Psychiatric-Mental Health Nursing, 9th Edition – Videbeck Test Bank

Test Bank For Psychiatric Mental Health Nursing 9th Edition


Chapter 1 vl


1. The nurse is assessing the factors contributing to the well-
vl vl vl vl vl vl vl vl vl


being of a newly admitted client. Which of the following
vl vl vl vl vl vl vl vl vl vl v


would the nurse identify as having a positive impact onthe
l vl vl vl vl vl vl vl vl vl v


individual's mental health?
l vl vl


A) Not needing others for companionship vl vl vl vl


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


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


D) Striving for total self- vl vl vl


reliance Ans: B vl v l


Feedback:
Individual factors influencing mental health include biologi vl vl vl vl vl vl


c makeup, autonomy, independence, self-
vl vl vl vl


esteem, capacity for growth, vitality, ability to find meanin
vl vl vl vl vl vl vl vl


g in life, emotional resilience or hardiness, sense of belongi
vl vl vl vl vl vl vl vl vl


ng, reality orientation, and coping or stress management ab
vl vl vl vl vl vl vl vl


ilities. Interpersonal factors such as intimacy and a balance
vl vl vl vl vl vl vl vl vl


of separateness and connectedness are both needed
vl vl vl vl vl vl


for good mental health, and therefore ahealthy person would need others for companio
vl vl vl vl vl vl vl vl vl vl vl vl


nship. A family history of mental illnesscould relate to the biologic makeup of an indiv
vl vl vl vl vl vl vl vl vl vl vl vl vl vl


idual, which may have a negative impacton an individual's mental health, as well as a n
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


egative impact on an individual's interpersonal and socialñcultural factors of health. Tot
vl vl vl vl vl vl vl vl vl vl vl


al self- vl


reliance is not possible, and a positive social/cultural factor is access to adequate resou
vl vl vl vl vl vl vl vl vl vl vl vl vl


rces.


2. Which of the following statements about mental illness are true? Select all that apply.
vl vl vl vl vl vl vl vl vl vl vl vl vl


A) Mental illness can cause significant distress, impaired functioning, or both. vl vl vl vl vl vl vl vl vl


B) Mental illness is only due to social/cultural factors. vl vl vl vl vl vl vl


C) Social/cultural factors that relate to mental illness include excessive dependency vl vl vl vl vl vl vl vl vl vl


on or withdrawal from relationships. vl vl vl vl


D) Individuals suffering from mental illness are usually able to cope effectively with vl vl vl vl vl vl vl vl vl vl vl vl


daily life. vl


E) Individuals suffering from mental illness may experience dissatisfaction with vl vl vl vl vl vl vl vl vl


relationships and self. vl vl


Ans: A, D, E vl vl vl


Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illn
vl vl vl vl vl vl vl vl vl vl vl


ess may be related to individual, interpersonal, or social/cultural factors. Excessive dep
vl vl vl vl vl vl vl vl vl vl vl


endency on or withdrawal from relationships are interpersonal factors that relate to me
vl vl vl vl vl vl vl vl vl vl vl vl


ntal illness. Individuals suffering from mental illness can feel overwhelmed with daily
vl vl vl vl vl vl vl vl vl vl vl vl


life. Individuals suffering from mental illness may experience dissatisfaction with relati
vl vl vl vl vl vl vl vl vl vl


onships and self. vl vl

,3. Which of the following are true regarding mental health and mental illness?
vl vl vl vl vl vl vl vl vl vl vl


A) Behavior that may be viewed as acceptable in one culture is always unacceptable vl vl vl vl vl vl vl vl vl vl vl vl vl


in other cultures. vl vl


B) It is easy to determine if a person is mentally healthy or mentally ill.
vl vl vl vl vl vl vl vl vl vl vl vl vl


C) In most cases, mental health is a state of emotional, psychological, and social
vl vl vl vl vl vl vl vl vl vl vl vl vl


wellness evidenced by satisfying interpersonal relationships, effective behavior
vl vl vl vl vl vl vl vl


and coping, positive self-concept, and emotional stability.
vl vl vl vl vl vl


D) Persons who engage in fantasies are mentally ill. vl vl vl vl vl vl vl vl


Ans: C v l


Feedback:
What one society may view as acceptable and appropriate behavior, another society may
vl vl vl vl vl vl vl vl vl vl vl vl vl


see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
vl vl vl vl vl vl vl vl vl vl vl vl v


to define precisely. In most cases, mental health is a state of emotional, psychological, a
l vl vl vl vl vl vl vl vl vl vl vl vl vl vl


nd social wellness evidenced by satisfying interpersonal relationships, effective behavio
vl vl vl vl vl vl vl vl vl


r and coping, positive self-
vl vl vl vl


concept, and emotional stability. Persons who engage in fantasies may be mentally healt
vl vl vl vl vl vl vl vl vl vl vl vl


hy, but the inability to distinguish reality from fantasy is an individual factor that may c
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


ontribute to mental illness. vl vl vl




4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


because she is so sad. The nurse's best response would be,
vl vl vl vl vl vl vl vl vl vl


A) ìYou may have a temporary mental illness because you are experiencing so much
vl vl vl vl vl vl vl vl vl vl vl vl vl


pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
vl vl vl vl vl vl vl vl vl vl


death?î
D) ìTry not to worry about that right now. You never know what the future brings.î
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


