lOMoARdg d cPSD|
g 11700591
TEST BANK FOR d g d g
Psychiatric–
Mental Health Nursing 9th Edition by Sheila L. Videbeck dg dg dg dg dg dg dg dg
All Chapters (1-24) dg dg
Table Of Contents dg dg
UNIT 1 Current Theories and Practice
d g d g d g d g d g
Chapter 1. Foundations of Psychiatric–
d g d g d g d g
Mental Health Nursing Chapter 2. Neurobiologic Theories and
d g d g dg d g d g d g d g
Psychopharmacology Chapter 3. Psychosocial Theories and T
d g dg d g d g d g d g d g
herapy
Chapter 4. Treatment Settings and Therapeutic Progra
d g d g d g d g d g d g
ms UNIT 2 Building the Nurse–
dg d g d g d g d g
Client Relationship Chapter 5. Therapeutic Relations
d g d g d g d g d g
hips
Chapter 6. Therapeutic Communication C
dg dg dg dg
hapter 7. Client’s Response to Illness Cha
dg dg dg dg dg dg
pter 8. Assessment
dg dg
UNIT 3 Current Social and Emotional Concerns
d g d g d g d g d g d g
Chapter 9. Legal and Ethical Issues Chap
dg dg dg dg dg d g
ter 10. Grief and Loss
dg dg dg dg
Chapter 11. Anger, Hostility, and Aggression
dg dg dg dg dg d
g Chapter 12. Abuse and Violence d g d g d g d g
UNIT 4 Nursing Practice for Psychiatric Disorders
d g d g d g d g d g d g dg
Chapter 13. Trauma and Stressor-d g d g d g d g
Related Disorders Chapter 14. Anxiety and Anxiety Di
d g dg d g d g d g d g d g
sorders
Chapter 15. Obsessive– d g d g
Compulsive and Related Disorders Chapter 16. Schizophrenia
d g d g d g dg dg dg
Chapter 17. Mood Disorders and Suicide
dg dg dg dg dg d
gChapter 18. Personality Disorders C d g d g d g d g
hapter 19. Addiction dg dg
Chapter 20. Eating Disorders d g d g d g
Chapter 21. Somatic Symptom Illnesses Cha
dg dg dg dg d g
pter 22. Neurodevelopmental Disorders Chap
dg dg dg d g
ter 23. Disruptive Behavior Disorders Chapte
dg dg dg dg d g
r 24. Cognitive Disorders
d g d g d g
Chapter 1 dg
1. The nurse is assessing the factors contributing to the well-
dg dg dg dg dg dg dg dg dg
being of a newly admitted client. Which of the following would the nurse identify as h
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
aving a positive impact on the individual's mental health?
dg dg dg dg dg dg dg dg
A) Not needing others for companionship dg dg dg dg
B) The ability to effectively manage stress dg dg dg dg dg
C) A family history of mental illness dg dg dg dg dg
D) Striving for total self- dg dg dg
reliance Ans: B dg dg
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indepen
dg dg dg dg dg dg dg dg dg
dence, self- dg
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience o
dg dg dg dg dg dg dg dg dg dg dg dg dg
r hardiness, sense of belonging, reality orientation, and coping or stress management abilit
dg dg dg dg dg dg dg dg dg dg dg dg
, lOMoARdg d cPSD|
g 11700591
ies. Interpersonal factors such as intimacy and a balance of separateness and connectednes
dg dg dg dg dg dg dg dg dg dg dg dg
s are both needed for good mental health, and therefore a
dg dg dg dg dg dg dg dg dg dg
, lOMoARdg d cPSD|
g 11700591
healthy person would need others for companionship. A family history of mental illness
dg dg dg dg dg dg dg dg dg dg dg dg dg
could relate to the biologic makeup of an individual, which may have a negative impact
dg dg dg dg dg dg dg dg dg dg dg dg dg dg d
on an individual's mental health, as well as a negative impact on an individual's interpe
g dg dg dg dg dg dg dg dg dg dg dg dg dg dg
rsonal and socialñcultural factors of health. Total self-
dg dg dg dg dg dg dg
reliance is not possible, and a positive social/cultural factor is access to adequate resour
dg dg dg dg dg dg dg dg dg dg dg dg dg
ces.
