Test Bank For Psychiatric Mental Health Nursing 9th Edition
n n n n n n n n
,Chapter 1 n
1. The nurse is assessing the factors contributing to the well-
n n n n n n n n n
nbeing of a newly admitted client. Which of the following
n n n n n n n n n
nwould the nurse identify as having a positive impact onthe
n n n n n n n n n
nindividual's mental health? n n
A) Not needing others for companionship n n n n
B) The ability to effectively manage stress n n n n n
C) A family history of mental illness n n n n n
D) Striving for total self-reliance n n n
nAns: B n
Feedback:
Individual factors influencing mental health include n n n n n
nbiologic makeup, autonomy, independence, self-esteem,
n n n n
ncapacity for growth, vitality, ability to find meaning in life,
n n n n n n n n n
nemotional resilience or hardiness, sense of belonging, n n n n n n
nreality orientation, and coping or stress management
n n n n n n
nabilities. Interpersonal factors such as intimacy and a
n n n n n n n
nbalance of separateness and connectedness are both needed
n n n n n n n
for good mental health, and therefore ahealthy person would need others for
n n n n n n n n n n n
ncompanionship. A family history of mental illnesscould relate to the biologic makeup n n n n n n n n n n n
nof an individual, which may have a negative impacton an individual's mental health, as
n n n n n n n n n n n n n
nwell as a negative impact on an individual's interpersonal and socialñcultural factors of
n n n n n n n n n n n n
nhealth. Total self-reliance is not possible, and a positive social/cultural factor is access
n n n n n n n n n n n n
nto adequate resources.
n n
2. Which of the following statements about mental illness are true? Select all that apply.
n n n n n n n n n n n n n
A) Mental illness can cause significant distress, impaired functioning, or both.
n n n n n n n n n
B) Mental illness is only due to social/cultural factors. n n n n n n n
C) Social/cultural factors that relate to mental illness include excessive dependency n n n n n n n n n
on or withdrawal from relationships.
n n n n n
D) Individuals suffering from mental illness are usually able to cope effectively with n n n n n n n n n n n
daily life. n n
E) Individuals suffering from mental illness may experience dissatisfaction with n n n n n n n n
relationships and self.
n n n
Ans: A, D, E n n n
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
n n n n n n n n n n
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
n n n n n n n n n n n
dependency on or withdrawal from relationships are interpersonal factors that relate to
n n n n n n n n n n n n
mental illness. Individuals suffering from mental illness can feel overwhelmed with
n n n n n n n n n n n
daily life. Individuals suffering from mental illness may experience dissatisfaction with
n n n n n n n n n n n
relationships and self.
n n n
,3. Which of the following are true regarding mental health and mental illness?
n n n n n n n n n n n
A) Behavior that may be viewed as acceptable in one culture is always unacceptable n n n n n n n n n n n n
in other cultures.
n n n
B) It is easy to determine if a person is mentally healthy or mentally ill.
n n n n n n n n n n n n n
C) In most cases, mental health is a state of emotional, psychological, and social
n n n n n n n n n n n n
wellness evidenced by satisfying interpersonal relationships, effective behavior
n n n n n n n n
and coping, positive self-concept, and emotional stability.
n n n n n n n
D) Persons who engage in fantasies are mentally ill. n n n n n n n
Ans: C
n n
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
n n n n n n n n n n n n
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
n n n n n n n n n n n n n
to define precisely. In most cases, mental health is a state of emotional, psychological,
n n n n n n n n n n n n n n
and social wellness evidenced by satisfying interpersonal relationships, effective
n n n n n n n n n
behavior and coping, positive self-concept, and emotional stability. Persons who engage
n n n n n n n n n n n
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
n n n n n n n n n n n n n n
is an individual factor that may contribute to mental illness.
n n n n n n n n n n
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
n n n n n n n n n n n n n n n
because she is so sad. The nurse's best response would be,
n n n n n n n n n n n
A) ìYou may have a temporary mental illness because you are experiencing so much
n n n n n n n n n n n n
pain.î n
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
n n n n n n n n n n n n n n
experienced.î n
C) ìWere you generally dissatisfied with your relationship before your husband's
n n n n n n n n n
death?î n
D) ìTry not to worry about that right now. You never know what the future brings.î
n n n n n n n n n n n n n n
Ans: B
n n
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
n n n n n n n n
ineffective coping, and lack of personal growth. Additionally the behavior must not be
n n n n n n n n n n n n n
culturally expected. Acute grief reactions are expected and therefore not considered
n n n n n n n n n n n
mental illness. False reassurance or overanalysis does not accurately address the client's
n n n n n n n n n n n n
concerns.
