Test Bank for Psychiatric-Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters (1-24) ISBN: 9781975184773

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TEST BANK FOR y, y,




Psychiatric–Mental Health Nursing 9th Edition by Sheila y, y, y, y, y, y,




L.Videbeck
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All Chapters (1-24) y, y,




Table Of Contents y, y,




UNIT 1 Current Theories and Practice
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Chapter 1. Foundations of Psychiatric–Mental Health Nursing
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Chapter 2. Neurobiologic Theories and Psychopharmacology
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Chapter 3. Psychosocial Theories and Therapy
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Chapter 4. Treatment Settings and Therapeutic
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Programs UNIT 2 Building the Nurse–Client
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yRelationship Chapter 5. Therapeutic Relationships
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Chapter 6. Therapeutic Communication y, y, y,




Chapter 7. Client’s Response to Illness
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Chapter 8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical y , y , y , y ,




yIssuesChapter 10. Grief and Loss
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Chapter 11. Anger, Hostility, and y , y, y , y,




AggressionChapter 12. Abuse and Violence
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UNIT 4 Nursing Practice for Psychiatric
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DisordersChapter 13. Trauma and Stressor-Related
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Disorders Chapter 14. Anxiety and Anxiety Disorders
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Chapter 15. Obsessive–Compulsive and Related Disorders
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Chapter 16. Schizophrenia
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Chapter 17. Mood Disorders and y, y, y, y,




SuicideChapter 18. Personality
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y Disorders Chapter 19. Addiction
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Chapter 20. Eating Disorders y , y , y ,




Chapter 21. Somatic Symptom Illnesses y, y, y, y,




Chapter 22. Neurodevelopmental Disorders
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Chapter 23. Disruptive Behavior Disorders
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Chapter 24. Cognitive Disorders
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Chapter 1 y,




1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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client. Which of the following would the nurse identify as having a positive impact
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onthe individual's mental health?
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A) Not needing others for companionship y, y, y, y,




B) The ability to effectively manage stress y, y, y, y, y,




C) A familyhistory of mental illness y, y, y, y, y,




D) Striving for total self- y, y, y,




relianceAns: B ,
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Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, y, y, y, y, y, y, y, y,




independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
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emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
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stress management abilities. Interpersonal factors such as intimacy and a balance of
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separateness and connectedness are both needed for good mental health, and therefore a
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healthy person would need others for companionship. A family history of mental
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illnesscould relate to the biologic makeup of an individual, which may have a negative
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impacton an individual's mental health, as well as a negative impact on an individual's
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interpersonal and socialñcultural factors of health. Total self-reliance is not possible, and
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a positive social/cultural factor is access to adequate resources.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both. y, y, y, y, y, y, y, y, y,




B) Mental illness is onlydue to social/cultural factors. y, y, y, y, y, y, y,




C) Social/cultural factors that relate to mental illness include excessive y, y, y, y, y, y, y, y,




dependencyon or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively y, y, y, y, y, y, y, y, y, y,




withdailylife. y, ,
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E) Individuals suffering from mental illness may experience dissatisfaction y, y, y, y, y, y, y,




withrelationships and self. y, ,
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Ans: A, D, E y, y, y,




Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
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may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
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life. Individuals suffering from mental illness may experience dissatisfaction
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withrelationships and self.
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3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always unacceptablein y, y, y, y, y, y, y, y, y, y, y, y, y,




other cultures. y, y,




B) It is easyto determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and social
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wellness evidenced by satisfying interpersonal relationships, effective
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behaviorand coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally y, y, y, y, y, y,




ill.Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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maysee that as maladaptive, and inappropriate. Mental health and mental illness are
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difficult to define precisely. In most cases, mental health is a state of emotional,
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psychological, and social wellness evidenced by satisfying interpersonal relationships,
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effective behavior and coping, positive self-concept, and emotional stability. Persons who
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engagein fantasies may be mentally healthy, but the inability to distinguish reality from
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fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally
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illbecause she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so y, y, y, y, y, y, y, y, y, y, y,




muchpain.î y, ,
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B) ìYou are not mentally ill. This is an expected reaction to the loss you y, y, y, y, y, y, y, y, y, y, y, y, y,




haveexperienced.î y, ,
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C) ìWere you generallydissatisfied with your relationship before your y, y, y, y, y, y, y, y,




husband'sdeath?î y, ,
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D) ìTry not to worry about that right now. You never know what the future y, y, y, y, y, y, y, y, y, y, y, y, y,




brings.îAns: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective
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coping, and lack of personal growth. Additionally the behavior must not be
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culturally expected. Acute grief reactions are expected and therefore not considered
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mental illness. False reassurance or overanalysis does not accurately address the
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client'sconcerns.
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5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client y, y, y, y, y, y,




assessmentAns: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
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RN's scope of practice, so documenting the code in the medical record wouldbe
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inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis y, y, y,




