Page |1
Full Test Bank
Psychiatric-Mental Health Nursing,
7th Edition
By R.N. Videbeck, Sheila L., Cathy J. Miller
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Table Of Contents
Unit 1 Current Theories And Practice ............................................................................................. 3
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing ................................................. 3
Chapter 2: Neuro-Biologic Theories And Psychopharmacology .............................................. 14
Chapter 3: Psychosocial Theories And Therapy ........................................................................ 32
Chapter 4: Treatment Settings And Therapeutic Programs ...................................................... 47
Unit 2 Building The Nurse-Client Relationship .............................................................................. 62
Chapter 5: Therapeutic Relationships ....................................................................................... 62
Chapter 6: Therapeutic Communication ................................................................................... 77
Chapter 7: Client’s Response To Illness ..................................................................................... 91
Chapter 8: Assessment............................................................................................................ 105
Unit 3 Current Social And Emotional Concerns .......................................................................... 118
Chapter 9: Legal And Ethical Issues ......................................................................................... 118
Chapter 10: Grief And Loss ..................................................................................................... 132
Chapter 11: Anger, Hostility, And Aggression ......................................................................... 146
Chapter 12: Abuse And Violence ............................................................................................ 160
Unit 4 Nursing Practice For Psychiatric Disorders ....................................................................... 172
Chapter 13: Trauma And Stressor-Related Disorders ............................................................. 172
Chapter 14: Anxiety And Anxiety Disorders ............................................................................ 181
Chapter 15: Obsessive–Compulsive And Related Disorders ................................................... 195
Chapter 16: Schizophrenia ...................................................................................................... 204
Chapter 17: Mood Disorders And Suicide ............................................................................... 219
Chapter 18: Personality Disorders .......................................................................................... 234
Chapter 19: Substance-Related Disorders .............................................................................. 246
Chapter 20: Eating Disorders .................................................................................................. 261
Chapter 21: Somatic Symptom Illnesses ................................................................................. 275
Chapter 22: Neurodevelopmental Disorders .......................................................................... 289
Chapter 23: Disruptive Behavior Disorders ............................................................................. 301
Chapter 24: Cognitive Disorders ............................................................................................. 312
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Unit 1 Current Theories And Practice
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing
1. The Nurse Is Assessing The Factors Contributing To The Well-Being Of A Newly Admitted
Client. Which Of The Following Would The Nurse Identify As Having A Positive Impact On The
Individual's Mental Health?
A) Not Needing Others For Companionship
B) The Ability To Effectively Manage Stress
C) A Family History Of Mental Illness
D) Striving For Total Self-Reliance Answer: B
Feedback:
Individual Factors Influencing Mental Health Include Biologic Makeup, Autonomy,
Independence, Self-Esteem, Capacity For Growth, Vitality, Ability To Find Meaning In Life,
Emotional Resilience Or Hardiness, Sense Of Belonging, Reality Orientation, And 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, As Well As A Negative Impact On An Individual's Interpersonal
And Socialñcultural Factors Of Health. Total Self-Reliance Is Not Possible, And A Positive
Social/Cultural Factor Is Access To Adequate Resources.
2. Which Of The Following Statements About Mental Illness Are True? Select All That Apply.
A) Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both.
B) Mental Illness Is Only Due To Social/Cultural Factors.
C) Social/Cultural Factors That Relate To Mental Illness Include Excessive Dependency On
Or Withdrawal From Relationships.
D) Individuals Suffering From Mental Illness Are Usually Able To Cope Effectively With Daily
Life.
E) Individuals Suffering From Mental Illness May Experience Dissatisfaction With
Relationships And Self.
Answer: A, D, E
Feedback:
Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both. Mental Illness May
Be Related To Individual, Interpersonal, Or Social/Cultural Factors. Excessive Dependency On Or
Withdrawal From Relationships Are Interpersonal Factors That Relate To Mental Illness.
Individuals Suffering From Mental Illness Can Feel Overwhelmed With Daily Life. Individuals
Suffering From Mental Illness May Experience Dissatisfaction With Relationships And Self.
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3. Which Of The Following Are True Regarding Mental Health And Mental Illness?
A) Behavior That May Be Viewed As Acceptable In One Culture Is Always Unacceptable In
Other Cultures.
