Psychiatric Mental Health Nursing 7th Edition Videbeck Test Bank Latest Questions and Answers 2025–2026 Mental Health Nursing Exam Prep Guide

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PsychiatricMentalHealthNursing7thEditionTestBank
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Chapter!*1
1. The!*nurse!*is!*assessing!*the!*factors!*contributing!*to!*the!*well-
being!*of!*a!*newly!*admitted!* client.!*Which!*of!*the!*following!*would!*the!*nurse!*identif
y!*as!*having!*a!*positive!*impact!*on!*the!*individual's!* mental!* health?
A) Not!* needingothers!*for!*companionship
B) The!*ability!*to!*effectivelymanage!* stress
C) Afamily!*history!*of!*mental!*illness
D) Striving!*fortotal!*self-
reliance!*Ans:!*B
Feedback:
Individual!* factors!*influencing!*mental!*health include biologic makeup, autonomy, F F F F F



independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
F F F F F F F F F F F F



emotionalresilience or hardiness, sense of belonging, reality orientation, and coping or
F F F F F F F F F F F



stress management abilities. Interpersonal factors such as intimacy and a balance of
F F F F F F F F F F F F



separatenessandconnectednessarebothneeded forgoodmental health, and thereforea
F F F F F F F F F



healthy person would need others for companionship. A family history of mental illness
F F F F F F F F F F F F F



couldrelateto the biologic makeup of anindividual, whichmay havea negative impacton an
F F F F F F F F F F F F F F F



individual's mentalhealth, as well asa negativeimpact onan individual's interpersonal and
F F F F F F F F F F F F F F



socialñcultural factors of health. Total self-reliance is not possible, and a positive
F F F F F F F F F F F F



social/cultural factor is access to adequate resources.
F F F F F F




2. Which ofthe following statements aboutmentalillnessaretrue? Select allthatapply.
F F F F F F F F F F F F




A) Mental illness cancausesignificant distress, impaired functioning, or both.
F F F F F F F



B) Mentalillnessis only due to social/cultural factors. F F F F F F



C) Social/cultural factors that relate to mental illness include excessive dependency
F F F F F F F F F F



on or withdrawal from relationships.
F F F F




D) Individualssufferingfrommentalillnessareusuallyable to cope effectively with F F F F F F F F F F F



daily life. F



E) Individualssuffering from mental illness may experiencedissatisfaction with F F F F F F




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relationships and self. F F



Ans: A, D, E F F F



Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
F F F F F F F F F F F



illness may be related to individual, interpersonal, or social/cultural factors. Excessive
F F F F F F F F F F F



dependency on or withdrawal from relationships are interpersonal factors that relate to
F F F F F F F F F F F F



mental illness. Individuals suffering from mental illness can feel overwhelmed with
F F F F F F F F F F F



dailylife. Individuals suffering frommentalillness may experience dissatisfaction with
F F F F F F F F F F F



relationships and self. F F




F) Behavior that may be viewed as acceptable in one culture is always F F F F F F F F F F F F



unacceptable in other cultures. F F F




G) It is easy to determine if a personis mentally healthy or mentally ill.
F F F F F F F F F F F F F



H) In most cases, mental health is a state of emotional, psychological, and social
F F F F F F F F F F F F F



wellness evidenced by satisfying interpersonal relationships, effective behavior
F F F F F F F F



and coping, positive self-concept, and emotional stability.
F F F F F F



I) Personswho engagein fantasiesare mentally F F F F F F



ill. Ans: C
F F



Feedback:
What one society may view asacceptableand appropriate behavior,another society may see
F F F F F F F F F F F F F F



that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
F F F F F F F F F F F F F



define precisely. In most cases, mental health is a state of emotional, psychological, and
F F F F F F F F F F F F F F



social wellness evidenced by satisfying interpersonal relationships, effective behavior
F F F F F F F F F



and coping, positive self-concept, and emotional stability. Persons who engage in
F F F F F F F F F F F



fantasiesmay bementallyhealthy, butthe inabilityto distinguishreality from fantasyis an
F F F F F F F F F F F



individual factor that may contribute to mental illness.
F F F F F F F




3. Aclient grieving the recent loss of her husband asks if she is becoming mentally ill
F F F F F F F F F F F F F F F



because she is so sad. The nurse's best response would be,
F F F F F F F F F F



A) ìYou may have a temporary mental illness because you are experiencing so much
F F F F F F F F F F F F F



pain.î
B) ìYouarenot mentallyill. This is an expected reaction to the loss you have F F F F F F F F F F F F F F



experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
F F F F F F F F F F



death?î
D) ìTrynot to worry aboutthatright now.You never knowwhat the future brings.î
F F F F F F F F F F F F F



