ma
lOMoAR cPSD|
ma 11700591
TEST BANK FOR
ma ma
Psychiatric–
Mental Health Nursing 9th Edition by Sheila L. Videbeck
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All Chapters (1-24)
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, ma
lOMoAR cPSD|
ma 11700591
Table Of Contents ma ma
UNIT 1 Current Theories and Practice
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Chapter 1. Foundations of Psychiatric–
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Mental Health Nursing Chapter 2. Neurobiologic Theories an
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d Psychopharmacology Chapter 3. Psychosocial Theories and
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aTherapy
Chapter 4. Treatment Settings and Therapeutic Progra
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ms UNIT 2 Building the Nurse–
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Client Relationship Chapter 5. Therapeutic Relationsh
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ips
Chapter 6. Therapeutic Communication C
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hapter 7. Client’s Response to Illness Ch
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apter 8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical Issues Chap
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ter 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-
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Related Disorders Chapter 14. Anxiety and Anxiety
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Disorders
Chapter 15. Obsessive– m a m a
Compulsive and Related Disorders Chapter 16. Schizophrenia
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Chapter 17. Mood Disorders and Suicide
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Chapter 18. Personality Disorders Ch
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apter 19. Addiction
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Chapter 20. Eating Disorders m a m a m a
Chapter 21. Somatic Symptom Illnesses Chapt
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er 22. Neurodevelopmental Disorders Chapter
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23. Disruptive Behavior Disorders Chapter 2
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4. Cognitive Disorders
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Chapter 1 ma
1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following would the nurse identify as
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having a positive impact on the individual's mental health?
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A) Not needing others for companionship ma ma ma ma
B) The ability to effectively manage stress ma ma ma ma ma
C) A family history of mental illness ma ma ma ma ma
D) Striving for total self- ma ma ma
reliance Ans: B ma ma
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independ
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ence, self- ma
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience o
ma ma ma ma ma ma ma ma ma ma ma ma ma
r hardiness, sense of belonging, reality orientation, and coping or stress management abilit
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ies. Interpersonal factors such as intimacy and a balance of separateness and connectednes
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s are both needed for good mental health, and therefore a
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, ma
lOMoAR cPSD|
ma 11700591
healthy person would need others for companionship. A family history of mental illnes
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s could relate to the biologic makeup of an individual, which may have a negative imp
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
act on an individual's mental health, as well as a negative impact on an individual's in
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
terpersonal and socialñcultural factors of health. Total self-
ma ma ma ma ma ma ma
reliance is not possible, and a positive social/cultural factor is access to adequate reso
ma ma ma ma ma ma ma ma ma ma ma ma ma
urces.
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. ma ma ma ma ma ma ma
C) Social/cultural factors that relate to mental illness include excessive dependenc ma ma ma ma ma ma ma ma ma
y on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively wit ma ma ma ma ma ma ma ma ma ma ma
h daily life. ma ma
E) Individuals suffering from mental illness may experience dissatisfaction wit ma ma ma ma ma ma ma ma
h relationships and self. ma ma ma
Ans: A, D, E ma ma ma
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental ill
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ness may be related to individual, interpersonal, or social/cultural factors. Excessive d
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ependency 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 d
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aily life. Individuals suffering from mental illness may experience dissatisfaction with r
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elationships and self. ma ma
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 unacceptabl ma ma ma ma ma ma ma ma ma ma ma ma
e in other cultures. ma ma ma
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 behavio
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r and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. ma ma ma ma ma ma ma
Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
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y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
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cult to define precisely. In most cases, mental health is a state of emotional, psycholog
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ical, and social wellness evidenced by satisfying interpersonal relationships, effective b
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ehavior and coping, positive self- ma ma ma ma
concept, and emotional stability. Persons who engage in fantasies may be mentally heal
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thy, but the inability to distinguish reality from fantasy is an individual factor that may
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contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally i
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ll 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 muc
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h pain.î ma
B) ìYou are not mentally ill. This is an expected reaction to the loss you hav
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e experienced.î ma
C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î ma
D) ìTry not to worry about that right now. You never know what the future brings.
