lOMoAR cPSD| 11700591
, lOMoAR cPSD| 11700591
TEST BANK FOR
Psychiatric–Mental Health Nursing 9th Edition by Sheila L.
Videbeck
All Chapters (1-24)
Table Of Contents
UNIT 1 Current Theories and Practice
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
Chapter 2. Neurobiologic Theories and Psychopharmacology
Chapter 3. Psychosocial Theories and Therapy
Chapter 4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship
Chapter 5. Therapeutic Relationships
Chapter 6. Therapeutic Communication
Chapter 7. Client’s Response to Illness
Chapter 8. Assessment
UNIT 3 Current Social and Emotional Concerns
Chapter 9. Legal and Ethical Issues
Chapter 10. Grief and Loss
Chapter 11. Anger, Hostility, and Aggression
Chapter 12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders
Chapter 13. Trauma and Stressor-Related Disorders
Chapter 14. Anxiety and Anxiety Disorders
Chapter 15. Obsessive–Compulsive and Related Disorders
Chapter 16. Schizophrenia
Chapter 17. Mood Disorders and Suicide
Chapter 18. Personality Disorders
Chapter 19. Addiction
Chapter 20. Eating Disorders
Chapter 21. Somatic Symptom Illnesses
Chapter 22. Neurodevelopmental Disorders
Chapter 23. Disruptive Behavior Disorders
Chapter 24. Cognitive Disorders
Chapter 1
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
Ans: 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
, cn c
lOMoAR cPSD|
n 11700591
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 socialñcultural factors of health. Total self-reliance is not possible,
and a positive social/cultural factor is access to adequate resources.
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.
B) Mental illness is only due to social/cultural factors.
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.
Ans: 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.
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.
Ans: 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) ìYou may have a temporary mental illness because you are experiencing so much
pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
death?î
D) ìTry not to worry about that right now. You never know what the future brings.î
Ans: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
ineffective coping, and lack of personal growth. Additionally the behavior must not be
, cn c
lOMoAR cPSD|
n 11700591
culturally expected. Acute grief reactions are expected and therefore not considered me
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ntal illness. False reassurance or overanalysis does not accurately address the client's con
cn cn cn cn cn cn cn cn cn cn cn cn
cerns.
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
cn cn cn cn cn cn cn cn cn cn
D) To serve as a guide for client assessment cn cn cn cn cn cn cn cn
Ans: D cn
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identif
cn cn cn cn cn cn cn cn cn
ies underlying causes of mental disorders. It does not provide care plans or prognostic o
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
utcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope
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of practice, so documenting the code in the medical record would be inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis cn cn cn
B) Treat clients cn
C) Evaluate treatments cn
D) Understand the reason for the admission and the nature of psychiatric illnesses. cn cn cn cn cn cn cn cn cn cn cn cn
Ans: D cn
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpf
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ul resource to understand the reason for the admission and to begin building knowledge
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and e
cn cn cn cn cn cn cn cn cn cn cn cn
valuating treatments are not a part of the nursing process.
cn cn cn cn cn cn cn cn cn
7. The legislation enacted in 1963 was largely responsible for which of the following shifts i
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n care for the mentally ill?
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A) The widespread use of community-based services cn cn cn cn cn
B) The advancement in pharmacotherapies cn cn cn
C) Increased access to hospitalization cn cn cn
D) Improved rights for clients in long- cn cn cn cn cn
term institutional care Ans: A
cn cn cn cn
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the rel
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ease of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the develop
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ment 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?
cn cn cn cn cn cn cn cn cn cn
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 against t
cn cn cn cn cn cn cn cn cn cn cn cn
heir will. cn
C) State mental institutions being the primary source of care for mentally ill persons.
cn cn cn cn cn cn cn cn cn cn cn cn
D) Improved care for mentally ill persons. cn cn cn cn cn cn
Ans: B cn
Feedback:
, lOMoAR cPSD| 11700591
TEST BANK FOR
Psychiatric–Mental Health Nursing 9th Edition by Sheila L.