B) It Is Easy To Determine If A Person Is Mentally Healthy Or Mentally Ill.
C) In Most Cases, Mental Health Is A State Of Emotional, Psychological, And Social Wellness
Evidenced By Satisfying Interpersonal Relationships, Effective Behavior And Coping, Positive Self-
Concept, And Emotional Stability.
D) Persons Who Engage In Fantasies Are Mentally Ill. Answer: C
Feedback:
What One Society May View As Acceptable And Appropriate Behavior, Another Society May See
That As Maladaptive, And Inappropriate. Mental Health And Mental Illness Are Difficult To
Define Precisely. In Most Cases, Mental Health Is A State Of Emotional, Psychological, And Social
Wellness Evidenced By Satisfying Interpersonal Relationships, Effective Behavior And Coping,
Positive Self-Concept, And Emotional Stability. Persons Who Engage In Fantasies May Be
Mentally Healthy, But The Inability To Distinguish Reality From Fantasy Is An Individual Factor
That May Contribute To Mental Illness.
4. A Client Grieving The Recent Loss Of Her Husband Asks If She Is Becoming Mentally Ill
Because She Is So Sad. The Nurse's Best Response Would Be,
A) Ìyou May Have A Temporary Mental Illness Because You Are Experiencing So Much Pain.Î
B) Ìyou Are Not Mentally Ill. This Is An Expected Reaction To The Loss You Have
Experienced.Î
C) Ìwere You Generally Dissatisfied With Your Relationship Before Your Husband's Death?Î
D) Ìtry Not To Worry About That Right Now. You Never Know What The Future Brings.Î
Answer: B
Feedback:
Mental Illness Includes General Dissatisfaction With Self, Ineffective Relationships, Ineffective
Coping, And Lack Of Personal Growth. Additionally The Behavior Must Not Be Culturally
Expected. Acute Grief Reactions Are Expected And Therefore Not Considered Mental Illness.
False Reassurance Or Overanalysis Does Not Accurately Address The Client's Concerns.
5. The Nurse Consults The Dsm For Which Of The Following Purposes?
A) To Devise A Plan Of Care For A Newly Admitted Client
Full Test Bank
Psychiatric-Mental Health Nursing,
7th Edition
By R.N. Videbeck, Sheila L., Cathy J. Miller
, Page |2
Table Of Contents
Unit 1 Current Theories And Practice ............................................................................................. 3
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing ................................................. 3
Chapter 2: Neuro-Biologic Theories And Psychopharmacology .............................................. 14
Chapter 3: Psychosocial Theories And Therapy ........................................................................ 32
Chapter 4: Treatment Settings And Therapeutic Programs ...................................................... 47
Unit 2 Building The Nurse-Client Relationship .............................................................................. 62
Chapter 5: Therapeutic Relationships ....................................................................................... 62
Chapter 6: Therapeutic Communication ................................................................................... 77
Chapter 7: Client’s Response To Illness ..................................................................................... 91
Chapter 8: Assessment............................................................................................................ 105
Unit 3 Current Social And Emotional Concerns .......................................................................... 118
Chapter 9: Legal And Ethical Issues ......................................................................................... 118
Chapter 10: Grief And Loss ..................................................................................................... 132
Chapter 11: Anger, Hostility, And Aggression ......................................................................... 146
Chapter 12: Abuse And Violence ............................................................................................ 160
Unit 4 Nursing Practice For Psychiatric Disorders ....................................................................... 172
Chapter 13: Trauma And Stressor-Related Disorders ............................................................. 172
Chapter 14: Anxiety And Anxiety Disorders ............................................................................ 181
Chapter 15: Obsessive–Compulsive And Related Disorders ................................................... 195
Chapter 16: Schizophrenia ...................................................................................................... 204
Chapter 17: Mood Disorders And Suicide ............................................................................... 219
Chapter 18: Personality Disorders .......................................................................................... 234
Chapter 19: Substance-Related Disorders .............................................................................. 246
Chapter 20: Eating Disorders .................................................................................................. 261
Chapter 21: Somatic Symptom Illnesses ................................................................................. 275
Chapter 22: Neurodevelopmental Disorders .......................................................................... 289
Chapter 23: Disruptive Behavior Disorders ............................................................................. 301
Chapter 24: Cognitive Disorders ............................................................................................. 312
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Unit 1 Current Theories And Practice
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing
1. The Nurse Is Assessing The Factors Contributing To The Well-Being Of A Newly Admitted
Client. Which Of The Following Would The Nurse Identify As Having A Positive Impact On The
Individual's Mental Health?
