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