Psychiatric-Mental Health Nursing 8th edition by
Videbeck Test Bank. LATEST UPDATE 2022
Psychiatric-Mental Health Nursing 8th edition by Videbeck Test 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 needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total 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 both needed for
good mental health, and therefore a healthy person would need others for
companionship. A family history of mental illness could relate to the biologic
makeup of an individual, which may 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 can cause significant distress, impaired functioning, or both.
B) Mental illness 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) Individuals suffering from mental illness are usually able to cope
effectively with daily life.
E) Individuals suffering from mental illness may experience dissatisfaction
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 from
mental illness may experience dissatisfaction with relationships and self.
Page 1
,Psychiatric-Mental Health Nursing 8th edition
by Videbeck Test Bank. LATEST UPDATE
3. Which of the following are true regarding mental health and mental 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 engage in 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 fantasies may be mentally
healthy, but the inability to distinguish reality from fantasy is 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) ìYou are 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) ìTry not to worry about that right now. You never know what 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 mental illness. False reassurance or overanalysis does not accurately
address the client's concerns.
Page
,Psychiatric-Mental Health Nursing 8th edition
by Videbeck Test Bank. LATEST UPDATE
5. The nurse consults the DSM for which of the following purposes?
V V V V V V V V V V
A) To devise a plan of care for a newly admitted client
V V V V V V V V V V
B) To predict the client's prognosis of treatment outcomes
V V V V V V V
C) To document the appropriate diagnostic code in the client's medical record
V V V V V V V V V V
D) To serve as a guide for V V V V V
V client assessment Ans: D
V V V
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
V V V V V V V V
Videntifies underlying causes of mental disorders. It does not provide care
V V V V V V V V V V
V plans or prognostic outcomes of treatment. Diagnosis of mental illness is not
V V V V V V V V V V V
V within the generalist RN's scope of practice, so documenting the code in the
V V V V V V V V V V V V
V medical record would be inappropriate.
V V V V
6. Which would be a reason for a student nurse to use the DSM?
V V V V V V V V V V V V
A) Identifying the medical diagnosis V V V
B) Treat clients V
C) Evaluate treatments V
D) Understand the reason for the admission and the nature of V V V V V V V V V
Vpsychiatric illnesses. Ans: D V V V
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will
V V V V V V V V V V V V
V find it a helpful resource to understand the reason for the admission and to
V V V V V V V V V V V V V
Vbegin building knowledge about the nature of psychiatric illnesses. Identifying
V V V V V V V V V
Vthe medical diagnosis, treating, and evaluating treatments are not a part of the
V V V V V V V V V V V V
Vnursing process. V
7. The legislation enacted in 1963 was largely responsible for which of
V V V V V V V V V V
Vthe following shifts in care for the mentally ill?
V V V V V V V V
A) The widespread use of community-based services
V V V V V
B) The advancement in pharmacotherapies V V V
C) Increased access to hospitalization V V V
D) Improved rights for clients in long-term V V V V V
Vinstitutional care Ans: A V V V
Feedback:
The Community Mental Health Centers Construction Act of 1963
V V V V V V V V
Vaccomplished the release of individuals from long-term stays in state V V V V V V V V V
Vinstitutions, the decrease in admissions to hospitals, and the development of
V V V V V V V V V V
Vcommunity-based services as an alternative to hospital care. V V V V V V V
Page
, Psychiatric-Mental Health Nursing 8th edition
by Videbeck Test Bank. LATEST UPDATE
8. Which one of the following is a result of federal legislation?
V V V V V V V V V V
A) Making it easier to commit people for mental health treatment against V V V V V V V V V V
their will. V V
B) Making it more difficult to commit people for mental health V V V V V V V V V
treatment against their will.
V V V V
C) State mental institutions being the primary source of care for mentally
V V V V V V V V V V
ill persons. V V
D) Improved care for mentally V V V
Vill persons. Ans: B
V V V
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to V V V V V V V V V V V
Vcommit people for mental health treatment against their will.
