Psychiatric-Mental Health Nursing 8th edition by
Videbeck Test Bank 2024 [VERIFIED]
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 - CORRECT ANSWER-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, 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.
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. -
CORRECT ANSWER-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.
. 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. - CORRECT ANSWER-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 fantasies may be mentally healthy, but the inability to distinguish reality
from fantasy is an individual factor that may contribute to mental illness
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) You may have a temporary mental illness because you are experiencing so much pain.
B) You are not mentally ill. This is an expected reaction to the loss you have experienced.
C) Were you generally dissatisfied with your relationship before your husband's death?
D) Try not to worry about that right now. You never know what the future brings. - CORRECT ANSWER-
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 mental illness. False reassurance or
overanalysis does not accurately address the client's concerns.
. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment - CORRECT ANSWER-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 scope of practice, so documenting
the code in the medical record would be inappropriate.
Videbeck Test Bank 2024 [VERIFIED]
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 - CORRECT ANSWER-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, 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.
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. -
CORRECT ANSWER-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.
. 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. - CORRECT ANSWER-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 fantasies may be mentally healthy, but the inability to distinguish reality
from fantasy is an individual factor that may contribute to mental illness
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) You may have a temporary mental illness because you are experiencing so much pain.
B) You are not mentally ill. This is an expected reaction to the loss you have experienced.
C) Were you generally dissatisfied with your relationship before your husband's death?
D) Try not to worry about that right now. You never know what the future brings. - CORRECT ANSWER-
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 mental illness. False reassurance or
overanalysis does not accurately address the client's concerns.
. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment - CORRECT ANSWER-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 scope of practice, so documenting
the code in the medical record would be inappropriate.