2. Which of the following statements about mental illness are true? Select all that apply.
dg dg dg dg dg dg dg dg dg dg dg dg dg
A) Mental illness can cause significant distress, impaired functioning, or both.
dg dg dg dg dg dg dg dg dg
B) Mental illness is only due to social/cultural factors. dg dg dg dg dg dg dg
C) Social/cultural factors that relate to mental illness include excessive dependency dg dg dg dg dg dg dg dg dg dg
on or withdrawal from relationships. dg dg dg dg
D) Individuals suffering from mental illness are usually able to cope effectively with dg dg dg dg dg dg dg dg dg dg dg dg
daily life. dg
E) Individuals suffering from mental illness may experience dissatisfaction with dg dg dg dg dg dg dg dg dg
relationships and self. dg dg
Ans: A, D, E dg dg dg
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illne
dg dg dg dg dg dg dg dg dg dg dg
ss may be related to individual, interpersonal, or social/cultural factors. Excessive depe
dg dg dg dg dg dg dg dg dg dg dg
ndency on or withdrawal from relationships are interpersonal factors that relate to ment
dg dg dg dg dg dg dg dg dg dg dg dg
al illness. Individuals suffering from mental illness can feel overwhelmed with daily lif
dg dg dg dg dg dg dg dg dg dg dg dg
e. Individuals suffering from mental illness may experience dissatisfaction with relation
dg dg dg dg dg dg dg dg dg dg
ships and self. dg dg
3. Which of the following are true regarding mental health and mental illness?
dg dg dg dg dg dg dg dg dg dg dg
A) Behavior that may be viewed as acceptable in one culture is always unacceptable dg dg dg dg dg dg dg dg dg dg dg dg dg
in other cultures. dg dg
B) It is easy to determine if a person is mentally healthy or mentally ill.
dg dg dg dg dg dg dg dg dg dg dg dg dg
C) In most cases, mental health is a state of emotional, psychological, and social
dg dg dg dg dg dg dg dg dg dg dg dg dg
wellness evidenced by satisfying interpersonal relationships, effective behavior dg dg dg dg dg dg dg dg
and coping, positive self-concept, and emotional stability.
dg dg dg dg dg dg
D) Persons who engage in fantasies are mentally ill. dg dg dg dg dg dg dg dg
Ans: C dg
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
dg dg dg dg dg dg dg dg dg dg dg dg dg
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
dg dg dg dg dg dg dg dg dg dg dg dg dg
to define precisely. In most cases, mental health is a state of emotional, psychological, a
dg dg dg dg dg dg dg dg dg dg dg dg dg dg
nd social wellness evidenced by satisfying interpersonal relationships, effective behavio
dg dg dg dg dg dg dg dg dg
r and coping, positive self-
dg dg dg dg
concept, and emotional stability. Persons who engage in fantasies may be mentally healt
dg dg dg dg dg dg dg dg dg dg dg dg
hy, but the inability to distinguish reality from fantasy is an individual factor that may co
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
ntribute to mental illness. dg dg dg
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
because she is so sad. The nurse's best response would be,
dg dg dg dg dg dg dg dg dg dg
A) ìYou may have a temporary mental illness because you are experiencing so much
dg dg dg dg dg dg dg dg dg dg dg dg dg
pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
dg dg dg dg dg dg dg dg dg dg
death?î
D) ìTry not to worry about that right now. You never know what the future brings.î
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
Ans: B dg
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffecti
dg dg dg dg dg dg dg dg dg
ve coping, and lack of personal growth. Additionally the behavior must not be
dg dg dg dg dg dg dg dg dg dg dg dg
, lOMoARdg d cPSD|
g 11700591
culturally expected. Acute grief reactions are expected and therefore not considered me
dg dg dg dg dg dg dg dg dg dg dg
ntal illness. False reassurance or overanalysis does not accurately address the client's co
dg dg dg dg dg dg dg dg dg dg dg dg
ncerns.
5. The nurse consults the DSM for which of the following purposes?
dg dg dg dg dg dg dg dg dg dg
A) To devise a plan of care for a newly admitted client
dg dg dg dg dg dg dg dg dg dg
B) To predict the client's prognosis of treatment outcomes
dg dg dg dg dg dg dg
C) To document the appropriate diagnostic code in the client's medical record
dg dg dg dg dg dg dg dg dg dg
D) To serve as a guide for client assessment
dg dg dg dg dg dg dg dg
Ans: D dg
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identif
dg dg dg dg dg dg dg dg dg
ies underlying causes of mental disorders. It does not provide care plans or prognostic o
dg dg dg dg dg dg dg dg dg dg dg dg dg dg
utcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scop
dg dg dg dg dg dg dg dg dg dg dg dg dg
e of practice, so documenting the code in the medical record would be inappropriate.