n
, 5. The nurse consults the DSM for which of the following purposes?
n n n n n n n n n n n
A) To devise a plan of care for a newly admitted client
n n n n n n n n n n
B) To predict the client's prognosis of treatment outcomes
n n n n n n n
C) To document the appropriate diagnostic code in the client's medical record
n n n n n n n n n n
D) To serve as a guide for client assessment
n n n n n n n n n
Ans: D n
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
n n n n n n n n
nidentifies underlying causes of mental disorders. It does not provide care plans or
n n n n n n n n n n n n
nprognostic outcomes of treatment. Diagnosis of mental illness is not within the
n n n n n n n n n n n
ngeneralist RN's scope of practice, so documenting the code in the medical record would
n n n n n n n n n n n n n
nbe inappropriate.
n
6. Which would be a reason for a student nurse to use the DSM?
n n n n n n n n n n n n n
A) Identifying the medical diagnosis n n n
B) Treat clients n
C) Evaluate treatments n
D) Understand the reason for the admission and the nature of psychiatric illnesses.
n n n n n n n n n n n n n
Ans: D n
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
n n n n n n n n n n n n n n n
helpful resource to understand the reason for the admission and to begin building
n n n n n n n n n n n n n
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
n n n n n n n n n n n
treating, and evaluating treatments are not a part of the nursing process.
n n n n n n n n n n n n
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
n n n n n n n n n n n n n
in care for the mentally ill?
n n n n n n
A) The widespread use of community-based services
n n n n n
B) The advancement in pharmacotherapies n n n
C) Increased access to hospitalization n n n
D) Improved rights for clients in long-term institutional care n n n n n n n
Ans: A
n n
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
n n n n n n n n n n
release of individuals from long-term stays in state institutions, the decrease in
n n n n n n n n n n n n
admissions to hospitals, and the development of community-based services as an
n n n n n n n n n n n
alternative to hospital care.
n n n n
n n n n n n n n
,Chapter 1 n
1. The nurse is assessing the factors contributing to the well-
n n n n n n n n n
nbeing of a newly admitted client. Which of the following
n n n n n n n n n
nwould the nurse identify as having a positive impact onthe
n n n n n n n n n
nindividual's mental health? n n
A) Not needing others for companionship n n n n
B) The ability to effectively manage stress n n n n n
C) A family history of mental illness n n n n n
D) Striving for total self-reliance n n n
nAns: B n
Feedback:
Individual factors influencing mental health include n n n n n
nbiologic makeup, autonomy, independence, self-esteem,
n n n n
ncapacity for growth, vitality, ability to find meaning in life,
n n n n n n n n n
nemotional resilience or hardiness, sense of belonging, n n n n n n
nreality orientation, and coping or stress management
n n n n n n
nabilities. Interpersonal factors such as intimacy and a
n n n n n n n
nbalance of separateness and connectedness are both needed
n n n n n n n
for good mental health, and therefore ahealthy person would need others for
n n n n n n n n n n n
ncompanionship. A family history of mental illnesscould relate to the biologic makeup n n n n n n n n n n n
nof an individual, which may have a negative impacton an individual's mental health, as
n n n n n n n n n n n n n
nwell as a negative impact on an individual's interpersonal and socialñcultural factors of
n n n n n n n n n n n n
nhealth. Total self-reliance is not possible, and a positive social/cultural factor is access
n n n n n n n n n n n n
nto adequate resources.
n n
2. Which of the following statements about mental illness are true? Select all that apply.
n n n n n n n n n n n n n
A) Mental illness can cause significant distress, impaired functioning, or both.
n n n n n n n n n
B) Mental illness is only due to social/cultural factors. n n n n n n n
C) Social/cultural factors that relate to mental illness include excessive dependency n n n n n n n n n
on or withdrawal from relationships.
n n n n n
D) Individuals suffering from mental illness are usually able to cope effectively with n n n n n n n n n n n
daily life. n n
E) Individuals suffering from mental illness may experience dissatisfaction with n n n n n n n n
relationships and self.
n n n
Ans: A, D, E n n n
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
n n n n n n n n n n
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
n n n n n n n n n n n
dependency on or withdrawal from relationships are interpersonal factors that relate to
n n n n n n n n n n n n
mental illness. Individuals suffering from mental illness can feel overwhelmed with
n n n n n n n n n n n
daily life. Individuals suffering from mental illness may experience dissatisfaction with
n n n n n n n n n n n
relationships and self.
n n n
,3. Which of the following are true regarding mental health and mental illness?
n n n n n n n n n n n
A) Behavior that may be viewed as acceptable in one culture is always unacceptable n n n n n n n n n n n n
in other cultures.
n n n
B) It is easy to determine if a person is mentally healthy or mentally ill.
n n n n n n n n n n n n n
C) In most cases, mental health is a state of emotional, psychological, and social
n n n n n n n n n n n n
wellness evidenced by satisfying interpersonal relationships, effective behavior
n n n n n n n n
and coping, positive self-concept, and emotional stability.
n n n n n n n
D) Persons who engage in fantasies are mentally ill. n n n n n n n
Ans: C
n n
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
n n n n n n n n n n n n
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
n n n n n n n n n n n n n
to define precisely. In most cases, mental health is a state of emotional, psychological,
n n n n n n n n n n n n n n
and social wellness evidenced by satisfying interpersonal relationships, effective
n n n n n n n n n
behavior and coping, positive self-concept, and emotional stability. Persons who engage
n n n n n n n n n n n
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
n n n n n n n n n n n n n n
is an individual factor that may contribute to mental illness.
n n n n n n n n n n
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
n n n n n n n n n n n n n n n
because she is so sad. The nurse's best response would be,
n n n n n n n n n n n
A) ìYou may have a temporary mental illness because you are experiencing so much
n n n n n n n n n n n n
pain.î n
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
n n n n n n n n n n n n n n
experienced.î n
C) ìWere you generally dissatisfied with your relationship before your husband's
n n n n n n n n n
death?î n
D) ìTry not to worry about that right now. You never know what the future brings.î
n n n n n n n n n n n n n n
Ans: B
n n
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
n n n n n n n n
ineffective coping, and lack of personal growth. Additionally the behavior must not be
n n n n n n n n n n n n n
culturally expected. Acute grief reactions are expected and therefore not considered
n n n n n n n n n n n
mental illness. False reassurance or overanalysis does not accurately address the client's
n n n n n n n n n n n n
concerns.
n
, 5. The nurse consults the DSM for which of the following purposes?
n n n n n n n n n n n
A) To devise a plan of care for a newly admitted client
n n n n n n n n n n
B) To predict the client's prognosis of treatment outcomes
n n n n n n n
C) To document the appropriate diagnostic code in the client's medical record
n n n n n n n n n n
D) To serve as a guide for client assessment
n n n n n n n n n
Ans: D n
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
n n n n n n n n
nidentifies underlying causes of mental disorders. It does not provide care plans or
n n n n n n n n n n n n
nprognostic outcomes of treatment. Diagnosis of mental illness is not within the
n n n n n n n n n n n
ngeneralist RN's scope of practice, so documenting the code in the medical record would
n n n n n n n n n n n n n
nbe inappropriate.
n
6. Which would be a reason for a student nurse to use the DSM?
n n n n n n n n n n n n n
A) Identifying the medical diagnosis n n n
B) Treat clients n
C) Evaluate treatments n
D) Understand the reason for the admission and the nature of psychiatric illnesses.
n n n n n n n n n n n n n
Ans: D n
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
n n n n n n n n n n n n n n n
helpful resource to understand the reason for the admission and to begin building
n n n n n n n n n n n n n
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
n n n n n n n n n n n
treating, and evaluating treatments are not a part of the nursing process.
n n n n n n n n n n n n
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
n n n n n n n n n n n n n
in care for the mentally ill?
n n n n n n
A) The widespread use of community-based services
n n n n n
B) The advancement in pharmacotherapies n n n
C) Increased access to hospitalization n n n
D) Improved rights for clients in long-term institutional care n n n n n n n
Ans: A
n n
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
n n n n n n n n n n
release of individuals from long-term stays in state institutions, the decrease in
n n n n n n n n n n n n
admissions to hospitals, and the development of community-based services as an
n n n n n n n n n n n
alternative to hospital care.
n n n n
