Test Bank For Psychiatric Mental Health Nursing 9th Edition
b b b b b b b b
,Chapter 1 b
1. The nurse is assessing the factors contributing to the well-
b b b b b b b b b
being of a newly admitted client. Which of the following
b b b b b b b b b b
would the nurse identify as having a positive impact onthe
b b b b b b b b b b
individual's mental health?
b b b
A) Not needing others for companionship b b b b
B) The ability to effectively manage stress b b b b b
C) A family history of mental illness b b b b b
D) Striving for total self-reliance b b b
Ans: B
b b
Feedback:
Individual factors influencing mental health include b b b b b
biologic makeup, autonomy, independence, self-esteem,
b b b b b
capacity for growth, vitality, ability to find meaning in life,
b b b b b b b b b b
emotional resilience or hardiness, sense of belonging,
b b b b b b b
reality orientation, and coping or stress management
b b b b b b b
abilities. Interpersonal factors such as intimacy and a
b b b b b b b b
balance of separateness and connectedness are both needed
b b b b b b b b
for good mental health, and therefore ahealthy person would need others for
b b b b b b b b b b b
companionship. A family history of mental illnesscould relate to the biologic makeup
b b b b b b b b b b b b
of an individual, which may have a negative impacton an individual's mental health, as
b b b b b b b b b b b b b b
well as a negative impact on an individual's interpersonal and socialñcultural factors of
b b b b b b b b b b b b b
health. Total self-reliance is not possible, and a positive social/cultural factor is access
b b b b b b b b b b b b b
to adequate resources.
b b b
2. Which of the following statements about mental illness are true? Select all that apply.
b b b b b b b b b b b b b
A) Mental illness can cause significant distress, impaired functioning, or both.
b b b b b b b b b
B) Mental illness is only due to social/cultural factors. b b b b b b b
C) Social/cultural factors that relate to mental illness include excessive dependency b b b b b b b b b
on or withdrawal from relationships.
b b b b b
D) Individuals suffering from mental illness are usually able to cope effectively with b b b b b b b b b b b
daily life. b b
E) Individuals suffering from mental illness may experience dissatisfaction with b b b b b b b b
relationships and self.
b b b
Ans: A, D, E b b b
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
b b b b b b b b b b
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
b b b b b b b b b b b
dependency on or withdrawal from relationships are interpersonal factors that relate to
b b b b b b b b b b b b
mental illness. Individuals suffering from mental illness can feel overwhelmed with
b b b b b b b b b b b
daily life. Individuals suffering from mental illness may experience dissatisfaction with
b b b b b b b b b b b
relationships and self.
b b b
,3. Which of the following are true regarding mental health and mental illness?
b b b b b b b b b b b
A) Behavior that may be viewed as acceptable in one culture is always unacceptable b b b b b b b b b b b b
in other cultures.
b b b
B) It is easy to determine if a person is mentally healthy or mentally ill.
b b b b b b b b b b b b b
C) In most cases, mental health is a state of emotional, psychological, and social
b b b b b b b b b b b b
wellness evidenced by satisfying interpersonal relationships, effective behavior
b b b b b b b b
and coping, positive self-concept, and emotional stability.
b b b b b b b
D) Persons who engage in fantasies are mentally ill. b b b b b b b
Ans: C
b b
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
b b b b b b b b b b b b
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
b b b b b b b b b b b b b
to define precisely. In most cases, mental health is a state of emotional, psychological,
b b b b b b b b b b b b b b
and social wellness evidenced by satisfying interpersonal relationships, effective
b b b b b b b b b
behavior and coping, positive self-concept, and emotional stability. Persons who engage
b b b b b b b b b b b
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
b b b b b b b b b b b b b b
is an individual factor that may contribute to mental illness.
b b b b b b b b b b
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
b b b b b b b b b b b b b b b
because she is so sad. The nurse's best response would be,
b b b b b b b b b b b
A) ìYou may have a temporary mental illness because you are experiencing so much
b b b b b b b b b b b b
pain.î b
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
b b b b b b b b b b b b b b
experienced.î b
C) ìWere you generally dissatisfied with your relationship before your husband's
b b b b b b b b b
death?î b
D) ìTry not to worry about that right now. You never know what the future brings.î
b b b b b b b b b b b b b b
Ans: B
b b
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
b b b b b b b b
ineffective coping, and lack of personal growth. Additionally the behavior must not be
b b b b b b b b b b b b b
culturally expected. Acute grief reactions are expected and therefore not considered
b b b b b b b b b b b
mental illness. False reassurance or overanalysis does not accurately address the client's
b b b b b b b b b b b b
concerns.
b
, 5. The nurse consults the DSM for which of the following purposes?
b b b b b b b b b b b
A) To devise a plan of care for a newly admitted client
b b b b b b b b b b
B) To predict the client's prognosis of treatment outcomes
b b b b b b b
C) To document the appropriate diagnostic code in the client's medical record
b 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 b
Ans: D b
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
b b b b b b b b
bidentifies underlying causes of mental disorders. It does not provide care plans or
b b b b b b b b b b b b
bprognostic outcomes of treatment. Diagnosis of mental illness is not within the
b b b b b b b b b b b
bgeneralist RN's scope of practice, so documenting the code in the medical record would
b b b b b b b b b b b b b
bbe inappropriate.
b
6. Which would be a reason for a student nurse to use the DSM?
b b b b b b b b b b b b b
A) Identifying the medical diagnosis b b b
B) Treat clients b
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 b
Ans: D b
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
b b b b b b b b b b b b b b b
helpful resource to understand the reason for the admission and to begin building
b b b b b b b b b b b b b
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
b b b b b b b b b b b
treating, and evaluating treatments are not a part of the nursing process.
b b b b b b b b b b b b
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
b b b b b b b b b b b b b
in care for the mentally ill?
b b b b b b
A) The widespread use of community-based services
b b b b b
B) The advancement in pharmacotherapies b b b
C) Increased access to hospitalization b b b
D) Improved rights for clients in long-term institutional care b b b b b b b
Ans: A
b b
Feedback:
The Community Mental 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
b b b b b b b b
,Chapter 1 b
1. The nurse is assessing the factors contributing to the well-
b b b b b b b b b
being of a newly admitted client. Which of the following
b b b b b b b b b b
would the nurse identify as having a positive impact onthe
b b b b b b b b b b
individual's mental health?
b b b
A) Not needing others for companionship b b b b
B) The ability to effectively manage stress b b b b b
C) A family history of mental illness b b b b b
D) Striving for total self-reliance b b b
Ans: B
b b
Feedback:
Individual factors influencing mental health include b b b b b
biologic makeup, autonomy, independence, self-esteem,
b b b b b
capacity for growth, vitality, ability to find meaning in life,
b b b b b b b b b b
emotional resilience or hardiness, sense of belonging,
b b b b b b b
reality orientation, and coping or stress management
b b b b b b b
abilities. Interpersonal factors such as intimacy and a
b b b b b b b b
balance of separateness and connectedness are both needed
b b b b b b b b
for good mental health, and therefore ahealthy person would need others for
b b b b b b b b b b b
companionship. A family history of mental illnesscould relate to the biologic makeup
b b b b b b b b b b b b
of an individual, which may have a negative impacton an individual's mental health, as
b b b b b b b b b b b b b b
well as a negative impact on an individual's interpersonal and socialñcultural factors of
b b b b b b b b b b b b b
health. Total self-reliance is not possible, and a positive social/cultural factor is access
b b b b b b b b b b b b b
to adequate resources.
b b b
2. Which of the following statements about mental illness are true? Select all that apply.
b b b b b b b b b b b b b
A) Mental illness can cause significant distress, impaired functioning, or both.
b b b b b b b b b
B) Mental illness is only due to social/cultural factors. b b b b b b b
C) Social/cultural factors that relate to mental illness include excessive dependency b b b b b b b b b
on or withdrawal from relationships.
b b b b b
D) Individuals suffering from mental illness are usually able to cope effectively with b b b b b b b b b b b
daily life. b b
E) Individuals suffering from mental illness may experience dissatisfaction with b b b b b b b b
relationships and self.
b b b
Ans: A, D, E b b b
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
b b b b b b b b b b
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
b b b b b b b b b b b
dependency on or withdrawal from relationships are interpersonal factors that relate to
b b b b b b b b b b b b
mental illness. Individuals suffering from mental illness can feel overwhelmed with
b b b b b b b b b b b
daily life. Individuals suffering from mental illness may experience dissatisfaction with
b b b b b b b b b b b
relationships and self.
b b b
,3. Which of the following are true regarding mental health and mental illness?
b b b b b b b b b b b
A) Behavior that may be viewed as acceptable in one culture is always unacceptable b b b b b b b b b b b b
in other cultures.
b b b
B) It is easy to determine if a person is mentally healthy or mentally ill.
b b b b b b b b b b b b b
C) In most cases, mental health is a state of emotional, psychological, and social
b b b b b b b b b b b b
wellness evidenced by satisfying interpersonal relationships, effective behavior
b b b b b b b b
and coping, positive self-concept, and emotional stability.
b b b b b b b
D) Persons who engage in fantasies are mentally ill. b b b b b b b
Ans: C
b b
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
b b b b b b b b b b b b
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
b b b b b b b b b b b b b
to define precisely. In most cases, mental health is a state of emotional, psychological,
b b b b b b b b b b b b b b
and social wellness evidenced by satisfying interpersonal relationships, effective
b b b b b b b b b
behavior and coping, positive self-concept, and emotional stability. Persons who engage
b b b b b b b b b b b
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
b b b b b b b b b b b b b b
is an individual factor that may contribute to mental illness.
b b b b b b b b b b
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
b b b b b b b b b b b b b b b
because she is so sad. The nurse's best response would be,
b b b b b b b b b b b
A) ìYou may have a temporary mental illness because you are experiencing so much
b b b b b b b b b b b b
pain.î b
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
b b b b b b b b b b b b b b
experienced.î b
C) ìWere you generally dissatisfied with your relationship before your husband's
b b b b b b b b b
death?î b
D) ìTry not to worry about that right now. You never know what the future brings.î
b b b b b b b b b b b b b b
Ans: B
b b
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
b b b b b b b b
ineffective coping, and lack of personal growth. Additionally the behavior must not be
b b b b b b b b b b b b b
culturally expected. Acute grief reactions are expected and therefore not considered
b b b b b b b b b b b
mental illness. False reassurance or overanalysis does not accurately address the client's
b b b b b b b b b b b b
concerns.
b
, 5. The nurse consults the DSM for which of the following purposes?
b b b b b b b b b b b
A) To devise a plan of care for a newly admitted client
b b b b b b b b b b
B) To predict the client's prognosis of treatment outcomes
b b b b b b b
C) To document the appropriate diagnostic code in the client's medical record
b 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 b
Ans: D b
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
b b b b b b b b
bidentifies underlying causes of mental disorders. It does not provide care plans or
b b b b b b b b b b b b
bprognostic outcomes of treatment. Diagnosis of mental illness is not within the
b b b b b b b b b b b
bgeneralist RN's scope of practice, so documenting the code in the medical record would
b b b b b b b b b b b b b
bbe inappropriate.
b
6. Which would be a reason for a student nurse to use the DSM?
b b b b b b b b b b b b b
A) Identifying the medical diagnosis b b b
B) Treat clients b
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 b
Ans: D b
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
b b b b b b b b b b b b b b b
helpful resource to understand the reason for the admission and to begin building
b b b b b b b b b b b b b
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
b b b b b b b b b b b
treating, and evaluating treatments are not a part of the nursing process.
b b b b b b b b b b b b
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
b b b b b b b b b b b b b
in care for the mentally ill?
b b b b b b
A) The widespread use of community-based services
b b b b b
B) The advancement in pharmacotherapies b b b
C) Increased access to hospitalization b b b
D) Improved rights for clients in long-term institutional care b b b b b b b
Ans: A
b b
Feedback:
The Community Mental 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
