CHAPTER'S 1-24 COMPLETE
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, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9THEDITION BY SHEILA L. VIDEBECK VERIFIED
CHAPTER'S 1-24 COMPLETE
TEST BANK For Psychiatric Mental Health
Nursing, 9thEdition by Sheila L. Videbeck |
Verified Chapter's 1-24 Complete
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.
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, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9THEDITION BY SHEILA L. VIDEBECK VERIFIED
CHAPTER'S 1-24 COMPLETE
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.
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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, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9THEDITION BY SHEILA L. VIDEBECK VERIFIED
CHAPTER'S 1-24 COMPLETE
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 mental illness to be more independent financially and to not
rely on family for money. This does not prevent the client in acute crisis from a relapse from
being admitted to the inpatient setting if they are at risk of harm to self or others. Social
security is limited and the client may still have some degree of financial difficulty. The client
may be limited to state owned facilities and not be able to seek treatment at a private facility.
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