TEST BANK
PSYCHIATRIC-MENTAL HEALTH NURSING 7TH EDITION
Videbeck, Sheila L & Cathy J. Miller
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7TH
EDITION BY VIDEBECK
Psychiatric Mental Health Nursing 7th EditionTest Bank
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
on the individual's mental health?
A) Not needingothers for companionship
B) The ability to effectivelymanage stress
C) Afamily history of mental illness
D) Striving fortotal 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 bothneeded forgoodmental health, and therefore a
healthy person would need others for companionship. A family history of mental
illness couldrelate to the biologic makeup of an individual, whichmay have a negative
impact on 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 cancausesignificant distress, impaired functioning, or both.
B) Mentalillness 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) Individualssuffering from mental illness are usually able to cope effectively with
daily life.
E) Individualssuffering from mental illness may experiencedissatisfaction with
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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.
Page 1
3. Which of the following are true regarding mentalhealth andmental 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 engagein 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 fantasiesmay be mentally healthy, but the inability to distinguishreality from fantasyis
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) ìYouare 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) ìTrynot to worry about that right now. You never know what the future brings.î
Ans: B
Feedback:
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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
mentalillness. False reassurance or overanalysis does not accurately address the client's
concerns.
5. The nurseconsults the DSM forwhich of the following purposes?
A) Todevise a plan of care for a newly admitted client
B) Topredict the client's prognosis of treatment outcomes
C) Todocument 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 wouldbe
inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treatclients
C) Evaluate treatments
D) Understand the reasonfor the admissionand 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
knowledgeabout the natureof psychiatric illnesses. Identifying the medical diagnosis,
treating, and evaluating treatments are not a part of the nursing process.
7. The legislation enacted in 1963 waslargely responsibleforwhich of the following
shifts in care for the mentally ill?
A) Thewidespreaduseof community-based services
B) The advancement in pharmacotherapies
C) Increasedaccess 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. Whichone of the following is a result of federal legislation?
A) Making it easier to commit people formental health treatment against their will.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
B) Making it more difficult to commitpeople formental health treatment against
their will.
C) State mental institutions being the primary source of care formentally 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 hadnegative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit careformentally ill persons.
9. The goal of the 1963 Community Mental Health Centers Act was to
A) ensurepatients' rights for the mentally ill.
B) deinstitutionalize state hospitals.
C) provide funds to build hospitals with psychiatric units.
D) treat peoplewithmental 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 carebased
in the community. Answer choices A, C, and D were not purposes of the 1963
Community Mental Health CentersAct.
10. The creation of asylumsduring the 1800swasmeant to
A) improvetreatment of mental disorders.
B) providefood and shelter for the mentally ill.
C) punishpeoplewithmental illness who were believed to be possessed.
D) remove dangerouspeople with mentalillness from the community.
Ans: B
Feedback:
The asylum was meant to be a safehaven with food, shelter, and humane treatment for the
mentally ill. Asylums were not used to improve treatment of mental disorders or topunish
mentally ill people who were believed to be possessed. The asylum was not created to
remove the dangerously mentally ill from the community.
11. The majorproblems with large state institutions are: Select all that apply.
A) attendantswere accused ofabusing the residents.
B) stigmaassociated with residence in an insane asylum.
C) clientswere geographically isolated from family and community.
D) increasingfinancial costs to individual residents.
Ans: A, C
Feedback:
Clients were often far removed from the local community, family, and friends because
state institutions were usually in rural or remote settings. Choices B and D were not
major problems associated with large state instructions.
12. A significant change in the treatment of peoplewith mental illness occurred in the
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
1950s when
A) communitysupport services were established.
B) legislationdramaticallychanged civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
D) psychotropic drugs became availablefor use.
Ans: D
Feedback:
The development of psychotropic drugs, or drugs used to treat mental illness, beganIin
the 1950s. Answer choices A, B, and C did not occur in the 1950s.
13. Beforethe period of the enlightenment, treatment of the mentally ill included
A) creating large institutions to provide custodial care.
B) focusing on religious education to improve their souls.
C) placing the mentally ill ondisplay for the public's amusement.
D) providing a safe refuge or haven offering protection.
Ans: C
Feedback:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human. Custodial care
was not often provided as persons who were considered harmless were allowed to
wander in the countryside or live in rural communities, and more dangerous lunatics
were imprisoned, chained, and starved. In early Christian times, primitive beliefs and
superstitions were strong. The mentally ill were viewed as evil or possessed. Priests
performedexorcisms to rid evil spirits, and in the colonies, witch hunts were conducted
with offenders burned at the stake. It was not until the period of enlightenment when
persons who were mentally ill were offered asylum as a safe refuge or haven offering
protection at institutions.
14. The first training of nursesIto IworkIwithIpersons with mental illness
was in 1882 Iin which state?
A) California
B) Illinois
C) Massachusetts
D) New York
Ans: C
Feedback:
The first training for nurses to work with persons withmentalillness was in 1882 at
McLean Hospital in Belmont, Massachusetts.
15. What is meant by the term ìrevolving dooreffectî in mental health care?
A) An overall reduction in incidence of severemental illness
B) Shorterand more frequent hospital stays for persons with severeand persistent
mental illness
C) Flexible treatment settings formentally ill
D) Mosteffectiveand least expensive treatment settings
Ans: B
Feedback:
The revolving door effect refers to shorter, but more frequent, hospital stays. Clients are
quickly discharged into the community where services are not adequate; without
adequate community services, clients become acutely ill and require rehospitalization.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
The revolving door effect does not refer to flexible treatmentsettings for mentally ill.
Even though hospitalization is more expensive than outpatient treatment, if utilized
appropriatelycould result in stabilization and less need foremergencydepartment visits
and/or rehospitalization. The revolving door effect does not relate to the incidence of
severe mental illness.
16. Whichof the following statements is true of treatment of people withmental illnessin
the United States today?
A) Substance abuse is effectively treated with brief hospitalization.
B) Financial resources arereallocated from state hospitals to community programs
and support.
C) Only 25% of people needing mental healthservices arereceiving those services.
D) Emergency department visits by persons who are acutelydisturbed aredeclining.
Ans: C
Feedback:
Only one in four (25%) adults needing mental health care receives the needed services.
Substanceabuse issues cannot be dealt with in the 3 to 5 days typical for admissions in the
current managed care environment. Money saved by states when state hospitals were
closed has not been transferred to community programs and support. Although people
with severe andpersistent mental illness have shorter hospital stays, they are admitted to
hospitals more frequently. In some cities, emergency department visits for acutely
disturbed persons have increased by 400% to 500%.
17. Whichof the following is the priority of the Healthy People 2020 objectives for
mental health?
A) Improved inpatient care
B) Primaryprevention of emotional problems
C) Stress reductionand management
D) Treatmentof mental illness
Ans: D
Feedback:
The objectives are to increase the number of people who are identified, diagnosed,
treated, andhelped to live healthier lives. The objectives also strive to decrease rates of
suicide and homelessness, to increase employment among those with serious mental
illness, and to provide more services both for juveniles and for adults who are
incarcerated and have mental health problems. Answer choices A, B, and C are not
priorities of Healthy People 2020.
18. Which is a positive aspect of treating clients with mental illness in a community-
based care?
A) ìYouwill not be allowed to go out with your friends while in the program.î
B) ìYouwill have to have supervision when you want to go anywhere else in the
community.î
C) ìYou will be able to live in your own home while you still see a
therapist regularly.î
D) ìYou will have someone in your home at all times to ask questions if you have any
concerns.î
Ans: C
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
Feedback:
Clients can remain in their communities, maintain contact with family and friends, and
enjoy personal freedom that is not possible in an institution. Full-time home care is
not included in community-based programs.
19. One of the unforeseeneffects of the movementtoward community mental
health services is
A) fewerclients suffering from persistent mental illnesses.
B) an increased number of hospital beds available forclients seeking treatment.
C) an increased number of admissions to available hospital services.
D) Longer hospital stays for people needing mental healthservices.
Ans: C
Feedback:
Although people with severe and persistent mental illness have shorter hospital stays,
they are admitted to hospitals more frequently. Although deinstitutionalization reduced
the number of public hospital beds by 80%, the number of admissions to those beds
correspondingly increased by 90%. The number of individuals with mental illness did
not change.
20. Which is included in Healthy People 2020 objectives?
A) Todecrease the incidence of mental illness
B) Toincrease the number of people who are identified, diagnosed, treated, and
helped to live healthier lives
C) Toprovide mental health services only in the community
D) Todecrease the numbers of peoplewho are being treated for mental illness
Ans: B
Feedback:
One of the Healthy People 2020 objectives is to increase the number of people who are
identified, diagnosed, treated, and helped to live healthier lives. It may not be possible to
decrease the incidence of mental illness. At this time, the focus is on ensuring that
persons with mental illness are receiving needed treatment. It may not be possible or
desirable to provide mental health services only in the community.
21. A client diagnosed with a mild anxiety disorder has been referred to treatment in a
community mental health center. Treatment most likely provided at the center
includes
A) medical management of symptoms.
B) daily psychotherapy.
C) constant staff supervision.
D) psychological stabilization.
Ans: A
Feedback:
Community mental health centers focus on rehabilitation, vocational needs, education,and
socialization, as well as on management of symptoms and medication. Daily therapies,
constant supervision, and stabilization require a more acute care inpatient setting.
22. Which of the following is defined as an advanced-level function in the practice area
of psychiatric mental health nursing?
A) Case management
B) Counseling
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
PSYCHIATRIC-MENTAL HEALTH NURSING 7TH EDITION
Videbeck, Sheila L & Cathy J. Miller
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7TH
EDITION BY VIDEBECK
Psychiatric Mental Health Nursing 7th EditionTest Bank
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
on the individual's mental health?
A) Not needingothers for companionship
B) The ability to effectivelymanage stress
C) Afamily history of mental illness
D) Striving fortotal 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 bothneeded forgoodmental health, and therefore a
healthy person would need others for companionship. A family history of mental
illness couldrelate to the biologic makeup of an individual, whichmay have a negative
impact on 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 cancausesignificant distress, impaired functioning, or both.
B) Mentalillness 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) Individualssuffering from mental illness are usually able to cope effectively with
daily life.
E) Individualssuffering from mental illness may experiencedissatisfaction with
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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.
Page 1
3. Which of the following are true regarding mentalhealth andmental 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 engagein 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 fantasiesmay be mentally healthy, but the inability to distinguishreality from fantasyis
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) ìYouare 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) ìTrynot to worry about that right now. You never know what the future brings.î
Ans: B
Feedback:
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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
mentalillness. False reassurance or overanalysis does not accurately address the client's
concerns.
5. The nurseconsults the DSM forwhich of the following purposes?
A) Todevise a plan of care for a newly admitted client
B) Topredict the client's prognosis of treatment outcomes
C) Todocument 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 wouldbe
inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treatclients
C) Evaluate treatments
D) Understand the reasonfor the admissionand 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
knowledgeabout the natureof psychiatric illnesses. Identifying the medical diagnosis,
treating, and evaluating treatments are not a part of the nursing process.
7. The legislation enacted in 1963 waslargely responsibleforwhich of the following
shifts in care for the mentally ill?
A) Thewidespreaduseof community-based services
B) The advancement in pharmacotherapies
C) Increasedaccess 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. Whichone of the following is a result of federal legislation?
A) Making it easier to commit people formental health treatment against their will.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
B) Making it more difficult to commitpeople formental health treatment against
their will.
C) State mental institutions being the primary source of care formentally 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 hadnegative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit careformentally ill persons.
9. The goal of the 1963 Community Mental Health Centers Act was to
A) ensurepatients' rights for the mentally ill.
B) deinstitutionalize state hospitals.
C) provide funds to build hospitals with psychiatric units.
D) treat peoplewithmental 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 carebased
in the community. Answer choices A, C, and D were not purposes of the 1963
Community Mental Health CentersAct.
10. The creation of asylumsduring the 1800swasmeant to
A) improvetreatment of mental disorders.
B) providefood and shelter for the mentally ill.
C) punishpeoplewithmental illness who were believed to be possessed.
D) remove dangerouspeople with mentalillness from the community.
Ans: B
Feedback:
The asylum was meant to be a safehaven with food, shelter, and humane treatment for the
mentally ill. Asylums were not used to improve treatment of mental disorders or topunish
mentally ill people who were believed to be possessed. The asylum was not created to
remove the dangerously mentally ill from the community.
11. The majorproblems with large state institutions are: Select all that apply.
A) attendantswere accused ofabusing the residents.
B) stigmaassociated with residence in an insane asylum.
C) clientswere geographically isolated from family and community.
D) increasingfinancial costs to individual residents.
Ans: A, C
Feedback:
Clients were often far removed from the local community, family, and friends because
state institutions were usually in rural or remote settings. Choices B and D were not
major problems associated with large state instructions.
12. A significant change in the treatment of peoplewith mental illness occurred in the
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
1950s when
A) communitysupport services were established.
B) legislationdramaticallychanged civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
D) psychotropic drugs became availablefor use.
Ans: D
Feedback:
The development of psychotropic drugs, or drugs used to treat mental illness, beganIin
the 1950s. Answer choices A, B, and C did not occur in the 1950s.
13. Beforethe period of the enlightenment, treatment of the mentally ill included
A) creating large institutions to provide custodial care.
B) focusing on religious education to improve their souls.
C) placing the mentally ill ondisplay for the public's amusement.
D) providing a safe refuge or haven offering protection.
Ans: C
Feedback:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human. Custodial care
was not often provided as persons who were considered harmless were allowed to
wander in the countryside or live in rural communities, and more dangerous lunatics
were imprisoned, chained, and starved. In early Christian times, primitive beliefs and
superstitions were strong. The mentally ill were viewed as evil or possessed. Priests
performedexorcisms to rid evil spirits, and in the colonies, witch hunts were conducted
with offenders burned at the stake. It was not until the period of enlightenment when
persons who were mentally ill were offered asylum as a safe refuge or haven offering
protection at institutions.
14. The first training of nursesIto IworkIwithIpersons with mental illness
was in 1882 Iin which state?
A) California
B) Illinois
C) Massachusetts
D) New York
Ans: C
Feedback:
The first training for nurses to work with persons withmentalillness was in 1882 at
McLean Hospital in Belmont, Massachusetts.
15. What is meant by the term ìrevolving dooreffectî in mental health care?
A) An overall reduction in incidence of severemental illness
B) Shorterand more frequent hospital stays for persons with severeand persistent
mental illness
C) Flexible treatment settings formentally ill
D) Mosteffectiveand least expensive treatment settings
Ans: B
Feedback:
The revolving door effect refers to shorter, but more frequent, hospital stays. Clients are
quickly discharged into the community where services are not adequate; without
adequate community services, clients become acutely ill and require rehospitalization.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
The revolving door effect does not refer to flexible treatmentsettings for mentally ill.
Even though hospitalization is more expensive than outpatient treatment, if utilized
appropriatelycould result in stabilization and less need foremergencydepartment visits
and/or rehospitalization. The revolving door effect does not relate to the incidence of
severe mental illness.
16. Whichof the following statements is true of treatment of people withmental illnessin
the United States today?
A) Substance abuse is effectively treated with brief hospitalization.
B) Financial resources arereallocated from state hospitals to community programs
and support.
C) Only 25% of people needing mental healthservices arereceiving those services.
D) Emergency department visits by persons who are acutelydisturbed aredeclining.
Ans: C
Feedback:
Only one in four (25%) adults needing mental health care receives the needed services.
Substanceabuse issues cannot be dealt with in the 3 to 5 days typical for admissions in the
current managed care environment. Money saved by states when state hospitals were
closed has not been transferred to community programs and support. Although people
with severe andpersistent mental illness have shorter hospital stays, they are admitted to
hospitals more frequently. In some cities, emergency department visits for acutely
disturbed persons have increased by 400% to 500%.
17. Whichof the following is the priority of the Healthy People 2020 objectives for
mental health?
A) Improved inpatient care
B) Primaryprevention of emotional problems
C) Stress reductionand management
D) Treatmentof mental illness
Ans: D
Feedback:
The objectives are to increase the number of people who are identified, diagnosed,
treated, andhelped to live healthier lives. The objectives also strive to decrease rates of
suicide and homelessness, to increase employment among those with serious mental
illness, and to provide more services both for juveniles and for adults who are
incarcerated and have mental health problems. Answer choices A, B, and C are not
priorities of Healthy People 2020.
18. Which is a positive aspect of treating clients with mental illness in a community-
based care?
A) ìYouwill not be allowed to go out with your friends while in the program.î
B) ìYouwill have to have supervision when you want to go anywhere else in the
community.î
C) ìYou will be able to live in your own home while you still see a
therapist regularly.î
D) ìYou will have someone in your home at all times to ask questions if you have any
concerns.î
Ans: C
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
Feedback:
Clients can remain in their communities, maintain contact with family and friends, and
enjoy personal freedom that is not possible in an institution. Full-time home care is
not included in community-based programs.
19. One of the unforeseeneffects of the movementtoward community mental
health services is
A) fewerclients suffering from persistent mental illnesses.
B) an increased number of hospital beds available forclients seeking treatment.
C) an increased number of admissions to available hospital services.
D) Longer hospital stays for people needing mental healthservices.
Ans: C
Feedback:
Although people with severe and persistent mental illness have shorter hospital stays,
they are admitted to hospitals more frequently. Although deinstitutionalization reduced
the number of public hospital beds by 80%, the number of admissions to those beds
correspondingly increased by 90%. The number of individuals with mental illness did
not change.
20. Which is included in Healthy People 2020 objectives?
A) Todecrease the incidence of mental illness
B) Toincrease the number of people who are identified, diagnosed, treated, and
helped to live healthier lives
C) Toprovide mental health services only in the community
D) Todecrease the numbers of peoplewho are being treated for mental illness
Ans: B
Feedback:
One of the Healthy People 2020 objectives is to increase the number of people who are
identified, diagnosed, treated, and helped to live healthier lives. It may not be possible to
decrease the incidence of mental illness. At this time, the focus is on ensuring that
persons with mental illness are receiving needed treatment. It may not be possible or
desirable to provide mental health services only in the community.
21. A client diagnosed with a mild anxiety disorder has been referred to treatment in a
community mental health center. Treatment most likely provided at the center
includes
A) medical management of symptoms.
B) daily psychotherapy.
C) constant staff supervision.
D) psychological stabilization.
Ans: A
Feedback:
Community mental health centers focus on rehabilitation, vocational needs, education,and
socialization, as well as on management of symptoms and medication. Daily therapies,
constant supervision, and stabilization require a more acute care inpatient setting.
22. Which of the following is defined as an advanced-level function in the practice area
of psychiatric mental health nursing?
A) Case management
B) Counseling
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
