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 —
Defining Mental Health vs. Mental Illness
Stem
A 28-year-old patient says, “I’ve always been anxious, but lately
I can manage; I just feel different and worried about what that
means.” Their affect is mildly constricted, insight partial, and
they continue work and social activities. As the psychiatric
,nurse, how do you best interpret and document this
presentation while supporting recovery-oriented care?
A. Document “no mental illness” and reassure the patient that
symptoms are normal.
B. Identify symptoms that may represent a mental health
condition but focus on function and coping.
C. Refer immediately for involuntary psychiatric admission
because change in affect indicates danger.
D. Label the patient’s experience as a personality disorder and
plan long-term psychotherapy.
Correct Answer
B
Rationales
Correct (B): This response balances the distinction between
mental health and mental illness by noting symptoms while
prioritizing current functioning and coping—consistent with
recovery-oriented, strengths-based nursing. It supports
assessment, monitoring, and collaborative planning.
Incorrect (A): Dismisses the patient’s concern and risks
minimizing symptoms; not clinically responsible.
Incorrect (C): Premature and disproportionate; mild affect
change and maintained function do not indicate involuntary
hospitalization.
Incorrect (D): Making a definitive diagnostic label (personality
disorder) from limited information is inaccurate and premature.
,Teaching Point
Assess symptoms and functional status; emphasize strengths
and collaborative planning.
Citation
Videbeck, S. L. (2025). Psychiatric–Mental Health Nursing (10th
ed.). Ch. 1.
2
Reference
Ch. 1 — Foundations — Recovery Model and Person-Centered
Care
Stem
A 45-year-old patient with recurrent major depression says they
want to resume part-time work but fears relapse. The patient
has a history of good response to therapy and medication
adherence. Which nursing intervention best aligns with the
recovery model?
A. Advise the patient to wait six months symptom-free before
returning to work.
B. Collaborate with the patient to identify supports and create a
graded return-to-work plan.
C. Tell the patient that pushing themselves now is the best way
to overcome depression.
D. Inform the patient that work is not advisable due to chronic
illness.
, Correct Answer
B
Rationales
Correct (B): Collaborative planning, individualized supports, and
graded activity align with recovery principles—promoting
autonomy, hope, and functional goals.
Incorrect (A): Arbitrary time threshold ignores individual
readiness and personal goals.
Incorrect (C): Encourages potentially unsafe pressure and
minimizes need for planning and supports.
Incorrect (D): Discouraging, stigmatizing, and inconsistent with
recovery-oriented care.
Teaching Point
Collaborate on individualized goals; enable supported, graded
return to roles.
Citation
Videbeck, S. L. (2025). Psychiatric–Mental Health Nursing (10th
ed.). Ch. 1.
3
Reference
Ch. 1 — Foundations — DSM Use and Nursing Care
Stem
During admission, a patient describes persistent intrusive
thoughts causing distress but retains reality testing. The
10TH EDITION
• AUTHOR(S)SHEILA L. VIDEBECK
TEST BANK
UNIT 1 — CURRENT THEORIES & PRACTICE
1
Reference
Ch. 1 — Foundations of Psychiatric–Mental Health Nursing —
Defining Mental Health vs. Mental Illness
Stem
A 28-year-old patient says, “I’ve always been anxious, but lately
I can manage; I just feel different and worried about what that
means.” Their affect is mildly constricted, insight partial, and
they continue work and social activities. As the psychiatric
,nurse, how do you best interpret and document this
presentation while supporting recovery-oriented care?
A. Document “no mental illness” and reassure the patient that
symptoms are normal.
B. Identify symptoms that may represent a mental health
condition but focus on function and coping.
C. Refer immediately for involuntary psychiatric admission
because change in affect indicates danger.
D. Label the patient’s experience as a personality disorder and
plan long-term psychotherapy.
Correct Answer
B
Rationales
Correct (B): This response balances the distinction between
mental health and mental illness by noting symptoms while
prioritizing current functioning and coping—consistent with
recovery-oriented, strengths-based nursing. It supports
assessment, monitoring, and collaborative planning.
Incorrect (A): Dismisses the patient’s concern and risks
minimizing symptoms; not clinically responsible.
Incorrect (C): Premature and disproportionate; mild affect
change and maintained function do not indicate involuntary
hospitalization.
Incorrect (D): Making a definitive diagnostic label (personality
disorder) from limited information is inaccurate and premature.
,Teaching Point
Assess symptoms and functional status; emphasize strengths
and collaborative planning.
Citation
Videbeck, S. L. (2025). Psychiatric–Mental Health Nursing (10th
ed.). Ch. 1.
2
Reference
Ch. 1 — Foundations — Recovery Model and Person-Centered
Care
Stem
A 45-year-old patient with recurrent major depression says they
want to resume part-time work but fears relapse. The patient
has a history of good response to therapy and medication
adherence. Which nursing intervention best aligns with the
recovery model?
A. Advise the patient to wait six months symptom-free before
returning to work.
B. Collaborate with the patient to identify supports and create a
graded return-to-work plan.
C. Tell the patient that pushing themselves now is the best way
to overcome depression.
D. Inform the patient that work is not advisable due to chronic
illness.
, Correct Answer
B
Rationales
Correct (B): Collaborative planning, individualized supports, and
graded activity align with recovery principles—promoting
autonomy, hope, and functional goals.
Incorrect (A): Arbitrary time threshold ignores individual
readiness and personal goals.
Incorrect (C): Encourages potentially unsafe pressure and
minimizes need for planning and supports.
Incorrect (D): Discouraging, stigmatizing, and inconsistent with
recovery-oriented care.
Teaching Point
Collaborate on individualized goals; enable supported, graded
return to roles.
Citation
Videbeck, S. L. (2025). Psychiatric–Mental Health Nursing (10th
ed.). Ch. 1.
3
Reference
Ch. 1 — Foundations — DSM Use and Nursing Care
Stem
During admission, a patient describes persistent intrusive
thoughts causing distress but retains reality testing. The
