Psychiatric-Mental Health Nursing 8th editionby Videbeck Test Bank F F F F F F F F
Chapter 1 F
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client.
F F F F F F F F F F F F F F
Which of the following would the nurse identify as having a positiveimpact on the
F F F F F F F F F F F F F F F
individual's mental health?
F F F
A) Notneeding others for companionship F F F F
B) The ability to effectively manage stress F F F F F
C) A family history of mental illness F F F F F
D) Strivingfortotalself-reliance F F F
Ans: B
F F
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, F F F 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
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress
F F F F F F F F F F F F F
management abilities. Interpersonal factors such as intimacy and a balance of separateness
F F F F F F F F F F F F
and connectedness are both needed for good mental health, and therefore a healthyperson
F F F F F F F F F F F F F F
would need others for companionship. Afamilyhistory of mental illness could relate to the
F F F F F F F F F F F F F F F
biologic makeup of an individual, which may have anegative impact on an individual's
F F F F F F F F F F F F F F
mental health, as well as a negative impact on an individual's interpersonal and
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 F
2. Which of the following statements about mental illness are true? Select all that apply.
F F F F F F F F F F F F F
A) Mental illness can cause significant distress, impaired functioning, or both. F F F F F F F F F
B) Mental illness is only due to social/cultural factors. F F F F F F F
C) Social/cultural factorsthat relateto mental illnessincludeexcessivedependency on or F F F F F F F F F F F
withdrawal from relationships.
F F F
D) Individuals sufferingfrom mental illnessareusuallyabletocopeeffectivelywith daily F F F F F F F F F F F F
life. F
E) Individualssufferingfrom mentalillnessmayexperiencedissatisfactionwith F F F F F F F F
relationships and self. F F F
Ans: A, D, E F F F
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
F F F F F F F F F F F
may be related to individual, interpersonal, or social/cultural factors. Excessive dependency
F F F F F F F F F F F
on or withdrawal from relationships are interpersonal factors that relate to mental illness.
F F F F F F F F F F F F F
Individuals suffering from mental illness can feel overwhelmed with dailylife. Individuals
F F F F F F F F F F F F
sufferingfrommental illnessmayexperiencedissatisfaction with relationships and self.
F F F F F F F F F F F
Page 1 F
,3. Which of the following are true regarding mental health and mental illness?
F F F F F F F F F F F
A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in F F F F F F F F F F F F F
other cultures. F F
B) It is easy to determine if a person is mentally healthy or mentally ill.
F F F F F F F F F F F F F
C) 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
wellnessevidencedbysatisfyinginterpersonal relationships,effectivebehavior and
F F F F F F F F F
coping, positive self-concept, and emotional stability.
F F F F F F
D) Personswho engagein fantasiesarementallyill. F F F F F F F
Ans: C
F F
Feedback:
What one societymayviewas acceptable and appropriate behavior, another societymay see
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 define
F F F F F F F F F F F F F F
precisely. 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 F
wellness evidenced by satisfying interpersonal relationships, effective behavior and coping,
F F F F F F F F F F
positive self-concept, and emotional stability. Persons who engage in fantasies may be
F F F F F F F F F F F F
mentally healthy, but the inability to distinguish reality from fantasy is an individual factor that
F F F F F F F F F F F F F F F
may contribute to mental illness.
F F F F F
4. Aclient grieving the recent lossof her husband asks if she is becoming mentallyill
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 F
A) ìYoumayhave atemporarymental illness because you are experiencing so much pain.î
F F F F F F F F F F F F F
B) ìYou are not mentally ill. Thisis an expected reaction to the loss you have
F F F F F F F F F F F F F F
experienced.î F
C) ìWere you generallydissatisfiedwith yourrelationshipbefore yourhusband's F F F F F F F F F
death?î F
D) ìTrynot to worry about that right now. You never know what the future brings.î Ans:
F F F F F F F F F F F F F F F
FB
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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 mental
F F F F F F F F F F F F
illness. False reassurance oroveranalysisdoesnot accuratelyaddress theclient's concerns.
F F F F F F F F F F F F
Page 2 F
,5. The nurse consults the DSM for which of the following purposes?
F F F F F F F F F F
A) To devise a plan of care for a newly admitted client
F F F F F F F F F F
B) Topredict the client's prognosis of treatment outcomes
F F F F F F F
C) To document the appropriate diagnostic code in the client's medical record
F F F F F F F F F F
D) Toserveasaguideforclientassessment F F F F F F F
Ans: D
F F
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
F F F F F F F F F
underlying causes of mental disorders. It does not provide care plans or prognostic outcomes
F F F F F F F F F F F F F F
of treatment. Diagnosis of mental illness is not within the generalist RN's scope of practice, so
F F F F F F F F F F F F F F F F
documenting the code in the medical record would be inappropriate.
F F F F F F F F F F
6. Which would be a 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) Treat clients F
C) Evaluate treatments F
D) Understand thereason fortheadmission and thenatureofpsychiatric illnesses. Ans: F F F F F F F F F F F F
FD
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
F F F F F F F F F F F F F F F F
resource to understand the reason for the admission and to begin building knowledge about
F F F F F F F F F F F F F F
the nature ofpsychiatric illnesses. Identifying themedical diagnosis, treating, and evaluating
F F F F F F F F F F F F
treatments are not a part of the nursing process.
F F F F F F F F F
7. The legislation enacted in 1963 was largelyresponsible for which of the following shifts in care
F F F F F F F F F F F F F F F
for the mentally ill?
F F F F
A) The widespread use of community-based services
F F F F F
B) The advancement in pharmacotherapies F F F
C) Increased access to hospitalization F F F
D) Improved rights forclients inlong-terminstitutionalcare F F F F F F F
Ans: A
F F
Feedback:
TheCommunityMental Health Centers Construction Act of1963 accomplished the release of
F F F F F F F F F F F F
individuals from long-term stays in state institutions, the decrease in admissions to hospitals,
F F F F F F F F F F F F F
and the development of community-based services as an alternative to hospital care.
F F F F F F F F F F F F
Page 3 F
, 8. Which one of the following is a result of federal legislation?
F F F F F F F F F F
A) Making it easier to commit people for mental health treatment against their will. F F F F F F F F F F F F
B) Makingit moredifficult to commitpeoplefor mental health treatment against their F F F F F F F F F F F F
will. F
C) State mental institutions being the primary source of care for mentally ill persons.
F F F F F F F F F F F F
D) Improvedcareformentallyillpersons. F F F F F
Ans: B
F F
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit people F F F F F F F F F F F F F
for mental health treatment against their will. Deinstitutionalization accomplished the
F F F F F F F F F F
release of individuals from long-term stays in state institutions. Deinstitutionalization
F F F F F F F F F F
also had negative effects in that some mentally ill persons are subjected to the revolving
F F F F F F F F F F F F F F F
door effect, which may limit care for mentally ill persons.
F F F F F F F F F F
9. The goal of the 1963 Community Mental Health Centers Act was to
F F F F F F F F F F F
A) ensure patients' rights for the mentally ill. F F F F F F
B) deinstitutionalize state hospitals. F F
C) provide funds to build hospitals with psychiatric units. F F F F F F F
D) treatpeople withmentalillnessin ahumanefashion. F F F F F F F F
Ans: B
F F
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward treating
F F F F F F F F F F F
those with mental illness in a less restrictive environment. This legislation resulted in the shift
F F F F F F F F F F F F F F F
of clients with mental illness from large state institutions to care based in the community.
F F F F F F F F F F F F F F F
Answer choices A, C, and Dwere not purposes of the 1963 Community Mental Health Centers
F F F F F F F F F F F F F F F F
Act.
F
10. The creation of asylums during the 1800s was meant to
F F F F F F F F F
A) improve treatment of mental disorders. F F F F
B) provide food and shelter for the mentally ill. F F F F F F F
C) punish people with mental illness who were believed to be possessed. F F F F F F F F F F
D) removedangerouspeople withmentalillnessfrom thecommunity. F F F F F F F F
Ans: B
F F
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for the
F F F F F F F F F F F F F F F F
mentally ill. Asylums were not used to improve treatment of mental disorders or to punish
F F F F F F F F F F F F F F F
mentally ill people who were believed to be possessed. The asylum was not created to remove
F F F F F F F F F F F F F F F F
the dangerously mentally ill from the community.
