Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
Page 1
,Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
Psychiatric-MentalAHealthANursingA8thAedition
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/
a/ s/ having/ a/ positive/ impact/ onthe/ 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-
/ relianceAns:/ B
Feedback:
Individual/ factors/ influencing/ mental/ health/ include/ biologic/ makeup,/ autonomy,/
inde/ pendence,/ self-
esteem,/ capacity/ for/ growth,/ vitality,/ ability/ to/ find/ meaning/ in/ life,/ emotional/ resilien/
ce/ or/ hardiness,/ sense/ of/ belonging,/ reality/ orientation,/ and/ coping/ or/ stress/ managem/
ent/ abilities./ Interpersonal/ factors/ such/ as/ intimacy/ and/ a/ balance/ of/ separateness/ and/
connectedness/ are/ both/ needed/ for/ good/ mental/ health,/ and/ therefore/ ahealthy/ person/
would/ need/ others/ for/ companionship./ A/ family/ history/ of/ mental/ illnesscould/ relate/
t/ o/ the/ biologic/ makeup/ of/ an/ individual,/ which/ may/ have/ a/ negative/ impacton/ an/
indiv/ idual'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/ reso/
urces.
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/ dependenc/
yon/ or/ withdrawal/ from/ relationships.
D) Individuals/ suffering/ from/ mental/ illness/ are/ usually/ able/ to/ cope/ effectively/ wi/
thdaily/ life.
E) Individuals/ suffering/ from/ mental/ illness/ may/ experience/ dissatisfaction/ wit/
hrelationships/ and/ self.
Ans:/ A,/ D,/ E
Feedback:
Mental/ illness/ can/ cause/ significant/ distress,/ impaired/ functioning,/ or/ both./ Mental/ ill/
ness/ may/ be/ related/ to/ individual,/ interpersonal,/ or/ social/cultural/ factors./ Excessive/ d/
ependency/ on/ or/ withdrawal/ from/ relationships/ are/ interpersonal/ factors/ that/ relate/ to/
mental/ illness./ Individuals/ suffering/ from/ mental/ illness/ can/ feel/ overwhelmed/ with/ d/
aily/ life./ Individuals/ suffering/ from/ mental/ illness/ may/ experience/ dissatisfaction/ with/
relationships/ and/ self.
Page 2
,Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
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/ unacceptab/
lein/ 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/ behavi/
orand/ coping,/ positive/ self-concept,/ and/ emotional/ stability.
D) Persons/ who/ engage/ in/ fantasies/ are/ mentally/ il/
l.Ans:/ C
Feedback:
What/ one/ society/ may/ view/ as/ acceptable/ and/ appropriate/ behavior,/ another/ society/ m/
aysee/ that/ as/ maladaptive,/ and/ inappropriate./ Mental/ health/ and/ mental/ illness/ are/ diffi/
cult/ to/ define/ precisely./ In/ most/ cases,/ mental/ health/ is/ a/ state/ of/ emotional,/ psycholog/
ical,/ and/ social/ wellness/ evidenced/ by/ satisfying/ interpersonal/ relationships,/ effective/ b/
ehavior/ and/ coping,/ positive/ self-
concept,/ and/ emotional/ stability./ Persons/ who/ engagein/ fantasies/ may/ be/ mentally/ heal/
thy,/ but/ the/ inability/ to/ distinguish/ reality/ from/ fantasyis/ 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/
illbecause/ she/ is/ so/ sad./ The/ nurse's/ best/ response/ would/ be,
A) ìYou/ may/ have/ a/ temporary/ mental/ illness/ because/ you/ are/ experiencing/ so/ mu/
chpain.î
B) ìYou/ are/ not/ mentally/ ill./ This/ is/ an/ expected/ reaction/ to/ the/ loss/ you/ ha/
veexperienced.î
C) ìWere/ you/ generally/ dissatisfied/ with/ your/ relationship/ before/ your/ husband/
'sdeath?î
D) ìTry/ not/ to/ worry/ about/ that/ right/ now./ You/ never/ know/ what/ the/ future/ bring/
s.îAns:/ B
Feedback:
Mental/ illness/ includes/ general/ dissatisfaction/ with/ self,/ ineffective/ relationships,/
ineff/ ective/ coping,/ and/ lack/ of/ personal/ growth./ Additionally/ the/ behavior/ must/ not/
be/ cult/ urally/ expected./ Acute/ grief/ reactions/ are/ expected/ and/ therefore/ not/
considered/ ment/ al/ illness./ False/ reassurance/ or/ overanalysis/ does/ not/ accurately/
address/ the/ client'scon/ cerns.