Ans: B v l


Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffe
vl vl vl vl vl vl vl vl vl


ctive coping, and lack of personal growth. Additionally the behavior must not be cultura
vl vl vl vl vl vl vl vl vl vl vl vl vl


lly expected. Acute grief reactions are expected and therefore not considered mental illn
vl vl vl vl vl vl vl vl vl vl vl vl


ess. False reassurance or overanalysis does not accurately address the client's concerns.
vl vl vl vl vl vl vl vl vl vl vl

,5. The nurse consults the DSM for which of the following purposes?
vl vl vl vl vl vl vl vl vl vl v l


A) To devise a plan of care for a newly admitted client
vl vl vl vl vl vl vl vl vl vl


B) To predict the client's prognosis of treatment outcomes
vl vl vl vl vl vl vl


C) To document the appropriate diagnostic code in the client's medical record
vl vl vl vl vl vl vl vl vl vl


D) To serve as a guide for client assessment
vl vl vl vl vl vl vl vl v l


Ans: D vl


Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identi
vl vl vl vl vl vl vl vl vl


fies underlying causes of mental disorders. It does not provide care plans or prognostic
vl vl vl vl vl vl vl vl vl vl vl vl vl


outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's sc
vl vl vl vl vl vl vl vl vl vl vl vl vl vl


ope of practice, so documenting the code in the medical record would be inappropriate.
vl vl vl vl vl vl vl vl vl vl vl vl vl




6. Which would be a reason for a student nurse to use the DSM?
vl vl vl vl vl vl vl vl vl vl vl vl v l


A) Identifying the medical diagnosis vl vl vl


B) Treat clients vl


C) Evaluate treatments vl


D) Understand the reason for the admission and the nature of psychiatric illnesses.
vl vl vl vl vl vl vl vl vl vl vl vl v l


Ans: D vl


Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a help
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


ful resource to understand the reason for the admission and to begin building knowledge
vl vl vl vl vl vl vl vl vl vl vl vl vl


about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and
vl vl vl vl vl vl vl vl vl vl vl vl vl


evaluating treatments are not a part of the nursing process.
vl vl vl vl vl vl vl vl vl




7. The legislation enacted in 1963 was largely responsible for which of the following shifts
vl vl vl vl vl vl vl vl vl vl vl vl vl vl


in care for the mentally ill?
vl vl vl vl vl


A) The widespread use of community-based services vl vl vl vl vl


B) The advancement in pharmacotherapies vl vl vl


C) Increased access to hospitalization vl vl vl


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


term institutional care Ans: A
vl vl vl v l


Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the rel
vl vl vl vl vl vl vl vl vl vl vl


ease of individuals from long-
vl vl vl vl


term stays in state institutions, the decrease in admissions to hospitals, and the develop
vl vl vl vl vl vl vl vl vl vl vl vl vl


ment of community-based services as an alternative to hospital care.
vl vl vl vl vl vl vl vl vl

, 8. Which one of the following is a result of federal legislation?
vl vl vl vl vl vl vl vl vl vl


A) Making it easier to commit people for mental health treatment against their will.
vl vl vl vl vl vl vl vl vl vl vl vl


B) Making it more difficult to commit people for mental health treatment against
vl vl vl vl vl vl vl vl vl vl vl vl


their will. vl


C) State mental institutions being the primary source of care for mentally ill persons.
vl vl vl vl vl vl vl vl vl vl vl vl


D) Improved care for mentally ill persons. vl vl vl vl vl vl


Ans: B v l


Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit peo
vl vl vl vl vl vl vl vl vl vl vl vl vl


ple for mental health treatment against their will. Deinstitutionalization accomplished t
vl vl vl vl vl vl vl vl vl vl


he release of individuals from long-
vl vl vl vl vl


term stays in state institutions. Deinstitutionalization also had negative effects in that s
vl vl vl vl vl vl vl vl vl vl vl vl


ome mentally ill persons are subjected to the revolving door effect, which may limit car
vl vl vl vl vl vl vl vl vl vl vl vl vl vl


e for mentally ill persons.
vl vl vl vl




9. The goal of the 1963 Community Mental Health Centers Act was to
vl vl vl vl vl vl vl vl vl vl vl


A) ensure patients' rights for the mentally ill. vl vl vl vl vl vl


B) deinstitutionalize state hospitals. vl vl


C) provide funds to build hospitals with psychiatric units. vl vl vl vl vl vl vl


D) treat people with mental illness in a humane fashion.
vl vl vl vl vl vl vl vl vl


Ans: B v l


Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward treat
vl vl vl vl vl vl vl vl vl vl vl


ing those with mental illness in a less restrictive environment. This legislation resulted
vl vl vl vl vl vl vl vl vl vl vl vl vl


in the shift of clients with mental illness from large state institutions to care based in th
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


e community. Answer choices A, C, and D were not purposes of the 1963 Community
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


Mental Health Centers Act. vl vl vl




10. The creation of asylums during the 1800s was meant to
vl vl vl vl vl vl vl vl vl


A) improve treatment of mental disorders. vl vl vl vl


B) provide food and shelter for the mentally ill. vl vl vl vl vl vl vl


C) punish people with mental illness who were believed to be possessed.
vl vl vl vl vl vl vl vl vl vl


D) remove dangerous people with mental illness from the community.
vl vl vl vl vl vl vl vl vl


Ans: B v l


Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for th
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


e mentally ill. Asylums were not used to improve treatment of mental disorders or to pun
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


ish mentally ill people who were believed to be possessed. The asylum was not created t
vl vl vl vl vl vl vl vl vl vl vl vl vl vl vl


o remove the dangerously mentally ill from the community.
vl vl vl vl vl vl vl vl