Complete Test Bank For
PSYCHIATRIC-MENTAL HEALTH NURSING 7TH EDITION
BY VIDEBECK, SHEILA L., CATHY J. MILLER
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,Table Of Contents
Unit 1 Current Theories And Practice ............................................................................................................. 3
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing.................................................................. 3
Chapter 2: Neurobiological Theories And Psychopharmacology ..............................................................13
Chapter 3: Psychosocial Theories And Therapy ........................................................................................ 28
Chapter 4: Treatment Settings And Therapeutic Programs ..................................................................... 41
Unit 2 Building The Nurse-Client Relationship.............................................................................................. 53
Chapter 5: Therapeutic Relationships ...................................................................................................... 53
Chapter 6: Therapeutic Communication .................................................................................................. 66
Chapter 7: Client’s Response To Illness .................................................................................................... 78
Chapter 8: Assessment ............................................................................................................................ 90
Unit 3 Current Social And Emotional Concerns............................................................................................ 101
Chapter 9: Legal And Ethical Issues ........................................................................................................ 101
Chapter 10: Grief And Loss ..................................................................................................................... 113
Chapter 11: Anger, Hostility, And Aggression .........................................................................................125
Chapter 12: Abuse And Violence ............................................................................................................. 137
Unit 4 Nursing Practice For Psychiatric Disorders ....................................................................................... 148
Chapter 13: Trauma And Stressor-Related Disorders ............................................................................. 148
Chapter 14: Anxiety And Anxiety Disorders ............................................................................................ 155
Chapter 15: Obsessive–Compulsive And Related Disorders .................................................................... 167
Chapter 16: Schizophrenia ...................................................................................................................... 174
Chapter 17: Mood Disorders And Suicide ................................................................................................ 187
Chapter 18: Personality Disorders .......................................................................................................... 200
Chapter 19: Substance-Related Disorders............................................................................................... 211
Chapter 20: Eating Disorders ................................................................................................................. 224
Chapter 21: Somatic Symptom Illnesses .................................................................................................235
Chapter 22: Neurodevelopmental Disorders .......................................................................................... 247
Chapter 23: Disruptive Behavior Disorders............................................................................................. 258
Chapter 24: Cognitive Disorders ............................................................................................................ 267
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,Unit 1 Current Theories And Practice
Chapter 1: Foundations Of Psychiatric–Mental Health
Nursing
1. The Nurse Is Assessing The Factors Contributing To The Well-Being Of A Newly Admitted Client.
Which Of The Following Would The Nurse Identify As Having A Positive Impact On The Individual's Mental
Health?
A) Not Needing Others For Companionship
B) The Ability To Effectively Manage Stress
C) A Family History Of Mental Illness
D) Striving For Total Self-Reliance ANSWER: B
Feedback:
Individual Factors Influencing Mental Health Include Biologic Makeup, Autonomy, Independence, Self-
Esteem, Capacity For Growth, Vitality, Ability To Find Meaning In Life, Emotional Resilience Or Hardiness,
Sense Of Belonging, Reality Orientation, And Coping Or Stress Management Abilities. Interpersonal Factors
Such As Intimacy And A Balance Of Separateness And Connectedness Are Both Needed For Good Mental
Health, And Therefore A Healthy Person Would Need Others For Companionship. A Family History Of
Mental Illness Could Relate To The Biologic Makeup Of An Individual, Which May Have A Negative Impact
On An Individual's Mental Health, As Well As A Negative Impact On An Individual's Interpersonal And Social
Cultural Factors Of Health. Total Self-Reliance Is Not Possible, And A Positive Social/Cultural Factor Is
Access To Adequate Resources.
2. Which Of The Following Statements About Mental Illness Are True? Select All That Apply.
A) Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both.
B) Mental Illness Is Only Due To Social/Cultural Factors.
C) Social/Cultural Factors That Relate To Mental Illness Include Excessive Dependency On Or
Withdrawal From Relationships.
D) Individuals Suffering From Mental Illness Are Usually Able To Cope Effectively With Daily Life.
E) Individuals Suffering From Mental Illness May Experience Dissatisfaction With Relationships And
Self.
ANSWER: A, D, E
Feedback:
Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both. Mental Illness May Be Related
To Individual, Interpersonal, Or Social/Cultural Factors. Excessive Dependency On Or Withdrawal From
Relationships Are Interpersonal Factors That Relate To Mental Illness. Individuals Suffering From Mental
Illness Can Feel Overwhelmed With Daily Life. Individuals Suffering From Mental Illness May Experience
Dissatisfaction With Relationships And Self.
