Psychiatric-Mental Health Nursing Edition: 10
Complete Test Bank
Psychiatric- Mental Health Nursing Edition: 10
By SHEILA L. VIDEBECK
Page | 1
, Psychiatric-Mental Health Nursing Edition: 10
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 ................................................... 15
Chapter 3: Psychosocial Theories And Therapy ................................................................................ 33
Chapter 4: Treatment Settings And Therapeutic Programs ........................................................... 50
Unit 2 Building The Nurse-Client Relationship ...................................................................................... 64
Chapter 5: Therapeutic Relationships .................................................................................................. 64
Chapter 6: Therapeutic Communication ............................................................................................. 81
Chapter 7: Client’s Response To Illness .............................................................................................. 95
Chapter 8: Assessment .......................................................................................................................... 110
Unit 3 Current Social And Emotional Concerns .................................................................................. 125
Chapter 9: Legal And Ethical Issues .................................................................................................... 125
Chapter 10: Grief And Loss.................................................................................................................. 140
Chapter 11: Anger, Hostility, And Aggression ................................................................................. 155
Chapter 12: Abuse And Violence ........................................................................................................ 170
Unit 4 Nursing Practice For Psychiatric Disorders.............................................................................. 183
Chapter 13: Trauma And Stressor-Related Disorders................................................................... 183
Chapter 14: Anxiety And Anxiety Disorders ................................................................................... 192
Chapter 15: Obsessive–Compulsive And Related Disorders ....................................................... 208
Chapter 16: Schizophrenia .................................................................................................................... 216
Chapter 17: Mood Disorders And Suicide ........................................................................................ 232
Chapter 18: Personality Disorders ..................................................................................................... 247
Chapter 19: Substance-Related Disorders ........................................................................................ 261
Chapter 20: Eating Disorders ............................................................................................................... 277
Chapter 21: Somatic Symptom Illnesses ............................................................................................ 291
Chapter 22: Neurodevelopmental Disorders................................................................................... 307
Chapter 23: Disruptive Behavior Disorders ..................................................................................... 320
Chapter 24: Cognitive Disorders ........................................................................................................ 331
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, Psychiatric-Mental Health Nursing Edition: 10
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 Social cultural 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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, Psychiatric-Mental Health Nursing Edition: 10
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.
Page | 4
Complete Test Bank
Psychiatric- Mental Health Nursing Edition: 10
By SHEILA L. VIDEBECK
Page | 1
, Psychiatric-Mental Health Nursing Edition: 10
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 ................................................... 15
Chapter 3: Psychosocial Theories And Therapy ................................................................................ 33
Chapter 4: Treatment Settings And Therapeutic Programs ........................................................... 50
Unit 2 Building The Nurse-Client Relationship ...................................................................................... 64
Chapter 5: Therapeutic Relationships .................................................................................................. 64
Chapter 6: Therapeutic Communication ............................................................................................. 81
Chapter 7: Client’s Response To Illness .............................................................................................. 95
Chapter 8: Assessment .......................................................................................................................... 110
Unit 3 Current Social And Emotional Concerns .................................................................................. 125
Chapter 9: Legal And Ethical Issues .................................................................................................... 125
Chapter 10: Grief And Loss.................................................................................................................. 140
Chapter 11: Anger, Hostility, And Aggression ................................................................................. 155
Chapter 12: Abuse And Violence ........................................................................................................ 170
Unit 4 Nursing Practice For Psychiatric Disorders.............................................................................. 183
Chapter 13: Trauma And Stressor-Related Disorders................................................................... 183
Chapter 14: Anxiety And Anxiety Disorders ................................................................................... 192
Chapter 15: Obsessive–Compulsive And Related Disorders ....................................................... 208
Chapter 16: Schizophrenia .................................................................................................................... 216
Chapter 17: Mood Disorders And Suicide ........................................................................................ 232
Chapter 18: Personality Disorders ..................................................................................................... 247
Chapter 19: Substance-Related Disorders ........................................................................................ 261
Chapter 20: Eating Disorders ............................................................................................................... 277
Chapter 21: Somatic Symptom Illnesses ............................................................................................ 291
Chapter 22: Neurodevelopmental Disorders................................................................................... 307
Chapter 23: Disruptive Behavior Disorders ..................................................................................... 320
Chapter 24: Cognitive Disorders ........................................................................................................ 331
Page | 2
, Psychiatric-Mental Health Nursing Edition: 10
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 Social cultural 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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, Psychiatric-Mental Health Nursing Edition: 10
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.
Page | 4
