Psychiatric Mental Health Nursing, 9th Edition by Sheila L. Videbeck, 9781975184773 -Test Bank

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Psychiatric–MentalHealthNursing9thEditionbySheilaL. ni ni ni ni ni ni ni




Videbeck
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AllChapters(1-24)ni ni




TableOfContents ni ni




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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nPrograms UNIT 2 Building the Nurse–Client
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nRelationship Chapter 5. Therapeutic Relationships
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Chapter 6. Therapeutic Communication ni ni ni




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 Issues
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nChapter 10. Grief and Loss
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Chapter 11. Anger, Hostility, and Aggression
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n Chapter 12. Abuse and Violence
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UNIT 4 Nursing Practice for Psychiatric Disorders
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Chapter 13. Trauma and Stressor-Related Disorders
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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 Suicide
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n Chapter 18. Personality Disorders
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n Chapter 19. Addiction
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Chapter 20. Eating Disorders n i n i n i




Chapter 21. Somatic Symptom Illnesses
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n Chapter 22. Neurodevelopmental Disorders
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n Chapter 23. Disruptive Behavior Disorders
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n Chapter 24. Cognitive Disorders
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Chapter1 ni




1. The nurse is assessing the factors contributing to the well-being of a newly admitted client.
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Which of the followingwould the nurse identifyas having a positive impacton the
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individual's mental health?
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A) Not needing others for companionship ni ni ni ni




B) Theabilityto effectivelymanage stress ni ni ni ni ni




C) A familyhistoryof mental illness ni ni ni ni ni




D) Strivingfortotalself-reliance ni ni ni




Ans: B ni ni




Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, ni ni ni ni ni ni ni ni




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 stress
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management abilities. Interpersonal factors such as intimacy and a balance of separateness and
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connectedness are both needed for good mentalhealth, and therefore a
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healthyperson would need others for companionship. A familyhistoryof mentalillness could
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relate to the biologic makeup of an individual, which mayhave a negative impact on an
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individual's mental health, as well as a negative impact on an individual's interpersonal and
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socialñcultural factors of health. Total self-reliance is not possible, and a positive
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social/cultural factor is access to adequate resources.
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2. Whichofthe followingstatements about mental illness aretrue? Select all that apply.
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A) Mentalillness can cause significant distress, impaired functioning, or both. ni ni ni ni ni ni ni ni ni




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




C) Social/cultural factorsthat relateto mentalillness includeexcessivedependency on ni ni ni ni ni ni ni ni ni ni




or withdrawal from relationships. ni ni ni ni




D) Individualssuffering from mental illness are usuallyable to cope effectivelywith daily ni ni ni ni ni ni ni ni ni ni ni ni




life. ni




E) Individualssufferingfrom mental illness mayexperiencedissatisfaction with ni ni ni ni ni ni ni ni




relationships and self. ni ni ni




Ans: A, D, E n i ni ni




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 dependency
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on or withdrawal from relationships are interpersonal factors that relate to mental illness.
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Individuals suffering from mental illness can feel overwhelmed with dailylife. Individuals
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sufferingfrom mentalillness mayexperience dissatisfaction with relationships and self.
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3. Whichofthe followingaretrue regardingmental health and mental illness?
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A) Behaviorthat maybe viewedas acceptable in one culture isalways unacceptable in ni ni ni ni ni ni ni ni ni ni ni ni ni




other cultures. ni ni




B) It is easyto determine if a person is mentallyhealthyor mentallyill.
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C) In most cases, mental health is a state of emotional, psychological, and social
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wellness evidencedbysatisfying interpersonalrelationships,effectivebehavior
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and coping, positive self-concept, and emotional stability.
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D) Personswho engage infantasiesarementallyill. ni ni ni ni ni ni ni




Ans: C
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Feedback:
What one societymayview as acceptable and appropriate behavior, another society may see
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that as maladaptive, and inappropriate. Mental health and mental illness are difficult to define
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precisely. In most cases, mental health is a state of emotional, psychological, and social
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wellness evidenced by satisfying interpersonal relationships, effective behavior and coping,
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positive self-concept, and emotional stability. Persons who engage in fantasies maybe
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mentally healthy, but the inabilityto distinguish reality from fantasy is an individual factor
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that may contribute to mental illness.
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4. A client grievingthe recent loss of her husband asks if she is becomingmentallyill
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because she is so sad. The nurse's best response would be,
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A) ìYou mayhavea temporarymental illness because you are experiencingso much pain.î ni ni ni ni ni ni ni ni ni ni ni ni ni




B) ìYou are not mentallyill. This is an expected reaction to the loss you have ni ni ni ni ni ni ni ni ni ni ni ni ni ni




experienced.î ni




C) ìWereyou generallydissatisfiedwith yourrelationshipbefore yourhusband's ni ni ni ni ni ni ni ni ni




death?î ni




D) ìTrynot to worryabout that right now. You never knowwhat the future brings.î Ans: B ni ni ni ni ni ni ni ni ni ni ni ni ni ni ni ni




Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective
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coping, and lack of personal growth. Additionallythebehavior must not be
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culturally expected. Acute grief reactions are expected and therefore not considered mental
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illness. False reassurance or overanalysis doesnot accuratelyaddress the client's concerns.
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5. Thenurse consults the DSM for which of the followingpurposes?
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A) To devise a plan of care for a newlyadmitted client
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B) To predict the client's prognosis of treatment outcomes
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C) Todocument theappropriate diagnostic code in theclient's medical record
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D) Toserveasa guide forclientassessment ni ni ni ni ni ni ni




Ans: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
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underlying causes of mental disorders. It does not provide care plans or prognostic outcomes
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of treatment. Diagnosis of mental illness is not within the generalistRN's scopeof practice, so
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documentingthe code in the medical record would be inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifyingthemedicaldiagnosis ni ni ni




B) Treatclients ni




C) Evaluatetreatments ni




D) Understand the reason for the admission and the natureof psychiatric illnesses. Ans: ni ni ni ni ni ni ni ni ni ni ni ni




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 knowledgeabout
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thenatureof psychiatricillnesses. Identifyingthemedical diagnosis, treating, and evaluating
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treatments are not a part of the nursing process.
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7. Thelegislation enacted in 1963 was largelyresponsible for which of the following shifts in care
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for the mentally ill?
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A) Thewidespread useof community-based services ni ni ni ni ni




B) Theadvancement in pharmacotherapies ni ni ni




C) Increased access to hospitalization ni ni ni




D) Improvedrights for clients in long-terminstitutional care ni ni ni ni ni ni ni




Ans: A
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Feedback:
TheCommunityMental HealthCenters ConstructionAct of 1963 accomplished the release
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of individuals from long-term stays in state institutions, the decrease in admissions to
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hospitals, and the development of community-based services as an alternative to hospital
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care.
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8. Which one of the followingis a result of federal legislation?
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A) Makingit easierto commit people formental health treatment against theirwill. ni ni ni ni ni ni ni ni ni ni ni ni




B) Makingitmore difficultto commit people for mental healthtreatment against their ni ni ni ni ni ni ni ni ni ni ni ni




will. ni




C) Statemental institutions being the primarysource of care for mentallyill persons.
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D) Improvedcareformentallyillpersons. ni ni ni ni ni




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 for ni ni ni ni ni ni ni ni ni ni ni ni ni ni




mental health treatment against their will. Deinstitutionalization accomplished the release
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of individuals from long-term stays in state institutions. Deinstitutionalization also had
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negative effects in that some mentallyill persons are subjected to the revolvingdoor effect,
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which maylimit carefor mentallyill persons.
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9. Thegoal of the1963 CommunityMental Health Centers Act was to
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A) ensure patients' rights for the mentallyill. ni ni ni ni ni ni




B) deinstitutionalize state hospitals. ni ni




C) providefunds to build hospitals with psychiatric units. ni ni ni ni ni ni ni




D) treatpeoplewith mentalillness in ahumanefashion. ni ni ni ni ni ni ni ni




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




B) provide food and shelter for the mentallyill. ni ni ni ni ni ni ni




C) punish people with mental illness who werebelieved to be possessed. ni ni ni ni ni ni ni ni ni ni




D) removedangerous peoplewith mental illness from thecommunity. ni ni ni ni ni ni ni ni




Ans: B
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Feedback:
Theasylum was meant to be a safe haven with food, shelter, and humane treatment for the
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mentallyill. Asylums werenot used to improve treatment of mental disorders or to punish
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mentally ill people who were believed to be possessed. The asylum was not created to
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remove the dangerously mentally ill from the community.
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11. Themajorproblems with largestateinstitutions are: Select all that apply.
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A) attendants were accused of abusingthe residents. ni ni ni ni ni ni




B) stigmaassociated with residencein an insaneasylum. ni ni ni ni ni ni ni




C) clients were geographicallyisolated from familyand community. ni ni ni ni ni ni ni




D) increasingfinancialcoststoindividualresidents. ni ni ni ni ni




Ans: A, C
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Feedback:
Clients wereoften far removed from the local community, family, andfriendsbecause state
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institutions were usually in rural or remote settings. Choices B and D were not major
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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 1950s when
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A) communitysupport services wereestablished. ni ni ni ni




B) legislationdramaticallychanged civilcommitment procedures. ni ni ni ni ni




C) thePatient's Bill of Rights was enacted. ni ni ni ni ni ni




D) psychotropicdrugsbecameavailableforuse. ni ni ni ni ni




Ans: D
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Feedback:
Thedevelopmentof psychotropic drugs, or drugs used to treatmental illness, began in the
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1950s. Answer choices A, B, and C did not occur in the 1950s.
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13. Beforethe period of the enlightenment, treatment of the mentallyill included
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