F F F F F F F
Page 4 F
Chapter 1 F
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client.
F F F F F F F F F F F F F F
Which of the following would the nurse identify as having a positiveimpact on the
F F F F F F F F F F F F F F F
individual's mental health?
F F F
A) Notneeding others for companionship F F F F
B) The ability to effectively manage stress F F F F F
C) A family history of mental illness F F F F F
D) Strivingfortotalself-reliance F F F
Ans: B
F F
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, F F F 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
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress
F F F F F F F F F F F F F
management abilities. Interpersonal factors such as intimacy and a balance of separateness
F F F F F F F F F F F F
and connectedness are both needed for good mental health, and therefore a healthyperson
F F F F F F F F F F F F F F
would need others for companionship. Afamilyhistory of mental illness could relate to the
F F F F F F F F F F F F F F F
biologic makeup of an individual, which may have anegative impact on an individual's
F F F F F F F F F F F F F F
mental health, as well as a negative impact on an individual's interpersonal and
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 F
2. Which of the following statements about mental illness are true? Select all that apply.
F F F F F F F F F F F F F
A) Mental illness can cause significant distress, impaired functioning, or both. F F F F F F F F F
B) Mental illness is only due to social/cultural factors. F F F F F F F
C) Social/cultural factorsthat relateto mental illnessincludeexcessivedependency on or F F F F F F F F F F F
withdrawal from relationships.
F F F
D) Individuals sufferingfrom mental illnessareusuallyabletocopeeffectivelywith daily F F F F F F F F F F F F
life. F
E) Individualssufferingfrom mentalillnessmayexperiencedissatisfactionwith F F F F F F F F
relationships and self. F F F
Ans: A, D, E F F F
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
F F F F F F F F F F F
may be related to individual, interpersonal, or social/cultural factors. Excessive dependency
F F F F F F F F F F F
on or withdrawal from relationships are interpersonal factors that relate to mental illness.
F F F F F F F F F F F F F
Individuals suffering from mental illness can feel overwhelmed with dailylife. Individuals
F F F F F F F F F F F F
sufferingfrommental illnessmayexperiencedissatisfaction with relationships and self.
F F F F F F F F F F F
Page 1 F
,3. Which of the following are true regarding mental health and mental illness?
F F F F F F F F F F F
A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in F F F F F F F F F F F F F
other cultures. F F
B) It is easy to determine if a person is mentally healthy or mentally ill.
F F F F F F F F F F F F F
C) 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
wellnessevidencedbysatisfyinginterpersonal relationships,effectivebehavior and
F F F F F F F F F
coping, positive self-concept, and emotional stability.
F F F F F F
D) Personswho engagein fantasiesarementallyill. F F F F F F F
Ans: C
F F
Feedback:
What one societymayviewas acceptable and appropriate behavior, another societymay see
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 define
F F F F F F F F F F F F F F
precisely. 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 F
wellness evidenced by satisfying interpersonal relationships, effective behavior and coping,
F F F F F F F F F F
positive self-concept, and emotional stability. Persons who engage in fantasies may be
F F F F F F F F F F F F
mentally healthy, but the inability to distinguish reality from fantasy is an individual factor that
F F F F F F F F F F F F F F F
may contribute to mental illness.
F F F F F
4. Aclient grieving the recent lossof her husband asks if she is becoming mentallyill
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 F
A) ìYoumayhave atemporarymental illness because you are experiencing so much pain.î
F F F F F F F F F F F F F
B) ìYou are not mentally ill. Thisis an expected reaction to the loss you have
F F F F F F F F F F F F F F
experienced.î F
C) ìWere you generallydissatisfiedwith yourrelationshipbefore yourhusband's F F F F F F F F F
death?î F
D) ìTrynot to worry about that right now. You never know what the future brings.î Ans:
F F F F F F F F F F F F F F F
FB
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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 mental
F F F F F F F F F F F F
illness. False reassurance oroveranalysisdoesnot accuratelyaddress theclient's concerns.
F F F F F F F F F F F F
Page 2 F
,5. The nurse consults the DSM for which of the following purposes?
