Test Bank For Psychiatric Mental Health Nursing 9th Edition
Chapter 1 qr
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
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would the nurse identify as having a positive impact onth
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e individual's mental health?
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A) Not needing others for companionship qr qr qr qr
B) The ability to effectively manage stress qr qr qr qr qr
C) A family history of mental illness qr qr qr qr qr
D) Striving for total self- qr qr qr
reliance Ans: B qr q r
Feedback:
Individual factors influencing mental health include biolog
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ic makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find meanin
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g in life, emotional resilience or hardiness, sense of belong
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ing, reality orientation, and coping or stress management a
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bilities. Interpersonal factors such as intimacy and a balanc
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e of separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for companio
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nship. A family history of mental illnesscould relate to the biologic makeup of an indi
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vidual, which may have a negative impacton an individual's mental health, as well as a
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negative impact on an individual's interpersonal and socialñcultural factors of health. T
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otal self- qr
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. qr qr qr qr qr qr qr
C) Social/cultural factors that relate to mental illness include excessive dependency qr qr qr qr qr qr qr qr qr q
on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with qr qr qr qr qr qr qr qr qr qr qr q
daily life. r qr
E) Individuals suffering from mental illness may experience dissatisfaction with qr qr qr qr qr qr qr qr q
relationships and self.r qr qr
Ans: A, D, E qr qr qr
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illn
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ess may be related to individual, interpersonal, or social/cultural factors. Excessive de
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pendency on or withdrawal from relationships are interpersonal factors that relate to m
qr qr qr qr qr qr qr qr qr qr qr qr
ental illness. Individuals suffering from mental illness can feel overwhelmed with dail
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y life. Individuals suffering from mental illness may experience dissatisfaction with rela
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,tionships and self.
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,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 unacceptable qr qr qr qr qr qr qr qr qr qr qr qr
in other cultures. qr qr qr
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 behavior qr qr qr qr qr qr qr q
and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. qr qr qr qr qr qr qr q
Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
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see that as maladaptive, and inappropriate. Mental health and mental illness are difficul
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t to define precisely. In most cases, mental health is a state of emotional, psychological,
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and social wellness evidenced by satisfying interpersonal relationships, effective behav
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ior and coping, positive self-
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concept, and emotional stability. Persons who engage in fantasies may be mentally healt
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hy, but the inability to distinguish reality from fantasy is an individual factor that may c
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ontribute to mental illness. qr qr qr
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because 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 much
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pain.î r
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î qr
C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î r
D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B q r
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffe
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ctive coping, and lack of personal growth. Additionally the behavior must not be cultur
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ally expected. Acute grief reactions are expected and therefore not considered mental ill
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ness. False reassurance or overanalysis does not accurately address the client's concerns.
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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 assessment
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Ans: D qr
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 prognosti
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c 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 would be inappropriat
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e.
6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis qr qr qr
B) Treat clients qr
C) Evaluate treatments qr
D) Understand the reason for the admission and the nature of psychiatric illnesses.
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Ans: D qr
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a help
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ful resource to understand the reason for the admission and to begin building knowledg
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e about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, an
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d 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 shifts
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in care for the mentally ill?
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A) The widespread use of community-based services qr qr qr qr qr
B) The advancement in pharmacotherapies qr qr qr
C) Increased access to hospitalization qr qr qr
D) Improved rights for clients in long- qr qr qr qr qr
term institutional care Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the rel
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ease of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the develo
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pment of community-based services as an alternative to hospital care.
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Chapter 1 qr
1. The nurse is assessing the factors contributing to the well-
qr qr qr qr qr qr qr qr qr
being of a newly admitted client. Which of the following
qr qr qr qr qr qr qr qr qr qr
would the nurse identify as having a positive impact onth
qr qr qr qr qr qr qr qr qr qr
e individual's mental health?