Ans: B F




Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
F F F F F F F F F



ineffective coping, and lack of personal growth. Additionally the behavior must not be
F F F F F F F F F F F F F



culturally expected. Acute grief reactions are expected and therefore not considered
F F F F F F F F F F F



mentalillness.False reassuranceor overanalysis does not accuratelyaddress the client's
F F F F F F F F F F F



concerns.
4. Thenurseconsults theDSM forwhich of the following purposes?
F F F F F F F F



A) Todevise a plan of care for a newly admitted client F F F F F F F F F



B) Topredict the client's prognosis of treatment outcomes F F F F F F



C) Todocument the appropriate diagnostic code in the client's medical record F F F F F F F F F



D) Toserve as a guide for client assessment
F F F F F F F F



Ans: D F




Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
F F F F F F F F F



identifies underlying causes of mental disorders. It does not provide care plans or
F F F F F F F F F F F F F



prognostic outcomes of treatment. Diagnosis of mental illness is not within the
F F F F F F F F F F F F



generalistRN's scope of practice, so documentingthe codein the medicalrecord wouldbe
F F F F F F F F F F F F F F



inappropriate.
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5. Which would bea reason for a student nurse to use the DSM?
F F F F F F F F F F F F




A) Identifying the medical diagnosis F F F



B) Treatclients
C) Evaluate treatments F



D) Understandthe reasonforthe admissionand the natureof psychiatric F F F F F F F F



illnesses. Ans: D F F




Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
F F F F F F F F F F F F F F F F



helpful resource to understand the reason for the admission and to begin building
F F F F F F F F F F F F F



knowledgeabout the natureof psychiatric illnesses. Identifying the medicaldiagnosis, F F F F F F F F



treating, and evaluating treatments are not a part of the nursing process.
F F F F F F F F F F F




6. The legislationenacted in 1963 waslargelyresponsibleforwhich of the following
F F F F F F F F F



shifts in care for the mentally ill?
F F F F F F



A) Thewidespreaduseof community-based services F F



B) Theadvancement in pharmacotherapies
F F F



C) Increasedaccess to hospitali ation F F F



D) Improved rights for clients in long-term institutional care F F F F F F F F



Ans: A F




Feedback:
TheCommunityMentalHealthCenters Construction Actof 1963 accomplished the release
F F F F F F F F F F



of individuals from long-term stays in state institutions, the decrease in admissions to
F F F F F F F F F F F F F



hospitals, and the development of community-based services as an alternative to hospital
F F F F F F F F F F F F



care.
7. Whichone of the following is a result of federal legislation?
F F F FF FF F F F F



A) Making it easier to commit people formental health treatment against their will.
F FF F FF F F F F F F FF



B) Making it more difficult to commitpeople formental health treatmentF FF F F FF F F F FF



against their will. F FF




C) State mental institutions being the primary source of care formentally ill persons.
F F F F F F F F F F F



D) Improved care for mentally ill F F F FF FF



persons. Ans: B F FF




Feedback:
Commitment laws changed in the early 1970s, making it more difficult to
F FF FF FF FF FF FF FF FF F FF FF



commit people for mental health treatment against their will. Deinstitutionali
F FF FF FF FF FF FF FF FF F



ation accomplished the release of individuals from long-term stays in state
FF FF FF FF FF FF FF FF FF FF FF



institutions. Deinstitutionali ation also hadnegative effects in that some mentally ill
F F F F F F F FF F F F



persons are subjected to the revolving door effect, which may limit
F FF F F F F FF F F FF F



careformentally ill persons. F FF




8. The goal of the 1963 Community Mental Health Centers Act was to
F F F F F F F F F F FF




A) ensurepatients' rights for the mentally ill. F FF F FF F



B) deinstitutionali e state hospitals. F F F



C) provide funds to build hospitals with psychiatric units. F F FF FF F FF FF



D) treat peoplewithmental illness in a humane
F F F FF F FF



fashion. Ans: B F FF



Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
FF F F FF FF FF FF FF FF FF FF



treating those with mental illness in a less restrictive environment. This legislation
FF FF FF FF FF FF FF FF FF FF FF FF



resulted in the shift of clients with mental illness from large state institutions to
FF F F F F F FF F F F F FF FF FF



carebased in the community. Answer choices A, C, and D were not purposes of the
F FF FF FF FF FF FF FF FF FF FF FF FF FF FF



