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

TestBank
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ForPsychiatricMental HealthNursing9thEdition r r r r r r




Chapter1 r




1. Thenurseisassessingthefactorscontributingtothewell-
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being of a newly admitted client. Which of the following
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wouldthenurseidentifyashavingapositiveimpact onthe
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individual's mental health?
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A) Notneedingothersforcompanionship r r r




B) Theabilitytoeffectivelymanagestress r r r




C) Afamilyhistoryof mental illness r r r




D) Strivingfortotalself-reliance r r r




Ans: B
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Feedback:
Individual factors influencing mental health include biologic r r r r r r




makeup, autonomy, independence, self-esteem, capacity for
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growth, vitality, ability to find meaning in life,emotional
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resilience or hardiness, sense of belonging, reality orientation,
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and coping or stress management abilities. Interpersonal
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factors such as intimacy and a balanceofseparatenessand
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connectednessarebothneeded
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for good mental health, and therefore ahealthy person would need others for companionship.
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Afamilyhistoryofmental illnesscould relateto thebiologicmakeup of an individual, which
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may have a negative impacton an individual's mental health, aswell as a negative impact on
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an individual's interpersonal and socialñcultural factorsofhealth.Totalself-relianceisnot
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possible,andapositivesocial/culturalfactor is access to adequate resources.
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2. Whichofthefollowingstatementsaboutmentalillnessaretrue? Selectallthatapply.
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A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. r r r r r r r r r




B) Mentalillnessisonlyduetosocial/cultural factors. r r r r r r r




C) Social/culturalfactorsthatrelatetomentalillness includeexcessivedependencyon or r r r r r r r r r r r




withdrawal from relationships. r r r




D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith r r r r r r r r r




dailylife. r r




E) Individualssufferingfrommentalillnessmayexperiencedissatisfaction with r r r r r r r




relationships and self. r r r




Ans:A,D, E r r r




Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
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mayberelatedto individual, interpersonal, orsocial/cultural factors. Excessive dependency
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onorwithdrawal from relationships areinterpersonal factors that relateto mental illness.
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Individuals suffering from mental illness can feel overwhelmed with dailylife.Individuals
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sufferingfrommentalillnessmayexperiencedissatisfaction with relationships and self.
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,3. Whichofthefollowingaretrueregardingmental healthandmentalillness?
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A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in r r r r r r r r r r r r




other cultures. r r




B) Itiseasytodetermineif apersonismentallyhealthyor mentallyill.
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C) In most cases, mental health is a state of emotional, psychological, and social
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wellness evidenced bysatisfyinginterpersonal relationships, effective behavior and
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coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentallyill. r r r r r r




Ans: C
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Feedback:
Whatonesocietymayviewasacceptableand appropriatebehavior, anothersocietymay see
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thatasmaladaptive,andinappropriate.Mentalhealthandmentalillnessaredifficult 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 engagein fantasies maybe
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mentallyhealthy, but theinabilityto distinguish realityfrom fantasyis an individual factor that
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maycontribute to mental illness.
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4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill
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because she is so sad. The nurse's best response would be,
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A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuch r r r r r r r r r r




pain.î r




B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyouhave r r r r r r r r r r r r




experienced.î r




C) ìWereyougenerallydissatisfiedwith yourrelationshipbeforeyourhusband's r r r r r r r




death?î r




D) ìTrynottoworryaboutthatrightnow.Youneverknowwhatthefuturebrings.î Ans: r r r r r r r r r r r r




B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must not
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beculturallyexpected.Acutegriefreactionsareexpectedandthereforenotconsidered
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mental illness. False reassurance or overanalysis does not accurately address the
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client'sconcerns.
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,5. The nurse consults the DSM for which of the following purposes?
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A) Todeviseaplan ofcareforanewlyadmittedclient r B




B) To predict theclient'sprognosis oftreatment outcomes v r B r




C) Todocumentthe appropriatediagnosticcodein theclient'smedicalrecord
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D) To serve as a guide for client assessment
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Ans:D r




Feedback:
TheDSMprovides standardnomenclature,presents definingcharacteristics,and identifies
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underlyingcausesofmentaldisorders.Itdoesnotprovidecareplansor prognosticoutcomes
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oftreatment.Diagnosisofmentalillnessisnotwithinthegeneralist
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RN'sscopeofpractice,sodocumenting thecodeinthemedicalrecordwouldbe
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inappropriate.
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6.
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A) Identifyingt hemedicaldiagnosis B r




B) Treatclients r




C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses.
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Ans:D r




Feedback:
AlthoughstudentnursesdonotusetheDSMtodiagnoseclients,theywillfinditahelpful
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resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledge aboutthe
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natureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and
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evaluatingtreatments arenot a part of thenursing process.
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7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin r r




care for the mentallyill?
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A) Thewidespread useofcommunity-based services r r




B) Theadvancementin pharmacotherapies r




C) Increasedaccesstohospitalization
D) Improvedrightsforclientsinlong-terminstitutionalcare
Ans: A r r




Feedback:
TheCommunityMental HealthCentersConstructionActof1963accomplishedthe B r r r r r




releaseofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissions
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tohospitals,andthedevelopmentofcommunity-basedservicesasan alternative to
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hospital care. r r

, 8. Whichoneofthefollowingisaresultoffederallegislation? B




A) Makingi teasiertocommitpeopleformentalhealthtreatmentagainst theirwill. B r r B




B) Makingi tmoredifficulttocommitpeopleformentalhealthtreatmentagainst B r




theirwill. r r




C) Statementalinstitutionsbeingtheprimarysourceofcareformentallyillpersons.
D) Improvedcareformentallyillpersons.
Ans: B
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Feedback:
Commitmentlawschangedintheearly1970s,makingitmoredifficulttocommitpeople for r r r r r r r r r r r r r




mentalhealthtreatmentagainsttheirwill.Deinstitutionalizationaccomplishedthe releaseof
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individualsfromlong-termstaysinstateinstitutions.Deinstitutionalization alsohad
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negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolving dooreffect,
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whichmaylimitcareformentallyillpersons.
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9. Thegoalofthe1963CommunityMentalHealth CentersActwas to r r




A) ensurepatients'rightsforthementallyill. r




B) deinstitutionalizestatehospitals.
C) providefunds tobuild hospitalswithpsychiatricunits. B r




D) treatpeoplewithmentalillness in ahumanefashion. B B B




Ans: B
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Feedback:
The1963CommunityMentalHealthCentersActintimatedthemovementtowardtreating
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thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedinthe shift
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ofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe community.
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Answer choices A,C, and Dwerenot purposes of the1963Community MentalHealth
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CentersAct.r




10. Thecreationofasylums duringthe1800swasmeant to r r




A) improvetreatment ofmentaldisorders. B




B) providefoodandshelter forthementallyill. r




C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed.
D) removedangerous peoplewithmentalillnessfromthecommunity. B




Ans: B
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Feedback:
Theasylumwasmeant to beasafehaven withfood,shelter,andhumanetreatment forthe r B r r r




mentallyill.Asylumswere notusedtoimprovetreatmentofmentaldisordersortopunish
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mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto remove
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the dangerouslymentallyill from the community.
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