TEST BANK
Psychiatric Mental Health Nursing
SHEILA L. VIDEBECK
7th Edition
, Psychiatric Mental Health Nursing 7th Edition 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 impacton the individual's mental health?
A) Not needing others for companionship
B) The ability to effectivelymanage stress
C) Afamily history of mental illness
D) Striving for total self-
relianceAns: 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) Mentalillness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive
dependencyon or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope
effectively withdaily life.
E) Individuals suffering from mental illness may experience
dissatisfaction withrelationships 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
1|Page
,3. Which of the following are true regarding mentalhealth andmental illness?
A) Behavior that may be viewed as acceptable in one culture is
alwaysunacceptable 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
mentallyill. 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 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
mentallyill because she is so sad. The nurse's best response would be,
A) You may have a temporary mental illness because you are experiencing
so muchpain.î
B) You are not mentally ill. This is an expected reaction to the loss
you have experienced.
C) Were you generally dissatisfied with your relationship before your
husband'sdeath?î
D) Try not to worry about that right now. You never know what the future
brings. 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 consideredmental illness. False reassurance or
overanalysis does not accurately address the client's concerns.
2|Page
, 5. The nurseconsults the DSM forwhich of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client
assessmentAns: 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 wouldbeinappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admissionand the nature of
psychiatricillnesses. 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 knowledge about the nature of psychiatric illnesses. Identifying
the medical diagnosis, treating, and evaluating treatments are not a part of
the nursing process.
7. The legislation enacted in 1963 was largely responsibleforwhich of the
followingshifts in care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional
careAns: A
Feedback:
The Community Mental Health Centers Construction Act of 1963
accomplished therelease of individuals from long-term stays in state
institutions, the decrease in admissions to hospitals, and the
development of community-based services as analternative to hospital
care.
3|Page
Psychiatric Mental Health Nursing
SHEILA L. VIDEBECK
7th Edition
, Psychiatric Mental Health Nursing 7th Edition 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 impacton the individual's mental health?
A) Not needing others for companionship
B) The ability to effectivelymanage stress
C) Afamily history of mental illness
D) Striving for total self-
relianceAns: 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) Mentalillness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive
dependencyon or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope
effectively withdaily life.
E) Individuals suffering from mental illness may experience
dissatisfaction withrelationships 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
1|Page
,3. Which of the following are true regarding mentalhealth andmental illness?
A) Behavior that may be viewed as acceptable in one culture is
alwaysunacceptable 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
mentallyill. 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 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
mentallyill because she is so sad. The nurse's best response would be,
A) You may have a temporary mental illness because you are experiencing
so muchpain.î
B) You are not mentally ill. This is an expected reaction to the loss
you have experienced.
C) Were you generally dissatisfied with your relationship before your
husband'sdeath?î
D) Try not to worry about that right now. You never know what the future
brings. 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 consideredmental illness. False reassurance or
overanalysis does not accurately address the client's concerns.
2|Page
, 5. The nurseconsults the DSM forwhich of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client
assessmentAns: 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 wouldbeinappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admissionand the nature of
psychiatricillnesses. 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 knowledge about the nature of psychiatric illnesses. Identifying
the medical diagnosis, treating, and evaluating treatments are not a part of
the nursing process.
7. The legislation enacted in 1963 was largely responsibleforwhich of the
followingshifts in care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional
careAns: A
Feedback:
The Community Mental Health Centers Construction Act of 1963
accomplished therelease of individuals from long-term stays in state
institutions, the decrease in admissions to hospitals, and the
development of community-based services as analternative to hospital
care.
3|Page