dg dg dg dg dg dg dg dg dg dg dg dg dg
6. Which would be a reason for a student nurse to use the DSM?
dg dg dg dg dg dg dg dg dg dg dg dg
A) Identifying the medical diagnosis dg dg dg
B) Treat clients dg
C) Evaluate treatments dg
D) Understand the reason for the admission and the nature of psychiatric illnesses. dg dg dg dg dg dg dg dg dg dg dg dg
Ans: D dg
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a help
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
ful resource to understand the reason for the admission and to begin building knowledg
dg dg dg dg dg dg dg dg dg dg dg dg dg
e about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, an
dg dg dg dg dg dg dg dg dg dg dg dg
d evaluating treatments are not a part of the nursing process.
dg dg dg dg dg dg dg dg dg dg
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
dg dg dg dg dg dg dg dg dg dg dg dg dg dg
in care for the mentally ill?
dg dg dg dg dg
A) The widespread use of community-based servicesdg dg dg dg dg
B) The advancement in pharmacotherapies dg dg dg
C) Increased access to hospitalization dg dg dg
D) Improved rights for clients in long- dg dg dg dg dg
term institutional care Ans: A
dg dg dg dg
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the rele
dg dg dg dg dg dg dg dg dg dg dg
ase of individuals from long-
dg dg dg dg
term stays in state institutions, the decrease in admissions to hospitals, and the develop
dg dg dg dg dg dg dg dg dg dg dg dg dg
ment of community-based services as an alternative to hospital care.
dg dg dg dg dg dg dg dg dg
8. Which one of the following is a result of federal legislation?
dg dg dg dg dg dg dg dg dg dg
A) Making it easier to commit people for mental health treatment against their will.
dg dg dg dg dg dg dg dg dg dg dg dg
B) Making it more difficult to commit people for mental health treatment against
dg dg dg dg dg dg dg dg dg dg dg dg
their will. dg
C) State mental institutions being the primary source of care for mentally ill persons.
dg dg dg dg dg dg dg dg dg dg dg dg
D) Improved care for mentally ill persons. dg dg dg dg dg dg
Ans: B dg
Feedback:
g 11700591
TEST BANK FOR d g d g
Psychiatric–
Mental Health Nursing 9th Edition by Sheila L. Videbeck dg dg dg dg dg dg dg dg
All Chapters (1-24) dg dg
Table Of Contents dg dg
UNIT 1 Current Theories and Practice
d g d g d g d g d g
Chapter 1. Foundations of Psychiatric–
d g d g d g d g
Mental Health Nursing Chapter 2. Neurobiologic Theories and
d g d g dg d g d g d g d g
Psychopharmacology Chapter 3. Psychosocial Theories and T
d g dg d g d g d g d g d g
herapy
Chapter 4. Treatment Settings and Therapeutic Progra
d g d g d g d g d g d g
ms UNIT 2 Building the Nurse–
dg d g d g d g d g
Client Relationship Chapter 5. Therapeutic Relations
d g d g d g d g d g
hips
Chapter 6. Therapeutic Communication C
dg dg dg dg
hapter 7. Client’s Response to Illness Cha
dg dg dg dg dg dg
pter 8. Assessment
dg dg
UNIT 3 Current Social and Emotional Concerns
d g d g d g d g d g d g
Chapter 9. Legal and Ethical Issues Chap
dg dg dg dg dg d g
ter 10. Grief and Loss
dg dg dg dg
Chapter 11. Anger, Hostility, and Aggression
dg dg dg dg dg d
g Chapter 12. Abuse and Violence d g d g d g d g
UNIT 4 Nursing Practice for Psychiatric Disorders
d g d g d g d g d g d g dg
Chapter 13. Trauma and Stressor-d g d g d g d g
Related Disorders Chapter 14. Anxiety and Anxiety Di
d g dg d g d g d g d g d g
sorders
Chapter 15. Obsessive– d g d g
Compulsive and Related Disorders Chapter 16. Schizophrenia
d g d g d g dg dg dg
Chapter 17. Mood Disorders and Suicide
dg dg dg dg dg d
gChapter 18. Personality Disorders C d g d g d g d g
hapter 19. Addiction dg dg
Chapter 20. Eating Disorders d g d g d g
Chapter 21. Somatic Symptom Illnesses Cha
dg dg dg dg d g
pter 22. Neurodevelopmental Disorders Chap
dg dg dg d g
ter 23. Disruptive Behavior Disorders Chapte
dg dg dg dg d g
r 24. Cognitive Disorders
d g d g d g
Chapter 1 dg
1. The nurse is assessing the factors contributing to the well-
dg dg dg dg dg dg dg dg dg
being of a newly admitted client. Which of the following would the nurse identify as h
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
aving a positive impact on the individual's mental health?