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, Page 1
3. Which Of The Following Are True Regarding Mental Health And Mental Illness?
A) Behavior That May Be Viewed As Acceptable In One Culture Is Always Unacceptable In Other
Cultures.
B) It Is Easy To Determine If A Person Is Mentally Healthy Or Mentally Ill.
C) In Most Cases, Mental Health Is A State Of Emotional, Psychological, And Social Wellness
Evidenced By Satisfying Interpersonal Relationships, Effective Behavior And Coping, Positive Self-Concept,
And Emotional Stability.
D) Persons Who Engage In Fantasies Are Mentally Ill. ANSWER: C
Feedback:
What One Society May View As Acceptable And Appropriate Behavior, Another Society May See That As
Maladaptive, And Inappropriate. Mental Health And Mental Illness Are Difficult To Define Precisely. In Most
Cases, Mental Health Is A State Of Emotional, Psychological, And Social Wellness Evidenced By Satisfying
Interpersonal Relationships, Effective Behavior And Coping, Positive Self-Concept, And Emotional Stability.
Persons Who Engage In Fantasies May Be Mentally Healthy, But The Inability To Distinguish Reality From
Fantasy Is An Individual Factor That May Contribute To Mental Illness.
4. A Client Grieving The Recent Loss Of Her Husband Asks If She Is Becoming Mentally Ill Because She
Is So Sad. The Nurse's Best Response Would Be,
A) Ìyou May Have A Temporary Mental Illness Because You Are Experiencing So Much Pain.Î
B) Ìyou Are Not Mentally Ill. This Is An Expected Reaction To The Loss You Have Experienced.Î
C) Ìwere You Generally Dissatisfied With Your Relationship Before Your Husband's Death?Î
D) Ìtry Not To Worry About That Right Now. You Never Know What The Future Brings.Î ANSWER: B
Feedback:
Mental Illness Includes General Dissatisfaction With Self, Ineffective Relationships, Ineffective Coping, And
Lack Of Personal Growth. Additionally The Behavior Must Not Be Culturally Expected. Acute Grief Reactions
Are Expected And Therefore Not Considered Mental Illness. False Reassurance Or Overanalysis Does Not
Accurately Address The Client's Concerns.
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PSYCHIATRIC-MENTAL HEALTH NURSING 7TH EDITION
BY VIDEBECK, SHEILA L., CATHY J. MILLER
1|P a g e
,Table Of Contents
Unit 1 Current Theories And Practice ............................................................................................................. 3
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing.................................................................. 3
Chapter 2: Neurobiological Theories And Psychopharmacology ..............................................................13
Chapter 3: Psychosocial Theories And Therapy ........................................................................................ 28
Chapter 4: Treatment Settings And Therapeutic Programs ..................................................................... 41
Unit 2 Building The Nurse-Client Relationship.............................................................................................. 53
Chapter 5: Therapeutic Relationships ...................................................................................................... 53
Chapter 6: Therapeutic Communication .................................................................................................. 66
Chapter 7: Client’s Response To Illness .................................................................................................... 78
Chapter 8: Assessment ............................................................................................................................ 90
Unit 3 Current Social And Emotional Concerns............................................................................................ 101
Chapter 9: Legal And Ethical Issues ........................................................................................................ 101
Chapter 10: Grief And Loss ..................................................................................................................... 113
Chapter 11: Anger, Hostility, And Aggression .........................................................................................125
Chapter 12: Abuse And Violence ............................................................................................................. 137
Unit 4 Nursing Practice For Psychiatric Disorders ....................................................................................... 148
Chapter 13: Trauma And Stressor-Related Disorders ............................................................................. 148
Chapter 14: Anxiety And Anxiety Disorders ............................................................................................ 155
Chapter 15: Obsessive–Compulsive And Related Disorders .................................................................... 167
Chapter 16: Schizophrenia ...................................................................................................................... 174
Chapter 17: Mood Disorders And Suicide ................................................................................................ 187
Chapter 18: Personality Disorders .......................................................................................................... 200
Chapter 19: Substance-Related Disorders............................................................................................... 211
Chapter 20: Eating Disorders ................................................................................................................. 224
Chapter 21: Somatic Symptom Illnesses .................................................................................................235
Chapter 22: Neurodevelopmental Disorders .......................................................................................... 247
Chapter 23: Disruptive Behavior Disorders............................................................................................. 258
Chapter 24: Cognitive Disorders ............................................................................................................ 267
2|P a g e
,Unit 1 Current Theories And Practice
Chapter 1: Foundations Of Psychiatric–Mental Health
Nursing
1. The Nurse Is Assessing The Factors Contributing To The Well-Being Of A Newly Admitted Client.
Which Of The Following Would The Nurse Identify As Having A Positive Impact On The Individual's Mental
Health?
