15/6/23,m1:2 Psychiatric mmentalmhealthmnursingm8thmeditionmby mvidebeckmtestmbank[m
1 1389]
Psychiatric-
Mental mHealthmNursing m8thmeditionmby mVidebeckmTestmBankm Chapterm1
1. Themnursemis massessingmthemfactors mcontributingmto mthemwell-
beingmofmamnewly madmitted m client.mWhich mofmthemfollowingmwould mthemnursemid
entify mas mhavingmampositivemimpact mon m themindividual's mmental mhealth?
A) Not mneedingmothers mformcompanionship
B) Themability mto meffectively mmanagemstress
C) A mfamily mhistory mofmmental millness
D) Strivingmformtotal mself-
reliancem Ans: mB
Feedback:
Individual mfactors minfluencingmmental mhealthmincludembiologicmmakeup,mautonomy,
m independence,mself-
esteem,mcapacity mformgrowth,mvitality,mability mto mfindmmeaningmin mlife,m emotionalm
resiliencemormhardiness,msensemofmbelonging,mreality morientation,mand mcopingmorm str
ess mmanagement mabilities.mInterpersonal mfactorsmsuch mas mintimacy mand mambalancemo
fm separateness mand mconnectednessmaremboth mneededmformgood mmental mhealth,mand m
thereforemam healthy mperson mwould mneed mothers mformcompanionship.mA mfamily mhist
ory mofmmental millness m could mrelatemto mthembiologicmmakeup mofman mindividual,mwhi
ch mmay mhavemamnegativemimpact m on man mindividual's mmental mhealth,mas mwell mas ma
mnegativemimpact mon man mindividual'sm interpersonal m and m socialñcultural m factors m of
m health.m Total m self-
reliancem is m not m possible,m andmampositivemsocial/cultural mfactormis maccess mtomadequ
atemresources.
2. Which mofmthemfollowingmstatements mabout mmental millness maremtrue?mSelect mall mthat mapply.
A) Mental millness mcan mcausemsignificant mdistress,mimpaired mfunctioning,mormboth.
B) Mental millness mis monly mduemto msocial/cultural mfactors.
C) Social/cultural mfactors mthat mrelatemto mmental millnessmincludemexcessivemdepen
dency m on mormwithdrawal mfrommrelationships.
D) Individuals msufferingmfrommmental millness maremusually mablemto mcopemeffectivel
y mwith m daily mlife.
E) Individuals msufferingmfrommmental millness mmay mexperiencemdissatisfaction
mwith m relationships mand mself.
Ans: mA,mD,mE
Feedback:
Mental millness mcan mcausemsignificantmdistress,mimpaired mfunctioning,mormboth.mMen
tal m illness mmay mbemrelated mtomindividual,minterpersonal,mormsocial/cultural mfactors.m
Excessivem dependency monmormwithdrawalmfrommrelationships mareminterpersonalmfact
ors mthat mrelatemto m mental millness.mIndividuals msufferingmfrommmental millness mcan mf
eel moverwhelmed mwith m dailymlife.mIndividuals msufferingmfrommmental millness mmay
mexperiencemdissatisfaction mwith m relationships mand mself.
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3. Which mofmthemfollowingmaremtruemregardingmmental mhealth mand mmental millness?
A) Behaviormthat mmay mbemviewed mas macceptablemin monemculturemis malwaysmunac
ceptablem in mothermcultures.
B) It mis measy mto mdeterminemifmamperson mis mmentally mhealthy mormmentally mill.
C) In mmost mcases,mmental mhealth mis mamstatemofmemotional,mpsychological,mandm
social m wellness mevidenced mbymsatisfyingminterpersonal mrelationships,meffecti
vembehaviorm and mcoping,mpositivemself-concept,mand memotional mstability.
D) Persons mwho mengagemin mfantasies maremmentall
y mill.m Ans: mC
Feedback:
What monemsociety mmay mview mas macceptablemandmappropriatembehavior,manothermsoci
ety mmay m seemthat mas mmaladaptive,mand minappropriate.mMental mhealthmand mmental mil
lness maremdifficult m to mdefinemprecisely.mIn mmost mcases,mmental mhealth mis mamstatemof
memotional,mpsychological,m and msocial mwellness mevidenced mbymsatisfyingminterperso
nal mrelationships,meffectivem behaviormand mcoping,mpositivemself-
concept,mand memotional mstability.mPersonsmwho mengagem in mfantasiesmmay mbemmenta
lly mhealthy,mbut mtheminability mtomdistinguish mreality mfrommfantasy m isman mindividual
mfactormthat mmay mcontributemto mmental millness.
