursingl8thleditionlbylVidebecklTestlBank
Pagel1
,Psychiatric-MentallHealthlNursingl8thleditionlbylVidebecklTestlBank
Psychiatric-MentallHealthlNursingl8thleditionl
Chapterl1
1. Thelnurselislassessinglthelfactorslcontributingltolthelwell-
beingloflalnewlyladmittedlclient.lWhichloflthelfollowinglwouldlthelnurselidentifylaslhav
inglalpositivelimpactlonlthelindividual'slmentallhealth?
A) Notlneedinglotherslforlcompanionship
B) Thelabilityltoleffectivelylmanagelstress
C) Alfamilylhistoryloflmentallillness
D) Strivinglforltotallself-
reliancelAns:lB
Feedback:
Individuallfactorslinfluencinglmentallhealthlincludelbiologiclmakeup,lautonomy,lindepen
dence,lself-
esteem,lcapacitylforlgrowth,lvitality,labilityltolfindlmeaninglinllife,lemotionallresiliencelor
lhardiness,lsenseloflbelonging,lrealitylorientation,landlcopinglorlstresslmanagementlabiliti
es.lInterpersonallfactorslsuchlaslintimacylandlalbalanceloflseparatenesslandlconnectedness
larelbothlneededlforlgoodlmentallhealth,landlthereforelalhealthylpersonlwouldlneedlotherslf
orlcompanionship.lAlfamilylhistoryloflmentallillnesslcouldlrelateltolthelbiologiclmakeuplof
lanlindividual,lwhichlmaylhavelalnegativelimpactlonlanlindividual'slmentallhealth,laslwelll
aslalnegativelimpactlonlanlindividual'slinterpersonallandlsocialñculturallfactorsloflhealth.l
Totallself-
reliancelislnotlpossible,landlalpositivelsocial/culturallfactorlislaccessltoladequatelresources
.
2. Whichloflthelfollowinglstatementslaboutlmentallillnesslareltrue?lSelectlalllthatlapply.
A) Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.
B) Mentallillnesslislonlyldueltolsocial/culturallfactors.
C) Social/culturallfactorslthatlrelateltolmentallillnesslincludelexcessiveldependencylo
nlorlwithdrawallfromlrelationships.
D) Individualslsufferinglfromlmentallillnesslarelusuallylableltolcopeleffectivelylwithlda
ilyllife.
E) Individualslsufferinglfromlmentallillnesslmaylexperienceldissatisfactionlwithlr
elationshipslandlself.
Ans:lA,lD,lE
Feedback:
Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.lMentallillness
lmaylbelrelatedltolindividual,linterpersonal,lorlsocial/culturallfactors.lExcessiveldependen
cylonlorlwithdrawallfromlrelationshipslarelinterpersonallfactorslthatlrelateltolmentallillnes
s.lIndividualslsufferinglfromlmentallillnesslcanlfeelloverwhelmedlwithldailyllife.lIndividu
alslsufferinglfromlmentallillnesslmaylexperienceldissatisfactionlwithlrelationshipslandlsel
f.
Pagel2
,Psychiatric-MentallHealthlNursingl8thleditionlbylVidebecklTestlBank
3. Whichloflthelfollowinglareltruelregardinglmentallhealthlandlmentallillness?
A) Behaviorlthatlmaylbelviewedlaslacceptablelinlonelculturelislalwayslunacceptablelinl
otherlcultures.
B) Itlisleasyltoldetermineliflalpersonlislmentallylhealthylorlmentallylill.
C) Inlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,landlsociallwel
lnesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorlandlc
oping,lpositivelself-concept,landlemotionallstability.
D) Personslwholengagelinlfantasieslarelmentallylill.l
Ans:lC
Feedback:
Whatlonelsocietylmaylviewlaslacceptablelandlappropriatelbehavior,lanotherlsocietylmaylse
elthatlaslmaladaptive,landlinappropriate.lMentallhealthlandlmentallillnesslareldifficultltolde
finelprecisely.lInlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,landlsocia
llwellnesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorlandlcopin
g,lpositivelself-
concept,landlemotionallstability.lPersonslwholengagelinlfantasieslmaylbelmentallylhealthy,l
butlthelinabilityltoldistinguishlrealitylfromlfantasylislanlindividuallfactorlthatlmaylcontribut
eltolmentallillness.
