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