Test & Solution
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7TH
EDITION BY VIDEBECK
Psychiatric Mental Health Nursing 7th EditionTest Bank
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 identify 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 fortotalself-reliance
Ans: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
emotionalresilience 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 arebothneeded forgoodmental health, and therefore a
healthy person would need others for companionship. A family history of mental
illness couldrelate to the biologic makeup of an individual, whichmay 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. Whichof the following statements about mentalillness aretrue? Select all that apply.
A) Mental illness cancausesignificant distress, impaired functioning, or both.
B) Mentalillness 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) Individualssuffering frommental illness are usuallyable to copeeffectively with
daily life.
E) Individualssuffering from mental illness may experiencedissatisfaction with
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,Test & Solution
relationships and self.
Ans: 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.
F) Behavior that may be viewed as acceptable in one culture is always
unacceptable in other cultures.
G) It is easy to determine if a person is mentally healthy or mentally ill.
H) 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.
I) Persons who engagein fantasies are mentally
ill. Ans: 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 fantasiesmay be mentallyhealthy, but the inability to distinguishreality from fantasyis
an individual factor that may contribute to mental illness.
3. Aclient 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 temporarymental illness because you are experiencing so much
pain.î
B) ìYouare 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) ìTrynot to worry about that right now. You never knowwhat the future brings.î
Ans: 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
mentalillness. False reassurance or overanalysis does not accurately addressthe client's
concerns.
4. The nurseconsults the DSM forwhich of the following purposes?
A) Todevise a plan of care for a newly admitted client
B) Topredict the client's prognosis of treatment outcomes
C) Todocument the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment
Ans: D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
generalist RN's scopeof practice, so documenting the code in the medical record wouldbe
inappropriate.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,Test & Solution
5. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treatclients
C) Evaluate treatments
D) Understand the reasonforthe admissionand the nature of psychiatric
illnesses. Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
helpful resource to understand the reason for the admission and to begin building
knowledgeabout the natureof psychiatric illnesses. Identifying the medicaldiagnosis,
treating, and evaluating treatments are not a part of the nursing process.
6. The legislation enacted in 1963 waslargelyresponsibleforwhich of the following
shifts in care for the mentally ill?
A) Thewidespreaduseof community-based services
B) The advancement in pharmacotherapies
C) Increasedaccess to hospitali ation
D) Improved rights for clients in long-term institutional care
Ans: A
Feedback:
The CommunityMental Health Centers Construction Actof 1963 accomplished the
release of individuals from long-term stays in state institutions, the decrease in
admissions to hospitals, and the development of community-based services as an
alternative to hospital care.
7. Whichoneofthe following is aresult offederal legislation?
A) Making it easier to commit people formentalhealthtreatment against their will.
B) Making it more difficult to commitpeople formentalhealthtreatment
against their will.
C) State mental institutions being the primarysource ofcare formentally ill persons.
D) Improved care for mentally ill
persons. Ans: B
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to
commit people for mental health treatment against their will. Deinstitutionali
ation accomplished the release of individuals from long-term stays in state
institutions. Deinstitutionali ation also hadnegative effects in that some mentally ill
persons are subjectedto the revolving door effect, which may limit careformentally
ill persons.
8. The goalof the 1963 Community Mental Health Centers Act was to
A) ensurepatients' rights for the mentally ill.
B) deinstitutionali e state hospitals.
C) provide funds to build hospitals with psychiatric units.
D) treat peoplewithmental illness in a humane
fashion. Ans: B
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This
legislation resulted in the shift of clients with mental illness from large state institutions
to carebased in the community. Answer choices A, C, and D were not purposes of
the 1963 Community Mental Health CentersAct.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
, Test & Solution
9. The creation of asylumsduring the 1800swasmeant to
A) improvetreatment of mental disorders.
B) providefoodand shelter for the mentally ill.
C) punishpeoplewithmental illnesswho were believed to be possessed.
D) remove dangerouspeoplewith mentalillness fromthe
community. Ans: B
Feedback:
The asylum was meant to be a safehaven with food, shelter, and humane treatment for
the mentally ill. Asylums were not used to improve treatment of mental disorders or
topunish mentally ill people who were believed to be possessed. The asylum was
not created to remove the dangerously mentally ill from the community.
