7/13/23,g1:33gP Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g138
M 9]
Psychiatric-Mentalg Healthg Nursingg 8thg editiong bygVidebeckg Testg Bank
Chapterg1
1. Theg nurseg isg assessingg theg factorsg contributingg tog theg well-
beingg ofg ag newlyg admittedgclient.g Whichg ofg theg followingg wouldg theg nurseg identifyg
asg havingg ag positiveg impactg ongthegindividual'sg mentalghealth?
A) Notg needingg othersg forg companionship
B) Theg abilityg tog effectivelyg managegstress
C) Ag familyg historyg ofg mentalg illness
D) Strivingg forgtotalgself-
reliancegAns:g B
Feedback:
Individualg factorsg influencingg mentalg healthg includegbiologicg makeup,gautonomy,ginde
pendence,g self-
esteem,g capacityg forg growth,g vitality,g abilityg tog findg meaningg ing life,gemotionalg resilie
nceg org hardiness,g sensegofg belonging,g realityg orientation,g andg copingg orgstressg manage
mentgabilities.g Interpersonalg factorsgsuchg asgintimacygandg agbalancegofgseparatenessg a
ndg connectednessg areg bothg neededg forg goodg mentalg health,g andg thereforeg aghealthyg pe
rsong wouldg needg othersg forg companionship.g Ag familyg historyg ofg mentalg illnessgcouldg r
elateg tog theg biologicg makeupg ofg ang individual,g whichg mayg haveg ag negativeg impactgong
ang individual'sg mentalg health,gasgwellgasgagnegativeg impactgongang individual'sginterper
sonalg andg socialñculturalg factorsg ofg health.g Totalg self-
relianceg isg notg possible,gandgagpositivegsocial/culturalgfactorgisgaccessgtogadequategres
ources.
2. Whichg ofg theg followingg statementsgaboutg mentalg illnessg aregtrue?gSelectg allg thatg apply.
A) Mentalg illnessg cang causeg significantg distress,g impairedg functioning,g org both.
B) Mentalg illnessgisg onlyg duegtog social/culturalg factors.
C) Social/culturalg factorsg thatg relateg tog mentalg illnessg includeg excessiveg dependen
cygongorgwithdrawalgfromgrelationships.
D) Individualsg sufferingg fromg mentalg illnessg areg usuallyg ableg tog copeg effectivelyg w
ithgdailyglife.
E) Individualsg sufferingg fromg mentalg illnessg mayg experienceg dissatisfactiong wi
thgrelationshipsgandgself.
Ans:g A,gD,gE
Feedback:
Mentalg illnessg cangcauseg significantg distress,gimpairedg functioning,g orgboth.g Mentalgill
nessg mayg beg relatedg tog individual,g interpersonal,g org social/culturalg factors.g Excessiveg
dependencyg ong org withdrawalg fromg relationshipsg areg interpersonalg factorsg thatg relateg
togmentalg illness.g Individualsg sufferingg fromg mentalg illnessg cang feelg overwhelmedg wit
hgdailyg life.g Individualsg sufferingg fromg mentalg illnessg mayg experienceg dissatisfactiong
withgrelationshipsgandgself.
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3. Whichg ofg theg followingg areg trueg regardingg mentalg healthg andg mentalg illness?
A) Behaviorg thatg mayg beg viewedg asg acceptableg ing oneg cultureg isg alwaysg unaccepta
blegingothergcultures.
B) Itg isgeasyg tog determineg ifgag persong isg mentallyg healthygorg mentallyg ill.
C) Ing mostg cases,g mentalg healthg isg ag stategofg emotional,gpsychological,g andgsoci
algwellnessg evidencedg byg satisfyingg interpersonalg relationships,g effectiveg beh
aviorgandgcoping,gpositivegself-concept,gandgemotionalgstability.
D) Personsgwhogengageg ing fantasiesgareg mentallyg i
ll.gAns:g C
Feedback:
Whatg oneg societyg mayg viewg asg acceptableg andg appropriateg behavior,g anotherg societyg
maygseeg thatg asg maladaptive,g andg inappropriate.g Mentalg healthg andg mentalg illnessg areg
difficultgtogdefineg precisely.g Ing mostg cases,g mentalg healthg isg ag stateg ofg emotional,g psyc
hological,gandg socialg wellnessg evidencedg byg satisfyingg interpersonalg relationships,g effe
ctivegbehaviorg andg coping,g positiveg self-
concept,g andg emotionalg stability.g Personsg whog engageging fantasiesg mayg beg mentallyg h
ealthy,g butg theg inabilityg tog distinguishg realityg fromg fantasygisgangindividualgfactorgthatg
maygcontributegtogmentalgillness.
