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
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Chapter 1 x@


1. The nurse is assessing the factors contributing to the
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well-
being of a newly admitted client. Which of the follo
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wing would the nurse identify as having a positive im
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pact onthe individual's mental health?
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A) Not needing others for companionship
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B) The ability to effectively manage stress
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C) A family history of mental illness
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D) Striving for total self- x@ x@ x@


reliance Ans: B x@ x @


Feedback:
Individual factors influencing mental health include biol
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ogic makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find mea
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ning in life, emotional resilience or hardiness, sense of
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@belonging, reality orientation, and coping or stress ma
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nagement abilities. Interpersonal factors such as intimac
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y and a balance of separateness and connectedness are
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both needed x@


for good mental health, and therefore ahealthy person would need others for co
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mpanionship. A family history of mental illnesscould relate to the biologic make
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up of an individual, which may have a negative impacton an individual's mental
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health, as well as a negative impact on an individual's interpersonal and socialñc
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ultural factors of health. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate
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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.
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B) Mental illness is only due to social/cultural factors.
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C) Social/cultural factors that relate to mental illness include excessive depend
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ency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively
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with daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction
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with relationships and self. x@ x@ x@


Ans: A, D, E x@ x@ x@


Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Ment
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al illness may be related to individual, interpersonal, or social/cultural factors. E
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xcessive dependency on or withdrawal from relationships are interpersonal factors
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that relate to mental illness. Individuals suffering from mental illness can feel o
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verwhelmed with daily life. Individuals suffering from mental illness may experie
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nce dissatisfaction with relationships and self.
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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 unacce
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ptable in other cultures. x@ x@ x@


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
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social wellness evidenced by satisfying interpersonal relationships, effectiv
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e behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally x@ x@ x@ x@ x@ x@ x


@ill. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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x@may see that as maladaptive, and inappropriate. Mental health and mental illness
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@are difficult to define precisely. In most cases, mental health is a state of emotio
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nal, psychological, and social wellness evidenced by satisfying interpersonal relati
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onships, effective behavior and coping, positive self-
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concept, and emotional stability. Persons who engage in fantasies may be mentally
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x@healthy, but the inability to distinguish reality from fantasy is an individual facto
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r 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 men
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tally ill 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
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much pain.î x@


B) ìYou are not mentally ill. This is an expected reaction to the loss yo
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u have experienced.î
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C) ìWere you generally dissatisfied with your relationship before your husba
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nd's death?î x@


D) ìTry not to worry about that right now. You never know what the future b
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rings.î Ans: B x@ x @


Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, i
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neffective coping, and lack of personal growth. Additionally the behavior must no
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t be culturally expected. Acute grief reactions are expected and therefore not cons
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idered mental illness. False reassurance or overanalysis does not accurately address
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@the client's 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 x@


Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and i
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dentifies 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
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generalist RN's scope of practice, so documenting the code in the medical record
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would be 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 x@ x@ x@


B) Treat clients x@


C) Evaluate treatments x@


D) Understand the reason for the admission and the nature of psychiatric illnesses.
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Ans: D x@


Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find i
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t a helpful resource to understand the reason for the admission and to begin buil
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ding knowledge about the nature of psychiatric illnesses. Identifying the medical di
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agnosis, treating, and 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
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shifts in 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
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C) Increased access to hospitalization x@ x@ x@


D) Improved rights for clients in long- x@ x@ x@ x@ x@


term institutional care Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished th
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e release of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the d
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evelopment of community-based services as an alternative to hospital care.
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