Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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Chapter 1
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,1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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vclient. Which of the following would the nurse identify as having a positive impact on
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vthe individual's mental health?
v v v
A) Not needing others for companionship v v v v
B) The ability to effectively manage stress
v v v v v
C) A family history of mental illness
v v v v v
D) Striving for total self-reliance v v v
vAns: B v
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
v v v v v v v v
vindependence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
v v v v v v v v v v v
vemotional resilience or hardiness, sense of belonging, reality orientation, and coping or
v v v v v v v v v v v
vstress management abilities. Interpersonal factors such as intimacy and a balance of
v v v v v v v v v v v
vseparateness and connectedness are both needed for good mental health, and therefore a
v v v v v v v v v v v v
vhealthy person would need others for companionship. A family history of mental illness
v v v v v v v v v v v v
vcould relate to the biologic makeup of an individual, which may have a negative impact
v v v v v v v v v v v v v v
von an individual's mental health, as well as a negative impact on an individual's
v v v v v v v v v v v v v
vinterpersonal and socialñcultural factors of health. Total self-reliance is not possible,
v v v v v v v v v v
vand a positive social/cultural factor is access to adequate resources.
v v v v v v v v v
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.
v v v v v v v
C) Social/cultural factors that relate to mental illness include excessive dependency v v v v v v v v v
on or withdrawal from relationships.
v v v v v
D) Individuals suffering from mental illness are usually able to cope effectively with
v v v v v v v v v v v
daily life. v v
E) Individuals suffering from mental illness may experience dissatisfaction withv v v v v v v v
relationships and self.
v v v
Ans: A, D, E v v v
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
v v v v v v v v v v
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
v v v v v v v v v v v
dependency on or withdrawal from relationships are interpersonal factors that relate to
v v v v v v v v v v v v
mental illness. Individuals suffering from mental illness can feel overwhelmed with
v v v v v v v v v v v
daily life. Individuals suffering from mental illness may experience dissatisfaction with
v v v v v v v v v v v
relationships and self.
v v v
,3. Which of the following are true regarding mental health and mental illness?
v v v v v v v v v v v
A) Behavior that may be viewed as acceptable in one culture is always unacceptable v v v v v v v v v v v v
in other cultures.
v v v
B) It is easy to determine if a person is mentally healthy or mentally ill.
v v v v v v v v v v v v v
C) In most cases, mental health is a state of emotional, psychological, and social
v v v v v v v v v v v v
wellness evidenced by satisfying interpersonal relationships, effective behavior
v v v v v v v v
and coping, positive self-concept, and emotional stability.
v v v v v v v
D) Persons who engage in fantasies are mentally ill. v v v v v v v
Ans: C
v v
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
v v v v v v v v v v v v
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
v v v v v v v v v v v v v
to define precisely. In most cases, mental health is a state of emotional, psychological,
v v v v v v v v v v v v v v
and social wellness evidenced by satisfying interpersonal relationships, effective
v v v v v v v v v
behavior and coping, positive self-concept, and emotional stability. Persons who engage
v v v v v v v v v v v
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
v v v v v v v v v v v v v v
is an individual factor that may contribute to mental illness.
v v v v v v v v v v
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
v v v v v v v v v v v v v v v
because she is so sad. The nurse's best response would be,
v v v v v v v v v v v
A) ìYou may have a temporary mental illness because you are experiencing so much
v v v v v v v v v v v v
pain.î v
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
v v v v v v v v v v v v v v
experienced.î v
C) ìWere you generally dissatisfied with your relationship before your husband's
v v v v v v v v v
death?î v
D) ìTry not to worry about that right now. You never know what the future brings.î
v v v v v v v v v v v v v v
Ans: B
v v
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
v v v v v v v v
ineffective coping, and lack of personal growth. Additionally the behavior must not be
v v v v v v v v v v v v v
culturally expected. Acute grief reactions are expected and therefore not considered
v v v v v v v v v v v
mental illness. False reassurance or overanalysis does not accurately address the client's
v v v v v v v v v v v v
concerns.
