Test pBank pFor pPsychiatric pMental pHealth pNursing p9th
pEdition
Chapter p1
1. The pnurse pis passessing pthe pfactors pcontributing pto
pthe pwell- pbeing pof pa pnewly padmitted pclient.
pWhich pof pthe pfollowing pwould pthe pnurse pidentify
pas phaving pa ppositive pimpact ponthe pindividual's
pmental phealth?
A) Not pneeding pothers pfor pcompanionship
B) The pability pto peffectively pmanage pstress
C) A pfamily phistory pof pmental pillness
D) Striving pfor ptotal pself-
reliance pAns: p B
Feedback:
Individual pfactors pinfluencing pmental phealth pinclude
pbiologic pmakeup, pautonomy, pindependence, pself-
esteem, pcapacity pfor pgrowth, pvitality, pability pto pfind
pmeaning pin plife, pemotional presilience por phardiness,
psense pof pbelonging, preality porientation, pand pcoping
por pstress pmanagement pabilities. pInterpersonal
pfactors psuch pas pintimacy pand pa pbalance pof
pseparateness pand pconnectedness pare pboth pneeded
for pgood pmental phealth, pand ptherefore pahealthy pperson pwould pneed pothers
pfor pcompanionship. pA pfamily phistory pof pmental pillnesscould prelate pto pthe
pbiologic pmakeup pof pan pindividual, pwhich pmay phave pa pnegative pimpacton
pan pindividual's pmental phealth, pas pwell pas pa pnegative pimpact pon pan
pindividual's pinterpersonal pand psocialñcultural pfactors pof phealth. pTotal pself-
reliance pis pnot ppossible, pand pa ppositive psocial/cultural pfactor pis paccess pto
padequate presources.
2. Which pof pthe pfollowing pstatements pabout pmental pillness pare ptrue? pSelect pall pthat
papply.
A) Mental pillness pcan pcause psignificant pdistress, pimpaired pfunctioning, por pboth.
B) Mental pillness pis ponly pdue pto psocial/cultural pfactors.
C) Social/cultural pfactors pthat prelate pto pmental pillness pinclude pexcessive
pdependency pon por pwithdrawal pfrom prelationships.
D) Individuals psuffering pfrom pmental pillness pare pusually pable pto pcope
peffectively pwith pdaily plife.
E) Individuals psuffering pfrom pmental pillness pmay pexperience
pdissatisfaction pwith prelationships pand pself.
Ans: pA, pD, pE
Feedback:
Mental pillness pcan pcause psignificant pdistress, pimpaired pfunctioning, por pboth.
pMental pillness pmay pbe prelated pto pindividual, pinterpersonal, por
psocial/cultural pfactors. pExcessive pdependency pon por pwithdrawal pfrom
prelationships pare pinterpersonal pfactors pthat prelate pto pmental pillness.
pIndividuals psuffering pfrom pmental pillness pcan pfeel poverwhelmed pwith pdaily
plife. pIndividuals psuffering pfrom pmental pillness pmay pexperience pdissatisfaction
pwith prelationships pand pself.
,3. Which pof pthe pfollowing pare ptrue pregarding pmental phealth pand pmental pillness?
A) Behavior pthat pmay pbe pviewed pas pacceptable pin pone pculture pis palways
punacceptable pin pother pcultures.
B) It pis peasy pto pdetermine pif pa pperson pis pmentally phealthy por pmentally pill.
C) In pmost pcases, pmental phealth pis pa pstate pof pemotional,
ppsychological, pand psocial pwellness pevidenced pby psatisfying
pinterpersonal prelationships, peffective pbehavior pand pcoping, ppositive
pself-concept, pand pemotional pstability.
D) Persons pwho pengage pin pfantasies pare
pmentally pill. pAns: p C
Feedback:
What pone psociety pmay pview pas pacceptable pand pappropriate pbehavior, panother
psociety pmay psee pthat pas pmaladaptive, pand pinappropriate. pMental phealth pand
pmental pillness pare pdifficult pto pdefine pprecisely. pIn pmost pcases, pmental
phealth pis pa pstate pof pemotional, ppsychological, pand psocial pwellness
pevidenced pby psatisfying pinterpersonal prelationships, peffective pbehavior pand
pcoping, ppositive pself-concept, pand pemotional pstability. pPersons pwho pengage pin
pfantasies pmay pbe pmentally phealthy, pbut pthe pinability pto pdistinguish preality
pfrom pfantasy pis pan pindividual pfactor pthat pmay pcontribute pto pmental pillness.