V V V V V V V V
Deinstitutionalization accomplished the release of individuals from long-term V V V V V V V
Vstays in state institutions. Deinstitutionalization also had negative effects in
V V V V V V V V V
Vthat some mentally ill persons are subjected to the revolving door effect,
V V V V V V V V V V V
Vwhich may limit care for mentally ill persons.
V V V V V V V
9. The goal of the 1963 Community Mental Health Centers Act was to
V V V V V V V V V V V
A) ensure patients' rights for the mentally ill. V V V V V V
B) deinstitutionalize state hospitals. V V
C) provide funds to build hospitals with psychiatric units. V V V V V V V
D) treat people with mental illness in a V V V V V V
V humane fashion. Ans: B V V V
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement
V V V V V V V V V
Vtoward treating those with mental illness in a less restrictive environment. This
V V V V V V V V V V V
Vlegislation resulted in the shift of clients with mental illness from large state
V V V V V V V V V V V V
Vinstitutions to care based in the community. Answer choices A, C, and D were
V V V V V V V V V V V V V
Vnot purposes of the 1963 Community Mental Health Centers Act.
V V V V V V V V V
10. The creation of asylums during the 1800s was meant to
V V V V V V V V V
A) improve treatment of mental disorders. V V V V
B) provide food and shelter for the mentally ill. V V V V V V V
C) punish people with mental illness who were believed to be possessed. V V V V V V V V V V
D) remove dangerous people with mental illness from V V V V V V
V the community. Ans: B
V V V
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane
V V V V V V V V V V V V V
Vtreatment for the mentally ill. Asylums were not used to improve treatment
V V V V V V V V V V V
V of mental disorders or to punish mentally ill people who were believed to
V V V V V V V V V V V V
V be possessed. The asylum was not created to remove the dangerously
V V V V V V V V V V
V mentally ill from the community. V V V V
Page
Videbeck Test Bank. LATEST UPDATE 2022
Psychiatric-Mental Health Nursing 8th edition by Videbeck Test 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 needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total 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 both needed for
good mental health, and therefore a healthy person would need others for
companionship. A family history of mental illness could relate to the biologic
makeup of an individual, which may 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 can cause significant distress, impaired functioning, or both.
B) Mental illness 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) Individuals suffering from mental illness are usually able to cope
effectively with daily life.
E) Individuals suffering from mental illness may experience dissatisfaction
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 from
mental illness may experience dissatisfaction with relationships and self.
Page 1
,Psychiatric-Mental Health Nursing 8th edition
by Videbeck Test Bank. LATEST UPDATE
3. Which of the following are true regarding mental health and mental 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 engage in 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 fantasies may be mentally
healthy, but the inability to distinguish reality from fantasy is 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) ìYou are 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) ìTry not to worry about that right now. You never know what 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 mental illness. False reassurance or overanalysis does not accurately
address the client's concerns.
Page
,Psychiatric-Mental Health Nursing 8th edition
by Videbeck Test Bank. LATEST UPDATE
5. The nurse consults the DSM for which of the following purposes?
V V V V V V V V V V
A) To devise a plan of care for a newly admitted client
V V V V V V V V V V
B) To predict the client's prognosis of treatment outcomes
V V V V V V V
C) To document the appropriate diagnostic code in the client's medical record
V V V V V V V V V V
D) To serve as a guide for V V V V V
V client assessment Ans: D
V V V
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
V V V V V V V V
Videntifies underlying causes of mental disorders. It does not provide care
V V V V V V V V V V
V plans or prognostic outcomes of treatment. Diagnosis of mental illness is not
V V V V V V V V V V V
V within the generalist RN's scope of practice, so documenting the code in the
V V V V V V V V V V V V
V medical record would be inappropriate.
