Psychiatric-Mental Health Nursing – 8th Edition by Videbeck – Test Bank Questions and Answers

Psychiatric-MentalHealth Nursing8theditionbyVidebeckTest Bank
vv vv




Page 1
vv

,Psychiatric-MentalHealth Nursing8theditionbyVidebeckTest Bank vv vv




Psychiatric-Mental Health Nursing8thedition vv vv




Chapter 1 vv



1. The nurse is assessing the factors contributing to the well-
vv vv vv vv vv vv vv vv vv



being of a newly admitted client. Which of the following would theJnurseJidentify as hav ing a
v vv vv vv vv vv vv vv vv v vv v vv vv vv



positive impact onthe individual's mental health?
vv vv vv vv vv vv



A) Not needing others for companionship v vv vv vv



B) The abilityto effectively manage stress vv v vv v vv



C) A familyhistoryof mental illness vv v v vv vv



D) Striving for total vv vv



self- relianceAns: B
vv vv vv



Feedback:
Individual factors influencingJmental healthJinclude biologic makeup, autonomy, indepen
vv vv vv vv vv vv vv



dence, self-
vv vv



esteem, capacity for growth, vitality, abilityto find meaning in life, emotional resilience or
vv vv vv vv vv v vv vv vv vv vv vv vv



hardiness, sense of belonging, reality orientation, and coping or stress management abiliti
vv vv vv vv vv vv vv vv vv vv vv vv



es. Interpersonal factors such as intimacy and a balance of separateness and connectedness
vv vv vv vv vv vv vv vv vv vv vv vv vv



are both needed for good mental health, and therefore ahealthy person would needJothers f
vv vv vv vv vv vv vv vv vv vv vv vv vv vv



or companionship. A familyhistoryof mental illnesscould relate to the biologic makeup of
vv vv vv vv v v vv vv vv vv vv vv vv vv



an individual, which may haveJa negative impacton an individual's mental health, asJwell
vv vv vv vv vv vv vv vv vv vv vv vv



as a negative impact on an individual's interpersonal and socialñcultural factors of health.
vv vv vv vv vv vv vv vv vv vv vv vv vv



Total self-
vv vv



reliance is not possible, and a positive social/cultural factor is access toJadequate resources
vv vv vv vv vv vv vv vv vv vv vv vv



.


2. Which of the following statements about mental illness are true? Select all that apply.
vv vv vv vv vv vv vv vv vv vv vv vv vv



A) Mental illness can cause significant distress, impaired functioning, or both. vv vv vv vv vv vv vv vv vv



B) Mentalillness is onlydue to social/cultural factors. v vv v v vv v vv



C) Social/cultural factors that relate to mental illness include excessive dependencyo vv vv vv vv vv vv vv vv vv



n or withdrawal from relationships.
vv vv vv vv vv



D) Individuals suffering from mental illness areJusually able to cope effectively withda vv vv vv vv vv v vv vv v vv



ilylife. vv v



E) Individuals sufferingJfrom mental illness may experienceJdissatisfaction vv vv vv vv vv



withr elationships and self.vv vv vv vv



Ans: A, D, E vv vv vv



Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
vv vv vv vv vv vv vv vv vv vv vv



may be relatedJto individual, interpersonal, or social/cultural factors.
vv vv vv vv vv vv vv vv



ExcessiveJdependen cy on or withdrawal fromJrelationships are interpersonal
vv vv vv vv vv vv vv vv



factorsJthatJrelate to mental illnes
vv vv vv vv



s. Individuals suffering from mental illness can feel overwhelmed withJdaily life. Individu
vv vv vv vv vv vv vv vv vv vv vv



als suffering from mental illness may experience dissatisfaction withrelationships and
vv vv vv vv vv vv vv vv vv vv



sel f.
vv vv




Page 2 vv

,Psychiatric-MentalHealth Nursing8theditionbyVidebeckTest Bank vv vv




3. Which of the following are trueJregarding mental health andJmental illness?
vv vv vv vv vv vv vv vv vv



A) Behavior that may be viewed as acceptable in one culture is always unacceptablein vv vv vv vv vv vv vv vv vv vv vv vv



other cultures. vv vv



B) It is easyto determine if a person is mentallyhealthy or mentallyill.
vv vv v vv vv vv vv v vv v vv vv v



C) In mostJcases, mental health isJa state of emotional, psychological, andJsocial
vv vv vv vv vv vv vv vv vv



wel lness evidenced by satisfying interpersonal relationships, effective
vv vv vv vv vv vv vv vv



behaviorandJc oping, positive self-concept, and emotional stability.
vv vv vv vv vv vv vv