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î Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ine
ma ma ma ma ma ma ma ma ma
ffective coping, and lack of personal growth. Additionally the behavior must not be
ma ma ma ma ma ma ma ma ma ma ma ma
, ma
lOMoAR cPSD|
ma 11700591
culturally expected. Acute grief reactions are expected and therefore not considered m
ma ma ma ma ma ma ma ma ma ma ma
ental illness. False reassurance or overanalysis does not accurately address the client's c
ma ma ma ma ma ma ma ma ma ma ma ma
oncerns.
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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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ident
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ifies underlying causes of mental disorders. It does not provide care plans or prognost
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ic outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's
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scope of practice, so documenting the code in the medical record would be inappropria
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te.
6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis ma ma ma
B) Treat clients ma
C) Evaluate treatments ma
D) Understand the reason for the admission and the nature of psychiatric illnesses ma ma ma ma ma ma ma ma ma ma ma
. Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a he
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
lpful resource to understand the reason for the admission and to begin building knowl
ma ma ma ma ma ma ma ma ma ma ma ma ma
edge about the nature of psychiatric illnesses. Identifying the medical diagnosis, treatin
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g, and evaluating treatments are not a part of the nursing process.
ma ma ma ma ma ma ma ma ma ma ma
7. The legislation enacted in 1963 was largely responsible for which of the following shift
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s 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 ma ma ma
C) Increased access to hospitalization ma ma ma
D) Improved rights for clients in long- ma ma ma ma ma
term institutional care Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
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elease of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the devel
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opment of community-based services as an alternative to hospital 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 agains
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t their will. ma ma
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. ma ma ma ma ma m
Ans: B
a ma
Feedback:
lOMoAR cPSD|
ma 11700591
TEST BANK FOR
ma ma
Psychiatric–
Mental Health Nursing 9th Edition by Sheila L. Videbeck
ma ma ma ma ma ma ma ma
All Chapters (1-24)
ma ma
, ma
lOMoAR cPSD|
ma 11700591
Table Of Contents ma ma
UNIT 1 Current Theories and Practice
m a m a m a m a m a
Chapter 1. Foundations of Psychiatric–
m a m a m a m a
Mental Health Nursing Chapter 2. Neurobiologic Theories an
m a m a ma m a m a m a m a
d Psychopharmacology Chapter 3. Psychosocial Theories and
m a ma m a m a m a m a m
aTherapy
Chapter 4. Treatment Settings and Therapeutic Progra
m a m a m a m a m a m a
ms UNIT 2 Building the Nurse–
ma m a m a m a m a
Client Relationship Chapter 5. Therapeutic Relationsh
m a ma m a m a m a
ips
Chapter 6. Therapeutic Communication C
ma ma ma ma
hapter 7. Client’s Response to Illness Ch
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apter 8. Assessment
ma ma
UNIT 3 Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical Issues Chap
ma ma ma ma ma ma
ter 10. Grief and Loss
ma ma ma ma
Chapter 11. Anger, Hostility, and Aggression
ma ma ma ma ma ma
Chapter 12. Abuse and Violence
m a m a m a m a
UNIT 4 Nursing Practice for Psychiatric Disorders
m a m a m a m a m a m a
Chapter 13. Trauma and Stressor-
ma m a m a m a m a
Related Disorders Chapter 14. Anxiety and Anxiety
m a ma m a m a m a m a m a
Disorders
Chapter 15. Obsessive– m a m a
Compulsive and Related Disorders Chapter 16. Schizophrenia
m a m a m a ma ma ma
Chapter 17. Mood Disorders and Suicide
ma ma ma ma ma
Chapter 18. Personality Disorders Ch
ma m a m a m a ma
apter 19. Addiction
ma ma
Chapter 20. Eating Disorders m a m a m a
Chapter 21. Somatic Symptom Illnesses Chapt
ma ma ma ma ma
er 22. Neurodevelopmental Disorders Chapter
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23. Disruptive Behavior Disorders Chapter 2
ma ma ma ma m a
4. Cognitive Disorders
m a m a
Chapter 1 ma
1. The nurse is assessing the factors contributing to the well-
ma ma ma ma ma ma ma ma ma
being of a newly admitted client. Which of the following would the nurse identify as
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
having a positive impact on the individual's mental health?
ma ma ma ma ma ma ma ma ma
A) Not needing others for companionship ma ma ma ma
B) The ability to effectively manage stress ma ma ma ma ma
C) A family history of mental illness ma ma ma ma ma
D) Striving for total self- ma ma ma
reliance Ans: B ma ma
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independ
ma ma ma ma ma ma ma ma ma
ence, self- ma
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience o
ma ma ma ma ma ma ma ma ma ma ma ma ma
r hardiness, sense of belonging, reality orientation, and coping or stress management abilit
ma ma ma ma ma ma ma ma ma ma ma ma
ies. Interpersonal factors such as intimacy and a balance of separateness and connectednes
ma ma ma ma ma ma ma ma ma ma ma ma
s are both needed for good mental health, and therefore a
ma ma ma ma ma ma ma ma ma ma
, ma
lOMoAR cPSD|
ma 11700591
healthy person would need others for companionship. A family history of mental illnes
ma ma ma ma ma ma ma ma ma ma ma ma
s could relate to the biologic makeup of an individual, which may have a negative imp
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
act on an individual's mental health, as well as a negative impact on an individual's in
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
terpersonal and socialñcultural factors of health. Total self-
ma ma ma ma ma ma ma
reliance is not possible, and a positive social/cultural factor is access to adequate reso
ma ma ma ma ma ma ma ma ma ma ma ma ma
urces.
2. Which of the following statements about mental illness are true? Select all that apply.
ma ma ma ma ma ma ma ma ma ma ma ma ma
A) Mental illness can cause significant distress, impaired functioning, or both.
ma ma ma ma ma ma ma ma ma
B) Mental illness is only due to social/cultural factors. ma ma ma ma ma ma ma
C) Social/cultural factors that relate to mental illness include excessive dependenc ma ma ma ma ma ma ma ma ma
y on or withdrawal from relationships.
ma ma ma ma ma
D) Individuals suffering from mental illness are usually able to cope effectively wit ma ma ma ma ma ma ma ma ma ma ma
h daily life. ma ma
E) Individuals suffering from mental illness may experience dissatisfaction wit ma ma ma ma ma ma ma ma
h relationships and self. ma ma ma
Ans: A, D, E ma ma ma
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental ill
ma ma ma ma ma ma ma ma ma ma ma
ness may be related to individual, interpersonal, or social/cultural factors. Excessive d
ma ma ma ma ma ma ma ma ma ma ma
ependency on or withdrawal from relationships are interpersonal factors that relate to
ma ma ma ma ma ma ma ma ma ma ma ma
mental illness. Individuals suffering from mental illness can feel overwhelmed with d
ma ma ma ma ma ma ma ma ma ma ma
aily life. Individuals suffering from mental illness may experience dissatisfaction with r
ma ma ma ma ma ma ma ma ma ma ma
elationships and self. ma ma
3. Which of the following are true regarding mental health and mental illness?
ma ma ma ma ma ma ma ma ma ma ma
A) Behavior that may be viewed as acceptable in one culture is always unacceptabl ma ma ma ma ma ma ma ma ma ma ma ma
e in other cultures. ma ma ma
B) It is easy to determine if a person is mentally healthy or mentally ill.
ma ma ma ma ma ma ma ma ma ma ma ma ma
C) In most cases, mental health is a state of emotional, psychological, and social
ma ma ma ma ma ma ma ma ma ma ma ma
wellness evidenced by satisfying interpersonal relationships, effective behavio
ma ma ma ma ma ma ma ma
r and coping, positive self-concept, and emotional stability.
ma ma ma ma ma ma ma
D) Persons who engage in fantasies are mentally ill. ma ma ma ma ma ma ma
Ans: C
ma ma
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
ma ma ma ma ma ma ma ma ma ma ma ma
y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
ma ma ma ma ma ma ma ma ma ma ma ma ma
cult to define precisely. In most cases, mental health is a state of emotional, psycholog
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ical, and social wellness evidenced by satisfying interpersonal relationships, effective b
ma ma ma ma ma ma ma ma ma ma
ehavior and coping, positive self- ma ma ma ma
concept, and emotional stability. Persons who engage in fantasies may be mentally heal
ma ma ma ma ma ma ma ma ma ma ma ma
thy, but the inability to distinguish reality from fantasy is an individual factor that may
ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
contribute to mental illness.
a ma ma ma
4. A client grieving the recent loss of her husband asks if she is becoming mentally i
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ll because she is so sad. The nurse's best response would be,
ma ma ma ma ma ma ma ma ma ma ma
A) ìYou may have a temporary mental illness because you are experiencing so muc
ma ma ma ma ma ma ma ma ma ma ma ma
h pain.î ma
B) ìYou are not mentally ill. This is an expected reaction to the loss you hav
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
e experienced.î ma
C) ìWere you generally dissatisfied with your relationship before your husband's
ma ma ma ma ma ma ma ma ma
death?î ma
D) ìTry not to worry about that right now. You never know what the future brings.