A) Not Needing Others For Companionship
B) The Ability To Effectively Manage Stress
C) A Family History Of Mental Illness
D) Striving For Total Self-Reliance Answer: B
Feedback:
Individual Factors Influencing Mental Health Include Biologic Makeup, Autonomy,
Independence, Self-Esteem, Capacity For Growth, Vitality, Ability To Find Meaning In Life,
Emotional Resilience Or Hardiness, Sense Of Belonging, Reality Orientation, And 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, As Well As A Negative Impact On An Individual's Interpersonal
And Socialñcultural Factors Of Health. Total Self-Reliance Is Not Possible, And A Positive
Social/Cultural Factor Is Access To Adequate Resources.
2. Which Of The Following Statements About Mental Illness Are True? Select All That Apply.
A) Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both.
B) Mental Illness Is Only Due To Social/Cultural Factors.
C) Social/Cultural Factors That Relate To Mental Illness Include Excessive Dependency On
Or Withdrawal From Relationships.
D) Individuals Suffering From Mental Illness Are Usually Able To Cope Effectively With Daily
Life.
E) Individuals Suffering From Mental Illness May Experience Dissatisfaction With
Relationships And Self.
Answer: A, D, E
Feedback:
Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both. Mental Illness May
Be Related To Individual, Interpersonal, Or Social/Cultural Factors. Excessive Dependency On Or
Withdrawal From Relationships Are Interpersonal Factors That Relate To Mental Illness.
Individuals Suffering From Mental Illness Can Feel Overwhelmed With Daily Life. Individuals
Suffering From Mental Illness May Experience Dissatisfaction With Relationships And Self.
, Page |4
3. Which Of The Following Are True Regarding Mental Health And Mental Illness?
A) Behavior That May Be Viewed As Acceptable In One Culture Is Always Unacceptable In
Other Cultures.
B) It Is Easy To Determine If A Person Is Mentally Healthy Or Mentally Ill.
C) In Most Cases, Mental Health Is A State Of Emotional, Psychological, And Social Wellness
Evidenced By Satisfying Interpersonal Relationships, Effective Behavior And Coping, Positive Self-
Concept, And Emotional Stability.
D) Persons Who Engage In Fantasies Are Mentally Ill. Answer: C
Feedback:
What One Society May View As Acceptable And Appropriate Behavior, Another Society May See
That As Maladaptive, And Inappropriate. Mental Health And Mental Illness Are Difficult To
Define Precisely. In Most Cases, Mental Health Is A State Of Emotional, Psychological, And Social
Wellness Evidenced By Satisfying Interpersonal Relationships, Effective Behavior And Coping,
Positive Self-Concept, And Emotional Stability. Persons Who Engage In Fantasies May Be
Mentally Healthy, But The Inability To Distinguish Reality From Fantasy Is An Individual Factor
That May Contribute To Mental Illness.
4. A Client Grieving The Recent Loss Of Her Husband Asks If She Is Becoming Mentally Ill
Because She Is So Sad. The Nurse's Best Response Would Be,
A) Ìyou May Have A Temporary Mental Illness Because You Are Experiencing So Much Pain.Î
B) Ìyou Are Not Mentally Ill. This Is An Expected Reaction To The Loss You Have
Experienced.Î
C) Ìwere You Generally Dissatisfied With Your Relationship Before Your Husband's Death?Î
D) Ìtry Not To Worry About That Right Now. You Never Know What The Future Brings.Î
Answer: B
Feedback:
Mental Illness Includes General Dissatisfaction With Self, Ineffective Relationships, Ineffective
Coping, And Lack Of Personal Growth. Additionally The Behavior Must Not Be Culturally
Expected. Acute Grief Reactions Are Expected And Therefore Not Considered Mental Illness.
False Reassurance Or Overanalysis Does Not Accurately Address The Client's Concerns.
5. The Nurse Consults The Dsm For Which Of The Following Purposes?
A) To Devise A Plan Of Care For A Newly Admitted Client
