Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank T T T T T T T T
Chapter 1 T
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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client. Which of the following would the nurse identify as having a positive impact on
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the 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-reliance T T T
Ans: B
T T
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
T T T T T T T T
Tindependence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
T T T T T T T T T T T
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
T T T T T T T T T T T T
stress management abilities. Interpersonal factors such as intimacy and a balance of
T T T T T T T T T T T T
separateness and connectedness are both needed for good mental health, and therefore a
T T T T T T T T T T T T T
healthy person would need others for companionship. A family history of mental illness
T T T T T T T T T T T T T
could relate to the biologic makeup of an individual, which may have a negative impact
T T T T T T T T T T T T T T T
on an individual's mental health, as well as a negative impact on an individual's
T T T T T T T T T T T T T T
Tinterpersonal and socialñcultural factors of health. Total self-reliance is not possible,
T T T T T T T T T T
and a positive social/cultural factor is access to adequate resources.
T T T T T T T T T T
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 dependency T T T T T T T T T
on or withdrawal from relationships.
T T T T T
D) Individuals suffering from mental illness are usually able to cope effectively with T T T T T T T T T T T
daily life. T T
E) Individuals suffering from mental illness may experience dissatisfaction with T T T T T T T T
relationships and self.
T T T
Ans: A, D, E T T T
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
T T T T T T T T T T
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
T T T T T T T T T T T
dependency on or withdrawal from relationships are interpersonal factors that relate to
T T T T T T T T T T T T
mental illness. Individuals suffering from mental illness can feel overwhelmed with
T T T T T T T T T T T
daily life. Individuals suffering from mental illness may experience dissatisfaction with
T T T T T T T T T T T
relationships and self.
T T T
Page 1 T
,3. Which of the following are true regarding mental health and mental illness?
T T T T T T T T T T T
A) Behavior that may be viewed as acceptable in one culture is always unacceptable T T T T T T T T T T T T
in other cultures. T T T
B) It is easy to determine if a person is mentally healthy or mentally ill.
T T T T T T T T T T T T T
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 behavior
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and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. T T T T T T T
Ans: C
T T
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
T T T T T T T T T T T T
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
T T T T T T T T T T T T T
to define precisely. In most cases, mental health is a state of emotional, psychological,
T T T T T T T T T T T T T T
and social wellness evidenced by satisfying interpersonal relationships, effective
T T T T T T T T T
behavior and coping, positive self-concept, and emotional stability. Persons who engage
T T T T T T T T T T T
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
T T T T T T T T T T T T T T
is an individual factor that may contribute to mental illness.
T T T T T T T T T T
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
T T T T T T T T T T T T T T T
because she is so sad. The nurse's best response would be,
T T T T T T T T T T T
A) ìYou may have a temporary mental illness because you are experiencing so much
T T T T T T T T T T T T
pain.î T
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
T T T T T T T T T T T T T T
experienced.î T
C) ìWere you generally dissatisfied with your relationship before your husband's
T T T T T T T T T
death?î T
D) ìTry not to worry about that right now. You never know what the future brings.î
T T T T T T T T T T T T T T
Ans: B
T T
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
T T T T T T T T
ineffective coping, and lack of personal growth. Additionally the behavior must not be
T T T T T T T T T T T T T
culturally expected. Acute grief reactions are expected and therefore not considered
T T T T T T T T T T T
mental illness. False reassurance or overanalysis does not accurately address the client's
T T T T T T T T T T T T
concerns.
T
Page 2 T
,5. The nurse consults the DSM for which of the following purposes?
T T T T T T T T T T
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
T T T T T T T
C) To document the appropriate diagnostic code in the client's medical record
T T T T T T T T T T
D) To serve as a guide for client assessment
T T T T T T T
Ans: D
T T
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
T T T T T T T T
identifies underlying causes of mental disorders. It does not provide care plans or
T T T T T T T T T T T T T
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
T T T T T T T T T T T T
generalist RN's scope of practice, so documenting the code in the medical record would
T T T T T T T T T T T T T T
be inappropriate.
T T
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 illnesses. T T T T T T T T T T T
Ans: D
T T
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
T T T T T T T T T T T T T T T
helpful resource to understand the reason for the admission and to begin building
T T T T T T T T T T T T T
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
T T T T T T T T T T T
treating, and evaluating treatments are not a part of the nursing process.
T T T T T T T T T T T T
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
T T T T T T T T T T T T T
in care for the mentally ill?
T T T T T T
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-term institutional care T T T T T T T
Ans: A
T T
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
T T T T T T T T T T
release of individuals from long-term stays in state institutions, the decrease in
T T T T T T T T T T T T
admissions to hospitals, and the development of community-based services as an
T T T T T T T T T T T
alternative to hospital care.
T T T T
Page 3 T
, 8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will.
T T T T T T T T T T T T
B) Making it more difficult to commit people for mental health treatment against
T T T T T T T T T T T
their will.
T T
C) State mental institutions being the primary source of care for mentally ill persons.