V V V V
6. Which would be a reason for a student nurse to use the DSM?
V V V V V V V V V V V V
A) Identifying the medical diagnosis V V V
B) Treat clients V
C) Evaluate treatments V
D) Understand the reason for the admission and the nature of V V V V V V V V V
Vpsychiatric illnesses. Ans: D V V V
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will
V V V V V V V V V V V V
V find it a helpful resource to understand the reason for the admission and to
V V V V V V V V V V V V V
Vbegin building knowledge about the nature of psychiatric illnesses. Identifying
V V V V V V V V V
Vthe medical diagnosis, treating, and evaluating treatments are not a part of the
V V V V V V V V V V V V
Vnursing process. V
7. The legislation enacted in 1963 was largely responsible for which of
V V V V V V V V V V
Vthe following shifts in care for the mentally ill?
V V V V V V V V
A) The widespread use of community-based services
V V V V V
B) The advancement in pharmacotherapies V V V
C) Increased access to hospitalization V V V
D) Improved rights for clients in long-term V V V V V
Vinstitutional care Ans: A V V V
Feedback:
The Community Mental Health Centers Construction Act of 1963
V V V V V V V V
Vaccomplished the release of individuals from long-term stays in state V V V V V V V V V
Vinstitutions, the decrease in admissions to hospitals, and the development of
V V V V V V V V V V
Vcommunity-based services as an alternative to hospital care. V V V V V V V
Page
, Psychiatric-Mental Health Nursing 8th edition
by Videbeck Test Bank. LATEST UPDATE
8. Which one of the following is a result of federal legislation?
V V V V V V V V V V
A) Making it easier to commit people for mental health treatment against V V V V V V V V V V
their will. V V
B) Making it more difficult to commit people for mental health V V V V V V V V V
treatment against their will.
V V V V
C) State mental institutions being the primary source of care for mentally
V V V V V V V V V V
ill persons. V V
D) Improved care for mentally V V V
Vill persons. Ans: B
V V V
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to V V V V V V V V V V V
Vcommit people for mental health treatment against their will.
V V V V V V V V
Deinstitutionalization accomplished the release of individuals from long-term V V V V V V V
Vstays in state institutions. Deinstitutionalization also had negative effects in
V V V V V V V V V
Vthat some mentally ill persons are subjected to the revolving door effect,
V V V V V V V V V V V
Vwhich may limit care for mentally ill persons.
V V V V V V V
9. The goal of the 1963 Community Mental Health Centers Act was to
V V V V V V V V V V V
A) ensure patients' rights for the mentally ill. V V V V V V
B) deinstitutionalize state hospitals. V V
C) provide funds to build hospitals with psychiatric units. V V V V V V V
D) treat people with mental illness in a V V V V V V
V humane fashion. Ans: B V V V
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement
V V V V V V V V V
Vtoward treating those with mental illness in a less restrictive environment. This
V V V V V V V V V V V
Vlegislation resulted in the shift of clients with mental illness from large state
V V V V V V V V V V V V
Vinstitutions to care based in the community. Answer choices A, C, and D were
V V V V V V V V V V V V V
Vnot purposes of the 1963 Community Mental Health Centers Act.
V V V V V V V V V
10. The creation of asylums during the 1800s was meant to
V V V V V V V V V
A) improve treatment of mental disorders. V V V V
B) provide food and shelter for the mentally ill. V V V V V V V
C) punish people with mental illness who were believed to be possessed. V V V V V V V V V V
D) remove dangerous people with mental illness from V V V V V V
V the community. Ans: B
V V V
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane
V V V V V V V V V V V V V
Vtreatment for the mentally ill. Asylums were not used to improve treatment
V V V V V V V V V V V
V of mental disorders or to punish mentally ill people who were believed to
V V V V V V V V V V V V
V be possessed. The asylum was not created to remove the dangerously
V V V V V V V V V V
V mentally ill from the community. V V V V
Page
