Test Bank for Psychiatric-Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters (1-24) LATEST UPDATE 2025

Test Bank For Psychiatric Mental Health Nursing 9th Edition


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 onthe
individual's mental health?
A) Notneeding others for companionship
B) Theabilityto 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 ahealthy person would need others for
companionship. A family history of mental illnesscould relate to the biologic makeup
of an individual, which may have a negative impacton an individual's mental health,
aswell as a negative impact on an individual's interpersonal and socialñcultural
factorsofhealth. Total self-reliance is not possible, and a positive social/cultural factor
is access to adequate resources.


2. Which ofthe 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 mayexperience 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.

,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 bysatisfying 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 mayview 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
engagein fantasies may be mentally healthy, but the inability to distinguish reality 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 mayhave a temporarymental illness because you are experiencing so much
pain.î
B) ìYou arenot mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWereyou generallydissatisfied 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:
Mental illness includes general dissatisfaction with self, ineffective relationships,
ineffective coping, and lack of personal growth. Additionally the behavior must not
beculturally expected. Acute grief reactions are expected and therefore not considered
mental illness. False reassurance or overanalysis does not accurately address the
client'sconcerns.

,5. The nurse consults the DSM for which of the following purposes?
vb v vv b b b b b b b b b b


A) To devise aplan of care for anewlyadmitted client
B B B B B B B B B




B) To predict theclient's prognosis oftreatment outcomes
v B B B B B




C) Todocumentthe appropriate diagnostic codein theclient's medical record
B B B B B B B B B




D) To serve as a guide for client assessment
b
b b b b b b b



Ans: D B




Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
B B B B B B B B




identifies underlying causes of mental disorders. It does not provide care plans or
B B B B B B B B B B B B B




prognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
B B B B B B B B B B B B B




RN's scopeof practice, sodocumenting the codein themedical record would be
B B B B B B B B B B B B B B




inappropriate.
B




6. vb v v


A) Identifyingthemedical diagnosis B B




B) Treat clients v


C) Evaluate treatments B




D) Understand the reason for the admission and the nature of psychiatric illnesses.
b b b b b b b b b b b b


Ans: D B




Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
B B B B B B B B B B B B B B B B




resource to understand the reason for the admission and to begin building knowledge
B B B B B B B B B B B B B




about the nature of psychiatric illnesses. Identifying the medical diagnosis,treating, and
B B B B B B B B B B B




evaluating treatments are not a part of the nursing process.
B B B B B B B B B B




7. Thelegislation enacted in 1963was largelyresponsible forwhich ofthe followingshifts in
B B B B B B B B B B B B B B




care for the mentally ill?
B B B B B




A) Thewidespread useofcommunity-based services B B B




B) Theadvancementin pharmacotherapies v


C) Increasedaccess tohospitalization B




D) Improved rights for clients in long-term institutional care B B B B B B B




Ans: A
B B




Feedback:
The CommunityMental Health Centers Construction Act of 1963 accomplished the
B B B B B B B B B B




release of individuals from long-term stays in state institutions, the decrease in
B B B B B B B B B B B B




admissions to hospitals, and the development of community-based services as an
B B B B B B B B B B B




alternative to hospital care.
B B B B

, 8. Whichoneof the followingis aresult offederal legislation?
B B B B B B B B B B




A) Makingit easier tocommit peopleformental health treatment against their will. B B B B B B B B B B B B




B) Makingit moredifficult tocommit people formental health treatment against B B B B B B B B B B B




their will. B B




C) Statemental institutions beingthe primarysource of care formentallyill persons.
B B B B B B B B B B B B




D) Improved care formentallyill persons. B B B B B




Ans: B
B B




Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit people
B B B B B B B B B B B B B




for mental health treatment against their will. Deinstitutionalization accomplished the
B B B B B B B B B B




release of individuals from long-term stays in state institutions. Deinstitutionalization
B B B B B B B B B B




also had negative effects in that some mentally ill persons aresubjected to the revolving
B B B B B B B B B B B B B B




door effect, which may limit care for mentally ill persons.
B B B B B B B B B B




9. The goal ofthe 1963 CommunityMental Health Centers Act was to
B B B B B B B B B B B




A) ensurepatients' rights for the mentallyill. B B B B




B) deinstitutionalize statehospitals. B




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




D) treat people with mental illness in a humanefashion.
B B B B B B B B




Ans: B
B B




Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward treating
B B B B B B B B B B B




those with mental illness in a less restrictive environment. This legislationresulted in the
B B B B B B B B B B B B B




shift of clients with mental illness from large state institutions to carebased in the
B B B B B B B B B B B B B B




community. Answer choices A, C, and Dwerenot purposes of the1963Community
B B B B B B B B B B B




Mental Health CentersAct.
B B B




10. The creation ofasylums during the1800s was meant to
B B B B B B B B B




A) improvetreatment ofmental disorders. B B B




B) providefood and shelter forthe mentallyill. B B B B B B B




C) punishpeople with mental illnesswho werebelieved tobepossessed. B B B B B B B B B B




D) removedangerous people withmental illnessfrom thecommunity. B B B B B B B B




Ans: B
B B




Feedback:
Theasylum was meant to be asafehaven with food, shelter,and humane treatment for the
B B B B B B B B B B B B B B B B




mentallyill. Asylums were not used to improve treatment of mental disorders or to punish
B B B B B B B B B B B B B B




mentally ill people who were believed to be possessed. The asylum was not created to
B B B B B B B B B B B B B B B




remove the dangerously mentally ill from the community.
B B B B B B B B