TEST BANK
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,Psychiatric-Mental Health Nursing 8th edition by Shelia Videbeck yg yg yg yg yg yg yg
Table of contents
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UNIT 1 Current Theories and Practice
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1. Foundations of Psychiatric–Mental Health Nursing
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2. Neurobiologic Theories and Psychopharmacology
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3. Psychosocial Theories and Therapy
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4. Treatment Settings and Therapeutic Programs
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UNIT 2 Building the Nurse–Client Relationship
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5. Therapeutic Relationships
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6. Therapeutic Communication
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7. Client’s Response to Illness
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8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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9. Legal and Ethical Issues
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10. Grief and Loss
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11. Anger, Hostility, and Aggression
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12. Abuse and Violence
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UNIT 4 Nursing Practice for Psychiatric Disorders
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13. Trauma and Stressor-Related Disorders
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14. Anxiety and Anxiety Disorders
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15. Obsessive–Compulsive and Related Disorders
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16. Schizophrenia
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17. Mood Disorders and Suicide
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18. Personality Disorders
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19. Addictiony g
20. Eating Disorders
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21. Somatic Symptom Illnesses
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22. Neurodevelopmental Disorders
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23 Disruptive Behavior Disorders
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24 Cognitive Disorders
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Chapter 1 Foundations of Psychiatric–Mental Health Nursing
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1. The nurse is assessing the factors contributing to the well-being of a newly
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admitted client. Which of the following would the nurse identify as having a
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positive impact on the individual's mental health?
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A) Not needing others for companionship yg yg yg yg
B) The ability to effectively manage stressyg yg yg yg yg
C) A family history of mental illness
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D) Striving for total self- yg yg yg
reliance Ans: B yg yg
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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independence, self-esteem, capacity for growth, vitality, ability to find meaning in
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life, emotional resilience or hardiness, sense of belonging, reality orientation, and
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coping or stress management abilities. Interpersonal factors such as intimacy and a
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balance of separateness and connectedness are both needed for good mental health,
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Page y g 1
, and therefore a
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Page y g 2
, healthy person would need others for companionship. A family history of mental
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illness could relate to the biologic makeup of an individual, which may have a
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negative impact on an individual's mental health, as well as a negative impact on
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an individual's interpersonal and socialñcultural factors of health. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate
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resources.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both.
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B) Mental illness is only due to social/cultural factors.yg yg yg yg yg yg yg
C) Social/cultural factors that relate to mental illness include excessive yg yg yg yg yg yg yg yg
dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively
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with daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction yg yg yg yg yg yg yg
with relationships and self.
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Ans: A, D, E yg yg yg
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors.
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Excessive dependency on or withdrawal from relationships are interpersonal
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factors that relate to mental illness. Individuals suffering from mental illness can
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feel overwhelmed with daily life. Individuals suffering from mental illness may
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experience dissatisfaction with relationships and self.
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3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always
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unacceptable in other cultures.
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B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and
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social wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally yg yg yg yg yg yg
ill. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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may see that as maladaptive, and inappropriate. Mental health and mental illness
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are difficult to define precisely. In most cases, mental health is a state of
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emotional, psychological, and social wellness evidenced by satisfying interpersonal
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relationships, effective behavior and coping, positive self-concept, and emotional
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stability. Persons who engage in fantasies may be mentally healthy, but the
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inability to distinguish reality from fantasy is an individual factor that may
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contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming
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mentally ill because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so
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much pain.î yg yg
B) ìYou are not mentally ill. This is an expected reaction to the loss you
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Page y g 3
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,Psychiatric-Mental Health Nursing 8th edition by Shelia Videbeck yg yg yg yg yg yg yg
Table of contents
yg y g
UNIT 1 Current Theories and Practice
yg y g yg y g y g
1. Foundations of Psychiatric–Mental Health Nursing
y g y g y g y g y g
2. Neurobiologic Theories and Psychopharmacology
y g y g y g y g
3. Psychosocial Theories and Therapy
y g y g y g y g
4. Treatment Settings and Therapeutic Programs
y g y g y g y g y g
UNIT 2 Building the Nurse–Client Relationship
y g y g y g y g y g
5. Therapeutic Relationships
y g y g
6. Therapeutic Communication
y g y g
7. Client’s Response to Illness
y g y g y g y g
8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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9. Legal and Ethical Issues
y g y g yg y g
10. Grief and Loss
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11. Anger, Hostility, and Aggression
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12. Abuse and Violence
y g y g y g
UNIT 4 Nursing Practice for Psychiatric Disorders
y g y g y g y g y g y g
13. Trauma and Stressor-Related Disorders
y g y g y g y g
14. Anxiety and Anxiety Disorders
y g y g y g y g
15. Obsessive–Compulsive and Related Disorders
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16. Schizophrenia
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17. Mood Disorders and Suicide
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18. Personality Disorders
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19. Addictiony g
20. Eating Disorders
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21. Somatic Symptom Illnesses
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22. Neurodevelopmental Disorders
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23 Disruptive Behavior Disorders
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24 Cognitive Disorders
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Chapter 1 Foundations of Psychiatric–Mental Health Nursing
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1. The nurse is assessing the factors contributing to the well-being of a newly
yg yg yg yg yg yg yg yg yg yg yg yg
admitted client. Which of the following would the nurse identify as having a
yg yg yg yg yg yg yg yg yg yg yg yg yg
positive impact on the individual's mental health?
