Test Bank For Psychiatric Mental Health Nursing, 10th Edition by Sheila L. Videbeck| All Chapters 1-24| 9781975239152| UPDATED

PSYCHIATRIC MENTAL HEALTH NURSING
Test Bank For Psychiatric Mental Health Nursing, 10th Edition by Sheila L.

Videbeck| All Chapters 1-24| 9781975239152| UPDATED

Studypark

,Psychiatric-Mental Health Nursing 10th edition by Videbeck Test Bank
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Chapter 1 m


1. The nurse is assessing the factors contributing to the well-being of a newly
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madmitted client. Which of the following would the nurse identify as having a
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mpositive impact on the individual's mental health?
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A) Not needing others for companionship
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B) The ability to effectively manage stress
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C) A family history of mental illness
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D) Striving for total self-reliance m m m


mAns: B m


Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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mindependence, self-esteem, capacity for growth, vitality, ability to find meaning in
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mlife, emotional resilience or hardiness, sense of belonging, reality orientation, and
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mcoping or stress management abilities. Interpersonal factors such as intimacy and a
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mbalance of separateness and connectedness are both needed for good mental health,
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mand therefore a healthy person would need others for companionship. A family
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mhistory of mental illness could relate to the biologic makeup of an individual, which
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mmay have a negative impact on an individual's mental health, as well as a negative
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mimpact on an individual's interpersonal and socialñcultural factors of health. Total
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mself-reliance is not possible, and a positive social/cultural factor is access to
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madequate resources. m




2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both.
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B) Mental illness is only due to social/cultural factors.
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C) Social/cultural factors that relate to mental illness include excessive m m m m m m m m


dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively
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with daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction
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with relationships and self.
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Ans: A, D, Em m m


Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors.
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Excessive dependency on or withdrawal from relationships are interpersonal factors
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that relate to mental illness. Individuals suffering from mental illness can feel
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overwhelmed with daily life. Individuals suffering from mental illness may
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experience dissatisfaction with relationships and self.
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,3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always
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unacceptable in other cultures.
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B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and
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social wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally m m m m m m


ill. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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may see that as maladaptive, and inappropriate. Mental health and mental illness are
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difficult to define precisely. In most cases, mental health is a state of emotional,
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psychological, and social wellness evidenced by satisfying interpersonal relationships,
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effective behavior and coping, positive self-concept, and emotional stability. Persons
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who engage in fantasies may be mentally healthy, but the inability to distinguish
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reality from fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally
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ill because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so
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much pain.î
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B) ìYou are not mentally ill. This is an expected reaction to the loss you
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have experienced.î
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C) ìWere you generally dissatisfied with your relationship before your
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husband's death?î
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D) ìTry not to worry about that right now. You never know what the future
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brings.î Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must not
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be culturally expected. Acute grief reactions are expected and therefore not
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considered mental illness. False reassurance or overanalysis does not accurately
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address the client's concerns.
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, 5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client
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assessment Ans: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the
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generalist RN's scope of practice, so documenting the code in the medical record
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would be inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis m m m


B) Treat clients m


C) Evaluate treatments m


D) Understand the reason for the admission and the nature of psychiatric
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illnesses. Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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helpful resource to understand the reason for the admission and to begin building
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knowledge about the nature of psychiatric illnesses. Identifying the medical
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diagnosis, treating, and evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following
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shifts in care for the mentally ill?
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A) The widespread use of community-based services
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B) The advancement in pharmacotherapies
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C) Increased access to hospitalization m m m


D) Improved rights for clients in long-term institutional
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care Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
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release of individuals from long-term stays in state institutions, the decrease in
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admissions to hospitals, and the development of community-based services as an
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alternative to hospital care.
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