F F F F F F F F F F
A) To devise a plan of care for a newly admitted client
F F F F F F F F F F
B) Topredict the client's prognosis of treatment outcomes
F F F F F F F
C) To document the appropriate diagnostic code in the client's medical record
F F F F F F F F F F
D) Toserveasaguideforclientassessment F F F F F F F
Ans: D
F F
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
F F F F F F F F F
underlying causes of mental disorders. It does not provide care plans or prognostic outcomes
F F F F F F F F F F F F F F
of treatment. Diagnosis of mental illness is not within the generalist RN's scope of practice, so
F F F F F F F F F F F F F F F F
documenting the code in the medical record would be inappropriate.
F F F F F F F F F F
6. Which would be a 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) Treat clients F
C) Evaluate treatments F
D) Understand thereason fortheadmission and thenatureofpsychiatric illnesses. Ans: F F F F F F F F F F F F
FD
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
F F F F F F F F F F F F F F F F
resource to understand the reason for the admission and to begin building knowledge about
F F F F F F F F F F F F F F
the nature ofpsychiatric illnesses. Identifying themedical diagnosis, treating, and evaluating
F F F F F F F F F F F F
treatments are not a part of the nursing process.
F F F F F F F F F
7. The legislation enacted in 1963 was largelyresponsible for which of the following shifts in care
F F F F F F F F F F F F F F F
for the mentally ill?
F F F F
A) The widespread use of community-based services
F F F F F
B) The advancement in pharmacotherapies F F F
C) Increased access to hospitalization F F F
D) Improved rights forclients inlong-terminstitutionalcare F F F F F F F
Ans: A
F F
Feedback:
TheCommunityMental Health Centers Construction Act of1963 accomplished the release of
F F F F F F F F F F F F
individuals from long-term stays in state institutions, the decrease in admissions to hospitals,
F F F F F F F F F F F F F
and the development of community-based services as an alternative to hospital care.
F F F F F F F F F F F F
Page 3 F
, 8. Which one of the following is a result of federal legislation?
F F F F F F F F F F
A) Making it easier to commit people for mental health treatment against their will. F F F F F F F F F F F F
B) Makingit moredifficult to commitpeoplefor mental health treatment against their F F F F F F F F F F F F
will. F
C) State mental institutions being the primary source of care for mentally ill persons.
F F F F F F F F F F F F
D) Improvedcareformentallyillpersons. F F F F F
Ans: B
F F
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit people F F F F F F F F F F F F F
for mental health treatment against their will. Deinstitutionalization accomplished the
F F F F F F F F F F
release of individuals from long-term stays in state institutions. Deinstitutionalization
F F F F F F F F F F
also had negative effects in that some mentally ill persons are subjected to the revolving
F F F F F F F F F F F F F F F
door effect, which may limit care for mentally ill persons.
F F F F F F F F F F
9. The goal of the 1963 Community Mental Health Centers Act was to
F F F F F F F F F F F
A) ensure patients' rights for the mentally ill. F F F F F F
B) deinstitutionalize state hospitals. F F
C) provide funds to build hospitals with psychiatric units. F F F F F F F
D) treatpeople withmentalillnessin ahumanefashion. F F F F F F F F
Ans: B
F F
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward treating
F F F F F F F F F F F
those with mental illness in a less restrictive environment. This legislation resulted in the shift
F F F F F F F F F F F F F F F
of clients with mental illness from large state institutions to care based in the community.
F F F F F F F F F F F F F F F
Answer choices A, C, and Dwere not purposes of the 1963 Community Mental Health Centers
F F F F F F F F F F F F F F F F
Act.
F
10. The creation of asylums during the 1800s was meant to
F F F F F F F F F
A) improve treatment of mental disorders. F F F F
B) provide food and shelter for the mentally ill. F F F F F F F
C) punish people with mental illness who were believed to be possessed. F F F F F F F F F F
D) removedangerouspeople withmentalillnessfrom thecommunity. F F F F F F F F
Ans: B
F F
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for the
F F F F F F F F F F F F F F F F
mentally ill. Asylums were not used to improve treatment of mental disorders or to punish
F F F F F F F F F F F F F F F
mentally ill people who were believed to be possessed. The asylum was not created to remove
F F F F F F F F F F F F F F F F
the dangerously mentally ill from the community.
F F F F F F F
Page 4 F
