Test Bank - Psychiatric Mental Health Nursing, 9th Edition (Sheila L. Videbeck, 2024) Chapters 1-24 | All Chapters | LATEST

Test Bank For Psychiatric Mental Health Nursing 9th Edition


Chapter 1 xn


1. The nurse is assessing the factors contributing to the wel
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l-
being of a newly admitted client. Which of the followi
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ng would the nurse identify as having a positive impact o
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nthe individual's mental health?
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A) Not needing others for companionship xn xn xn xn


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


C) A family history of mental illness
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D) Striving for total self- xn xn xn


reliance Ans: B xn x n


Feedback:
Individual factors influencing mental health include biolo
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gic makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find meani
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ng in life, emotional resilience or hardiness, sense of belo
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nging, reality orientation, and coping or stress manageme
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nt abilities. Interpersonal factors such as intimacy and a b
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alance of separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for compan
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ionship. A family history of mental illnesscould relate to the biologic makeup of an
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individual, which may have a negative impacton an individual's mental health, as wel
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l as a negative impact on an individual's interpersonal and socialñcultural factors of h
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ealth. Total self- xn xn


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


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. xn xn xn xn xn xn xn


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


y on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively wit xn xn xn xn xn xn xn xn xn xn xn


h daily life. xn xn


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


h relationships and self. xn xn xn


Ans: A, D, E xn xn xn


Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
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lness may be related to individual, interpersonal, or social/cultural factors. Excessive
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ndependency on or withdrawal from relationships are interpersonal factors that relate
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to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
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h daily life. Individuals suffering from mental illness may experience dissatisfaction
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with relationships 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 unacceptab
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le in other cultures. xn xn xn


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 socia
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l wellness evidenced by satisfying interpersonal relationships, effective behavi
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or and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill xn xn xn xn xn xn xn


. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
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y see 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, psycholo
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gical, and social wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-
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concept, and emotional stability. Persons who engage in fantasies may be mentally he
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althy, but the inability to distinguish reality from fantasy is an individual factor that
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may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally
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ill 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 muc
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h pain.î xn


B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
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ve experienced.î xn


C) ìWere you generally dissatisfied with your relationship before your husband'
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s death?î xn


D) ìTry not to worry about that right now. You never know what the future brings
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.î Ans: B
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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 cul
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turally 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's con
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cerns.

,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 xn


Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ide
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ntifies underlying causes of mental disorders. It does not provide care plans or progn
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ostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
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RN's scope of practice, so documenting the code in the medical record would be inap
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propriate.


6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis xn xn xn


B) Treat clients xn


C) Evaluate treatments xn


D) Understand the reason for the admission and the nature of psychiatric illnesses.
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Ans: D xn


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, trea
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ting, 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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ts in 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
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C) Increased access to hospitalization xn xn xn


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


term institutional care Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
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elease of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the devel
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opment of community-based services as an alternative to hospital care.
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, 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.
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B) Making it more difficult to commit people for mental health treatment again
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st their will. xn xn


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


. Ans: B
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Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit p
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eople for mental health treatment against their will. Deinstitutionalization accomplish
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ed the release of individuals from long-
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term stays in state institutions. Deinstitutionalization also had negative effects in that
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some mentally ill persons are subjected to the revolving door effect, which may limi
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t care for mentally ill persons.
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9. The goal of the 1963 Community Mental Health Centers Act was to
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A) ensure patients' rights for the mentally ill. xn xn xn xn xn xn


B) deinstitutionalize state hospitals. xn xn


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


D) treat people with mental illness in a humane fashio
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n. Ans: B
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Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward tr
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eating those with mental illness in a less restrictive environment. This legislation res
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ulted in the shift of clients with mental illness from large state institutions to care ba
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sed in the community. Answer choices A, C, and D were not purposes of the 1963 Co
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mmunity Mental Health Centers Act. xn xn xn xn




10. The creation of asylums during the 1800s was meant to
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A) improve treatment of mental disorders. xn xn xn xn


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


C) punish people with mental illness who were believed to be possessed.
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D) remove dangerous people with mental illness from the community xn xn xn xn xn xn xn xn


. Ans: B
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Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
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the mentally ill. Asylums were not used to improve treatment of mental disorders or t
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o punish mentally ill people who were believed to be possessed. The asylum was not
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created to remove the dangerously mentally ill from the community.
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