yg yg yg yg yg yg yg
A) Not needing others for companionship yg yg yg yg
B) The ability to effectively manage stressyg yg yg yg yg
C) A family history of mental illness
yg yg yg yg yg
D) Striving for total self- yg yg yg
reliance Ans: B yg yg
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
yg yg yg yg yg yg yg yg
independence, self-esteem, capacity for growth, vitality, ability to find meaning in
yg yg yg yg yg yg yg yg yg yg yg
life, emotional resilience or hardiness, sense of belonging, reality orientation, and
yg yg yg yg yg yg yg yg yg yg yg
coping or stress management abilities. Interpersonal factors such as intimacy and a
yg yg yg yg yg yg yg yg yg yg yg yg
balance of separateness and connectedness are both needed for good mental health,
yg yg yg yg yg yg yg yg yg yg yg yg
Page y g 1
, and therefore a
yg yg yg
Page y g 2
, healthy person would need others for companionship. A family history of mental
yg yg yg yg yg yg yg yg yg yg yg
illness could relate to the biologic makeup of an individual, which may have a
yg yg yg yg yg yg yg yg yg yg yg yg yg yg
negative impact on an individual's mental health, as well as a negative impact on
yg yg yg yg yg yg yg yg yg yg yg yg yg yg
an individual's interpersonal and socialñcultural factors of health. Total self-
yg yg yg yg yg yg yg yg yg yg
reliance is not possible, and a positive social/cultural factor is access to adequate
yg yg yg yg yg yg yg yg yg yg yg yg
resources.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both.
yg yg yg yg yg yg yg yg yg
B) Mental illness is only due to social/cultural factors.yg yg yg yg yg yg yg
C) Social/cultural factors that relate to mental illness include excessive yg yg yg yg yg yg yg yg
dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively
yg yg yg yg yg yg yg yg yg yg
with daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction yg yg yg yg yg yg yg
with relationships and self.
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Ans: A, D, E yg yg yg
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
yg yg yg yg yg yg yg yg yg yg
illness may be related to individual, interpersonal, or social/cultural factors.
yg yg yg yg yg yg yg yg yg yg
Excessive dependency on or withdrawal from relationships are interpersonal
yg yg yg yg yg yg yg yg yg
factors that relate to mental illness. Individuals suffering from mental illness can
yg yg yg yg yg yg yg yg yg yg yg yg
feel overwhelmed with daily life. Individuals suffering from mental illness may
yg yg yg yg yg yg yg yg yg yg yg
experience dissatisfaction with relationships and self.
yg yg yg yg yg yg
3. Which of the following are true regarding mental health and mental illness?
yg yg yg yg yg yg yg yg yg yg yg
A) Behavior that may be viewed as acceptable in one culture is always
yg yg yg yg yg yg yg yg yg yg yg
unacceptable in other cultures.
yg yg yg yg
B) It is easy to determine if a person is mentally healthy or mentally ill.
yg yg yg yg yg yg yg yg yg yg yg yg yg
C) In most cases, mental health is a state of emotional, psychological, and
yg yg yg yg yg yg yg yg yg yg yg
social wellness evidenced by satisfying interpersonal relationships, effective
yg yg yg yg yg yg yg yg
behavior and coping, positive self-concept, and emotional stability.
yg yg yg yg yg yg yg yg
D) Persons who engage in fantasies are mentally yg yg yg yg yg yg
ill. Ans: C
yg yg yg
Feedback:
What one society may view as acceptable and appropriate behavior, another society
yg yg yg yg yg yg yg yg yg yg yg
may see that as maladaptive, and inappropriate. Mental health and mental illness
yg yg yg yg yg yg yg yg yg yg yg yg
are difficult to define precisely. In most cases, mental health is a state of
yg yg yg yg yg yg yg yg yg yg yg yg yg yg
emotional, psychological, and social wellness evidenced by satisfying interpersonal
yg yg yg yg yg yg yg yg yg
relationships, effective behavior and coping, positive self-concept, and emotional
yg yg yg yg yg yg yg yg yg
stability. Persons who engage in fantasies may be mentally healthy, but the
yg yg yg yg yg yg yg yg yg yg yg yg
inability to distinguish reality from fantasy is an individual factor that may
yg yg yg yg yg yg yg yg yg yg yg yg
contribute to mental illness.
yg yg yg yg
4. A client grieving the recent loss of her husband asks if she is becoming
yg yg yg yg yg yg yg yg yg yg yg yg yg
mentally ill because she is so sad. The nurse's best response would be,
yg yg yg yg yg yg yg yg yg yg yg yg yg
A) ìYou may have a temporary mental illness because you are experiencing so
yg yg yg yg yg yg yg yg yg yg yg
much pain.î yg yg
B) ìYou are not mentally ill. This is an expected reaction to the loss you
yg yg yg yg yg yg yg yg yg yg yg yg yg
Page y g 3