4. Alclientlgrievinglthelrecentllossloflherlhusbandlasksliflshelislbecominglmentallylilllbe
causelshelislsolsad.lThelnurse'slbestlresponselwouldlbe,
A) ìYoulmaylhavelaltemporarylmentallillnesslbecauselyoularelexperiencinglsolmuchlpa
in.î
B) ìYoularelnotlmentallylill.lThislislanlexpectedlreactionltolthellosslyoulhavelex
perienced.î
C) ìWerelyoulgenerallyldissatisfiedlwithlyourlrelationshiplbeforelyourlhusband'sld
eath?î
D) ìTrylnotltolworrylaboutlthatlrightlnow.lYoulneverlknowlwhatlthelfuturelbrings.îlAn
s:lB
Feedback:
Mentallillnesslincludeslgeneralldissatisfactionlwithlself,lineffectivelrelationships,lineffect
ivelcoping,landllackloflpersonallgrowth.lAdditionallylthelbehaviorlmustlnotlbelculturallyle
xpected.lAcutelgrieflreactionslarelexpectedlandlthereforelnotlconsideredlmentallillness.lFa
lselreassurancelorloveranalysisldoeslnotlaccuratelyladdresslthelclient'slconcerns.
Pagel3
, Psychiatric-MentallHealthlNursingl8thleditionlbylVidebecklTestlBank
5. ThelnurselconsultslthelDSMlforlwhichloflthelfollowinglpurposes?
A) Toldeviselalplanloflcarelforlalnewlyladmittedlclient
B) Tolpredictlthelclient'slprognosislofltreatmentloutcomes
C) Toldocumentlthelappropriateldiagnosticlcodelinlthelclient'slmedicallrecord
D) Tolservelaslalguidelforlclientlassessmentl
Ans:lD
Feedback:
ThelDSMlprovideslstandardlnomenclature,lpresentsldefininglcharacteristics,landlidentifie
slunderlyinglcausesloflmentalldisorders.lItldoeslnotlprovidelcarelplanslorlprognosticloutco
meslofltreatment.lDiagnosisloflmentallillnesslislnotlwithinlthelgeneralistlRN'slscopeloflpra
ctice,lsoldocumentinglthelcodelinlthelmedicallrecordlwouldlbelinappropriate.
6. WhichlwouldlbelalreasonlforlalstudentlnurseltoluselthelDSM?
A) Identifyinglthelmedicalldiagnosis
B) Treatlclients
C) Evaluateltreatments
D) Understandlthelreasonlforltheladmissionlandlthelnatureloflpsychiatriclillnesses.lA
ns:lD
Feedback:
AlthoughlstudentlnursesldolnotluselthelDSMltoldiagnoselclients,ltheylwilllfindlitlalhelpfu
llresourceltolunderstandlthelreasonlforltheladmissionlandltolbeginlbuildinglknowledgelab
outlthelnatureloflpsychiatriclillnesses.lIdentifyinglthelmedicalldiagnosis,ltreating,landlev
aluatingltreatmentslarelnotlalpartloflthelnursinglprocess.
7. Thellegislationlenactedlinl1963lwasllargelylresponsiblelforlwhichloflthelfollowinglshiftslinl
carelforlthelmentallylill?
A) Thelwidespreadluseloflcommunity-basedlservices
B) Theladvancementlinlpharmacotherapies
C) Increasedlaccessltolhospitalization
D) Improvedlrightslforlclientslinllong-
termlinstitutionallcarelAns:lA
Feedback:
ThelCommunitylMentallHealthlCenterslConstructionlActlofl1963laccomplishedlthelre
leaseloflindividualslfromllong-
termlstayslinlstatelinstitutions,ltheldecreaselinladmissionsltolhospitals,landltheldevelop
mentloflcommunity-basedlserviceslaslanlalternativeltolhospitallcare.