qr qr qr
A) Not needing others for companionship qr qr qr qr
B) The ability to effectively manage stress qr qr qr qr qr
C) A family history of mental illness qr qr qr qr qr
D) Striving for total self- qr qr qr
reliance Ans: B qr q r
Feedback:
Individual factors influencing mental health include biolog
qr qr qr qr qr qr
ic makeup, autonomy, independence, self-
qr qr qr qr
esteem, capacity for growth, vitality, ability to find meanin
qr qr qr qr qr qr qr qr
g in life, emotional resilience or hardiness, sense of belong
qr qr qr qr qr qr qr qr qr
ing, reality orientation, and coping or stress management a
qr qr qr qr qr qr qr qr
bilities. Interpersonal factors such as intimacy and a balanc
qr qr qr qr qr qr qr qr
e of separateness and connectedness are both needed
qr qr qr qr qr qr qr
for good mental health, and therefore ahealthy person would need others for companio
qr qr qr qr qr qr qr qr qr qr qr qr
nship. A family history of mental illnesscould relate to the biologic makeup of an indi
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vidual, which may have a negative impacton an individual's mental health, as well as a
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negative impact on an individual's interpersonal and socialñcultural factors of health. T
r qr qr qr qr qr qr qr qr qr qr qr
otal self- qr
reliance is not possible, and a positive social/cultural factor is access to adequate reso
qr qr qr qr qr qr qr qr qr qr qr qr qr
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. qr qr qr qr qr qr qr
C) Social/cultural factors that relate to mental illness include excessive dependency qr qr qr qr qr qr qr qr qr q
on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with qr qr qr qr qr qr qr qr qr qr qr q
daily life. r qr
E) Individuals suffering from mental illness may experience dissatisfaction with qr qr qr qr qr qr qr qr q
relationships and self.r qr qr
Ans: A, D, E qr qr qr
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illn
qr qr qr qr qr qr qr qr qr qr qr
ess may be related to individual, interpersonal, or social/cultural factors. Excessive de
qr qr qr qr qr qr qr qr qr qr qr
pendency on or withdrawal from relationships are interpersonal factors that relate to m
qr qr qr qr qr qr qr qr qr qr qr qr
ental illness. Individuals suffering from mental illness can feel overwhelmed with dail
qr qr qr qr qr qr qr qr qr qr qr
y life. Individuals suffering from mental illness may experience dissatisfaction with rela
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,tionships and self.
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,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 unacceptable qr qr qr qr qr qr qr qr qr qr qr qr
in other cultures. qr qr qr
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
qr qr qr qr qr qr qr qr qr qr qr qr qr
wellness evidenced by satisfying interpersonal relationships, effective behavior qr qr qr qr qr qr qr q
and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. qr qr qr qr qr qr qr q
Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
qr qr qr qr qr qr qr qr qr qr qr qr q
see that as maladaptive, and inappropriate. Mental health and mental illness are difficul
r qr qr qr qr qr qr qr qr qr qr qr qr
t to define precisely. In most cases, mental health is a state of emotional, psychological,
qr qr qr qr qr qr qr qr qr qr qr qr qr qr
and social wellness evidenced by satisfying interpersonal relationships, effective behav
qr qr qr qr qr qr qr qr qr qr
ior and coping, positive self-
qr qr qr qr
concept, and emotional stability. Persons who engage in fantasies may be mentally healt
qr qr qr qr qr qr qr qr qr qr qr qr
hy, but the inability to distinguish reality from fantasy is an individual factor that may c
qr qr qr qr qr qr qr qr qr qr qr qr qr qr qr
ontribute to mental illness. qr qr qr
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
qr qr qr qr qr qr qr qr qr qr qr
A) ìYou may have a temporary mental illness because you are experiencing so much
qr qr qr qr qr qr qr qr qr qr qr qr q
pain.î r
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î qr
C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î r
D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B q r
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffe
qr qr qr qr qr qr qr qr qr
ctive coping, and lack of personal growth. Additionally the behavior must not be cultur
qr qr qr qr qr qr qr qr qr qr qr qr qr
ally expected. Acute grief reactions are expected and therefore not considered mental ill
qr qr qr qr qr qr qr qr qr qr qr qr
ness. False reassurance or overanalysis does not accurately address the client's concerns.
qr qr qr qr qr qr qr qr qr qr qr
, 5. The nurse consults the DSM for which of the following purposes?
qr qr qr qr qr qr qr qr qr qr q r
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 assessment
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Ans: D qr
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ident
qr qr qr qr qr qr qr qr qr
ifies underlying causes of mental disorders. It does not provide care plans or prognosti
qr qr qr qr qr qr qr qr qr qr qr qr qr
c outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's
qr qr qr qr qr qr qr qr qr qr qr qr qr qr
scope of practice, so documenting the code in the medical record would be inappropriat
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e.
6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis qr qr qr
B) Treat clients qr
C) Evaluate treatments qr
D) Understand the reason for the admission and the nature of psychiatric illnesses.
qr qr qr qr qr qr qr qr qr qr qr qr q r
Ans: D qr
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a help
qr qr qr qr qr qr qr qr qr qr qr qr qr qr qr qr
ful resource to understand the reason for the admission and to begin building knowledg
qr qr qr qr qr qr qr qr qr qr qr qr qr
e about the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, an
qr qr qr qr qr qr qr qr qr qr qr qr
d evaluating treatments are not a part of the nursing process.
qr qr qr qr qr qr qr qr qr qr
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
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in care for the mentally ill?
qr qr qr qr qr qr
A) The widespread use of community-based services qr qr qr qr qr
B) The advancement in pharmacotherapies qr qr qr
C) Increased access to hospitalization qr qr qr
D) Improved rights for clients in long- qr qr qr qr qr
term institutional care Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the rel
qr qr qr qr qr qr qr qr qr qr qr
ease of individuals from long-
qr qr qr qr
term stays in state institutions, the decrease in admissions to hospitals, and the develo
qr qr qr qr qr qr qr qr qr qr qr qr qr
pment of community-based services as an alternative to hospital care.
qr qr qr qr qr qr qr qr qr