4. Ag clientg grievingg theg recentg lossg ofg herg husbandg asksg ifg sheg isg becomingg mentall
yg illgbecausegshegisgsogsad.gThegnurse'sgbestgresponsegwouldgbe,
A) ìYoug mayg haveg ag temporaryg mentalg illnessg becauseg youg areg experiencingg sog m
uchgpain.î
B) ìYougareg notg mentallyg ill.g Thisg isg ang expectedg reactiong tog theg lossg youg
havegexperienced.î
C) ìWereg youg generallyg dissatisfiedg withg yourg relationshipg beforeg yourg husban
d'sgdeath?î
D) ìTryg notg tog worryg aboutg thatg rightg now.g Youg neverg knowg whatg theg futureg brin
gs.îgAns:g B
Feedback:
Mentalg illnessg includesg generalgdissatisfactiong withgself,g ineffectiveg relationships,gineff
ectiveg coping,g andg lackg ofg personalg growth.g Additionallyg theg behaviorg mustg notg begcu
lturallyg expected.g Acuteg griefg reactionsg aregexpectedg andg thereforeg notg consideredgme
ntalg illness.g Falseg reassuranceg org overanalysisg doesg notg accuratelyg addressg theg client'sg
concerns.
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M 9]
5. Theg nurseg consultsg theg DSMg forg whichg ofg theg followingg purposes?
A) Togdevisegag plangofg careg forg ag newlygadmittedg client
B) Tog predictg theg client'sg prognosisg ofg treatmentg outcomes
C) Tog documentg theg appropriateg diagnosticg codeg ing theg client'sg medicalg record
D) Togservegasgagguideg forgclientgassessme
ntgAns:g D
Feedback:
ThegDSMgprovidesgstandardg nomenclature,gpresentsgdefiningg characteristics,gandgiden
tifiesgunderlyinggcausesgofg mentalgdisorders.gItgdoesg notgprovidegcaregplansgorgprogno
sticgoutcomesgofgtreatment.gDiagnosisgofg mentalg illnessgisg notgwithingtheggeneralistg R
N'sg scopeg ofg practice,g sog documentingg theg codeg ing theg medicalg recordg wouldgbeginapp
ropriate.
6. Whichgwouldgbegag reasong forgag studentg nursegtog usegtheg DSM?
A) Identifyingg theg medicalg diagnosis
B) Treatg clients
C) Evaluateg treatments
D) Understandg theg reasong forg theg admissiong andg theg natureg ofg psychiatricg illness
es.gAns:g D
Feedback:
Althoughgstudentg nursesgdog notg usegthegDSMgtogdiagnosegclients,gtheygwillg findg itg ag
helpfulgresourcegtog understandgtheg reasong forgthegadmissiongandg togbegingbuildinggkn
owledgeg aboutg theg natureg ofg psychiatricg illnesses.g Identifyingg theg medicalg diagnosis, gt
reating,gandgevaluatinggtreatmentsgaregnotgagpartgofgthegnursinggprocess.
7. Theg legislationg enactedg ing 1963g wasg largelyg responsibleg forg whichg ofg theg followingg s
hiftsgingcaregforgtheg mentallygill?
A) Theg widespreadg useg ofgcommunity-basedg services
B) Theg advancementg ing pharmacotherapies
C) Increasedg accessg tog hospitalization
D) Improvedg rightsg forg clientsg ing long-
termg institutionalg caregAns:g A
Feedback:
Theg Communityg Mentalg Healthg Centersg Constructiong Actg ofg 1963g accomplishedg thegr
eleasegofg individualsg fromg long-
termgstaysg ingstateg institutions,gthegdecreaseg ingadmissionsg tog hospitals,g andg theg devel
opmentg ofg community-basedg servicesg asg angalternativegtoghospitalgcare.
about:blank 3/335
, 7/13/23,g1:33gP Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g138
M 9]
8. Whichgoneg ofg theg followingg isg ag resultgofg federalg legislation?
A) Makingg itg easierg tog commitg peopleg forg mentalg healthg treatmentg againstg theirg will.
B) Makingg itg moreg difficultg tog commitg peopleg forg mentalg healthg treatmentg agai
nstgtheirgwill.
C) Stateg mentalg institutionsg beingg theg primarygsourceg ofg careg forg mentallyg illg persons.