A) Not Needing Others For Companionship
B) The Ability To Effectively Manage Stress
C) A Family History Of Mental Illness
D) Striving For Total Self-Reliance ANSWER: B
Feedback:
Individual Factors Influencing Mental Health Include Biologic Makeup, Autonomy, Independence, Self-
Esteem, Capacity For Growth, Vitality, Ability To Find Meaning In Life, Emotional Resilience Or Hardiness,
Sense Of Belonging, Reality Orientation, And Coping Or Stress Management Abilities. Interpersonal Factors
Such As Intimacy And A Balance Of Separateness And Connectedness Are Both Needed For Good Mental
Health, And Therefore A Healthy Person Would Need Others For Companionship. A Family History Of
Mental Illness Could Relate To The Biologic Makeup Of An Individual, Which May Have A Negative Impact
On An Individual's Mental Health, As Well As A Negative Impact On An Individual's Interpersonal And Social
Cultural Factors Of Health. Total Self-Reliance Is Not Possible, And A Positive Social/Cultural Factor Is
Access To Adequate Resources.
2. Which Of The Following Statements About Mental Illness Are True? Select All That Apply.
A) Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both.
B) Mental Illness Is Only Due To Social/Cultural Factors.
C) Social/Cultural Factors That Relate To Mental Illness Include Excessive Dependency On Or
Withdrawal From Relationships.
D) Individuals Suffering From Mental Illness Are Usually Able To Cope Effectively With Daily Life.
E) Individuals Suffering From Mental Illness May Experience Dissatisfaction With Relationships And
Self.
ANSWER: A, D, E
Feedback:
Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both. Mental Illness May Be Related
To Individual, Interpersonal, Or Social/Cultural Factors. Excessive Dependency On Or Withdrawal From
Relationships Are Interpersonal Factors That Relate To Mental Illness. Individuals Suffering From Mental
Illness Can Feel Overwhelmed With Daily Life. Individuals Suffering From Mental Illness May Experience
Dissatisfaction With Relationships And Self.
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, Page 1
3. Which Of The Following Are True Regarding Mental Health And Mental Illness?
A) Behavior That May Be Viewed As Acceptable In One Culture Is Always Unacceptable In Other
Cultures.
B) It Is Easy To Determine If A Person Is Mentally Healthy Or Mentally Ill.
C) In Most Cases, Mental Health Is A State Of Emotional, Psychological, And Social Wellness
Evidenced By Satisfying Interpersonal Relationships, Effective Behavior And Coping, Positive Self-Concept,
And Emotional Stability.
D) Persons Who Engage In Fantasies Are Mentally Ill. ANSWER: C
Feedback:
What One Society May View As Acceptable And Appropriate Behavior, Another Society May See That As
Maladaptive, And Inappropriate. Mental Health And Mental Illness Are Difficult To Define Precisely. In Most
Cases, Mental Health Is A State Of Emotional, Psychological, And Social Wellness Evidenced By Satisfying
Interpersonal Relationships, Effective Behavior And Coping, Positive Self-Concept, And Emotional Stability.
Persons Who Engage In Fantasies May Be Mentally Healthy, But The Inability To Distinguish Reality From
Fantasy Is An Individual Factor That May Contribute To Mental Illness.
4. A Client Grieving The Recent Loss Of Her Husband Asks If She Is Becoming Mentally Ill Because She
Is So Sad. The Nurse's Best Response Would Be,
A) Ìyou May Have A Temporary Mental Illness Because You Are Experiencing So Much Pain.Î
B) Ìyou Are Not Mentally Ill. This Is An Expected Reaction To The Loss You Have Experienced.Î
C) Ìwere You Generally Dissatisfied With Your Relationship Before Your Husband's Death?Î
D) Ìtry Not To Worry About That Right Now. You Never Know What The Future Brings.Î ANSWER: B
Feedback:
Mental Illness Includes General Dissatisfaction With Self, Ineffective Relationships, Ineffective Coping, And
Lack Of Personal Growth. Additionally The Behavior Must Not Be Culturally Expected. Acute Grief Reactions
Are Expected And Therefore Not Considered Mental Illness. False Reassurance Or Overanalysis Does Not
Accurately Address The Client's Concerns.
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