4. A pclient pgrieving pthe precent ploss pof pher phusband pasks pif pshe pis
pbecoming pmentally pill pbecause pshe pis pso psad. pThe pnurse's pbest
presponse pwould pbe,
A) ìYou pmay phave pa ptemporary pmental pillness pbecause pyou pare
pexperiencing pso pmuch ppain.î
B) ìYou pare pnot pmentally pill. pThis pis pan pexpected preaction pto pthe
ploss pyou phave pexperienced.î
C) ìWere pyou pgenerally pdissatisfied pwith pyour prelationship pbefore pyour
phusband's pdeath?î
D) ìTry pnot pto pworry pabout pthat pright pnow. pYou pnever pknow pwhat pthe
pfuture pbrings.î pAns: p B
Feedback:
Mental pillness pincludes pgeneral pdissatisfaction pwith pself, pineffective
prelationships, pineffective pcoping, pand plack pof ppersonal pgrowth. pAdditionally
pthe pbehavior pmust pnot pbe pculturally pexpected. pAcute pgrief preactions pare
pexpected pand ptherefore pnot pconsidered pmental pillness. pFalse preassurance por
poveranalysis pdoes pnot paccurately paddress pthe pclient's pconcerns.
,5. The pnurse pconsults pthe pDSM pfor pwhich pof pthe pfollowing ppurposes? p
A) To pdevise pa pplan pof pcare pfor pa pnewly padmitted pclient
B) To ppredict pthe pclient's pprognosis pof ptreatment poutcomes
C) To pdocument pthe pappropriate pdiagnostic pcode pin pthe pclient's pmedical precord
D) pTo pserve pas pa pguide pfor pclient
passessment p p Ans: pD
Feedback:
The pDSM pprovides pstandard pnomenclature, ppresents pdefining pcharacteristics,
pand pidentifies punderlying pcauses pof pmental pdisorders. pIt pdoes pnot pprovide
pcare pplans por pprognostic poutcomes pof ptreatment. pDiagnosis pof pmental
pillness pis pnot pwithin pthe pgeneralist pRN's pscope pof ppractice, pso
pdocumenting pthe pcode pin pthe pmedical precord pwould pbe pinappropriate.
6. Which pwould pbe pa preason pfor pa pstudent pnurse pto puse pthe pDSM? p
A) Identifying pthe pmedical pdiagnosis
B) Treat pclients
C) Evaluate ptreatments
D) pUnderstand pthe preason pfor pthe padmission pand pthe pnature pof
ppsychiatric pillnesses. p p Ans: pD
Feedback:
Although pstudent pnurses pdo pnot puse pthe pDSM pto pdiagnose pclients, pthey
pwill pfind pit pa phelpful presource pto punderstand pthe preason pfor pthe
padmission pand pto pbegin pbuilding pknowledge pabout pthe pnature pof
ppsychiatric pillnesses. pIdentifying pthe pmedical pdiagnosis, ptreating, pand
pevaluating ptreatments pare pnot pa ppart pof pthe pnursing pprocess.
7. The plegislation penacted pin p1963 pwas plargely presponsible pfor pwhich pof pthe
pfollowing pshifts pin pcare pfor pthe pmentally pill?
A) The pwidespread puse pof pcommunity-based pservices
B) The padvancement pin ppharmacotherapies
C) Increased paccess pto phospitalization
D) Improved prights pfor pclients pin plong-term
pinstitutional pcare pAns: p A
Feedback:
The pCommunity pMental pHealth pCenters pConstruction pAct pof p1963
paccomplished pthe prelease pof pindividuals pfrom plong-term pstays pin pstate
pinstitutions, pthe pdecrease pin padmissions pto phospitals, pand pthe pdevelopment
pof pcommunity-based pservices pas pan palternative pto phospital pcare.
, 8. Which pone pof pthe pfollowing pis pa presult pof pfederal plegislation?
A) Making pit peasier pto pcommit ppeople pfor pmental phealth ptreatment pagainst
ptheir pwill.
B) Making pit pmore pdifficult pto pcommit ppeople pfor pmental phealth
ptreatment pagainst ptheir pwill.
C) State pmental pinstitutions pbeing pthe pprimary psource pof pcare pfor pmentally pill
ppersons.