T T T T T T T T T T T T
D) Improved care for mentally ill persons. T T T T T
Ans: B
T T
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
T T T T T T T T T T T T
people for mental health treatment against their will. Deinstitutionalization
T T T T T T T T T
accomplished the release of individuals from long-term stays in state institutions.
T T T T T T T T T T T
Deinstitutionalization also had negative effects in that some mentally ill persons are
T T T T T T T T T T T T
subjected to the revolving door effect, which may limit care for mentally ill persons.
T T T T T T T T T T T T T T
9. The goal of the 1963 Community Mental Health Centers Act was to
T T T T T T T T T T T
A) ensure patients' rights for the mentally ill. T T T T T T
B) deinstitutionalize state hospitals. T T
C) provide funds to build hospitals with psychiatric units. T T T T T T T
D) treat people with mental illness in a humane fashion.
T T T T T T T T
Ans: B
T T
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
T T T T T T T T T T
treating those with mental illness in a less restrictive environment. This legislation
T T T T T T T T T T T T
resulted in the shift of clients with mental illness from large state institutions to care
T T T T T T T T T T T T T T T
based in the community. Answer choices A, C, and D were not purposes of the 1963
T T T T T T T T T T T T T T T T
Community Mental Health Centers Act.
T T T T T
10. The creation of asylums during the 1800s was meant to
T T T T T T T T T
A) improve treatment of mental disorders. T T T T
B) provide food and shelter for the mentally ill. T T T T T T T
C) punish people with mental illness who were believed to be possessed.
T T T T T T T T T T
D) remove dangerous people with mental illness from the community.
T T T T T T T T
Ans: B
T T
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
T T T T T T T T T T T T T T T
the mentally ill. Asylums were not used to improve treatment of mental disorders or to
T T T T T T T T T T T T T T T
punish mentally ill people who were believed to be possessed. The asylum was not
T T T T T T T T T T T T T T
created to remove the dangerously mentally ill from the community.
T T T T T T T T T T
Page 4 T
Chapter 1 T
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
T T T T T T T T T T T T T
client. Which of the following would the nurse identify as having a positive impact on
T T T T T T T T T T T T T T T
the individual's mental health?
T T T T
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-reliance T T T
Ans: B
T T
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
T T T T T T T T
Tindependence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
T T T T T T T T T T T
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
T T T T T T T T T T T T
stress management abilities. Interpersonal factors such as intimacy and a balance of
T T T T T T T T T T T T
separateness and connectedness are both needed for good mental health, and therefore a
T T T T T T T T T T T T T
healthy person would need others for companionship. A family history of mental illness
T T T T T T T T T T T T T
could relate to the biologic makeup of an individual, which may have a negative impact
T T T T T T T T T T T T T T T
on an individual's mental health, as well as a negative impact on an individual's
T T T T T T T T T T T T T T
Tinterpersonal and socialñcultural factors of health. Total self-reliance is not possible,
T T T T T T T T T T
and a positive social/cultural factor is access to adequate resources.
T T T T T T T T T T
2. Which of the following statements about mental illness are true? Select all that apply.
T T T T T T T T T T T T T
A) Mental illness can cause significant distress, impaired functioning, or both.
T T T T T T T T T
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 dependency T T T T T T T T T
on or withdrawal from relationships.
T T T T T
D) Individuals suffering from mental illness are usually able to cope effectively with T T T T T T T T T T T
daily life. T T
E) Individuals suffering from mental illness may experience dissatisfaction with T T T T T T T T
relationships and self.
T T T
Ans: A, D, E T T T
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
T T T T T T T T T T
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
T T T T T T T T T T T
dependency on or withdrawal from relationships are interpersonal factors that relate to
T T T T T T T T T T T T
mental illness. Individuals suffering from mental illness can feel overwhelmed with
T T T T T T T T T T T
daily life. Individuals suffering from mental illness may experience dissatisfaction with
T T T T T T T T T T T
relationships and self.
T T T
Page 1 T
,3. Which of the following are true regarding mental health and mental illness?
T T T T T T T T T T T
A) Behavior that may be viewed as acceptable in one culture is always unacceptable T T T T T T T T T T T T
in other cultures. T T T
B) It is easy to determine if a person is mentally healthy or mentally ill.
T T T T T T T T T T T T T
C) In most cases, mental health is a state of emotional, psychological, and social
T T T T T T T T T T T T
wellness evidenced by satisfying interpersonal relationships, effective behavior
T T T T T T T T
and coping, positive self-concept, and emotional stability.
T T T T T T T
D) Persons who engage in fantasies are mentally ill. T T T T T T T
Ans: C
T T
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
T T T T T T T T T T T T
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
T T T T T T T T T T T T T
to define precisely. In most cases, mental health is a state of emotional, psychological,
T T T T T T T T T T T T T T
and social wellness evidenced by satisfying interpersonal relationships, effective
T T T T T T T T T
behavior and coping, positive self-concept, and emotional stability. Persons who engage
T T T T T T T T T T T
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
T T T T T T T T T T T T T T
is an individual factor that may contribute to mental illness.
