Test Bank For Psychiatric Mental Health Nursing, 9th Edition by Sheila L. Videbeck All Chapters 1-24 LATEST

Test Bank For Psychiatric Mental Health Nursing, 9th Edition by Sheila L. Videbeck All Chapters 1-24 LATEST Chapter1 1. The nurse is assessing the factors contributing to the well-being of a newly admittedclient. Which of the following would the nurse identify as having a positive impact onthe individual's mental health? A) Notneeding othersfor companionship B) Theabilitytoeffectivelymanagestress C) Afamily history of mental illness D) Striving for total self-relianceAns:B Feedback: Individual factors influencing mental health include biologic makeup, autonomy,independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,emotional resilience or hardiness, sense of belonging, reality orientation, and coping orstress management abilities. Interpersonal factors such as intimacy and a balance ofseparateness and connectedness are both needed for good mental health, and therefore ahealthy person would need others for companionship. A family history of mental illnesscould relate to the biologic makeup of an individual, which may have a negative impacton an individual's mental health, as well as a negative impact on an individual'sinterpersonal and socialñcultural factors of health. Total self-reliance is not possible,anda positive social/culturalfactor is accessto adequate resources. 2. Whichofthefollowingstatementsaboutmentalillnessaretrue?Selectallthatapply. A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. B) Mentalillnessisonlyduetosocial/culturalfactors. C) Social/cultural factors that relate to mental illness include excessive dependencyonor withdrawalfrom relationships. D) Individuals suffering from mental illness are usually able to cope effectively withdaily life. E) Individuals suffering from mental illness may experience dissatisfaction withrelationshipsand self. Ans:A,D,E Feedback: Mental illness can cause significant distress, impaired functioning, or both. Mentalillness may be related to individual, interpersonal, or social/cultural factors. Excessivedependency on or withdrawal from relationships are interpersonal factors that relate tomental illness. Individuals suffering from mental illness can feel overwhelmed withdaily life. Individuals suffering from mental illness may experience dissatisfaction withrelationshipsand self. 3. Which of the following are true regarding mental health and mental illness? A) Behavior that may be viewed as acceptable in one culture is always unacceptablein other cultures. B) It is easy to determine if a person is mentally healthy or mentally ill. C) In most cases, mental health is a state of emotional, psychological, and socialwellness evidenced by satisfying interpersonal relationships, effective behaviorandcoping, positiveself-concept, and emotionalstability. D) Persons who engage in fantasies are mentally ill.Ans:C Feedback: What one society may view as acceptable and appropriate behavior, another society maysee that as maladaptive, and inappropriate. Mental health and mental illness are difficultto define precisely. In most cases, mental health is a state of emotional, psychological,and social wellness evidenced by satisfying interpersonal relationships, effectivebehavior and coping, positive self-concept, and emotional stability. Persons who engagein fantasies may be mentally healthy, but the inability to distinguish reality from fantasyis an individual factor that may contribute to mental illness. 4. A client grieving the recent loss of her husband asks if she is becoming mentally illbecausesheis sosad.Thenurse'sbest response wouldbe, A) ìYou may have a temporary mental illness because you are experiencing so muchpain.î B) ìYou are not mentally ill. This is an expected reaction to the loss you haveexperienced.î C) ìWere you generally dissatisfied with your relationship before your husband'sdeath?î D) ìTry not to worry about that right now. You never know what the future brings.îAns:B Feedback: Mental illness includes general dissatisfaction with self, ineffective relationships,ineffective coping, and lack of personal growth. Additionally the behavior must not beculturally expected. Acute grief reactions are expected and therefore not consideredmental illness. False reassurance or overanalysis does not accurately address the client'sconcerns. 5. Thenurseconsults theDSMforwhichofthe followingpurposes? A) To devise a plan of care for a newly admitted client B) To predict the client'sprognosis of treatment outcomes C) To document the appropriate diagnostic code in the client'smedical record D) To serve as a guide for client assessmentAns:D Feedback: The DSM provides standard nomenclature, presents defining characteristics, andidentifies underlying causes of mental disorders. It does not provide care plans orprognostic outcomes of treatment. Diagnosis of mental illness is not within thegeneralist RN's scope of practice, so documenting the code in the medical record wouldbe inappropriate. 6. WhichwouldbeareasonforastudentnursetousetheDSM? A) Identifying the medical diagnosis B) Treat clients C) Evaluate treatments D) Understand the reason for the admission and the nature of psychiatric illnesses.Ans:D Feedback: Although student nurses do not use the DSM to diagnose clients, they will find it ahelpful resource to understand the reason for the admission and to begin buildingknowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,treating, and evaluating treatments are nota part of the nursing process. 7. The legislation enacted in 1963 was largely responsible for which of the following shiftsin care for the mentally ill? A) Thewidespreaduseofcommunity-basedservices B) The advancement in pharmacotherapies C) Increased access to hospitalization D) Improved rights for clients in long-term institutional careAns:A Feedback: The Community Mental Health Centers Construction Act of 1963 accomplished therelease of individuals from long-term stays in state institutions, the decrease inadmissions to hospitals, and the development of community-based services as analternative to hospital care. 8. Which one of the following is a result of federal legislation? A) Makingiteasierto commitpeopleformental healthtreatmentagainsttheir will. B) Making it more difficult to commit people for mental health treatment againsttheir will. C) Statementalinstitutionsbeing theprimarysourceofcarefor mentallyillpersons. D) Improved care for mentally ill persons.Ans:B Feedback: Commitment laws changed in the early 1970s, making it more difficult to commitpeople for mental health treatment against their will. Deinstitutionalizationaccomplished the release of individuals from long-term stays in state institutions.Deinstitutionalization also had negative effects in that some mentally ill persons aresubjectedtotherevolvingdooreffect,whichmaylimitcare formentallyillpersons. 9. Thegoalofthe1963CommunityMentalHealthCentersActwasto A) ensure patients' rights for the mentally ill. B) deinstitutionalizestatehospitals. C) providefunds tobuild hospitals withpsychiatric units. D) treat people with mental illness in a humane fashion.Ans:B Feedback: The 1963 Community Mental Health Centers Act intimated the movement towardtreating those with mental illness in a less restrictive environment. This legislationresulted in the shift of clients with mental illness from large state institutions to carebased in the community. Answer choices A, C, and D were not purposes of the 1963CommunityMentalHealthCenters Act.