Videbeck
All Chapters (1-24)
Table Of Contents
UNIT 1 Current Theories and Practice
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
Chapter 2. Neurobiologic Theories and Psychopharmacology
Chapter 3. Psychosocial Theories and Therapy
Chapter 4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship
Chapter 5. Therapeutic Relationships
Chapter 6. Therapeutic Communication
Chapter 7. Client’s Response to Illness
Chapter 8. Assessment
UNIT 3 Current Social and Emotional Concerns
Chapter 9. Legal and Ethical Issues
Chapter 10. Grief and Loss
Chapter 11. Anger, Hostility, and Aggression
Chapter 12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders
Chapter 13. Trauma and Stressor-Related Disorders
Chapter 14. Anxiety and Anxiety Disorders
Chapter 15. Obsessive–Compulsive and Related Disorders
Chapter 16. Schizophrenia
Chapter 17. Mood Disorders and Suicide
Chapter 18. Personality Disorders
Chapter 19. Addiction
Chapter 20. Eating Disorders
Chapter 21. Somatic Symptom Illnesses
Chapter 22. Neurodevelopmental Disorders
Chapter 23. Disruptive Behavior Disorders
Chapter 24. Cognitive Disorders
Chapter 1
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
Ans: 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
, cn c
lOMoAR cPSD|
n 11700591
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 socialñcultural factors of health. Total self-reliance is not possible,
and a positive social/cultural factor is access to adequate resources.
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.
B) Mental illness is only due to social/cultural factors.
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.
Ans: 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.
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.
Ans: 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) ìYou may have a temporary mental illness because you are experiencing so much
pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
death?î
D) ìTry not to worry about that right now. You never know what the future brings.î
Ans: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
ineffective coping, and lack of personal growth. Additionally the behavior must not be
, cn c
lOMoAR cPSD|
n 11700591
culturally expected. Acute grief reactions are expected and therefore not considered me
cn cn cn cn cn cn cn cn cn cn cn
ntal illness. False reassurance or overanalysis does not accurately address the client's con
cn cn cn cn cn cn cn cn cn cn cn cn
cerns.
5. The nurse consults the DSM for which of the following purposes?
cn cn cn cn cn cn cn cn cn cn
A) To devise a plan of care for a newly admitted client
cn cn cn cn cn cn cn cn cn cn
B) To predict the client's prognosis of treatment outcomes
cn cn cn cn cn cn cn
C) To document the appropriate diagnostic code in the client's medical record
cn cn cn cn cn cn cn cn cn cn
D) To serve as a guide for client assessment cn cn cn cn cn cn cn cn
Ans: D cn
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identif
cn cn cn cn cn cn cn cn cn
ies underlying causes of mental disorders. It does not provide care plans or prognostic o
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
utcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope
cn cn cn cn cn cn cn cn cn cn cn cn cn
of practice, so documenting the code in the medical record would be inappropriate.
cn cn cn cn cn cn cn cn cn cn cn cn cn
6. Which would be a reason for a student nurse to use the DSM?
cn cn cn cn cn cn cn cn cn cn cn cn
A) Identifying the medical diagnosis cn cn cn
B) Treat clients cn
C) Evaluate treatments cn
D) Understand the reason for the admission and the nature of psychiatric illnesses. cn cn cn cn cn cn cn cn cn cn cn cn
Ans: D cn
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpf
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ul resource to understand the reason for the admission and to begin building knowledge
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and e
cn cn cn cn cn cn cn cn cn cn cn cn
valuating treatments are not a part of the nursing process.
cn cn cn cn cn cn cn cn cn
7. The legislation enacted in 1963 was largely responsible for which of the following shifts i
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
n care for the mentally ill?
cn cn cn cn cn
A) The widespread use of community-based services cn cn cn cn cn
B) The advancement in pharmacotherapies cn cn cn
C) Increased access to hospitalization cn cn cn
D) Improved rights for clients in long- cn cn cn cn cn
term institutional care Ans: A
cn cn cn cn
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the rel
cn cn cn cn cn cn cn cn cn cn cn
ease of individuals from long-
cn cn cn cn
term stays in state institutions, the decrease in admissions to hospitals, and the develop
cn cn cn cn cn cn cn cn cn cn cn cn cn
ment of community-based services as an alternative to hospital care.
cn cn cn cn cn cn cn cn cn
8. Which one of the following is a result of federal legislation?
cn cn cn cn cn cn cn cn cn cn
A) Making it easier to commit people for mental health treatment against their will.
cn cn cn cn cn cn cn cn cn cn cn cn
B) Making it more difficult to commit people for mental health treatment against t
cn cn cn cn cn cn cn cn cn cn cn cn
heir will. cn
C) State mental institutions being the primary source of care for mentally ill persons.
cn cn cn cn cn cn cn cn cn cn cn cn
D) Improved care for mentally ill persons. cn cn cn cn cn cn
Ans: B cn
Feedback:
