Psychiatric Nursing: Contemporary Practice 8th Edition Updated 2025–2026 Complete Study Notes Test Bank Exam Revision Guide for Mental Health Nursing Success and Clinical Practice

Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank




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,Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank



Psychiatric-MentalAHealthANursingA8thAedition

Chapter 1
1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following would the nurse identify a
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s having a positive impact onthe individual's mental health?
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A) Not needing others for companionship T T T T



B) The ability to effectively manage stress T T T T T



C) A family history of mental illness T T T T T



D) Striving for total self- T T T T



relianceAns: B T



Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, inde
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pendence, self- T



esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilien
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ce or hardiness, sense of belonging, reality orientation, and coping or stress managem
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ent abilities. Interpersonal factors such as intimacy and a balance of separateness and
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connectedness are both needed for good mental health, and therefore ahealthy person T T T T T T T T T T T T



would need others for companionship. A family history of mental illnesscould relate t
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o the biologic makeup of an individual, which may have a negative impacton an indiv
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idual's mental health, as well as a negative impact on an individual's interpersonal and
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socialñcultural factors of health. Total self- T T T T T



reliance is not possible, and a positive social/cultural factor is access to adequate reso
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urces.


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. T T T T T T T



C) Social/cultural factors that relate to mental illness include excessive dependenc T T T T T T T T T T



yon or withdrawal from relationships. T T T T



D) Individuals suffering from mental illness are usually able to cope effectively wi T T T T T T T T T T T T



thdaily life. T



E) Individuals suffering from mental illness may experience dissatisfaction wit T T T T T T T T T



hrelationships and self. T T



Ans: A, D, E T T T



Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental ill
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ness may be related to individual, interpersonal, or social/cultural factors. Excessive d
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ependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals suffering from mental illness can feel overwhelmed with d
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aily life. Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self. T T




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,Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank



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 unacceptab T T T T T T T T T T T T T



lein other cultures. T T



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 social
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wellness evidenced by satisfying interpersonal relationships, effective behavi
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orand coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally il T T T T T T T T



l.Ans: C T



Feedback:
What one society may view as acceptable and appropriate behavior, another society m
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aysee that as maladaptive, and inappropriate. Mental health and mental illness are diffi
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cult to define precisely. In most cases, mental health is a state of emotional, psycholog
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ical, and social wellness evidenced by satisfying interpersonal relationships, effective b
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ehavior and coping, positive self-
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concept, and emotional stability. Persons who engagein fantasies may be mentally heal
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thy, but the inability to distinguish reality from fantasyis an individual factor that may
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contribute to mental illness. T T T




4. A client grieving the recent loss of her husband asks if she is becoming mentally
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illbecause 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 mu
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chpain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
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veexperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband
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'sdeath?î
D) ìTry not to worry about that right now. You never know what the future bring
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s.îAns: B T



Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
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ective coping, and lack of personal growth. Additionally the behavior must not be cult
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urally expected. Acute grief reactions are expected and therefore not considered ment
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al illness. False reassurance or overanalysis does not accurately address the client'scon
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cerns.




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5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessme
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ntAns: D T



Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ident
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ifies underlying causes of mental disorders. It does not provide care plans or prognost ic
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outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's
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scope of practice, so documenting the code in the medical record wouldbe inappropri ate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis T T T



B) Treat clients T



C) Evaluate treatments T



D) Understand the reason for the admission and the nature of psychiatric illnesse T T T T T T T T T T T T



s.Ans: D T



Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a h
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elpful resource to understand the reason for the admission and to begin building kno
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wledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,tr
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eating, and evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following shif
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tsin care for the mentally ill?
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A) The widespread use of community-based services
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B) The advancement in pharmacotherapies T T T



C) Increased access to hospitalization T T T



D) Improved rights for clients in long- T T T T T T



term institutional careAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished th
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erelease of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the dev
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elopment of community-based services as an alternative to hospital care.
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