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