D) PersonsJwho engage in fantasies are mentally ill. vv vv vv vv vv vv



Ans: C
vv vv



Feedback:
What oneJsociety may view as acceptable and appropriateJbehavior, another society mayse
vv vv vv vv vv vv vv vv vv vv



e that as maladaptive, and inappropriate. Mental healthJand mental illness are difficult
vv vv vv vv vv vv vv vv vv vv vv vv



toJde fine precisely. In most cases, mental health is a stateJof emotional, psychological, and
vv vv vv vv vv vv vv vv vv vv vv vv vv vv



socia l wellness evidenced by satisfying interpersonal relationships, effective behavior and
vv vv vv vv vv vv vv vv vv vv vv



copin g, positive self-
vv vv vv vv



concept, and emotional stability. PersonsJwho engagein fantasies may be mentally healthy,
vv vv vv vv vv vv vv vv vv vv



but the inability to distinguish reality from fantasyis an individual factor that may contribut
vv vv vv vv vv vv vv vv vv vv vv vv vv vv



eJto mental illness.
vv vv vv




4. A client grieving the recent loss of her husband asks if she is becoming mentallyillbe
vv vv vv vv vv vv vv vv vv vv vv vv vv vv v



cause sheJis so sad. TheJnurse's bestJresponseJwould be,
vv vv vv vv vv vv vv



A) ìYou may have a temporarymental illness because you areJexperiencingJso muchpa
vv vv vv vv v vv vv vv vv vv



in.î vv



B) ìYou are not mentally ill. This is an expected reaction to theJloss you haveJex
vv vv vv vv vv vv vv vv vv vv vv vv vv



perienced.î vv



C) ìWereJyou generally dissatisfied with your relationship before your husband'sd vv vv vv vv vv vv vv vv



eath?î vv



D) ìTrynot to worry aboutJthat right now. You never know what theJfuture brings.îAn s:
v vv vv v vv vv vv vv vv vv vv vv vv



B
vv



Feedback:
Mental illness includes general dissatisfactionJwith self, ineffective relationships,
vv vv vv vv vv vv vv



ineffect ive coping, and lack of personal growth. Additionally the behavior must not be
vv vv vv vv vv vv vv vv vv vv vv vv vv vv



culturally e xpected. Acute grief reactions areJexpected and thereforeJnot considered
vv vv vv vv vv vv vv vv vv vv



mental illness. Fa lseJreassurance or overanalysis does notJaccurately address the
vv vv vv vv vv vv vv vv vv vv



client'sconcerns.
vv




Page 3 vv

, Psychiatric-MentalHealth Nursing8theditionbyVidebeckTest Bank vv vv




5. The nurseJconsults theJDSM for whichJof the following purposes?
vv vv vv vv vv vv vv



A) ToJdevise a plan of care for a newlyadmitted client vv vv vv vv vv v vv v vv



B) ToJpredict the client's prognosis of treatment outcomes vv vv vv vv vv vv



C) To document the appropriate diagnostic code in the client's medical record
vv vv vv vv vv vv vv vv vv vv



D) ToJserve as a guideJfor client assessmentJ vv vv vv vv vv



Ans: D
v v vv



Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifie
vv vv vv vv vv vv vv vv vv



s underlying causes of mental disorders. It does not provide careJplans or prognosticJoutco
vv vv vv vv vv vv vv vv vv vv vv vv vv



mes of treatment. Diagnosis of mental illness is not within the generalist RN's scopeJof pra
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv



ctice, so documenting theJcode inJthe medical record wouldbe inappropriate.
vv vv vv vv vv vv vv vv vv




6. Which would be a reason for a student nurse to use the DSM?
v v vv vv vv vv vv v vv vv v vv



A) Identifying the medical diagnosis vv vv vv



B) Treat clients vv



C) Evaluate treatments vv



D) Understand the reason for the admissionJand the nature of psychiatric illnesses.A vv vv vv vv vv vv vv vv vv vv



ns: D
vv vv



Feedback:
Although student nurses do not use theJDSM to diagnose clients, theywill find it a helpfu l
vv vv vv vv vv vv vv vv vv vv v vv vv vv vv vv



resource to understand theJreason for the admission and toJbegin building knowledge ab
vv vv vv vv vv vv vv vv vv vv vv vv



out the nature of psychiatric illnesses. IdentifyingJthe medical diagnosis,treating, and ev
vv vv vv vv vv vv vv vv vv vv vv



aluating treatments are not a part of the nursing process.
vv vv vv vv vv vv vv vv vv vv




7. The legislation enacted inJ1963 was largelyresponsible for which of the followingJshiftsin
vv vv vv vv vv v vv v vv vv vv



care for theJmentally ill?
vv vv vv vv



A) The widespread use of community-based services vv vv vv vv vv



B) The advancement in pharmacotherapies vv vv vv



C) Increased access to hospitalization vv vv vv



D) Improved rights for clients in long- vv vv vv vv vv



term institutional careAns: A
vv vv vv vv



Feedback:
vv



The Community Mental Health Centers ConstructionJAct of 1963 accomplishedJthere
vv vv vv vv vv vv vv vv



lease of individuals fromJlong-
vv vv vv vv



term stays in state institutions, the decreaseJin admissions to hospitals, and the develop
vv vv vv vv vv vv vv vv vv vv vv vv



ment of community-based services as an alternativeJto hospital care.
vv vv vv vv vv vv vv vv vv




Page 4 vv