B) Treat clients y,




C) Evaluate treatments y,




D) Understand the reason for the admission and the nature of psychiatric y, y, y, y, y, y, y, y, y, y,




illnesses.Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
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resource to understand the reason for the admission and to begin building knowledge
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about the nature of psychiatric illnesses. Identifying the medical diagnosis,treating, and
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evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following shiftsin
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care for the mentally ill?
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A) The widespread use of community-based services y, y, y, y, y,




B) The advancement in pharmacotherapies y, y, y,




C) Increased access to hospitalization y, y, y,




D) Improved rights for clients in long-term institutional y, y, y, y, y, y,




careAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
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therelease of individuals from long-term stays in state institutions, the decrease in
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admissions to hospitals, and the development of community-based services as an
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alternative to hospital care.
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8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will. y, y, y, y, y, y, y, y, y, y, y, y,




B) Making it more difficult to commit people for mental health treatment y, y, y, y, y, y, y, y, y, y,




againsttheir will. y, ,
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C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentallyill y, y, y, y,




persons.Ans: B
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Feedback:

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Commitment laws changed in the early 1970s, making it more difficult to commit people y, y, y, y, y, y, y, y, y, y, y, y, y,




for mental health treatment against their will. Deinstitutionalization accomplished the
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release of individuals from long-term stays in state institutions. Deinstitutionalization
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also had negative effects in that some mentally ill persons aresubjected to the revolving
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door effect, which may limit care for mentallyill persons.
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9. The goal of the 1963 CommunityMental Health Centers Act was to
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A) ensure patients' rights for the mentallyill. y, y, y, y, y, y,




B) deinstitutionalize state hospitals. y, y,




C) provide funds to build hospitals with psychiatric units. y, y, y, y, y, y, y,




D) treat people with mental illness in a humane y, y, y, y, y, y, y,




fashion.Ans: B
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Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
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treating those with mental illness in a less restrictive environment. This legislation
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resulted in the shift of clients with mental illness from large state institutions to care
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based in the community. Answer choices A, C, and D were not purposes of the
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1963CommunityMental Health Centers Act.
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10. The creation of asylums during the 1800s was meant to
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A) improve treatment of mental disorders. y, y, y, y,




B) provide food and shelter for the mentally ill. y, y, y, y, y, y, y,




C) punish people with mental illness who were believed to be possessed. y, y, y, y, y, y, y, y, y, y,




D) remove dangerous people with mental illness from the y, y, y, y, y, y, y,




community.Ans: B
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Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment forthe
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mentally ill. Asylums were not used to improve treatment of mental disorders or
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topunish mentally ill people who were believed to be possessed. The asylum was not
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created to remove the dangerously mentally ill from the community.
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11. The major problems with large state institutions are: Select all that apply.
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A) attendants were accused of abusing the residents. y, y, y, y, y, y,




B) stigma associated with residence in an insane asylum. y, y, y, y, y, y, y,




C) clients were geographicallyisolated from family and community. y, y, y, y, y, y, y,




D) increasing financial costs to individual y, y, y, y,




residents.Ans: A, C
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Feedback:
Clients were often far removed from the local community, family, and friends
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becausestate institutions were usually in rural or remote settings. Choices B and D were
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not major problems associated with large state instructions.
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12. A significant change in the treatment of people with mental illness occurred in the
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1950swhen
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A) communitysupport services were established. y, y, y, y,




B) legislation dramaticallychanged civil commitment procedures. y, y, y, y, y,




C) the Patient's Bill of Rights was enacted. y, y, y, y, y, y,




D) psychotropic drugs became available for y, y, y, y,




use.Ans: D
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Feedback:
The development of psychotropic drugs, or drugs used to treat mental illness, began
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inthe 1950s. Answer choices A, B, and C did not occur in the 1950s.
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13. Before the period of the enlightenment, treatment of the mentallyill included
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