Pagel4
Pagel1
,Psychiatric-MentallHealthlNursingl8thleditionlbylVidebecklTestlBank
Psychiatric-MentallHealthlNursingl8thleditionl
Chapterl1
1. Thelnurselislassessinglthelfactorslcontributingltolthelwell-
beingloflalnewlyladmittedlclient.lWhichloflthelfollowinglwouldlthelnurselidentifylaslhav
inglalpositivelimpactlonlthelindividual'slmentallhealth?
A) Notlneedinglotherslforlcompanionship
B) Thelabilityltoleffectivelylmanagelstress
C) Alfamilylhistoryloflmentallillness
D) Strivinglforltotallself-
reliancelAns:lB
Feedback:
Individuallfactorslinfluencinglmentallhealthlincludelbiologiclmakeup,lautonomy,lindepen
dence,lself-
esteem,lcapacitylforlgrowth,lvitality,labilityltolfindlmeaninglinllife,lemotionallresiliencelor
lhardiness,lsenseloflbelonging,lrealitylorientation,landlcopinglorlstresslmanagementlabiliti
es.lInterpersonallfactorslsuchlaslintimacylandlalbalanceloflseparatenesslandlconnectedness
larelbothlneededlforlgoodlmentallhealth,landlthereforelalhealthylpersonlwouldlneedlotherslf
orlcompanionship.lAlfamilylhistoryloflmentallillnesslcouldlrelateltolthelbiologiclmakeuplof
lanlindividual,lwhichlmaylhavelalnegativelimpactlonlanlindividual'slmentallhealth,laslwelll
aslalnegativelimpactlonlanlindividual'slinterpersonallandlsocialñculturallfactorsloflhealth.l
Totallself-
reliancelislnotlpossible,landlalpositivelsocial/culturallfactorlislaccessltoladequatelresources
.
2. Whichloflthelfollowinglstatementslaboutlmentallillnesslareltrue?lSelectlalllthatlapply.
A) Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.
B) Mentallillnesslislonlyldueltolsocial/culturallfactors.
C) Social/culturallfactorslthatlrelateltolmentallillnesslincludelexcessiveldependencylo
nlorlwithdrawallfromlrelationships.
D) Individualslsufferinglfromlmentallillnesslarelusuallylableltolcopeleffectivelylwithlda
ilyllife.
E) Individualslsufferinglfromlmentallillnesslmaylexperienceldissatisfactionlwithlr
elationshipslandlself.
Ans:lA,lD,lE
Feedback:
Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.lMentallillness
lmaylbelrelatedltolindividual,linterpersonal,lorlsocial/culturallfactors.lExcessiveldependen
cylonlorlwithdrawallfromlrelationshipslarelinterpersonallfactorslthatlrelateltolmentallillnes
s.lIndividualslsufferinglfromlmentallillnesslcanlfeelloverwhelmedlwithldailyllife.lIndividu
alslsufferinglfromlmentallillnesslmaylexperienceldissatisfactionlwithlrelationshipslandlsel
f.
Pagel2
,Psychiatric-MentallHealthlNursingl8thleditionlbylVidebecklTestlBank
3. Whichloflthelfollowinglareltruelregardinglmentallhealthlandlmentallillness?
A) Behaviorlthatlmaylbelviewedlaslacceptablelinlonelculturelislalwayslunacceptablelinl
otherlcultures.
B) Itlisleasyltoldetermineliflalpersonlislmentallylhealthylorlmentallylill.
C) Inlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,landlsociallwel
lnesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorlandlc
oping,lpositivelself-concept,landlemotionallstability.
D) Personslwholengagelinlfantasieslarelmentallylill.l
Ans:lC
Feedback:
Whatlonelsocietylmaylviewlaslacceptablelandlappropriatelbehavior,lanotherlsocietylmaylse
elthatlaslmaladaptive,landlinappropriate.lMentallhealthlandlmentallillnesslareldifficultltolde
finelprecisely.lInlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,landlsocia
llwellnesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorlandlcopin
g,lpositivelself-
concept,landlemotionallstability.lPersonslwholengagelinlfantasieslmaylbelmentallylhealthy,l
butlthelinabilityltoldistinguishlrealitylfromlfantasylislanlindividuallfactorlthatlmaylcontribut
eltolmentallillness.