D) Improvedgcareg forg mentallyg illgperson
s.gAns:g B
Feedback:
Commitmentg lawsg changedg ing theg earlyg 1970s,g makingg itg moreg difficultg tog commi
tgpeopleg forg mentalg healthgtreatmentgagainstgtheirgwill.gDeinstitutionalizationgacco
mplishedg theg releaseg ofg individualsg fromg long-
termg staysg ing stateg institutions.gDeinstitutionalizationg alsog hadg negativeg effectsg ing t
hatg someg mentallyg illg personsg aregsubjectedg tog theg revolvingg doorg effect,g whichg m
ayg limitg careg forg mentallyg illg persons.
9. Theg goalg ofg theg 1963g Communityg Mentalg HealthgCentersg Actg wasgto
A) ensureg patients'g rightsg forg theg mentallyg ill.
B) deinstitutionalizeg stateg hospitals.
C) provideg fundsg tog buildg hospitalsg withg psychiatricg units.
D) treatgpeoplegwithg mentalg illnessg ingag humaneg fashio
n.gAns:g B
Feedback:
Theg 1963g Communityg Mentalg Healthg Centersg Actg intimatedg theg movementg toward
gtreatingg thoseg withg mentalg illnessg ing ag lessg restrictiveg environment.g Thisg legislatio
ngresultedg ing theg shiftg ofg clientsg withg mentalg illnessg fromg largeg stateg institutionsg to
g caregbasedg ing theg community.g Answerg choicesg A,g C,g andg Dg wereg notg purposesg of
g theg 1963gCommunitygMentalgHealthgCentersgAct.
10. Theg creationg ofg asylumsg duringg theg 1800sg wasg meantg to
A) improveg treatmentg ofg mentalg disorders.
B) provideg foodg andg shelterg forg thegmentallyg ill.
C) punishg peopleg withg mentalg illnessg whog wereg believedg tog beg possessed.
D) removeg dangerousg peopleg withg mentalg illnessg fromg theg communit
y.gAns:g B
Feedback:
Theg asylumg wasg meantg tog beg ag safeg haveng withg food,g shelter,g andg humaneg treatment
g forgtheg mentallyg ill.g Asylumsg wereg notg usedg tog improveg treatmentg ofg mentalg disorde
rsg org togpunishg mentallyg illgpeoplegwhogweregbelievedgtog begpossessed.gThegasylumg
wasgnotgcreatedgtogremovegthegdangerouslyg mentallyg illgfromgthegcommunity.
about:blank 4/335
M 9]
Psychiatric-Mentalg Healthg Nursingg 8thg editiong bygVidebeckg Testg Bank
Chapterg1
1. Theg nurseg isg assessingg theg factorsg contributingg tog theg well-
beingg ofg ag newlyg admittedgclient.g Whichg ofg theg followingg wouldg theg nurseg identifyg
asg havingg ag positiveg impactg ongthegindividual'sg mentalghealth?
A) Notg needingg othersg forg companionship
B) Theg abilityg tog effectivelyg managegstress
C) Ag familyg historyg ofg mentalg illness
D) Strivingg forgtotalgself-
reliancegAns:g B
Feedback:
Individualg factorsg influencingg mentalg healthg includegbiologicg makeup,gautonomy,ginde
pendence,g self-
esteem,g capacityg forg growth,g vitality,g abilityg tog findg meaningg ing life,gemotionalg resilie
nceg org hardiness,g sensegofg belonging,g realityg orientation,g andg copingg orgstressg manage
mentgabilities.g Interpersonalg factorsgsuchg asgintimacygandg agbalancegofgseparatenessg a
ndg connectednessg areg bothg neededg forg goodg mentalg health,g andg thereforeg aghealthyg pe
rsong wouldg needg othersg forg companionship.g Ag familyg historyg ofg mentalg illnessgcouldg r
elateg tog theg biologicg makeupg ofg ang individual,g whichg mayg haveg ag negativeg impactgong
ang individual'sg mentalg health,gasgwellgasgagnegativeg impactgongang individual'sginterper
sonalg andg socialñculturalg factorsg ofg health.g Totalg self-
relianceg isg notg possible,gandgagpositivegsocial/culturalgfactorgisgaccessgtogadequategres
ources.
2. Whichg ofg theg followingg statementsgaboutg mentalg illnessg aregtrue?gSelectg allg thatg apply.
A) Mentalg illnessg cang causeg significantg distress,g impairedg functioning,g org both.
B) Mentalg illnessgisg onlyg duegtog social/culturalg factors.
C) Social/culturalg factorsg thatg relateg tog mentalg illnessg includeg excessiveg dependen
cygongorgwithdrawalgfromgrelationships.
D) Individualsg sufferingg fromg mentalg illnessg areg usuallyg ableg tog copeg effectivelyg w
ithgdailyglife.