D) Improved pcare pfor pmentally pill
ppersons. pAns: p B
Feedback:
Commitment plaws pchanged pin pthe pearly p1970s, pmaking pit pmore pdifficult
pto pcommit ppeople pfor pmental phealth ptreatment pagainst ptheir pwill.
pDeinstitutionalization paccomplished pthe prelease pof pindividuals pfrom plong-
term pstays pin pstate pinstitutions. pDeinstitutionalization palso phad pnegative
peffects pin pthat psome pmentally pill ppersons pare psubjected pto pthe
prevolving pdoor peffect, pwhich pmay plimit pcare pfor pmentally pill ppersons.
9. The pgoal pof pthe p1963 pCommunity pMental pHealth pCenters pAct pwas pto
A) ensure ppatients' prights pfor pthe pmentally pill.
B) deinstitutionalize pstate phospitals.
C) provide pfunds pto pbuild phospitals pwith ppsychiatric punits.
D) treat ppeople pwith pmental pillness pin pa phumane
pfashion. pAns: p B
Feedback:
The p1963 pCommunity pMental pHealth pCenters pAct pintimated pthe pmovement
ptoward ptreating pthose pwith pmental pillness pin pa pless prestrictive
penvironment. pThis plegislation presulted pin pthe pshift pof pclients pwith pmental
pillness pfrom plarge pstate pinstitutions pto pcare pbased pin pthe pcommunity.
pAnswer pchoices pA, pC, pand pD pwere pnot ppurposes pof pthe p1963 pCommunity
pMental pHealth pCenters pAct.
10. The pcreation pof pasylums pduring pthe p1800s pwas pmeant pto
A) improve ptreatment pof pmental pdisorders.
B) provide pfood pand pshelter pfor pthe pmentally pill.
C) punish ppeople pwith pmental pillness pwho pwere pbelieved pto pbe ppossessed.
D) remove pdangerous ppeople pwith pmental pillness pfrom pthe
pcommunity. pAns: p B
Feedback:
The pasylum pwas pmeant pto pbe pa psafe phaven pwith pfood, pshelter, pand
phumane ptreatment pfor pthe pmentally pill. pAsylums pwere pnot pused pto pimprove
ptreatment pof pmental pdisorders por pto ppunish pmentally pill ppeople pwho pwere
pbelieved pto pbe ppossessed. pThe pasylum pwas pnot pcreated pto premove pthe
pdangerously pmentally pill pfrom pthe pcommunity.
pEdition
Chapter p1
1. The pnurse pis passessing pthe pfactors pcontributing pto
pthe pwell- pbeing pof pa pnewly padmitted pclient.
pWhich pof pthe pfollowing pwould pthe pnurse pidentify
pas phaving pa ppositive pimpact ponthe pindividual's
pmental phealth?
A) Not pneeding pothers pfor pcompanionship
B) The pability pto peffectively pmanage pstress
C) A pfamily phistory pof pmental pillness
D) Striving pfor ptotal pself-
reliance pAns: p B
Feedback:
Individual pfactors pinfluencing pmental phealth pinclude
pbiologic pmakeup, pautonomy, pindependence, pself-
esteem, pcapacity pfor pgrowth, pvitality, pability pto pfind
pmeaning pin plife, pemotional presilience por phardiness,
psense pof pbelonging, preality porientation, pand pcoping
por pstress pmanagement pabilities. pInterpersonal
pfactors psuch pas pintimacy pand pa pbalance pof
pseparateness pand pconnectedness pare pboth pneeded
for pgood pmental phealth, pand ptherefore pahealthy pperson pwould pneed pothers
pfor pcompanionship. pA pfamily phistory pof pmental pillnesscould prelate pto pthe
pbiologic pmakeup pof pan pindividual, pwhich pmay phave pa pnegative pimpacton
pan pindividual's pmental phealth, pas pwell pas pa pnegative pimpact pon pan
pindividual's pinterpersonal pand psocialñcultural pfactors pof phealth. pTotal pself-
reliance pis pnot ppossible, pand pa ppositive psocial/cultural pfactor pis paccess pto
padequate presources.
2. Which pof pthe pfollowing pstatements pabout pmental pillness pare ptrue? pSelect pall pthat
papply.
A) Mental pillness pcan pcause psignificant pdistress, pimpaired pfunctioning, por pboth.
B) Mental pillness pis ponly pdue pto psocial/cultural pfactors.
C) Social/cultural pfactors pthat prelate pto pmental pillness pinclude pexcessive
pdependency pon por pwithdrawal pfrom prelationships.
D) Individuals psuffering pfrom pmental pillness pare pusually pable pto pcope
peffectively pwith pdaily plife.