10. The majorproblems with large state institutions are: Select allthat apply.
A) attendantswere accused ofabusing the residents.
B) stigmaassociated withresidence in an insane asylum.
C) clientswere geographically isolated from family and community.
D) increasingfinancial costs to individual
residents. Ans: A, C
Feedback:
Clients were often far removed from the local community, family, and friends
because state institutions were usually in rural or remote settings. Choices B
and D were not major problems associated with large state instructions.
11. Asignificant change in the treatment ofpeoplewith mentalillness occurred in the
1950s when
A) communitysupport serviceswere established.
B) legislationdramaticallychanged civil commitment procedures.
C) the Patient's Billof Rightswas enacted.
D) psychotropic drugs became availablefor
use. Ans: D
Feedback:
The development ofpsychotropic drugs, or drugs used to treat mentalillness, begani n
the 1950s. Answer choices A, B, and C did not occur in the 1950s.
12. Beforetheperiod ofthe enlightenment, treatment ofthe mentally ill included
A) creating large institutions to provide custodial care.
B) focusing onreligious educationto improvetheir souls.
C) placing the mentally ill ondisplay for the public's amusement.
D) providing a safe refugeor havenoffering
protection. Ans: C
Feedback:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human. Custodial
care was not often provided as persons who were considered harmless were
allowed to wander in the countryside or live in rural communities, and more
dangerous lunatics were imprisoned, chained, and starved. In early Christian times,
primitive beliefs and superstitions were strong. The mentally ill were viewed as
evil or possessed. Priests performedexorcisms to rid evil spirits, and in the colonies,
witch hunts were conducted with offenders burned at the stake. It was not until the
period of enlightenment when persons who were mentally ill were offered asylum
as a safe refuge or haven offering protection at institutions.
13. The first training of nursesIto IworkIwithIpersons withmental
illness was in 1882 in which state?
A) California
B) Illinois
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7TH
EDITION BY VIDEBECK
Psychiatric Mental Health Nursing 7th EditionTest Bank
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 identify 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 fortotalself-reliance
Ans: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
emotionalresilience 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 arebothneeded forgoodmental health, and therefore a
healthy person would need others for companionship. A family history of mental
illness couldrelate to the biologic makeup of an individual, whichmay 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. Whichof the following statements about mentalillness aretrue? Select all that apply.
A) Mental illness cancausesignificant distress, impaired functioning, or both.
B) Mentalillness 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) Individualssuffering frommental illness are usuallyable to copeeffectively with
daily life.
E) Individualssuffering from mental illness may experiencedissatisfaction with
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,Test & Solution
relationships and self.
Ans: 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.
F) Behavior that may be viewed as acceptable in one culture is always
unacceptable in other cultures.
G) It is easy to determine if a person is mentally healthy or mentally ill.
H) 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.
I) Persons who engagein fantasies are mentally
ill. Ans: 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 fantasiesmay be mentallyhealthy, but the inability to distinguishreality from fantasyis
an individual factor that may contribute to mental illness.
3. Aclient 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 temporarymental illness because you are experiencing so much
pain.î
B) ìYouare 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) ìTrynot to worry about that right now. You never knowwhat the future brings.î
Ans: 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
mentalillness. False reassurance or overanalysis does not accurately addressthe client's
concerns.
4. The nurseconsults the DSM forwhich of the following purposes?
A) Todevise a plan of care for a newly admitted client
B) Topredict the client's prognosis of treatment outcomes
C) Todocument the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment
Ans: D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
generalist RN's scopeof practice, so documenting the code in the medical record wouldbe
inappropriate.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,Test & Solution
5. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treatclients
C) Evaluate treatments
D) Understand the reasonforthe admissionand the nature of psychiatric
illnesses. Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
helpful resource to understand the reason for the admission and to begin building
knowledgeabout the natureof psychiatric illnesses. Identifying the medicaldiagnosis,
treating, and evaluating treatments are not a part of the nursing process.
6. The legislation enacted in 1963 waslargelyresponsibleforwhich of the following
shifts in care for the mentally ill?
A) Thewidespreaduseof community-based services
B) The advancement in pharmacotherapies
C) Increasedaccess to hospitali ation
D) Improved rights for clients in long-term institutional care
Ans: A
Feedback:
The CommunityMental Health Centers Construction Actof 1963 accomplished the
release of individuals from long-term stays in state institutions, the decrease in
admissions to hospitals, and the development of community-based services as an
alternative to hospital care.
7. Whichoneofthe following is aresult offederal legislation?
A) Making it easier to commit people formentalhealthtreatment against their will.
B) Making it more difficult to commitpeople formentalhealthtreatment
against their will.
C) State mental institutions being the primarysource ofcare formentally ill persons.
D) Improved care for mentally ill
persons. Ans: B
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to
commit people for mental health treatment against their will. Deinstitutionali
ation accomplished the release of individuals from long-term stays in state
institutions. Deinstitutionali ation also hadnegative effects in that some mentally ill
persons are subjectedto the revolving door effect, which may limit careformentally
ill persons.
8. The goalof the 1963 Community Mental Health Centers Act was to
A) ensurepatients' rights for the mentally ill.
B) deinstitutionali e state hospitals.
C) provide funds to build hospitals with psychiatric units.
D) treat peoplewithmental illness in a humane
fashion. Ans: B
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This
legislation resulted in the shift of clients with mental illness from large state institutions
to carebased in the community. Answer choices A, C, and D were not purposes of
the 1963 Community Mental Health CentersAct.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
, Test & Solution
9. The creation of asylumsduring the 1800swasmeant to
A) improvetreatment of mental disorders.
B) providefoodand shelter for the mentally ill.
C) punishpeoplewithmental illnesswho were believed to be possessed.
D) remove dangerouspeoplewith mentalillness fromthe
community. Ans: B
Feedback:
The asylum was meant to be a safehaven with food, shelter, and humane treatment for
the mentally ill. Asylums were not used to improve treatment of mental disorders or
topunish mentally ill people who were believed to be possessed. The asylum was
not created to remove the dangerously mentally ill from the community.
10. The majorproblems with large state institutions are: Select allthat apply.
A) attendantswere accused ofabusing the residents.
B) stigmaassociated withresidence in an insane asylum.
C) clientswere geographically isolated from family and community.
D) increasingfinancial costs to individual
residents. Ans: A, C
Feedback:
Clients were often far removed from the local community, family, and friends
because state institutions were usually in rural or remote settings. Choices B
and D were not major problems associated with large state instructions.
11. Asignificant change in the treatment ofpeoplewith mentalillness occurred in the
1950s when
A) communitysupport serviceswere established.
B) legislationdramaticallychanged civil commitment procedures.
C) the Patient's Billof Rightswas enacted.
D) psychotropic drugs became availablefor
use. Ans: D
Feedback:
The development ofpsychotropic drugs, or drugs used to treat mentalillness, begani n
the 1950s. Answer choices A, B, and C did not occur in the 1950s.
12. Beforetheperiod ofthe enlightenment, treatment ofthe mentally ill included
A) creating large institutions to provide custodial care.
B) focusing onreligious educationto improvetheir souls.
C) placing the mentally ill ondisplay for the public's amusement.
D) providing a safe refugeor havenoffering
protection. Ans: C
Feedback:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human. Custodial
care was not often provided as persons who were considered harmless were
allowed to wander in the countryside or live in rural communities, and more
dangerous lunatics were imprisoned, chained, and starved. In early Christian times,
primitive beliefs and superstitions were strong. The mentally ill were viewed as
evil or possessed. Priests performedexorcisms to rid evil spirits, and in the colonies,
witch hunts were conducted with offenders burned at the stake. It was not until the
period of enlightenment when persons who were mentally ill were offered asylum
as a safe refuge or haven offering protection at institutions.
13. The first training of nursesIto IworkIwithIpersons withmental
illness was in 1882 in which state?
A) California
B) Illinois
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
