PSYCHIATRIC-MENTAL HEALTH NURSING
10TH EDITION
• AUTHOR(S)SHEILA L. VIDEBECK
TEST BANK
UNIT 1 — CURRENT THEORIES & PRACTICE
1.
Reference: Ch. 1 — Foundations of Psychiatric–Mental Health
Nursing — Introduction / Mental Health and Mental Illness
Stem: A 28-year-old client admitted to the inpatient psychiatric
unit appears well-groomed but reports persistent worries that
interfere with work performance. The client describes difficulty
concentrating and frequent irritability. As the admitting nurse,
which initial nursing action best demonstrates a therapeutic,
assessment-focused approach?
A. Offer simple breathing exercises and schedule participation
in group therapy later in the day.
,B. Ask open-ended questions about how the worries affect daily
functioning and note specific triggers.
C. Reassure the client that these symptoms are common and
likely to resolve with rest.
D. Provide written information about generalized anxiety
disorder and ask the client to read it.
Correct Answer: B
Rationales — Correct: B uses open-ended questions to elicit
functional impairment and triggers, supporting clinical
assessment and immediate therapeutic rapport. This approach
gathers data needed for diagnosis and planning.
Incorrect:
A — Offering interventions before assessment may be
premature; therapeutic activities are appropriate after needs
are clarified.
C — Reassurance without exploration minimizes concerns and
may hinder disclosure.
D — Handouts alone do not assess severity or build rapport and
may overwhelm an anxious client.
Teaching point: Begin with open questions to assess functional
impact and triggers.
Citation: Videbeck, S. L. (2025). Psychiatric–Mental Health
Nursing (10th ed.). Ch. 1.
,2.
Reference: Ch. 1 — Mental Health and Mental Illness —
Cultural Considerations
Stem: A nurse conducts an intake interview with a 45-year-old
immigrant who attributes emotional distress to “imbalance”
and prefers traditional healers. Which nursing response best
demonstrates culturally sensitive, trauma-informed care while
collecting clinical data?
A. Explain that traditional beliefs are not relevant to psychiatric
treatment and continue standard assessment.
B. Ask the client to describe their understanding of “imbalance”
and how traditional practices help, then integrate responses
into the plan.
C. Encourage the client to abandon traditional healers and
accept only evidence-based treatments.
D. Refer the client immediately for involuntary evaluation
because cultural explanations complicate diagnosis.
Correct Answer: B
Rationales — Correct: B elicits the client’s explanatory model
and respects cultural practices, enabling integration of culturally
congruent interventions and a collaborative plan.
Incorrect:
A — Dismissing beliefs is disrespectful and likely to reduce
engagement.
C — Coercing abandonment of cultural practices is neither
ethical nor trauma-informed.
, D — Immediate involuntary evaluation based on cultural
differences is inappropriate and violates rights.
Teaching point: Elicit the client’s explanatory model and
incorporate cultural practices into care.
Citation: Videbeck, S. L. (2025). Psychiatric–Mental Health
Nursing (10th ed.). Ch. 1.
3.
Reference: Ch. 1 — Diagnostic and Statistical Manual of Mental
Disorders — Use in Practice
Stem: During discharge teaching, a new graduate nurse plans
documentation and is unsure how to use DSM diagnostic
language. Which documentation approach best reflects
professional, clinically useful use of DSM concepts?
A. Record the client’s symptoms using DSM diagnostic labels
verbatim without contextual detail.
B. Describe observed behaviors, functional impact, and the
working DSM diagnosis with rationale.
C. Avoid any DSM terminology to prevent labeling and write
only subjective quotes.
D. Use only the most restrictive DSM diagnosis available to
ensure insurance coverage.
Correct Answer: B
Rationales — Correct: B combines objective observations,
functional impact, and a clear working diagnosis with rationale,
10TH EDITION
• AUTHOR(S)SHEILA L. VIDEBECK
TEST BANK
UNIT 1 — CURRENT THEORIES & PRACTICE
1.
Reference: Ch. 1 — Foundations of Psychiatric–Mental Health
Nursing — Introduction / Mental Health and Mental Illness
Stem: A 28-year-old client admitted to the inpatient psychiatric
unit appears well-groomed but reports persistent worries that
interfere with work performance. The client describes difficulty
concentrating and frequent irritability. As the admitting nurse,
which initial nursing action best demonstrates a therapeutic,
assessment-focused approach?
A. Offer simple breathing exercises and schedule participation
in group therapy later in the day.
,B. Ask open-ended questions about how the worries affect daily
functioning and note specific triggers.
C. Reassure the client that these symptoms are common and
likely to resolve with rest.
D. Provide written information about generalized anxiety
disorder and ask the client to read it.
Correct Answer: B
Rationales — Correct: B uses open-ended questions to elicit
functional impairment and triggers, supporting clinical
assessment and immediate therapeutic rapport. This approach
gathers data needed for diagnosis and planning.
Incorrect:
A — Offering interventions before assessment may be
premature; therapeutic activities are appropriate after needs
are clarified.
C — Reassurance without exploration minimizes concerns and
may hinder disclosure.
D — Handouts alone do not assess severity or build rapport and
may overwhelm an anxious client.
Teaching point: Begin with open questions to assess functional
impact and triggers.
Citation: Videbeck, S. L. (2025). Psychiatric–Mental Health
Nursing (10th ed.). Ch. 1.
,2.
Reference: Ch. 1 — Mental Health and Mental Illness —
Cultural Considerations
Stem: A nurse conducts an intake interview with a 45-year-old
immigrant who attributes emotional distress to “imbalance”
and prefers traditional healers. Which nursing response best
demonstrates culturally sensitive, trauma-informed care while
collecting clinical data?
A. Explain that traditional beliefs are not relevant to psychiatric
treatment and continue standard assessment.
B. Ask the client to describe their understanding of “imbalance”
and how traditional practices help, then integrate responses
into the plan.
C. Encourage the client to abandon traditional healers and
accept only evidence-based treatments.
D. Refer the client immediately for involuntary evaluation
because cultural explanations complicate diagnosis.
Correct Answer: B
Rationales — Correct: B elicits the client’s explanatory model
and respects cultural practices, enabling integration of culturally
congruent interventions and a collaborative plan.
Incorrect:
A — Dismissing beliefs is disrespectful and likely to reduce
engagement.
C — Coercing abandonment of cultural practices is neither
ethical nor trauma-informed.
, D — Immediate involuntary evaluation based on cultural
differences is inappropriate and violates rights.
Teaching point: Elicit the client’s explanatory model and
incorporate cultural practices into care.
Citation: Videbeck, S. L. (2025). Psychiatric–Mental Health
Nursing (10th ed.). Ch. 1.
3.
Reference: Ch. 1 — Diagnostic and Statistical Manual of Mental
Disorders — Use in Practice
Stem: During discharge teaching, a new graduate nurse plans
documentation and is unsure how to use DSM diagnostic
language. Which documentation approach best reflects
professional, clinically useful use of DSM concepts?
A. Record the client’s symptoms using DSM diagnostic labels
verbatim without contextual detail.
B. Describe observed behaviors, functional impact, and the
working DSM diagnosis with rationale.
C. Avoid any DSM terminology to prevent labeling and write
only subjective quotes.
D. Use only the most restrictive DSM diagnosis available to
ensure insurance coverage.
Correct Answer: B
Rationales — Correct: B combines objective observations,
functional impact, and a clear working diagnosis with rationale,
