TEST BANK - Psychiatric-Mental
Health Nursing, 10th Edition, by
Sheila L. Videbeck
CHAPTER 1-24| VERIFIED
CORRECT ANSWERS WITH
RATIONALES
TB
Ac
er
1
, Chapter 1: Foundations of Psychiatric–Mental Health Nursing
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of the
following would the nurse identify as having a positive impact on the individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance Correct Answer> 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 or stress management abilities. Interpersonal factors such as intimacy
and a balance of separateness and connectedness are both needed for good mental health, and therefore a
healthy person would need others for companionship. A family history of mental illness could relate to the
biologic makeup of an individual, which may have a negative impact on an individual's mental health, as well
as a negative impact on an individual's interpersonal and social cultural factors of health. Total self-reliance is
not possible, and a positive social/cultural factor is access to adequate resources.
TB
2. Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
Ac
B) Mental illness is only due to social/cultural factors.
er
C) Social/cultural factors that relate to mental illness include excessive dependency on or withdrawal from
relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with relationships and self.
Correct Answer> A, D, E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related to
individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from relationships
are interpersonal factors that relate to mental illness. Individuals suffering from mental illness can feel
overwhelmed with daily life. Individuals suffering from mental illness may experience dissatisfaction with
relationships and 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 unacceptable in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
2
,C) In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional
stability.
D) Persons who engage in fantasies are mentally ill. Correct Answer> C
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In most
cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
Persons who engage in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
is 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 ill because she is so sad.
The nurse's best response would be,
A) You may have a temporary mental illness because you are experiencing so much pain.
B) You are not mentally ill. This is an expected reaction to the loss you have experienced.
C) Were you generally dissatisfied with your relationship before your husband's death?
TB
D) Try not to worry about that right now. You never know what the future brings. Correct Answer> B
Feedback:
Ac
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective coping, and lack
of personal growth. Additionally the behavior must not be culturally expected. Acute grief reactions are
er
expected and therefore not considered mental illness. False reassurance or overanalysis does not accurately
address the client's concerns.
5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment Correct Answer> D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying causes
of mental disorders. It does not provide care plans or prognostic outcomes of treatment. Diagnosis of mental
illness is not within the generalist RN's scope of practice, so documenting the code in the medical record
would be inappropriate.
3
, 6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesses. Correct Answer> D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to
understand the reason for the admission and to begin building knowledge about the nature of psychiatric
illnesses. Identifying the medical diagnosis, treating, and evaluating treatments are not a part of the nursing
process.
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in care for the
mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
TB
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional care Correct Answer> A
Ac
Feedback:
er
The Community Mental Health Centers Construction Act of 1963 accomplished the release of individuals from
long-term stays in state institutions, the decrease in admissions to hospitals, and the development of
community-based services as an alternative to hospital care.
8. Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against their will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons. Correct Answer> B
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit people for mental health
treatment against their will. Deinstitutionalization accomplished the release of individuals from long-term stays
in state institutions. Deinstitutionalization also had negative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit care for mentally ill persons.
4
Health Nursing, 10th Edition, by
Sheila L. Videbeck
CHAPTER 1-24| VERIFIED
CORRECT ANSWERS WITH
RATIONALES
TB
Ac
er
1
, Chapter 1: Foundations of Psychiatric–Mental Health Nursing
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of the
following would the nurse identify as having a positive impact on the individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance Correct Answer> 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 or stress management abilities. Interpersonal factors such as intimacy
and a balance of separateness and connectedness are both needed for good mental health, and therefore a
healthy person would need others for companionship. A family history of mental illness could relate to the
biologic makeup of an individual, which may have a negative impact on an individual's mental health, as well
as a negative impact on an individual's interpersonal and social cultural factors of health. Total self-reliance is
not possible, and a positive social/cultural factor is access to adequate resources.
TB
2. Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
Ac
B) Mental illness is only due to social/cultural factors.
er
C) Social/cultural factors that relate to mental illness include excessive dependency on or withdrawal from
relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with relationships and self.
Correct Answer> A, D, E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related to
individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from relationships
are interpersonal factors that relate to mental illness. Individuals suffering from mental illness can feel
overwhelmed with daily life. Individuals suffering from mental illness may experience dissatisfaction with
relationships and 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 unacceptable in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
2
,C) In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional
stability.
D) Persons who engage in fantasies are mentally ill. Correct Answer> C
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In most
cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability.
Persons who engage in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
is 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 ill because she is so sad.
The nurse's best response would be,
A) You may have a temporary mental illness because you are experiencing so much pain.
B) You are not mentally ill. This is an expected reaction to the loss you have experienced.
C) Were you generally dissatisfied with your relationship before your husband's death?
TB
D) Try not to worry about that right now. You never know what the future brings. Correct Answer> B
Feedback:
Ac
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective coping, and lack
of personal growth. Additionally the behavior must not be culturally expected. Acute grief reactions are
er
expected and therefore not considered mental illness. False reassurance or overanalysis does not accurately
address the client's concerns.
5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment Correct Answer> D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying causes
of mental disorders. It does not provide care plans or prognostic outcomes of treatment. Diagnosis of mental
illness is not within the generalist RN's scope of practice, so documenting the code in the medical record
would be inappropriate.
3
, 6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesses. Correct Answer> D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to
understand the reason for the admission and to begin building knowledge about the nature of psychiatric
illnesses. Identifying the medical diagnosis, treating, and evaluating treatments are not a part of the nursing
process.
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in care for the
mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
TB
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional care Correct Answer> A
Ac
Feedback:
er
The Community Mental Health Centers Construction Act of 1963 accomplished the release of individuals from
long-term stays in state institutions, the decrease in admissions to hospitals, and the development of
community-based services as an alternative to hospital care.
8. Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against their will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons. Correct Answer> B
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit people for mental health
treatment against their will. Deinstitutionalization accomplished the release of individuals from long-term stays
in state institutions. Deinstitutionalization also had negative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit care for mentally ill persons.
4