dg dg dg dg dg dg dg dg
A) Not needing others for companionship dg dg dg dg
B) The ability to effectively manage stress dg dg dg dg dg
C) A family history of mental illness dg dg dg dg dg
D) Striving for total self- dg dg dg
reliance Ans: B dg dg
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indepen
dg dg dg dg dg dg dg dg dg
dence, self- dg
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience o
dg dg dg dg dg dg dg dg dg dg dg dg dg
r hardiness, sense of belonging, reality orientation, and coping or stress management abilit
dg dg dg dg dg dg dg dg dg dg dg dg
, lOMoARdg d cPSD|
g 11700591
ies. Interpersonal factors such as intimacy and a balance of separateness and connectednes
dg dg dg dg dg dg dg dg dg dg dg dg
s are both needed for good mental health, and therefore a
dg dg dg dg dg dg dg dg dg dg
, lOMoARdg d cPSD|
g 11700591
healthy person would need others for companionship. A family history of mental illness
dg dg dg dg dg dg dg dg dg dg dg dg dg
could relate to the biologic makeup of an individual, which may have a negative impact
dg dg dg dg dg dg dg dg dg dg dg dg dg dg d
on an individual's mental health, as well as a negative impact on an individual's interpe
g dg dg dg dg dg dg dg dg dg dg dg dg dg dg
rsonal and socialñcultural factors of health. Total self-
dg dg dg dg dg dg dg
reliance is not possible, and a positive social/cultural factor is access to adequate resour
dg dg dg dg dg dg dg dg dg dg dg dg dg
ces.
2. Which of the following statements about mental illness are true? Select all that apply.
dg dg dg dg dg dg dg dg dg dg dg dg dg
A) Mental illness can cause significant distress, impaired functioning, or both.
dg dg dg dg dg dg dg dg dg
B) Mental illness is only due to social/cultural factors. dg dg dg dg dg dg dg
C) Social/cultural factors that relate to mental illness include excessive dependency dg dg dg dg dg dg dg dg dg dg
on or withdrawal from relationships. dg dg dg dg
D) Individuals suffering from mental illness are usually able to cope effectively with dg dg dg dg dg dg dg dg dg dg dg dg
daily life. dg
E) Individuals suffering from mental illness may experience dissatisfaction with dg dg dg dg dg dg dg dg dg
relationships and self. dg dg
Ans: A, D, E dg dg dg
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illne
dg dg dg dg dg dg dg dg dg dg dg
ss may be related to individual, interpersonal, or social/cultural factors. Excessive depe
dg dg dg dg dg dg dg dg dg dg dg
ndency on or withdrawal from relationships are interpersonal factors that relate to ment
dg dg dg dg dg dg dg dg dg dg dg dg
al illness. Individuals suffering from mental illness can feel overwhelmed with daily lif
dg dg dg dg dg dg dg dg dg dg dg dg
e. Individuals suffering from mental illness may experience dissatisfaction with relation
dg dg dg dg dg dg dg dg dg dg
ships and self. dg dg
3. Which of the following are true regarding mental health and mental illness?
dg dg dg dg dg dg dg dg dg dg dg
A) Behavior that may be viewed as acceptable in one culture is always unacceptable dg dg dg dg dg dg dg dg dg dg dg dg dg
in other cultures. dg dg
B) It is easy to determine if a person is mentally healthy or mentally ill.
dg dg dg dg dg dg dg dg dg dg dg dg dg
C) In most cases, mental health is a state of emotional, psychological, and social
dg dg dg dg dg dg dg dg dg dg dg dg dg
wellness evidenced by satisfying interpersonal relationships, effective behavior dg dg dg dg dg dg dg dg
and coping, positive self-concept, and emotional stability.