E) Individualsg sufferingg fromg mentalg illnessg mayg experienceg dissatisfactiong wi
thgrelationshipsgandgself.
Ans:g A,gD,gE
Feedback:
Mentalg illnessg cangcauseg significantg distress,gimpairedg functioning,g orgboth.g Mentalgill
nessg mayg beg relatedg tog individual,g interpersonal,g org social/culturalg factors.g Excessiveg
dependencyg ong org withdrawalg fromg relationshipsg areg interpersonalg factorsg thatg relateg
togmentalg illness.g Individualsg sufferingg fromg mentalg illnessg cang feelg overwhelmedg wit
hgdailyg life.g Individualsg sufferingg fromg mentalg illnessg mayg experienceg dissatisfactiong
withgrelationshipsgandgself.
about:blank 1/335
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M 9]
3. Whichg ofg theg followingg areg trueg regardingg mentalg healthg andg mentalg illness?
A) Behaviorg thatg mayg beg viewedg asg acceptableg ing oneg cultureg isg alwaysg unaccepta
blegingothergcultures.
B) Itg isgeasyg tog determineg ifgag persong isg mentallyg healthygorg mentallyg ill.
C) Ing mostg cases,g mentalg healthg isg ag stategofg emotional,gpsychological,g andgsoci
algwellnessg evidencedg byg satisfyingg interpersonalg relationships,g effectiveg beh
aviorgandgcoping,gpositivegself-concept,gandgemotionalgstability.
D) Personsgwhogengageg ing fantasiesgareg mentallyg i
ll.gAns:g C
Feedback:
Whatg oneg societyg mayg viewg asg acceptableg andg appropriateg behavior,g anotherg societyg
maygseeg thatg asg maladaptive,g andg inappropriate.g Mentalg healthg andg mentalg illnessg areg
difficultgtogdefineg precisely.g Ing mostg cases,g mentalg healthg isg ag stateg ofg emotional,g psyc
hological,gandg socialg wellnessg evidencedg byg satisfyingg interpersonalg relationships,g effe
ctivegbehaviorg andg coping,g positiveg self-
concept,g andg emotionalg stability.g Personsg whog engageging fantasiesg mayg beg mentallyg h
ealthy,g butg theg inabilityg tog distinguishg realityg fromg fantasygisgangindividualgfactorgthatg
maygcontributegtogmentalgillness.
4. Ag clientg grievingg theg recentg lossg ofg herg husbandg asksg ifg sheg isg becomingg mentall
yg illgbecausegshegisgsogsad.gThegnurse'sgbestgresponsegwouldgbe,
A) ìYoug mayg haveg ag temporaryg mentalg illnessg becauseg youg areg experiencingg sog m
uchgpain.î
B) ìYougareg notg mentallyg ill.g Thisg isg ang expectedg reactiong tog theg lossg youg
havegexperienced.î
C) ìWereg youg generallyg dissatisfiedg withg yourg relationshipg beforeg yourg husban
d'sgdeath?î
D) ìTryg notg tog worryg aboutg thatg rightg now.g Youg neverg knowg whatg theg futureg brin
gs.îgAns:g B
Feedback:
Mentalg illnessg includesg generalgdissatisfactiong withgself,g ineffectiveg relationships,gineff
ectiveg coping,g andg lackg ofg personalg growth.g Additionallyg theg behaviorg mustg notg begcu
lturallyg expected.g Acuteg griefg reactionsg aregexpectedg andg thereforeg notg consideredgme
ntalg illness.g Falseg reassuranceg org overanalysisg doesg notg accuratelyg addressg theg client'sg
concerns.
about:blank 2/335
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M 9]
5. Theg nurseg consultsg theg DSMg forg whichg ofg theg followingg purposes?
A) Togdevisegag plangofg careg forg ag newlygadmittedg client
B) Tog predictg theg client'sg prognosisg ofg treatmentg outcomes
C) Tog documentg theg appropriateg diagnosticg codeg ing theg client'sg medicalg record
D) Togservegasgagguideg forgclientgassessme
ntgAns:g D
Feedback:
ThegDSMgprovidesgstandardg nomenclature,gpresentsgdefiningg characteristics,gandgiden
tifiesgunderlyinggcausesgofg mentalgdisorders.gItgdoesg notgprovidegcaregplansgorgprogno
sticgoutcomesgofgtreatment.gDiagnosisgofg mentalg illnessgisg notgwithingtheggeneralistg R
N'sg scopeg ofg practice,g sog documentingg theg codeg ing theg medicalg recordg wouldgbeginapp
ropriate.
