Test Bank
Psychiatric-Mental Health Nursing, 9th Edition
By Sheila L. Videbeck
(All Chapters, Latest Edition, Verified Answers with Rationales)
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Chapter 1, Foundations of Psychiatric–Mental Health Nursing
1. The nurse is assessing a newly admitted client with cholecystitis. When performing the
admission assessment, which statement by the client is an indicator of optimal mental health?
A. “I don’t need anyone in my life, I manage well on my own.”
B. “I practice yoga regularly since it helps manage any stress I am feeling.”
C. “My family has several people with mental health problems.”
D. “I had a history of alcohol use disorder and have been sober for 2 months.”
Answer: B
Rationale Individual factors influencing mental health include 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. A recent history of the use of maladaptive coping mechanisms such as
alcohol does not indicate that the client is mentally healthy.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness,
2. The nurse is performing an admission assessment for a client admitted to the behavioral
health unit. Which social/cultural category will the nurse document that may be contributing to
the client’s degree of mental illness? Select all that apply.
A. The client is unable to find work and does not have enough money for housing.
B. The client states that they are discriminated against due to their country of origin.
C. The client attributes life’s problems to being without family support.
D. The client reports being unable to find anything meaningful within their life.
E. The client reports not belonging anywhere and is without family support.
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Answer:: A, B
Rationale Social or cultural categories relate to a lack of resources, poverty, negative view of the
world, and discrimination and may result in isolation and violent or criminal behavior. The client
that attributes life’s problems to being without family support is not able to find meaning in life.
Being without support is
interpersonal determinant of mental illness.
Question format: Multiple Select
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Analyze
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Learning Objective: 1 Reference: p. 2, Mental Illness
3. A client grieving the recent loss of a spouse, asks, “Am I becoming mentally ill? I feel so
sad” Which is the nurse’s best response?
A. “You may have a temporary mental illness because you are experiencing so much pain.”
B. “You are not mentally ill. This is an expected reaction to the loss you have experienced.”
C. “Were you generally dissatisfied with your relationship before your husband’s death?”
D. “Try not to worry about that right now. You never know what the future brings.”
Answer:: B
Rationale Acute grief reactions are expected and therefore not considered mental illness.
Downplaying the client’s grief does not appropriately address the client’s concerns. The quality
of the relationship does not determine the presence of absence of mental illness.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply Client
Needs: Psychosocial Integrity
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Integrated Process: Communication and Documentation Learning Objective: 1 Reference: p. 2,
Mental Health and Mental Illness
4. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with bipolar I
disorder. Which information will the nurse obtain to assist with the use of this resource?
A. Devise a plan of care for a newly admitted client
B. Predict the client’s prognosis of treatment outcomes
C. Document the appropriate diagnostic code in the client’s medical record
D. Use as a guide for client assessment
Answer:: D
Rationale The DSM-5-TR provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or prognostic
outcomes of treatment. The DSM-5-TR does not provide coding for record-keeping or billing
purposes.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Communication and Documentation Learning Objective: 2 Reference: p. 2, Mental Illness
5. A client with the inability to work due to relapsing schizophrenia is receiving Social
Security Benefits. Which benefit will this provide to the client experiencing serious mental
illness?
A. The client will be able to maintain some level of independence financially.
B. The client will have the option to only obtain inpatient treatment.
C. The client will be able to pay all of their bills as well as purchase medication.
D. The client will have the ability to obtain psychiatric service regardless of setting.
Answer:: A
Rationale Federal legislation was passed to provide an income for disabled persons:
supplemental security income (SSI) and Social Security disability income (SSDI). This allowed
people with severe and persistent
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