TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 9TH
EDITION
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 |onthe
|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
|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 |ahealthy |person |would |need |others |for
|companionship. |A |family |history |of |mental |illnesscould |relate |to |the |biologic |makeup |of
|an |individual, |which |may |have |a |negative |impacton |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. 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.
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.
,3. 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.
|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.
4. 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) ìYou |may |have |a |temporary |mental |illness |because |you |are |experiencing |so |much
|pain.î
B) ìYou |are |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) ìTry |not |to |worry |about |that |right |now. |You |never |know |what |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
|mental |illness. |False |reassurance |or |overanalysis |does |not |accurately |address |the |client's
|concerns.
,5. 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 |
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.
6. Which |would |be |a |reason |for |a |student |nurse |to |use |the |DSM? |
A) Identifying |the |medical |diagnosis
B) Treat |clients
C) Evaluate |treatments
D) |Understand |the |reason |for |the |admission |and |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 |knowledge
|about |the |nature |of |psychiatric |illnesses. |Identifying |the |medical |diagnosis, |treating, |and
|evaluating |treatments |are |not |a |part |of |the |nursing |process.
7. The |legislation |enacted |in |1963 |was |largely |responsible |for |which |of |the |following |shifts |in
|care |for |the |mentally |ill?
A) The |widespread |use |of |community-based |services
B) The |advancement |in |pharmacotherapies
C) Increased |access |to |hospitalization
D) Improved |rights |for |clients |in |long-term |institutional |care
|Ans: | A
Feedback:
The |Community |Mental |Health |Centers |Construction |Act |of |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.
, 8. Which |one |of |the |following |is |a |result |of |federal |legislation?
A) Making |it |easier |to |commit |people |for |mental |health |treatment |against |their |will.
B) Making |it |more |difficult |to |commit |people |for |mental |health |treatment |against
|their |will.
C) State |mental |institutions |being |the |primary |source |of |care |for |mentally |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. |Deinstitutionalization |accomplished |the
|release |of |individuals |from |long-term |stays |in |state |institutions. |Deinstitutionalization
|also |had |negative |effects |in |that |some |mentally |ill |persons |are |subjected |to |the |revolving
|door |effect, |which |may |limit |care |for |mentally |ill |persons.
9. The |goal |of |the |1963 |Community |Mental |Health |Centers |Act |was |to
A) ensure |patients' |rights |for |the |mentally |ill.
B) deinstitutionalize |state |hospitals.
C) provide |funds |to |build |hospitals |with |psychiatric |units.
D) treat |people |with |mental |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 |care
|based |in |the |community. |Answer |choices |A, |C, |and |D |were |not |purposes |of |the |1963
|Community |Mental |Health |Centers |Act.
10. The |creation |of |asylums |during |the |1800s |was |meant |to
A) improve |treatment |of |mental |disorders.
B) provide |food |and |shelter |for |the |mentally |ill.
C) punish |people |with |mental |illness |who |were |believed |to |be |possessed.
D) remove |dangerous |people |with |mental |illness |from |the |community.
|Ans: | B
Feedback:
The |asylum |was |meant |to |be |a |safe |haven |with |food, |shelter, |and |humane |treatment |for |the
|mentally |ill. |Asylums |were |not |used |to |improve |treatment |of |mental |disorders |or |to |punish
|mentally |ill |people |who |were |believed |to |be |possessed. |The |asylum |was |not |created |to
|remove |the |dangerously |mentally |ill |from |the |community.
EDITION
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 |onthe
|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
|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 |ahealthy |person |would |need |others |for
|companionship. |A |family |history |of |mental |illnesscould |relate |to |the |biologic |makeup |of
|an |individual, |which |may |have |a |negative |impacton |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. 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.
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.
,3. 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.
|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.
4. 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) ìYou |may |have |a |temporary |mental |illness |because |you |are |experiencing |so |much
|pain.î
B) ìYou |are |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) ìTry |not |to |worry |about |that |right |now. |You |never |know |what |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
|mental |illness. |False |reassurance |or |overanalysis |does |not |accurately |address |the |client's
|concerns.
,5. 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 |
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.
6. Which |would |be |a |reason |for |a |student |nurse |to |use |the |DSM? |
A) Identifying |the |medical |diagnosis
B) Treat |clients
C) Evaluate |treatments
D) |Understand |the |reason |for |the |admission |and |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 |knowledge
|about |the |nature |of |psychiatric |illnesses. |Identifying |the |medical |diagnosis, |treating, |and
|evaluating |treatments |are |not |a |part |of |the |nursing |process.
7. The |legislation |enacted |in |1963 |was |largely |responsible |for |which |of |the |following |shifts |in
|care |for |the |mentally |ill?
A) The |widespread |use |of |community-based |services
B) The |advancement |in |pharmacotherapies
C) Increased |access |to |hospitalization
D) Improved |rights |for |clients |in |long-term |institutional |care
|Ans: | A
Feedback:
The |Community |Mental |Health |Centers |Construction |Act |of |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.
, 8. Which |one |of |the |following |is |a |result |of |federal |legislation?
A) Making |it |easier |to |commit |people |for |mental |health |treatment |against |their |will.
B) Making |it |more |difficult |to |commit |people |for |mental |health |treatment |against
|their |will.
C) State |mental |institutions |being |the |primary |source |of |care |for |mentally |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. |Deinstitutionalization |accomplished |the
|release |of |individuals |from |long-term |stays |in |state |institutions. |Deinstitutionalization
|also |had |negative |effects |in |that |some |mentally |ill |persons |are |subjected |to |the |revolving
|door |effect, |which |may |limit |care |for |mentally |ill |persons.
9. The |goal |of |the |1963 |Community |Mental |Health |Centers |Act |was |to
A) ensure |patients' |rights |for |the |mentally |ill.
B) deinstitutionalize |state |hospitals.
C) provide |funds |to |build |hospitals |with |psychiatric |units.
D) treat |people |with |mental |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 |care
|based |in |the |community. |Answer |choices |A, |C, |and |D |were |not |purposes |of |the |1963
|Community |Mental |Health |Centers |Act.
10. The |creation |of |asylums |during |the |1800s |was |meant |to
A) improve |treatment |of |mental |disorders.
B) provide |food |and |shelter |for |the |mentally |ill.
C) punish |people |with |mental |illness |who |were |believed |to |be |possessed.
D) remove |dangerous |people |with |mental |illness |from |the |community.
|Ans: | B
Feedback:
The |asylum |was |meant |to |be |a |safe |haven |with |food, |shelter, |and |humane |treatment |for |the
|mentally |ill. |Asylums |were |not |used |to |improve |treatment |of |mental |disorders |or |to |punish
|mentally |ill |people |who |were |believed |to |be |possessed. |The |asylum |was |not |created |to
|remove |the |dangerously |mentally |ill |from |the |community.