4. Alclientlgrievinglthelrecentllossloflherlhusbandlasksliflshelislbecominglmentallylilllbe
causelshelislsolsad.lThelnurse'slbestlresponselwouldlbe,
A) ìYoulmaylhavelaltemporarylmentallillnesslbecauselyoularelexperiencinglsolmuchlpa
in.î
B) ìYoularelnotlmentallylill.lThislislanlexpectedlreactionltolthellosslyoulhavelex
perienced.î
C) ìWerelyoulgenerallyldissatisfiedlwithlyourlrelationshiplbeforelyourlhusband'sld
eath?î
D) ìTrylnotltolworrylaboutlthatlrightlnow.lYoulneverlknowlwhatlthelfuturelbrings.îlAn
s:lB
Feedback:
Mentallillnesslincludeslgeneralldissatisfactionlwithlself,lineffectivelrelationships,lineffect
ivelcoping,landllackloflpersonallgrowth.lAdditionallylthelbehaviorlmustlnotlbelculturallyle
xpected.lAcutelgrieflreactionslarelexpectedlandlthereforelnotlconsideredlmentallillness.lFa
lselreassurancelorloveranalysisldoeslnotlaccuratelyladdresslthelclient'slconcerns.
Pagel3
, Psychiatric-MentallHealthlNursingl8thleditionlbylVidebecklTestlBank
5. ThelnurselconsultslthelDSMlforlwhichloflthelfollowinglpurposes?
A) Toldeviselalplanloflcarelforlalnewlyladmittedlclient
B) Tolpredictlthelclient'slprognosislofltreatmentloutcomes
C) Toldocumentlthelappropriateldiagnosticlcodelinlthelclient'slmedicallrecord
D) Tolservelaslalguidelforlclientlassessmentl
Ans:lD
Feedback:
ThelDSMlprovideslstandardlnomenclature,lpresentsldefininglcharacteristics,landlidentifie
slunderlyinglcausesloflmentalldisorders.lItldoeslnotlprovidelcarelplanslorlprognosticloutco
meslofltreatment.lDiagnosisloflmentallillnesslislnotlwithinlthelgeneralistlRN'slscopeloflpra
ctice,lsoldocumentinglthelcodelinlthelmedicallrecordlwouldlbelinappropriate.
6. WhichlwouldlbelalreasonlforlalstudentlnurseltoluselthelDSM?
A) Identifyinglthelmedicalldiagnosis
B) Treatlclients
C) Evaluateltreatments
D) Understandlthelreasonlforltheladmissionlandlthelnatureloflpsychiatriclillnesses.lA
ns:lD
Feedback:
AlthoughlstudentlnursesldolnotluselthelDSMltoldiagnoselclients,ltheylwilllfindlitlalhelpfu
llresourceltolunderstandlthelreasonlforltheladmissionlandltolbeginlbuildinglknowledgelab
outlthelnatureloflpsychiatriclillnesses.lIdentifyinglthelmedicalldiagnosis,ltreating,landlev
aluatingltreatmentslarelnotlalpartloflthelnursinglprocess.
7. Thellegislationlenactedlinl1963lwasllargelylresponsiblelforlwhichloflthelfollowinglshiftslinl
carelforlthelmentallylill?
A) Thelwidespreadluseloflcommunity-basedlservices
B) Theladvancementlinlpharmacotherapies
C) Increasedlaccessltolhospitalization
D) Improvedlrightslforlclientslinllong-
termlinstitutionallcarelAns:lA
Feedback:
ThelCommunitylMentallHealthlCenterslConstructionlActlofl1963laccomplishedlthelre
leaseloflindividualslfromllong-
termlstayslinlstatelinstitutions,ltheldecreaselinladmissionsltolhospitals,landltheldevelop
mentloflcommunity-basedlserviceslaslanlalternativeltolhospitallcare.
Pagel4