4. A mclient mgrievingmthemrecent mloss mofmhermhusband masks mifmshemis mbecomingmm
entally mill m becausemshemis mso msad.mThemnurse's mbest mresponsemwould mbe,
A) ìYou mmay mhavemamtemporary mmental millnessmbecausemyoumaremexperiencingms
o mmuch m pain.î
B) ìYou maremnot mmentally mill.mThis mis man mexpected mreactionmto mthemlossm
you mhavem experienced.î
C) ìWeremyou mgenerally mdissatisfied mwith myourmrelationship mbeforemyourmhus
band's m death?î
D) ìTry mnot mto mworry mabout mthatmright mnow.mYou mnevermknow mwhat mthemfutur
embrings.î m Ans: mB
Feedback:
Mental millness mincludes mgeneral mdissatisfaction mwith mself,mineffectivemrelationships,
m ineffectivemcoping,mand mlack mofmpersonal mgrowth.mAdditionallymthembehaviormmus
t mnot mbem culturallymexpected.mAcutemgriefmreactions maremexpected mand mthereforemn
ot mconsidered m mental millness.mFalsemreassurancemormoveranalysis mdoes mnot maccurat
ely maddress mthemclient's m concerns.
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5. Themnursemconsults mthemDSMmformwhich mofmthemfollowingmpurposes?
A) To mdevisemamplan mofmcaremformamnewly madmitted mclient
B) To mpredict mthemclient's mprognosis mofmtreatment moutcomes
C) To mdocument mthemappropriatemdiagnosticmcodemin mthemclient's mmedical mrecord
D) To mservemas mamguidemformclient massess
ment m Ans: mD
Feedback:
ThemDSMmprovides mstandard mnomenclature,mpresents mdefiningmcharacteristics,mand
m identifies munderlyingmcauses mofmmentalmdisorders.mIt mdoesmnotmprovidemcaremplan
s morm prognosticmoutcomes mofmtreatment.mDiagnosismofmmental millness mismnotmwithi
n mthem generalist mRN's mscopemofmpractice,mso mdocumentingmthemcodeminmthemmedi
cal mrecord mwould m beminappropriate.
6. Which mwould mbemamreason mformamstudent mnursemto musemthemDSM?
A) Identifyingmthemmedical mdiagnosis
B) Treat mclients
C) Evaluatemtreatments
D) Understand mthemreason mformthemadmission mand mthemnaturemofmpsychiatricmill
nesses.m Ans: mD
Feedback:
Although mstudentmnursesmdo mnotmusemthemDSMmto mdiagnosemclients,mthey mwill mfin
d mit mam helpful mresourcemto munderstand mthemreasonmformthemadmission mand mto mbegi
n mbuildingm knowledgemabout mthemnaturemofmpsychiatricmillnesses.mIdentifyingmthem
medical mdiagnosis,m treating,mand mevaluatingmtreatments maremnot mampart mofmthemnurs
ingmprocess.
7. Themlegislation menacted min m1963 mwasmlargely mresponsiblemformwhich mofmthemfollowi
ngmshifts m in mcaremformthemmentally mill?
A) Themwidespread musemofmcommunity-based mservices
B) Themadvancement min mpharmacotherapies
C) Increased maccess mto mhospitalization
D) Improved mrights mformclients min mlong-
termminstitutional mcarem Ans: mA
Feedback:
ThemCommunity mMental mHealth mCenters mConstructionmAct mofm1963 maccomplished m
them releasemofmindividuals mfrommlong-
termmstays min mstateminstitutions,mthemdecreasemin m admissionsmto mhospitals,mand mthe
mdevelopment mofmcommunity-based mservices mas man m alternativemto mhospital mcare.
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8. Which monemofmthemfollowingmis mamresult mofmfederal mlegislation?
A) Makingmit measiermto mcommit mpeoplemformmental mhealth mtreatment magainst mtheirmwill.
B) Makingmit mmoremdifficult mto mcommit mpeoplemformmental mhealth mtreatmentm
against m theirmwill.
C) Statemmental minstitutionsmbeingmthemprimary msourcemofmcaremformmentally mill mpersons.
D) Improved mcaremformmentally mill mpers
ons.m Ans: mB
Feedback:
Commitment mlaws mchanged min mthemearly m1970s,mmakingmit mmoremdifficult mtomcom
mit m peoplemformmental mhealth mtreatmentmagainst mtheirmwill.mDeinstitutionalization
m accomplished mthemreleasemofmindividuals mfrommlong-
termmstays min mstateminstitutions.m Deinstitutionalization malso mhadmnegativemeffects mi
n mthat msomemmentally mill mpersonsmarem subjected mto mthemrevolvingmdoormeffect,mw
hich mmay mlimit mcaremformmentally mill mpersons.
9. Themgoal mofmthem1963 mCommunity mMental mHealth mCenters mAct mwas mto
A) ensurempatients' mrights mformthemmentally mill.
B) deinstitutionalizemstatemhospitals.
C) providemfunds mto mbuild mhospitals mwith mpsychiatricmunits.
D) treat mpeoplemwith mmental millness min mamhumanemfa
shion.m Ans: mB
Feedback:
Them1963 mCommunity mMental mHealth mCenters mActmintimated mthemmovement mtowar
d m treatingmthosemwith mmentalmillnessmin mamlessmrestrictivemenvironment.mThis mlegis
lation m resulted min mthemshift mofmclients mwith mmentalmillnessmfrommlargemstateminstitu
tions mto mcarem based min mthemcommunity.mAnswermchoices mA,mC,mand mD mweremnotm
purposes mofmthem1963 m Community mMental mHealth mCenters mAct.
10 . Themcreation mofmasylums mduringmthem1800s mwas mmeant mto
A) improvemtreatment mofmmental mdisorders.
B) providemfood mand msheltermformthemmentally mill.
C) punish mpeoplemwith mmental millness mwho mwerembelieved mto mbempossessed.
D) removemdangerous mpeoplemwith mmental millness mfrommthemcomm
unity.m Ans: mB
Feedback:
Themasylummwas mmeant mto mbemamsafemhaven mwith mfood,mshelter,mand mhumanemtrea
tment mform themmentally mill.mAsylums mweremnot mused mtomimprovemtreatment mofmme
ntal mdisorders mormto m punish mmentallymillmpeoplemwho mwerembelieved mtombemposses
sed.mThemasylummwas mnot m created mto mremovemthemdangerouslymmentallymillmfromm
themcommunity.
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1 1389]
Psychiatric-
Mental mHealthmNursing m8thmeditionmby mVidebeckmTestmBankm Chapterm1
1. Themnursemis massessingmthemfactors mcontributingmto mthemwell-
beingmofmamnewly madmitted m client.mWhich mofmthemfollowingmwould mthemnursemid
entify mas mhavingmampositivemimpact mon m themindividual's mmental mhealth?
A) Not mneedingmothers mformcompanionship
B) Themability mto meffectively mmanagemstress
C) A mfamily mhistory mofmmental millness
D) Strivingmformtotal mself-
reliancem Ans: mB
Feedback:
Individual mfactors minfluencingmmental mhealthmincludembiologicmmakeup,mautonomy,
m independence,mself-
esteem,mcapacity mformgrowth,mvitality,mability mto mfindmmeaningmin mlife,m emotionalm
resiliencemormhardiness,msensemofmbelonging,mreality morientation,mand mcopingmorm str
ess mmanagement mabilities.mInterpersonal mfactorsmsuch mas mintimacy mand mambalancemo
fm separateness mand mconnectednessmaremboth mneededmformgood mmental mhealth,mand m
thereforemam healthy mperson mwould mneed mothers mformcompanionship.mA mfamily mhist
ory mofmmental millness m could mrelatemto mthembiologicmmakeup mofman mindividual,mwhi
ch mmay mhavemamnegativemimpact m on man mindividual's mmental mhealth,mas mwell mas ma
mnegativemimpact mon man mindividual'sm interpersonal m and m socialñcultural m factors m of
m health.m Total m self-
reliancem is m not m possible,m andmampositivemsocial/cultural mfactormis maccess mtomadequ
atemresources.
2. Which mofmthemfollowingmstatements mabout mmental millness maremtrue?mSelect mall mthat mapply.
A) Mental millness mcan mcausemsignificant mdistress,mimpaired mfunctioning,mormboth.
B) Mental millness mis monly mduemto msocial/cultural mfactors.
C) Social/cultural mfactors mthat mrelatemto mmental millnessmincludemexcessivemdepen
dency m on mormwithdrawal mfrommrelationships.
D) Individuals msufferingmfrommmental millness maremusually mablemto mcopemeffectivel
y mwith m daily mlife.
E) Individuals msufferingmfrommmental millness mmay mexperiencemdissatisfaction
mwith m relationships mand mself.
Ans: mA,mD,mE
Feedback:
Mental millness mcan mcausemsignificantmdistress,mimpaired mfunctioning,mormboth.mMen
tal m illness mmay mbemrelated mtomindividual,minterpersonal,mormsocial/cultural mfactors.m
Excessivem dependency monmormwithdrawalmfrommrelationships mareminterpersonalmfact
ors mthat mrelatemto m mental millness.mIndividuals msufferingmfrommmental millness mcan mf
eel moverwhelmed mwith m dailymlife.mIndividuals msufferingmfrommmental millness mmay
mexperiencemdissatisfaction mwith m relationships mand mself.
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1 1389]
3. Which mofmthemfollowingmaremtruemregardingmmental mhealth mand mmental millness?
A) Behaviormthat mmay mbemviewed mas macceptablemin monemculturemis malwaysmunac
ceptablem in mothermcultures.
B) It mis measy mto mdeterminemifmamperson mis mmentally mhealthy mormmentally mill.
C) In mmost mcases,mmental mhealth mis mamstatemofmemotional,mpsychological,mandm
social m wellness mevidenced mbymsatisfyingminterpersonal mrelationships,meffecti
vembehaviorm and mcoping,mpositivemself-concept,mand memotional mstability.
D) Persons mwho mengagemin mfantasies maremmentall
y mill.m Ans: mC
Feedback:
What monemsociety mmay mview mas macceptablemandmappropriatembehavior,manothermsoci
ety mmay m seemthat mas mmaladaptive,mand minappropriate.mMental mhealthmand mmental mil
lness maremdifficult m to mdefinemprecisely.mIn mmost mcases,mmental mhealth mis mamstatemof
memotional,mpsychological,m and msocial mwellness mevidenced mbymsatisfyingminterperso
nal mrelationships,meffectivem behaviormand mcoping,mpositivemself-
concept,mand memotional mstability.mPersonsmwho mengagem in mfantasiesmmay mbemmenta
lly mhealthy,mbut mtheminability mtomdistinguish mreality mfrommfantasy m isman mindividual
mfactormthat mmay mcontributemto mmental millness.
4. A mclient mgrievingmthemrecent mloss mofmhermhusband masks mifmshemis mbecomingmm
entally mill m becausemshemis mso msad.mThemnurse's mbest mresponsemwould mbe,
A) ìYou mmay mhavemamtemporary mmental millnessmbecausemyoumaremexperiencingms
o mmuch m pain.î
B) ìYou maremnot mmentally mill.mThis mis man mexpected mreactionmto mthemlossm
you mhavem experienced.î
C) ìWeremyou mgenerally mdissatisfied mwith myourmrelationship mbeforemyourmhus
band's m death?î
D) ìTry mnot mto mworry mabout mthatmright mnow.mYou mnevermknow mwhat mthemfutur
embrings.î m Ans: mB
Feedback:
Mental millness mincludes mgeneral mdissatisfaction mwith mself,mineffectivemrelationships,
m ineffectivemcoping,mand mlack mofmpersonal mgrowth.mAdditionallymthembehaviormmus
t mnot mbem culturallymexpected.mAcutemgriefmreactions maremexpected mand mthereforemn
ot mconsidered m mental millness.mFalsemreassurancemormoveranalysis mdoes mnot maccurat
ely maddress mthemclient's m concerns.
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1 1389]
5. Themnursemconsults mthemDSMmformwhich mofmthemfollowingmpurposes?
A) To mdevisemamplan mofmcaremformamnewly madmitted mclient
B) To mpredict mthemclient's mprognosis mofmtreatment moutcomes
C) To mdocument mthemappropriatemdiagnosticmcodemin mthemclient's mmedical mrecord
D) To mservemas mamguidemformclient massess
ment m Ans: mD
Feedback:
ThemDSMmprovides mstandard mnomenclature,mpresents mdefiningmcharacteristics,mand
m identifies munderlyingmcauses mofmmentalmdisorders.mIt mdoesmnotmprovidemcaremplan
s morm prognosticmoutcomes mofmtreatment.mDiagnosismofmmental millness mismnotmwithi
n mthem generalist mRN's mscopemofmpractice,mso mdocumentingmthemcodeminmthemmedi
cal mrecord mwould m beminappropriate.
6. Which mwould mbemamreason mformamstudent mnursemto musemthemDSM?
A) Identifyingmthemmedical mdiagnosis
B) Treat mclients
C) Evaluatemtreatments
D) Understand mthemreason mformthemadmission mand mthemnaturemofmpsychiatricmill
nesses.m Ans: mD
Feedback:
Although mstudentmnursesmdo mnotmusemthemDSMmto mdiagnosemclients,mthey mwill mfin
d mit mam helpful mresourcemto munderstand mthemreasonmformthemadmission mand mto mbegi
n mbuildingm knowledgemabout mthemnaturemofmpsychiatricmillnesses.mIdentifyingmthem
medical mdiagnosis,m treating,mand mevaluatingmtreatments maremnot mampart mofmthemnurs
ingmprocess.
7. Themlegislation menacted min m1963 mwasmlargely mresponsiblemformwhich mofmthemfollowi
ngmshifts m in mcaremformthemmentally mill?
A) Themwidespread musemofmcommunity-based mservices
B) Themadvancement min mpharmacotherapies
C) Increased maccess mto mhospitalization
D) Improved mrights mformclients min mlong-
termminstitutional mcarem Ans: mA
Feedback:
ThemCommunity mMental mHealth mCenters mConstructionmAct mofm1963 maccomplished m
them releasemofmindividuals mfrommlong-
termmstays min mstateminstitutions,mthemdecreasemin m admissionsmto mhospitals,mand mthe
mdevelopment mofmcommunity-based mservices mas man m alternativemto mhospital mcare.
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1 1389]
8. Which monemofmthemfollowingmis mamresult mofmfederal mlegislation?
A) Makingmit measiermto mcommit mpeoplemformmental mhealth mtreatment magainst mtheirmwill.
B) Makingmit mmoremdifficult mto mcommit mpeoplemformmental mhealth mtreatmentm
against m theirmwill.
C) Statemmental minstitutionsmbeingmthemprimary msourcemofmcaremformmentally mill mpersons.
D) Improved mcaremformmentally mill mpers
ons.m Ans: mB
Feedback:
Commitment mlaws mchanged min mthemearly m1970s,mmakingmit mmoremdifficult mtomcom
mit m peoplemformmental mhealth mtreatmentmagainst mtheirmwill.mDeinstitutionalization
m accomplished mthemreleasemofmindividuals mfrommlong-
termmstays min mstateminstitutions.m Deinstitutionalization malso mhadmnegativemeffects mi
n mthat msomemmentally mill mpersonsmarem subjected mto mthemrevolvingmdoormeffect,mw
hich mmay mlimit mcaremformmentally mill mpersons.
9. Themgoal mofmthem1963 mCommunity mMental mHealth mCenters mAct mwas mto
A) ensurempatients' mrights mformthemmentally mill.
B) deinstitutionalizemstatemhospitals.
C) providemfunds mto mbuild mhospitals mwith mpsychiatricmunits.
D) treat mpeoplemwith mmental millness min mamhumanemfa
shion.m Ans: mB
Feedback:
Them1963 mCommunity mMental mHealth mCenters mActmintimated mthemmovement mtowar
d m treatingmthosemwith mmentalmillnessmin mamlessmrestrictivemenvironment.mThis mlegis
lation m resulted min mthemshift mofmclients mwith mmentalmillnessmfrommlargemstateminstitu
tions mto mcarem based min mthemcommunity.mAnswermchoices mA,mC,mand mD mweremnotm
purposes mofmthem1963 m Community mMental mHealth mCenters mAct.
10 . Themcreation mofmasylums mduringmthem1800s mwas mmeant mto
A) improvemtreatment mofmmental mdisorders.
B) providemfood mand msheltermformthemmentally mill.
C) punish mpeoplemwith mmental millness mwho mwerembelieved mto mbempossessed.
D) removemdangerous mpeoplemwith mmental millness mfrommthemcomm
unity.m Ans: mB
Feedback:
Themasylummwas mmeant mto mbemamsafemhaven mwith mfood,mshelter,mand mhumanemtrea
tment mform themmentally mill.mAsylums mweremnot mused mtomimprovemtreatment mofmme
ntal mdisorders mormto m punish mmentallymillmpeoplemwho mwerembelieved mtombemposses
sed.mThemasylummwas mnot m created mto mremovemthemdangerouslymmentallymillmfromm
themcommunity.
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