dg dg dg dg dg dg
D) Persons who engage in fantasies are mentally ill. dg dg dg dg dg dg dg dg
Ans: C dg
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
dg dg dg dg dg dg dg dg dg dg dg dg dg
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
dg dg dg dg dg dg dg dg dg dg dg dg dg
to define precisely. In most cases, mental health is a state of emotional, psychological, a
dg dg dg dg dg dg dg dg dg dg dg dg dg dg
nd social wellness evidenced by satisfying interpersonal relationships, effective behavio
dg dg dg dg dg dg dg dg dg
r and coping, positive self-
dg dg dg dg
concept, and emotional stability. Persons who engage in fantasies may be mentally healt
dg dg dg dg dg dg dg dg dg dg dg dg
hy, but the inability to distinguish reality from fantasy is an individual factor that may co
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
ntribute to mental illness. dg dg dg
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
because she is so sad. The nurse's best response would be,
dg dg dg dg dg dg dg dg dg dg
A) ìYou may have a temporary mental illness because you are experiencing so much
dg dg dg dg dg dg dg dg dg dg dg dg dg
pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
dg dg dg dg dg dg dg dg dg dg
death?î
D) ìTry not to worry about that right now. You never know what the future brings.î
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
Ans: B dg
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffecti
dg dg dg dg dg dg dg dg dg
ve coping, and lack of personal growth. Additionally the behavior must not be
dg dg dg dg dg dg dg dg dg dg dg dg
, lOMoARdg d cPSD|
g 11700591
culturally expected. Acute grief reactions are expected and therefore not considered me
dg dg dg dg dg dg dg dg dg dg dg
ntal illness. False reassurance or overanalysis does not accurately address the client's co
dg dg dg dg dg dg dg dg dg dg dg dg
ncerns.
5. The nurse consults the DSM for which of the following purposes?
dg dg dg dg dg dg dg dg dg dg
A) To devise a plan of care for a newly admitted client
dg dg dg dg dg dg dg dg dg dg
B) To predict the client's prognosis of treatment outcomes
dg dg dg dg dg dg dg
C) To document the appropriate diagnostic code in the client's medical record
dg dg dg dg dg dg dg dg dg dg
D) To serve as a guide for client assessment
dg dg dg dg dg dg dg dg
Ans: D dg
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identif
dg dg dg dg dg dg dg dg dg
ies underlying causes of mental disorders. It does not provide care plans or prognostic o
dg dg dg dg dg dg dg dg dg dg dg dg dg dg
utcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scop
dg dg dg dg dg dg dg dg dg dg dg dg dg
e of practice, so documenting the code in the medical record would be inappropriate.
dg dg dg dg dg dg dg dg dg dg dg dg dg
6. Which would be a reason for a student nurse to use the DSM?
dg dg dg dg dg dg dg dg dg dg dg dg
A) Identifying the medical diagnosis dg dg dg
B) Treat clients dg
C) Evaluate treatments dg
D) Understand the reason for the admission and the nature of psychiatric illnesses. dg dg dg dg dg dg dg dg dg dg dg dg
Ans: D dg
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a help
dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg dg
ful resource to understand the reason for the admission and to begin building knowledg
dg dg dg dg dg dg dg dg dg dg dg dg dg
e about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, an
dg dg dg dg dg dg dg dg dg dg dg dg
d evaluating treatments are not a part of the nursing process.
dg dg dg dg dg dg dg dg dg dg
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
dg dg dg dg dg dg dg dg dg dg dg dg dg dg
in care for the mentally ill?
dg dg dg dg dg
A) The widespread use of community-based servicesdg dg dg dg dg
B) The advancement in pharmacotherapies dg dg dg
C) Increased access to hospitalization dg dg dg
D) Improved rights for clients in long- dg dg dg dg dg
term institutional care Ans: A
dg dg dg dg
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the rele
dg dg dg dg dg dg dg dg dg dg dg
ase of individuals from long-
dg dg dg dg
term stays in state institutions, the decrease in admissions to hospitals, and the develop
dg dg dg dg dg dg dg dg dg dg dg dg dg
ment of community-based services as an alternative to hospital care.
dg dg dg dg dg dg dg dg dg
8. Which one of the following is a result of federal legislation?
dg dg dg dg dg dg dg dg dg dg
A) Making it easier to commit people for mental health treatment against their will.
dg dg dg dg dg dg dg dg dg dg dg dg
B) Making it more difficult to commit people for mental health treatment against
dg dg dg dg dg dg dg dg dg dg dg dg
their will. dg
C) State mental institutions being the primary source of care for mentally ill persons.
dg dg dg dg dg dg dg dg dg dg dg dg
D) Improved care for mentally ill persons. dg dg dg dg dg dg
Ans: B dg
Feedback:
