TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7TH
EDITION BY VIDEBECK
LATEST
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, emotionalresilienceor 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 anindividual,
whichmay have a negative impacton an individual's mentalhealth, 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. Whichof the following statementsaboutmentalillness are true? Select all that apply.
A) Mentalillness cancausesignificantdistress, impaired functioning, or both.
B) Mentalillness is only due to social/cultural factors.
C) Social/culturalfactors that relate to mental illness include excessive
dependency on or withdrawal from relationships.
D) Individualssufferingfrommental illness are usually able to cope effectively
with daily life.
E) Individualssuffering frommentalillness may experiencedissatisfaction 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 frommental illness may experience dissatisfaction with
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
relationships and self.
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TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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3. Aclient 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 knowwhat 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
mentalillness. False reassuranceor overanalysis does not accurately address the client's
concerns.
4. 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) Personswho engagein fantasies are
mentally ill. Ans: C
Feedback:
What one society may view as acceptableand 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, butthe inability to distinguishreality
from fantasyis an individual factor that may contribute to mental illness.
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.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treatclients
C) Evaluatetreatments
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
medicaldiagnosis, 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) Improvedrightsforclients in long-terminstitutional
care Ans: A
Feedback:
The Community MentalHealth Centers Construction Actof 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.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
DR ERIC DR ERIC
DR ERIC DR ERIC
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7TH
EDITION BY VIDEBECK
LATEST
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, emotionalresilienceor 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 anindividual,
whichmay have a negative impacton an individual's mentalhealth, 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. Whichof the following statementsaboutmentalillness are true? Select all that apply.
A) Mentalillness cancausesignificantdistress, impaired functioning, or both.
B) Mentalillness is only due to social/cultural factors.
C) Social/culturalfactors that relate to mental illness include excessive
dependency on or withdrawal from relationships.
D) Individualssufferingfrommental illness are usually able to cope effectively
with daily life.
E) Individualssuffering frommentalillness may experiencedissatisfaction 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 frommental illness may experience dissatisfaction with
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
DR ERIC DR ERIC
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
relationships and self.
DR ERIC DR ERIC
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
DR ERIC DR ERIC
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
DR ERIC DR ERIC
3. Aclient 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 knowwhat 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
mentalillness. False reassuranceor overanalysis does not accurately address the client's
concerns.
4. 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) Personswho engagein fantasies are
mentally ill. Ans: C
Feedback:
What one society may view as acceptableand 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, butthe inability to distinguishreality
from fantasyis an individual factor that may contribute to mental illness.
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.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
DR ERIC DR ERIC
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
DR ERIC DR ERIC
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treatclients
C) Evaluatetreatments
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
medicaldiagnosis, 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) Improvedrightsforclients in long-terminstitutional
care Ans: A
Feedback:
The Community MentalHealth Centers Construction Actof 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.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
DR ERIC DR ERIC