6. Whichgwouldgbegag reasong forgag studentg nursegtog usegtheg DSM?
A) Identifyingg theg medicalg diagnosis
B) Treatg clients
C) Evaluateg treatments
D) Understandg theg reasong forg theg admissiong andg theg natureg ofg psychiatricg illness
es.gAns:g D
Feedback:
Althoughgstudentg nursesgdog notg usegthegDSMgtogdiagnosegclients,gtheygwillg findg itg ag
helpfulgresourcegtog understandgtheg reasong forgthegadmissiongandg togbegingbuildinggkn
owledgeg aboutg theg natureg ofg psychiatricg illnesses.g Identifyingg theg medicalg diagnosis, gt
reating,gandgevaluatinggtreatmentsgaregnotgagpartgofgthegnursinggprocess.
7. Theg legislationg enactedg ing 1963g wasg largelyg responsibleg forg whichg ofg theg followingg s
hiftsgingcaregforgtheg mentallygill?
A) Theg widespreadg useg ofgcommunity-basedg services
B) Theg advancementg ing pharmacotherapies
C) Increasedg accessg tog hospitalization
D) Improvedg rightsg forg clientsg ing long-
termg institutionalg caregAns:g A
Feedback:
Theg Communityg Mentalg Healthg Centersg Constructiong Actg ofg 1963g accomplishedg thegr
eleasegofg individualsg fromg long-
termgstaysg ingstateg institutions,gthegdecreaseg ingadmissionsg tog hospitals,g andg theg devel
opmentg ofg community-basedg servicesg asg angalternativegtoghospitalgcare.
about:blank 3/335
, 7/13/23,g1:33gP Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g138
M 9]
8. Whichgoneg ofg theg followingg isg ag resultgofg federalg legislation?
A) Makingg itg easierg tog commitg peopleg forg mentalg healthg treatmentg againstg theirg will.
B) Makingg itg moreg difficultg tog commitg peopleg forg mentalg healthg treatmentg agai
nstgtheirgwill.
C) Stateg mentalg institutionsg beingg theg primarygsourceg ofg careg forg mentallyg illg persons.
D) Improvedgcareg forg mentallyg illgperson
s.gAns:g B
Feedback:
Commitmentg lawsg changedg ing theg earlyg 1970s,g makingg itg moreg difficultg tog commi
tgpeopleg forg mentalg healthgtreatmentgagainstgtheirgwill.gDeinstitutionalizationgacco
mplishedg theg releaseg ofg individualsg fromg long-
termg staysg ing stateg institutions.gDeinstitutionalizationg alsog hadg negativeg effectsg ing t
hatg someg mentallyg illg personsg aregsubjectedg tog theg revolvingg doorg effect,g whichg m
ayg limitg careg forg mentallyg illg persons.
9. Theg goalg ofg theg 1963g Communityg Mentalg HealthgCentersg Actg wasgto
A) ensureg patients'g rightsg forg theg mentallyg ill.
B) deinstitutionalizeg stateg hospitals.
C) provideg fundsg tog buildg hospitalsg withg psychiatricg units.
D) treatgpeoplegwithg mentalg illnessg ingag humaneg fashio
n.gAns:g B
Feedback:
Theg 1963g Communityg Mentalg Healthg Centersg Actg intimatedg theg movementg toward
gtreatingg thoseg withg mentalg illnessg ing ag lessg restrictiveg environment.g Thisg legislatio
ngresultedg ing theg shiftg ofg clientsg withg mentalg illnessg fromg largeg stateg institutionsg to
g caregbasedg ing theg community.g Answerg choicesg A,g C,g andg Dg wereg notg purposesg of
g theg 1963gCommunitygMentalgHealthgCentersgAct.
10. Theg creationg ofg asylumsg duringg theg 1800sg wasg meantg to
A) improveg treatmentg ofg mentalg disorders.
B) provideg foodg andg shelterg forg thegmentallyg ill.
C) punishg peopleg withg mentalg illnessg whog wereg believedg tog beg possessed.
D) removeg dangerousg peopleg withg mentalg illnessg fromg theg communit
y.gAns:g B
Feedback:
Theg asylumg wasg meantg tog beg ag safeg haveng withg food,g shelter,g andg humaneg treatment
g forgtheg mentallyg ill.g Asylumsg wereg notg usedg tog improveg treatmentg ofg mentalg disorde
rsg org togpunishg mentallyg illgpeoplegwhogweregbelievedgtog begpossessed.gThegasylumg
wasgnotgcreatedgtogremovegthegdangerouslyg mentallyg illgfromgthegcommunity.
about:blank 4/335