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
î Ans: B
ma ma
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ine
ma ma ma ma ma ma ma ma ma
ffective coping, and lack of personal growth. Additionally the behavior must not be
ma ma ma ma ma ma ma ma ma ma ma ma
, ma
lOMoAR cPSD|
ma 11700591
culturally expected. Acute grief reactions are expected and therefore not considered m
ma ma ma ma ma ma ma ma ma ma ma
ental illness. False reassurance or overanalysis does not accurately address the client's c
ma ma ma ma ma ma ma ma ma ma ma ma
oncerns.
5. The nurse consults the DSM for which of the following purposes?
ma ma ma ma ma ma ma ma ma ma
A) To devise a plan of care for a newly admitted client
ma ma ma ma ma ma ma ma ma ma
B) To predict the client's prognosis of treatment outcomes
ma ma ma ma ma ma ma
C) To document the appropriate diagnostic code in the client's medical record
ma ma ma ma ma ma ma ma ma ma
D) To serve as a guide for client assessment
ma ma ma ma ma ma ma
Ans: D
ma ma
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ident
ma ma ma ma ma ma ma ma ma
ifies underlying causes of mental disorders. It does not provide care plans or prognost
ma ma ma ma ma ma ma ma ma ma ma ma ma
ic outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's
ma ma ma ma ma ma ma ma ma ma ma ma ma
scope of practice, so documenting the code in the medical record would be inappropria
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
te.
6. Which would be a reason for a student nurse to use the DSM?
ma ma ma ma ma ma ma ma ma ma ma ma
A) Identifying the medical diagnosis ma ma ma
B) Treat clients ma
C) Evaluate treatments ma
D) Understand the reason for the admission and the nature of psychiatric illnesses ma ma ma ma ma ma ma ma ma ma ma
. Ans: D
ma ma
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a he
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
lpful resource to understand the reason for the admission and to begin building knowl
ma ma ma ma ma ma ma ma ma ma ma ma ma
edge about the nature of psychiatric illnesses. Identifying the medical diagnosis, treatin
ma ma ma ma ma ma ma ma ma ma ma
g, and evaluating treatments are not a part of the nursing process.
ma ma ma ma ma ma ma ma ma ma ma
7. The legislation enacted in 1963 was largely responsible for which of the following shift
ma ma ma ma ma ma ma ma ma ma ma ma ma
s in care for the mentally ill?
ma ma ma ma ma ma
A) The widespread use of community-based services
ma ma ma ma ma
B) The advancement in pharmacotherapies ma ma ma
C) Increased access to hospitalization ma ma ma
D) Improved rights for clients in long- ma ma ma ma ma
term institutional care Ans: A
ma ma ma ma
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
ma ma ma ma ma ma ma ma ma ma ma
elease of individuals from long-
ma ma ma ma
term stays in state institutions, the decrease in admissions to hospitals, and the devel
ma ma ma ma ma ma ma ma ma ma ma ma ma
opment of community-based services as an alternative to hospital care.
ma ma ma ma ma ma ma ma ma
8. Which one of the following is a result of federal legislation?
ma ma ma ma ma ma ma ma ma ma
A) Making it easier to commit people for mental health treatment against their will.
ma ma ma ma ma ma ma ma ma ma ma ma
B) Making it more difficult to commit people for mental health treatment agains
ma ma ma ma ma ma ma ma ma ma ma
t their will. ma ma
C) State mental institutions being the primary source of care for mentally ill persons.
ma ma ma ma ma ma ma ma ma ma ma ma
D) Improved care for mentally ill persons. ma ma ma ma ma m
Ans: B
a ma
Feedback:
