Test Bank for n n
Psychiatric–MentalHealth Nursing 9thEditionby Sheila L. n n n n n n n Videbeck
AllChapters(1-24)
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Table Of Contents n n
UNIT 1 Current Theories and Practice
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Chapter 1. Foundations of Psychiatric–Mental Health Nursing
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Chapter 2. Neurobiologic Theories and Psychopharmacology
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Chapter 3. Psychosocial Theories and Therapy
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Chapter 4. Treatment Settings and Therapeutic Programs
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UNIT 2 Building the Nurse–Client Relationship Chapter
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5. Therapeutic Relationships
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Chapter 6. Therapeutic Communicationn n n
Chapter 7. Client’s Response to Illness
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Chapter 8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical Issues Chapter
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10. Grief and Loss
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Chapter 11. Anger, Hostility, and Aggression
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Chapter 12. Abuse and Violence
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UNIT 4 Nursing Practice for Psychiatric Disorders
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Chapter 13. Trauma and Stressor-Related Disorders
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Chapter 14. Anxiety and Anxiety Disorders
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Chapter 15. Obsessive–Compulsive and Related Disorders
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Chapter 16. Schizophrenia
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Chapter 17. Mood Disorders and Suicide
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Chapter 18. Personality Disorders
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Chapter 19. Addiction
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Chapter 20. Eating Disorders n n n
Chapter 21. Somatic Symptom Illnesses Chapter
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22. Neurodevelopmental Disorders Chapter 23.
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Disruptive Behavior Disorders Chapter 24.
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Cognitive Disorders
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Chapter 1 n
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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client. Which of the following would the nurse identify as having a positive impact on
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the individual's mental health?
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A) Not needing others for companionship n n n n
B) The ability to effectively manage stress n n n n n
C) A family history of mental illness n n n n n
D) Striving for total self-reliance n n n
Ans: B n n
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Individual factors influencing mental health include biologic makeup, autonomy, n n n n n n n n
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
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emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
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stress management abilities. Interpersonal factors such as intimacy and a balance of
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separateness and connectedness are both needed for good mental health, and therefore a
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healthy person would need others for companionship. A family history of mental illness
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could relate to the biologic makeup of an individual, which may have a negative impact on
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an individual's mental health, as well as a negative impact on an individual's
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interpersonal and socialñcultural factors of health. Total self-reliance is not possible, and
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a positive social/cultural factor is access to adequate resources.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both. n n n n n n n n n
B) Mental illness is only due to social/cultural factors. n n n n n n n
C) Social/cultural factors that relate to mental illness include excessive dependency on n n n n n n n n n n
or withdrawal fromrelationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with n n n n n n n n n n n
daily life. n n
E) Individuals suffering from mental illness may experience dissatisfaction with n n n n n n n n
relationshipsand self. n n n
Ans: A, D, E n n n
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Mental illness can cause significant distress, impaired functioning, or both. Mental illness
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may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
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life. Individuals suffering from mental illness may experience dissatisfaction with
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relationshipsandself.
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3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always n n n n n n n n n n n
unacceptable in other cultures.
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B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) 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
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and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. n n n n n n n
Ans: C
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What one society may view as acceptable and appropriate behavior, another society
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may see that as maladaptive, and inappropriate. Mental health and mental illness are
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difficult to define precisely. In most cases, mental health is a state of emotional,
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psychological, and social wellness evidenced by satisfying interpersonal relationships,
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effective behavior and coping, positive self-concept, and emotional stability. Persons
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who engage in fantasies may be mentally healthy, but the inability to distinguish reality
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from fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so much
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pain.î n
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î n
C) ìWere you generally dissatisfied with your relationship before your husband'sn n n n n n n n n
death?î n
D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B
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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 be
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culturally expected. Acute grief reactions are expected and therefore not considered
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mental illness. False reassurance or overanalysis does not accurately address the client's
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concerns.
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5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessment
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Ans: D
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The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
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RN's scope of practice, so documenting the code in the medical record would be
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inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis n n n
B) Treat clients n
C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses. n n n n n n n n n n n
Ans: D
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Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
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resource to understand the reason for the admission and to begin building knowledge
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about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and
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evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
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care for the mentally ill?
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A) The widespread use of community-based services
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B) The advancement in pharmacotherapies n n n
C) Increased access to hospitalization n n n
D) Improved rights for clients in long-term institutional care n n n n n n n
Ans: A
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The Community Mental Health Centers Construction Act of 1963 accomplished the release
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of individuals from long-term stays in state institutions, the decrease in admissions to
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hospitals, and the development of community-based services as an alternative to hospital
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care.
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8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will.
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B) Making it more difficult to commit people for mental health treatment against
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their will. n n
C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentally ill persons. n n n n n
Ans: B
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Commitment laws changed in the early 1970s, making it more difficult to commit
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people for mental health treatment against their will. Deinstitutionalization accomplished
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the release of individuals from long-term stays in state institutions. Deinstitutionalization
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also had negative effects in that some mentally ill persons are subjected to the revolving
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door effect, which may limit care for mentally ill persons.
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9. The goal of the 1963 Community Mental Health Centers Act was to
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A) ensure patients' rights for the mentally ill. n n n n n n
B) deinstitutionalize state hospitals. n n
C) provide funds to build hospitals with psychiatric units. n n n n n n n
D) treat people with mental illness in a humane fashion.n n n n n n n n
Ans: B
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The 1963 Community Mental Health Centers Act intimated the movement toward treating
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those with mental illness in a less restrictive environment. This legislation resulted in the
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shift of clients with mental illness from large state institutions to care based in the
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community. Answer choices A, C, and D were not purposes of the 1963 Community
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Mental Health Centers Act.
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10. The creation of asylums during the 1800s was meant to
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A) improve treatment of mental disorders. n n n n
B) provide food and shelter for the mentally ill. n n n n n n n
C) punish people with mental illness who were believed to be possessed. n n n n n n n n n n
D) remove dangerous people with mental illness from the community. n n n n n n n n
Ans: B
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The asylum was meant to be a safe haven with food, shelter, and humane treatment for the
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mentally ill. Asylums were not used to improve treatment of mental disorders or to punish
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mentally ill people who were believed to be possessed. The asylum was not created to
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remove the dangerously mentally ill from the community.
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11. The major problems with large state institutions are: Select all that apply.
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A) attendants were accused of abusing the residents. n n n n n n
B) stigma associated with residence in an insane asylum. n n n n n n n
C) clients were geographically isolated from family and community. n n n n n n n
D) increasing financial costs to individual residents. n n n n n
Ans: A, C
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Clients were often far removed from the local community, family, and friends because
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state institutions were usually in rural or remote settings. Choices B and D were not major
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problems associated with large state instructions.
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12. A significant change in the treatment of people with mental illness occurred in the 1950s
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when
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A) community support services were established. n n n n
B) legislation dramatically changed civil commitment procedures. n n n n n
C) the Patient's Bill of Rights was enacted.n n n n n n
D) psychotropic drugs became available for use. n n n n n
Ans: D
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The development of psychotropic drugs, or drugs used to treat mental illness, began in
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the 1950s. Answer choices A, B, and C did not occur in the 1950s.
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13. Before the period of the enlightenment, treatment of the mentally ill included
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