PSYCHIATRIC-MENTAL HEALTH NURSING
10TH EDITION
• AUTHOR(S)SHEILA L. VIDEBECK
TEST BANK
UNIT 1 — CURRENT THEORIES & PRACTICE
Question 1:
• Reference: Ch. 1 — Historical Perspectives of the
Treatment of Mental Illness
• Nursing-Level Stem: A nursing student is researching the
history of mental health care. They learn about the
Community Support Reform era, which began in the late
1970s and continues today. When developing a care plan
for a client with a long-standing psychotic disorder, which
principle, central to this modern era, should the student
prioritize?
,• Options:
A. Arranging for admission to a specialized asylum to
provide a structured, therapeutic environment away from
societal stressors.
B. Implementing an intensive early-intervention protocol
to cure the illness and prevent any long-term disability.
C. Coordinating comprehensive community-based services
to support the client’s quality of life and functional goals.
D. Recommending a regimen of moral treatment focused
on occupational activities within a custodial care facility.
• Correct Answer: C
• Rationales:
o Correct Answer (C): The Community Support Reform
era shifted focus from early cure in isolated
institutions to providing services within the
community for individuals already experiencing
disability. The core principle is supporting quality of
life through services like case management, housing,
and social integration, aligning with recovery-oriented
care.
o Incorrect Answer (A): This describes the Moral
Treatment era's use of freestanding asylums, which
later became overcrowded custodial institutions.
o Incorrect Answer (B): While early intervention is a
component of modern care, this option overstates the
, promise of "cure" and prevention of disability, which
were unfulfilled goals of the first three historical
reform cycles.
o Incorrect Answer (D): This describes the philosophy
of the 19th-century Moral Treatment era, which was
abandoned as public asylums became overcrowded
and could not provide individualized care.
• Teaching Point: Modern psychiatric care focuses on
community-based support and recovery for individuals
with serious mental illness, not solely on cure or
institutionalization.
• Citation: Videbeck, S. L. (2025). Psychiatric-Mental Health
Nursing (10th ed.). Wolters Kluwer.
Question 2:
• Reference: Ch. 1 — Foundations of Psychiatric–Mental
Health Nursing
• Nursing-Level Stem: A nurse is educating a client with
major depressive disorder about the recovery model. The
client states, "I just want my medicine to make this go
away so I can get back to my old self." Which nursing
response best reflects a principle of recovery-oriented
care?
• Options:
A. "Medication is the primary tool for recovery. We will
work to find the right drug to eliminate your symptoms
, completely."
B. "The goal is not just symptom reduction, but building a
meaningful life, which may look different than before your
illness."
C. "Recovery means returning to your exact level of
function prior to the onset of your depression."
D. "Let's focus on managing your current symptoms first;
discussing future goals is premature."
• Correct Answer: B
• Rationales:
o Correct Answer (B): The recovery model is a client-
centered process of change through which individuals
improve their health and wellness, live a self-directed
life, and strive to reach their full potential. It
emphasizes purpose and community, not just the
absence of symptoms.
o Incorrect Answer (A): This reflects a purely
biomedical model. While medication is often
important, recovery encompasses broader
dimensions like home, purpose, and community.
o Incorrect Answer (C): This is a narrow definition.
Recovery is a personal journey that may involve
growth and new goals, not simply a return to a
previous state.
10TH EDITION
• AUTHOR(S)SHEILA L. VIDEBECK
TEST BANK
UNIT 1 — CURRENT THEORIES & PRACTICE
Question 1:
• Reference: Ch. 1 — Historical Perspectives of the
Treatment of Mental Illness
• Nursing-Level Stem: A nursing student is researching the
history of mental health care. They learn about the
Community Support Reform era, which began in the late
1970s and continues today. When developing a care plan
for a client with a long-standing psychotic disorder, which
principle, central to this modern era, should the student
prioritize?
,• Options:
A. Arranging for admission to a specialized asylum to
provide a structured, therapeutic environment away from
societal stressors.
B. Implementing an intensive early-intervention protocol
to cure the illness and prevent any long-term disability.
C. Coordinating comprehensive community-based services
to support the client’s quality of life and functional goals.
D. Recommending a regimen of moral treatment focused
on occupational activities within a custodial care facility.
• Correct Answer: C
• Rationales:
o Correct Answer (C): The Community Support Reform
era shifted focus from early cure in isolated
institutions to providing services within the
community for individuals already experiencing
disability. The core principle is supporting quality of
life through services like case management, housing,
and social integration, aligning with recovery-oriented
care.
o Incorrect Answer (A): This describes the Moral
Treatment era's use of freestanding asylums, which
later became overcrowded custodial institutions.
o Incorrect Answer (B): While early intervention is a
component of modern care, this option overstates the
, promise of "cure" and prevention of disability, which
were unfulfilled goals of the first three historical
reform cycles.
o Incorrect Answer (D): This describes the philosophy
of the 19th-century Moral Treatment era, which was
abandoned as public asylums became overcrowded
and could not provide individualized care.
• Teaching Point: Modern psychiatric care focuses on
community-based support and recovery for individuals
with serious mental illness, not solely on cure or
institutionalization.
• Citation: Videbeck, S. L. (2025). Psychiatric-Mental Health
Nursing (10th ed.). Wolters Kluwer.
Question 2:
• Reference: Ch. 1 — Foundations of Psychiatric–Mental
Health Nursing
• Nursing-Level Stem: A nurse is educating a client with
major depressive disorder about the recovery model. The
client states, "I just want my medicine to make this go
away so I can get back to my old self." Which nursing
response best reflects a principle of recovery-oriented
care?
• Options:
A. "Medication is the primary tool for recovery. We will
work to find the right drug to eliminate your symptoms
, completely."
B. "The goal is not just symptom reduction, but building a
meaningful life, which may look different than before your
illness."
C. "Recovery means returning to your exact level of
function prior to the onset of your depression."
D. "Let's focus on managing your current symptoms first;
discussing future goals is premature."
• Correct Answer: B
• Rationales:
o Correct Answer (B): The recovery model is a client-
centered process of change through which individuals
improve their health and wellness, live a self-directed
life, and strive to reach their full potential. It
emphasizes purpose and community, not just the
absence of symptoms.
o Incorrect Answer (A): This reflects a purely
biomedical model. While medication is often
important, recovery encompasses broader
dimensions like home, purpose, and community.
o Incorrect Answer (C): This is a narrow definition.
Recovery is a personal journey that may involve
growth and new goals, not simply a return to a
previous state.