T T T T T T T T T T
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
T T T T T T T T T T T T T T T
because she is so sad. The nurse's best response would be,
T T T T T T T T T T T
A) ìYou may have a temporary mental illness because you are experiencing so much
T T T T T T T T T T T T
pain.î T
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
T T T T T T T T T T T T T T
experienced.î T
C) ìWere you generally dissatisfied with your relationship before your husband's
T T T T T T T T T
death?î T
D) ìTry not to worry about that right now. You never know what the future brings.î
T T T T T T T T T T T T T T
Ans: B
T T
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
T T T T T T T T
ineffective coping, and lack of personal growth. Additionally the behavior must not be
T T T T T T T T T T T T T
culturally expected. Acute grief reactions are expected and therefore not considered
T T T T T T T T T T T
mental illness. False reassurance or overanalysis does not accurately address the client's
T T T T T T T T T T T T
concerns.
T
Page 2 T
,5. The nurse consults the DSM for which of the following purposes?
T T T T T T T T T T
A) To devise a plan of care for a newly admitted client
T T T T T T T T T T
B) To predict the client's prognosis of treatment outcomes
T T T T T T T
C) To document the appropriate diagnostic code in the client's medical record
T T T T T T T T T T
D) To serve as a guide for client assessment
T T T T T T T
Ans: D
T T
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
T T T T T T T T
identifies underlying causes of mental disorders. It does not provide care plans or
T T T T T T T T T T T T T
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
T T T T T T T T T T T T
generalist RN's scope of practice, so documenting the code in the medical record would
T T T T T T T T T T T T T T
be inappropriate.
T T
6. Which would be a reason for a student nurse to use the DSM?
T T T T T T T T T T T T
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 illnesses. T T T T T T T T T T T
Ans: D
T T
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
T T T T T T T T T T T T T T T
helpful resource to understand the reason for the admission and to begin building
T T T T T T T T T T T T T
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
T T T T T T T T T T T
treating, and evaluating treatments are not a part of the nursing process.
T T T T T T T T T T T T
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
T T T T T T T T T T T T T
in care for the mentally ill?
T T T T T T
A) The widespread use of community-based services
T T T T T
B) The advancement in pharmacotherapies T T T
C) Increased access to hospitalization T T T
D) Improved rights for clients in long-term institutional care T T T T T T T
Ans: A
T T
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
T T T T T T T T T T
release of individuals from long-term stays in state institutions, the decrease in
T T T T T T T T T T T T
admissions to hospitals, and the development of community-based services as an
T T T T T T T T T T T
alternative to hospital care.
T T T T
Page 3 T
, 8. Which one of the following is a result of federal legislation?
T T T T T T T T T T
A) Making it easier to commit people for mental health treatment against their will.
T T T T T T T T T T T T
B) Making it more difficult to commit people for mental health treatment against
T T T T T T T T T T T
their will.
T T
C) State mental institutions being the primary source of care for mentally ill persons.
T T T T T T T T T T T T
D) Improved care for mentally ill persons. T T T T T
Ans: B
T T
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
T T T T T T T T T T T T
people for mental health treatment against their will. Deinstitutionalization
T T T T T T T T T
accomplished the release of individuals from long-term stays in state institutions.
T T T T T T T T T T T
Deinstitutionalization also had negative effects in that some mentally ill persons are
T T T T T T T T T T T T
subjected to the revolving door effect, which may limit care for mentally ill persons.
T T T T T T T T T T T T T T
9. The goal of the 1963 Community Mental Health Centers Act was to
T T T T T T T T T T T
A) ensure patients' rights for the mentally ill. T T T T T T
B) deinstitutionalize state hospitals. T T
C) provide funds to build hospitals with psychiatric units. T T T T T T T
D) treat people with mental illness in a humane fashion.
T T T T T T T T
Ans: B
T T
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
T T T T T T T T T T
treating those with mental illness in a less restrictive environment. This legislation
T T T T T T T T T T T T
resulted in the shift of clients with mental illness from large state institutions to care
T T T T T T T T T T T T T T T
based in the community. Answer choices A, C, and D were not purposes of the 1963
T T T T T T T T T T T T T T T T
Community Mental Health Centers Act.
T T T T T
10. The creation of asylums during the 1800s was meant to
T T T T T T T T T
A) improve treatment of mental disorders. T T T T
B) provide food and shelter for the mentally ill. T T T T T T T
C) punish people with mental illness who were believed to be possessed.
T T T T T T T T T T
D) remove dangerous people with mental illness from the community.
T T T T T T T T
Ans: B
T T
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
T T T T T T T T T T T T T T T
the mentally ill. Asylums were not used to improve treatment of mental disorders or to
T T T T T T T T T T T T T T T
punish mentally ill people who were believed to be possessed. The asylum was not
T T T T T T T T T T T T T T
created to remove the dangerously mentally ill from the community.
T T T T T T T T T T
Page 4 T