E) Individuals psuffering pfrom pmental pillness pmay pexperience
pdissatisfaction pwith prelationships pand pself.
Ans: pA, pD, pE
Feedback:
Mental pillness pcan pcause psignificant pdistress, pimpaired pfunctioning, por pboth.
pMental pillness pmay pbe prelated pto pindividual, pinterpersonal, por
psocial/cultural pfactors. pExcessive pdependency pon por pwithdrawal pfrom
prelationships pare pinterpersonal pfactors pthat prelate pto pmental pillness.
pIndividuals psuffering pfrom pmental pillness pcan pfeel poverwhelmed pwith pdaily
plife. pIndividuals psuffering pfrom pmental pillness pmay pexperience pdissatisfaction
pwith prelationships pand pself.
,3. Which pof pthe pfollowing pare ptrue pregarding pmental phealth pand pmental pillness?
A) Behavior pthat pmay pbe pviewed pas pacceptable pin pone pculture pis palways
punacceptable pin pother pcultures.
B) It pis peasy pto pdetermine pif pa pperson pis pmentally phealthy por pmentally pill.
C) In pmost pcases, pmental phealth pis pa pstate pof pemotional,
ppsychological, pand psocial pwellness pevidenced pby psatisfying
pinterpersonal prelationships, peffective pbehavior pand pcoping, ppositive
pself-concept, pand pemotional pstability.
D) Persons pwho pengage pin pfantasies pare
pmentally pill. pAns: p C
Feedback:
What pone psociety pmay pview pas pacceptable pand pappropriate pbehavior, panother
psociety pmay psee pthat pas pmaladaptive, pand pinappropriate. pMental phealth pand
pmental pillness pare pdifficult pto pdefine pprecisely. pIn pmost pcases, pmental
phealth pis pa pstate pof pemotional, ppsychological, pand psocial pwellness
pevidenced pby psatisfying pinterpersonal prelationships, peffective pbehavior pand
pcoping, ppositive pself-concept, pand pemotional pstability. pPersons pwho pengage pin
pfantasies pmay pbe pmentally phealthy, pbut pthe pinability pto pdistinguish preality
pfrom pfantasy pis pan pindividual pfactor pthat pmay pcontribute pto pmental pillness.
4. A pclient pgrieving pthe precent ploss pof pher phusband pasks pif pshe pis
pbecoming pmentally pill pbecause pshe pis pso psad. pThe pnurse's pbest
presponse pwould pbe,
A) ìYou pmay phave pa ptemporary pmental pillness pbecause pyou pare
pexperiencing pso pmuch ppain.î
B) ìYou pare pnot pmentally pill. pThis pis pan pexpected preaction pto pthe
ploss pyou phave pexperienced.î
C) ìWere pyou pgenerally pdissatisfied pwith pyour prelationship pbefore pyour
phusband's pdeath?î
D) ìTry pnot pto pworry pabout pthat pright pnow. pYou pnever pknow pwhat pthe
pfuture pbrings.î pAns: p B
Feedback:
Mental pillness pincludes pgeneral pdissatisfaction pwith pself, pineffective
prelationships, pineffective pcoping, pand plack pof ppersonal pgrowth. pAdditionally
pthe pbehavior pmust pnot pbe pculturally pexpected. pAcute pgrief preactions pare
pexpected pand ptherefore pnot pconsidered pmental pillness. pFalse preassurance por
poveranalysis pdoes pnot paccurately paddress pthe pclient's pconcerns.
,5. The pnurse pconsults pthe pDSM pfor pwhich pof pthe pfollowing ppurposes? p
A) To pdevise pa pplan pof pcare pfor pa pnewly padmitted pclient
B) To ppredict pthe pclient's pprognosis pof ptreatment poutcomes
C) To pdocument pthe pappropriate pdiagnostic pcode pin pthe pclient's pmedical precord
D) pTo pserve pas pa pguide pfor pclient
passessment p p Ans: pD
Feedback:
The pDSM pprovides pstandard pnomenclature, ppresents pdefining pcharacteristics,
pand pidentifies punderlying pcauses pof pmental pdisorders. pIt pdoes pnot pprovide
pcare pplans por pprognostic poutcomes pof ptreatment. pDiagnosis pof pmental
pillness pis pnot pwithin pthe pgeneralist pRN's pscope pof ppractice, pso
pdocumenting pthe pcode pin pthe pmedical precord pwould pbe pinappropriate.