1963 Community Mental Health CentersAct.
FF F FF FF




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F F FF F FF FF




A) improvetreatment of mental disorders. F F F



B) providefood and shelter for the mentally ill. F F F FF FF F



C) punishpeoplewithmental illness who were believed to be possessed. F F FF F FF FF F



D) remove dangerouspeople with mentalillness from the F F FF F F FF



community. Ans: B F FF




Feedback:
The asylum was meant to be a safehaven with food, shelter, and humane treatment for the
FF FF FF FF FF FF FF FF FF FF FF FF FF FF F F F



mentally ill. Asylums were not used to improve treatment of mental disorders or topunish
FF F F FF FF FF FF F F FF FF FF FF FF FF FF



mentally ill people who were believed to be possessed. The asylum was not created
FF FF FF FF FF FF FF FF FF FF FF FF FF F F



to remove the dangerously mentally ill from the community.
F F FF F F F F F



10. The majorproblems with large state institutions are: Select all that apply.
F F FF F F F F F FF F F



A) attendantswere accused ofabusing the residents. F F F F F



B) stigmaassociated with residence in an insane asylum. F F F FF FF FF



C) clientswere geographically isolated from family and community. F F F F F F



D) increasingfinancial costs to individual F FF FF FF



residents. Ans: A, C F FF FF



Feedback:
Clients were often far removed from the local community, family, and friends
FF FF FF FF FF FF FF FF FF F F FF F F



because state institutions were usually in rural or remote settings. Choices B and D
FF FF FF FF FF FF FF FF FF FF FF FF FF F



were not major problems associated with large state instructions.
F FF F F FF FF F F F




11. A significant change in the treatment of peoplewith mental illness occurred in the
F F F F F F F F F F FF FF F



1950s when F




A) communitysupport services were established. F F F F



B) legislationdramaticallychanged civil commitment procedures. F F F F



C) the Patient's Bill of Rights was enacted. F F F F F F F



D) psychotropic drugs became availablefor F FF F FF



use. Ans: D F FF




Feedback:
The development of psychotropic drugs, or drugs used to treat mental illness, beganIi n
F F F F F F F F FF F F F F F FF FF



the 1950s. Answer choices A, B, and C did not occur in the 1950s.
FF F F FF FF FF FF FF F FF F FF FF




12. Beforethe period of the enlightenment, treatment of the mentally ill included
F FF F F FF F F F F F




A) creating large institutions to provide custodial care. F F F F F F F



B) focusing on religious education to improve their souls. F F F F FF F FF



C) placing the mentally ill ondisplay for the public's amusement. F F F F F F F F F



D) providing a safe refuge or haven offering F F F F F F FF



protection. Ans: C F FF




Feedback:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
FF FF FF FF FF FF FF FF FF FF FF FF FF FF FF



ridiculing the mentally ill, who were seen as animals, less than human. Custodial
FF F F FF F F F FF FF FF FF FF FF



care was not often provided as persons who were considered harmless were
F FF FF FF FF FF FF FF FF FF FF FF



allowed to wander in the countryside or live in rural communities, and more
FF FF FF FF FF FF FF FF FF FF FF FF FF



dangerous lunatics were imprisoned, chained, and starved. In early Christian times,
FF F FF F FF FF FF FF F FF F



primitive beliefs and superstitions were strong. The mentally ill were viewed as evil
F FF FF FF FF FF FF FF FF FF FF FF FF



or possessed. Priests performedexorcisms to rid evil spirits, and in the colonies, witch
FF FF FF FF FF F F F FF FF F F F



hunts were conducted with offenders burned at the stake. It was not until the period
F F FF FF FF FF FF FF FF FF FF FF FF FF FF



of enlightenment when persons who were mentally ill were offered asylum as a safe
FF FF F FF FF FF F FF FF FF FF FF F FF



refuge or haven offering protection at institutions.
F F F FF FF FF



13. The first training of nursesIto IworkIwithIpersons with mental
FF F F FF F FF F FF



illness was in 1882 Iin which state?
FF FF F FF FF FF



A) California
B) Illinois
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