Page 3
, Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
5. The/ nurse/ consults/ the/ DSM/ for/ which/ of/ the/ following/ purposes?
A) To/ devise/ a/ plan/ of/ care/ for/ a/ newly/ admitted/ client
B) To/ predict/ the/ client's/ prognosis/ of/ treatment/ outcomes
C) To/ document/ the/ appropriate/ diagnostic/ code/ in/ the/ client's/ medical/ record
D) To/ serve/ as/ a/ guide/ for/ client/ assessme/
ntAns:/ D
Feedback:
The/ DSM/ provides/ standard/ nomenclature,/ presents/ defining/ characteristics,/ and/ ident/
ifies/ underlying/ causes/ of/ mental/ disorders./ It/ does/ not/ provide/ care/ plans/ or/ prognost/
ic/ outcomes/ of/ treatment./ Diagnosis/ of/ mental/ illness/ is/ not/ within/ the/ generalist/ RN's/
scope/ of/ practice,/ so/ documenting/ the/ code/ in/ the/ medical/ record/ wouldbe/ inappropri/
ate.
6. Which/ would/ be/ a/ reason/ for/ a/ student/ nurse/ to/ use/ the/ DSM?
A) Identifying/ the/ medical/ diagnosis
B) Treat/ clients
C) Evaluate/ treatments
D) Understand/ the/ reason/ for/ the/ admission/ and/ the/ nature/ of/ psychiatric/ illnesse/
s.Ans:/ D
Feedback:
Although/ student/ nurses/ do/ not/ use/ the/ DSM/ to/ diagnose/ clients,/ they/ will/ find/ it/ a/ h/
elpful/ resource/ to/ understand/ the/ reason/ for/ the/ admission/ and/ to/ begin/ building/ kno/
wledge/ about/ the/ nature/ of/ psychiatric/ illnesses./ Identifying/ the/ medical/ diagnosis,tr/
eating,/ and/ evaluating/ treatments/ are/ not/ a/ part/ of/ the/ nursing/ process.
7. The/ legislation/ enacted/ in/ 1963/ was/ largely/ responsible/ for/ which/ of/ the/ following/ shif/
tsin/ care/ for/ the/ mentally/ ill?
A) The/ widespread/ use/ of/ community-based/ services
B) The/ advancement/ in/ pharmacotherapies
C) Increased/ access/ to/ hospitalization
D) Improved/ rights/ for/ clients/ in/ long-/
term/ institutional/ careAns:/ A
Feedback:
The/ Community/ Mental/ Health/ Centers/ Construction/ Act/ of/ 1963/ accomplished/ th/
erelease/ of/ individuals/ from/ long-
term/ stays/ in/ state/ institutions,/ the/ decrease/ in/ admissions/ to/ hospitals,/ and/ the/ dev/
elopment/ of/ community-based/ services/ as/ an/ alternative/ to/ hospital/ care.
Page 4
Page 1
,Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
Psychiatric-MentalAHealthANursingA8thAedition
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/
a/ s/ having/ a/ positive/ impact/ onthe/ 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-
/ relianceAns:/ B
Feedback:
Individual/ factors/ influencing/ mental/ health/ include/ biologic/ makeup,/ autonomy,/
inde/ pendence,/ self-
esteem,/ capacity/ for/ growth,/ vitality,/ ability/ to/ find/ meaning/ in/ life,/ emotional/ resilien/
ce/ or/ hardiness,/ sense/ of/ belonging,/ reality/ orientation,/ and/ coping/ or/ stress/ managem/
ent/ abilities./ Interpersonal/ factors/ such/ as/ intimacy/ and/ a/ balance/ of/ separateness/ and/
connectedness/ are/ both/ needed/ for/ good/ mental/ health,/ and/ therefore/ ahealthy/ person/
would/ need/ others/ for/ companionship./ A/ family/ history/ of/ mental/ illnesscould/ relate/
t/ o/ the/ biologic/ makeup/ of/ an/ individual,/ which/ may/ have/ a/ negative/ impacton/ an/
indiv/ idual'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/ reso/
urces.
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/ dependenc/
yon/ or/ withdrawal/ from/ relationships.
D) Individuals/ suffering/ from/ mental/ illness/ are/ usually/ able/ to/ cope/ effectively/ wi/
thdaily/ life.
E) Individuals/ suffering/ from/ mental/ illness/ may/ experience/ dissatisfaction/ wit/
hrelationships/ and/ self.
Ans:/ A,/ D,/ E
Feedback:
Mental/ illness/ can/ cause/ significant/ distress,/ impaired/ functioning,/ or/ both./ Mental/ ill/
ness/ may/ be/ related/ to/ individual,/ interpersonal,/ or/ social/cultural/ factors./ Excessive/ d/
ependency/ on/ or/ withdrawal/ from/ relationships/ are/ interpersonal/ factors/ that/ relate/ to/
mental/ illness./ Individuals/ suffering/ from/ mental/ illness/ can/ feel/ overwhelmed/ with/ d/
aily/ life./ Individuals/ suffering/ from/ mental/ illness/ may/ experience/ dissatisfaction/ with/
relationships/ and/ self.
Page 2
,Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
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/ unacceptab/
lein/ 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/ behavi/
orand/ coping,/ positive/ self-concept,/ and/ emotional/ stability.
D) Persons/ who/ engage/ in/ fantasies/ are/ mentally/ il/
l.Ans:/ C
Feedback:
What/ one/ society/ may/ view/ as/ acceptable/ and/ appropriate/ behavior,/ another/ society/ m/
aysee/ that/ as/ maladaptive,/ and/ inappropriate./ Mental/ health/ and/ mental/ illness/ are/ diffi/
cult/ to/ define/ precisely./ In/ most/ cases,/ mental/ health/ is/ a/ state/ of/ emotional,/ psycholog/
ical,/ and/ social/ wellness/ evidenced/ by/ satisfying/ interpersonal/ relationships,/ effective/ b/
ehavior/ and/ coping,/ positive/ self-
concept,/ and/ emotional/ stability./ Persons/ who/ engagein/ fantasies/ may/ be/ mentally/ heal/
thy,/ but/ the/ inability/ to/ distinguish/ reality/ from/ fantasyis/ 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/
illbecause/ she/ is/ so/ sad./ The/ nurse's/ best/ response/ would/ be,
A) ìYou/ may/ have/ a/ temporary/ mental/ illness/ because/ you/ are/ experiencing/ so/ mu/
chpain.î
B) ìYou/ are/ not/ mentally/ ill./ This/ is/ an/ expected/ reaction/ to/ the/ loss/ you/ ha/
veexperienced.î
C) ìWere/ you/ generally/ dissatisfied/ with/ your/ relationship/ before/ your/ husband/
'sdeath?î
D) ìTry/ not/ to/ worry/ about/ that/ right/ now./ You/ never/ know/ what/ the/ future/ bring/
s.îAns:/ B
Feedback:
Mental/ illness/ includes/ general/ dissatisfaction/ with/ self,/ ineffective/ relationships,/
ineff/ ective/ coping,/ and/ lack/ of/ personal/ growth./ Additionally/ the/ behavior/ must/ not/
be/ cult/ urally/ expected./ Acute/ grief/ reactions/ are/ expected/ and/ therefore/ not/
considered/ ment/ al/ illness./ False/ reassurance/ or/ overanalysis/ does/ not/ accurately/
address/ the/ client'scon/ cerns.
Page 3
, Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
5. The/ nurse/ consults/ the/ DSM/ for/ which/ of/ the/ following/ purposes?
A) To/ devise/ a/ plan/ of/ care/ for/ a/ newly/ admitted/ client
B) To/ predict/ the/ client's/ prognosis/ of/ treatment/ outcomes
C) To/ document/ the/ appropriate/ diagnostic/ code/ in/ the/ client's/ medical/ record
D) To/ serve/ as/ a/ guide/ for/ client/ assessme/
ntAns:/ D
Feedback:
The/ DSM/ provides/ standard/ nomenclature,/ presents/ defining/ characteristics,/ and/ ident/
ifies/ underlying/ causes/ of/ mental/ disorders./ It/ does/ not/ provide/ care/ plans/ or/ prognost/
ic/ outcomes/ of/ treatment./ Diagnosis/ of/ mental/ illness/ is/ not/ within/ the/ generalist/ RN's/
scope/ of/ practice,/ so/ documenting/ the/ code/ in/ the/ medical/ record/ wouldbe/ inappropri/
ate.
6. Which/ would/ be/ a/ reason/ for/ a/ student/ nurse/ to/ use/ the/ DSM?
A) Identifying/ the/ medical/ diagnosis
B) Treat/ clients
C) Evaluate/ treatments
D) Understand/ the/ reason/ for/ the/ admission/ and/ the/ nature/ of/ psychiatric/ illnesse/
s.Ans:/ D
Feedback:
Although/ student/ nurses/ do/ not/ use/ the/ DSM/ to/ diagnose/ clients,/ they/ will/ find/ it/ a/ h/
elpful/ resource/ to/ understand/ the/ reason/ for/ the/ admission/ and/ to/ begin/ building/ kno/
wledge/ about/ the/ nature/ of/ psychiatric/ illnesses./ Identifying/ the/ medical/ diagnosis,tr/
eating,/ and/ evaluating/ treatments/ are/ not/ a/ part/ of/ the/ nursing/ process.
7. The/ legislation/ enacted/ in/ 1963/ was/ largely/ responsible/ for/ which/ of/ the/ following/ shif/
tsin/ care/ for/ the/ mentally/ ill?
A) The/ widespread/ use/ of/ community-based/ services
B) The/ advancement/ in/ pharmacotherapies
C) Increased/ access/ to/ hospitalization
D) Improved/ rights/ for/ clients/ in/ long-/
term/ institutional/ careAns:/ A
Feedback:
The/ Community/ Mental/ Health/ Centers/ Construction/ Act/ of/ 1963/ accomplished/ th/
erelease/ of/ individuals/ from/ long-
term/ stays/ in/ state/ institutions,/ the/ decrease/ in/ admissions/ to/ hospitals,/ and/ the/ dev/
elopment/ of/ community-based/ services/ as/ an/ alternative/ to/ hospital/ care.
Page 4