v
, 5. The nurse consults the DSM for which of the following purposes?
v v v v v v v v v v
A) To devise a plan of care for a newly admitted client
v v v v v v v v v v
B) To predict the client's prognosis of treatment outcomes
v v v v v v v
C) To document the appropriate diagnostic code in the client's medical record
v v v v v v v v v v
D) To serve as a guide for client assessment
v v v v v v v
Ans: D
v v
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
v v v v v v v v
identifies underlying causes of mental disorders. It does not provide care plans or
v v v v v v v v v v v v v
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
v v v v v v v v v v v v
generalist RN's scope of practice, so documenting the code in the medical record would
v v v v v v v v v v v v v v
be inappropriate.
v v
6. Which would be a reason for a student nurse to use the DSM?
v v v v v v v v v v v v
A) Identifying the medical diagnosis v v v
B) Treat clients v
C) Evaluate treatments v
D) Understand the reason for the admission and the nature of psychiatric illnesses.
v v v v v v v v v v v
Ans: D
v v
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
v v v v v v v v v v v v v v v
helpful resource to understand the reason for the admission and to begin building
v v v v v v v v v v v v v
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
v v v v v v v v v v v
treating, and evaluating treatments are not a part of the nursing process.
v v v v v v v v v v v v
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
v v v v v v v v v v v v v
in care for the mentally ill?
v v v v v v
A) The widespread use of community-based services
v v v v v
B) The advancement in pharmacotherapies
v v v
C) Increased access to hospitalization v v v
D) Improved rights for clients in long-term institutional care v v v v v v v
Ans: A
v v
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
v v v v v v v v v v
release of individuals from long-term stays in state institutions, the decrease in
v v v v v v v v v v v v
admissions to hospitals, and the development of community-based services as an
v v v v v v v v v v v
alternative to hospital care.
v v v v
v v v v v v v v
Chapter 1
v
,1. The nurse is assessing the factors contributing to the well-being of a newly admitted
v v v v v v v v v v v v v
vclient. Which of the following would the nurse identify as having a positive impact on
v v v v v v v v v v v v v v
vthe individual's mental health?
v v v
A) Not needing others for companionship v v v v
B) The ability to effectively manage stress
v v v v v
C) A family history of mental illness
v v v v v
D) Striving for total self-reliance v v v
vAns: B v
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
v v v v v v v v
vindependence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
v v v v v v v v v v v
vemotional resilience or hardiness, sense of belonging, reality orientation, and coping or
v v v v v v v v v v v
vstress management abilities. Interpersonal factors such as intimacy and a balance of
v v v v v v v v v v v
vseparateness and connectedness are both needed for good mental health, and therefore a
v v v v v v v v v v v v
vhealthy person would need others for companionship. A family history of mental illness
v v v v v v v v v v v v
vcould relate to the biologic makeup of an individual, which may have a negative impact
v v v v v v v v v v v v v v
von an individual's mental health, as well as a negative impact on an individual's
v v v v v v v v v v v v v
vinterpersonal and socialñcultural factors of health. Total self-reliance is not possible,
v v v v v v v v v v
vand a positive social/cultural factor is access to adequate resources.
v v v v v v v v v
2. Which of the following statements about mental illness are true? Select all that apply.
v v v v v v v v v v v v v
A) Mental illness can cause significant distress, impaired functioning, or both.
v v v v v v v v v
B) Mental illness is only due to social/cultural factors.
v v v v v v v
C) Social/cultural factors that relate to mental illness include excessive dependency v v v v v v v v v
on or withdrawal from relationships.
v v v v v
D) Individuals suffering from mental illness are usually able to cope effectively with
v v v v v v v v v v v
daily life. v v
E) Individuals suffering from mental illness may experience dissatisfaction withv v v v v v v v
relationships and self.
v v v
Ans: A, D, E v v v
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
v v v v v v v v v v
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
v v v v v v v v v v v
dependency on or withdrawal from relationships are interpersonal factors that relate to
v v v v v v v v v v v v
mental illness. Individuals suffering from mental illness can feel overwhelmed with
v v v v v v v v v v v
daily life. Individuals suffering from mental illness may experience dissatisfaction with
v v v v v v v v v v v
relationships and self.
v v v
,3. Which of the following are true regarding mental health and mental illness?
v v v v v v v v v v v
A) Behavior that may be viewed as acceptable in one culture is always unacceptable v v v v v v v v v v v v
in other cultures.
v v v
B) It is easy to determine if a person is mentally healthy or mentally ill.
v v v v v v v v v v v v v
C) In most cases, mental health is a state of emotional, psychological, and social
v v v v v v v v v v v v
wellness evidenced by satisfying interpersonal relationships, effective behavior
v v v v v v v v
and coping, positive self-concept, and emotional stability.
v v v v v v v
D) Persons who engage in fantasies are mentally ill. v v v v v v v
Ans: C
v v
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
v v v v v v v v v v v v
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
v v v v v v v v v v v v v
to define precisely. In most cases, mental health is a state of emotional, psychological,
v v v v v v v v v v v v v v
and social wellness evidenced by satisfying interpersonal relationships, effective
v v v v v v v v v
behavior and coping, positive self-concept, and emotional stability. Persons who engage
v v v v v v v v v v v
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
v v v v v v v v v v v v v v
is an individual factor that may contribute to mental illness.
v v v v v v v v v v
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
v v v v v v v v v v v v v v v
because she is so sad. The nurse's best response would be,
v v v v v v v v v v v
A) ìYou may have a temporary mental illness because you are experiencing so much
v v v v v v v v v v v v
pain.î v
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
v v v v v v v v v v v v v v
experienced.î v
C) ìWere you generally dissatisfied with your relationship before your husband's
v v v v v v v v v
death?î v
D) ìTry not to worry about that right now. You never know what the future brings.î
v v v v v v v v v v v v v v
Ans: B
v v
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
v v v v v v v v
ineffective coping, and lack of personal growth. Additionally the behavior must not be
v v v v v v v v v v v v v
culturally expected. Acute grief reactions are expected and therefore not considered
v v v v v v v v v v v
mental illness. False reassurance or overanalysis does not accurately address the client's
v v v v v v v v v v v v
concerns.
v
, 5. The nurse consults the DSM for which of the following purposes?
v v v v v v v v v v
A) To devise a plan of care for a newly admitted client
v v v v v v v v v v
B) To predict the client's prognosis of treatment outcomes
v v v v v v v
C) To document the appropriate diagnostic code in the client's medical record
v v v v v v v v v v
D) To serve as a guide for client assessment
v v v v v v v
Ans: D
v v
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
v v v v v v v v
identifies underlying causes of mental disorders. It does not provide care plans or
v v v v v v v v v v v v v
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
v v v v v v v v v v v v
generalist RN's scope of practice, so documenting the code in the medical record would
v v v v v v v v v v v v v v
be inappropriate.
v v
6. Which would be a reason for a student nurse to use the DSM?
v v v v v v v v v v v v
A) Identifying the medical diagnosis v v v
B) Treat clients v
C) Evaluate treatments v
D) Understand the reason for the admission and the nature of psychiatric illnesses.
v v v v v v v v v v v
Ans: D
v v
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
v v v v v v v v v v v v v v v
helpful resource to understand the reason for the admission and to begin building
v v v v v v v v v v v v v
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
v v v v v v v v v v v
treating, and evaluating treatments are not a part of the nursing process.
v v v v v v v v v v v v
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
v v v v v v v v v v v v v
in care for the mentally ill?
v v v v v v
A) The widespread use of community-based services
v v v v v
B) The advancement in pharmacotherapies
v v v
C) Increased access to hospitalization v v v
D) Improved rights for clients in long-term institutional care v v v v v v v
Ans: A
v v
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
v v v v v v v v v v
release of individuals from long-term stays in state institutions, the decrease in
v v v v v v v v v v v v
admissions to hospitals, and the development of community-based services as an
v v v v v v v v v v v
alternative to hospital care.
v v v v