6. Which pwould pbe pa preason pfor pa pstudent pnurse pto puse pthe pDSM? p
A) Identifying pthe pmedical pdiagnosis
B) Treat pclients
C) Evaluate ptreatments
D) pUnderstand pthe preason pfor pthe padmission pand pthe pnature pof
ppsychiatric pillnesses. p p Ans: pD
Feedback:
Although pstudent pnurses pdo pnot puse pthe pDSM pto pdiagnose pclients, pthey
pwill pfind pit pa phelpful presource pto punderstand pthe preason pfor pthe
padmission pand pto pbegin pbuilding pknowledge pabout pthe pnature pof
ppsychiatric pillnesses. pIdentifying pthe pmedical pdiagnosis, ptreating, pand
pevaluating ptreatments pare pnot pa ppart pof pthe pnursing pprocess.
7. The plegislation penacted pin p1963 pwas plargely presponsible pfor pwhich pof pthe
pfollowing pshifts pin pcare pfor pthe pmentally pill?
A) The pwidespread puse pof pcommunity-based pservices
B) The padvancement pin ppharmacotherapies
C) Increased paccess pto phospitalization
D) Improved prights pfor pclients pin plong-term
pinstitutional pcare pAns: p A
Feedback:
The pCommunity pMental pHealth pCenters pConstruction pAct pof p1963
paccomplished pthe prelease pof pindividuals pfrom plong-term pstays pin pstate
pinstitutions, pthe pdecrease pin padmissions pto phospitals, pand pthe pdevelopment
pof pcommunity-based pservices pas pan palternative pto phospital pcare.
, 8. Which pone pof pthe pfollowing pis pa presult pof pfederal plegislation?
A) Making pit peasier pto pcommit ppeople pfor pmental phealth ptreatment pagainst
ptheir pwill.
B) Making pit pmore pdifficult pto pcommit ppeople pfor pmental phealth
ptreatment pagainst ptheir pwill.
C) State pmental pinstitutions pbeing pthe pprimary psource pof pcare pfor pmentally pill
ppersons.
D) Improved pcare pfor pmentally pill
ppersons. pAns: p B
Feedback:
Commitment plaws pchanged pin pthe pearly p1970s, pmaking pit pmore pdifficult
pto pcommit ppeople pfor pmental phealth ptreatment pagainst ptheir pwill.
pDeinstitutionalization paccomplished pthe prelease pof pindividuals pfrom plong-
term pstays pin pstate pinstitutions. pDeinstitutionalization palso phad pnegative
peffects pin pthat psome pmentally pill ppersons pare psubjected pto pthe
prevolving pdoor peffect, pwhich pmay plimit pcare pfor pmentally pill ppersons.
9. The pgoal pof pthe p1963 pCommunity pMental pHealth pCenters pAct pwas pto
A) ensure ppatients' prights pfor pthe pmentally pill.
B) deinstitutionalize pstate phospitals.
C) provide pfunds pto pbuild phospitals pwith ppsychiatric punits.
D) treat ppeople pwith pmental pillness pin pa phumane
pfashion. pAns: p B
Feedback:
The p1963 pCommunity pMental pHealth pCenters pAct pintimated pthe pmovement
ptoward ptreating pthose pwith pmental pillness pin pa pless prestrictive
penvironment. pThis plegislation presulted pin pthe pshift pof pclients pwith pmental
pillness pfrom plarge pstate pinstitutions pto pcare pbased pin pthe pcommunity.
pAnswer pchoices pA, pC, pand pD pwere pnot ppurposes pof pthe p1963 pCommunity
pMental pHealth pCenters pAct.
10. The pcreation pof pasylums pduring pthe p1800s pwas pmeant pto
A) improve ptreatment pof pmental pdisorders.
B) provide pfood pand pshelter pfor pthe pmentally pill.
C) punish ppeople pwith pmental pillness pwho pwere pbelieved pto pbe ppossessed.
D) remove pdangerous ppeople pwith pmental pillness pfrom pthe
pcommunity. pAns: p B
Feedback:
The pasylum pwas pmeant pto pbe pa psafe phaven pwith pfood, pshelter, pand
phumane ptreatment pfor pthe pmentally pill. pAsylums pwere pnot pused pto pimprove
ptreatment pof pmental pdisorders por pto ppunish pmentally pill ppeople pwho pwere
pbelieved pto pbe ppossessed. pThe pasylum pwas pnot pcreated pto premove pthe
pdangerously pmentally pill pfrom pthe pcommunity.
