lOMoAR th th
cPSD| 11
700591
TEST BANK FOR t h th
Psychiatric–
Mental Health Nursing 9th Edition by Sheila L. Videbeck th th th th th th th th
All Chapters (1-24) th th
Table Of Contents th th
UNIT 1 Current Theories and Practicet h t h t h t h t h
Chapter 1. Foundations of Psychiatric– t h t h t h t h
Mental Health Nursing Chapter 2. Neurobiologic Theories and
t h t h th t h t h t h t h t
hPsychopharmacology Chapter 3. Psychosocial Theories and Th th t h t h t h t h t h
erapy
Chapter 4. Treatment Settings and Therapeutic Program
t h t h t h t h t h t h
s UNIT 2 Building the Nurse–
th t h t h t h t h
Client Relationship Chapter 5. Therapeutic Relationsh
t h t h t h t h t h
ips
Chapter 6. Therapeutic Communication C th th th th
hapter 7. Client’s Response to Illness Chap
th th th th th th
ter 8. Assessment
th th
UNIT 3 Current Social and Emotional Concerns
t h t h t h t h t h t h
Chapter 9. Legal and Ethical Issues Chapt th th th th th t h
er 10. Grief and Loss
th th th th
Chapter 11. Anger, Hostility, and Aggression
th th th th th t h
Chapter 12. Abuse and Violence t h t h t h t h
UNIT 4 Nursing Practice for Psychiatric Disorders
t h t h t h t h t h t h th
Chapter 13. Trauma and Stressor- t h t h t h t h
Related Disorders Chapter 14. Anxiety and Anxiety Dis
t h th t h t h t h t h t h
orders
Chapter 15. Obsessive– t h t h
Compulsive and Related Disorders Chapter 16. Schizophrenia t h t h t h th th th
Chapter 17. Mood Disorders and Suicide th th th th th t
h Chapter 18. Personality Disorders C t h t h t h t h
hapter 19. Addiction th th
Chapter 20. Eating Disorders t h t h t h
Chapter 21. Somatic Symptom Illnesses Chap th th th th t h
ter 22. Neurodevelopmental Disorders Chapte
th th th t h
r 23. Disruptive Behavior Disorders Chapter
th th th th t h t h
24. Cognitive Disorders
t h t h
Chapter 1 th
1. The nurse is assessing the factors contributing to the well-
th th th th th th th th th
being of a newly admitted client. Which of the following would the nurse identify as hav
th th th th th th th th th th th th th th th
ing a positive impact on the individual's mental health?
th th th th th th th th
A) Not needing others for companionship th th th th
B) The ability to effectively manage stress th th th th th
C) A family history of mental illness th th th th th
D) Striving for total self- th th th
reliance Ans: B th th
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independ th th th th th th th th th
ence, self- th
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or
th th th th th th th th th th th th th th
hardiness, sense of belonging, reality orientation, and coping or stress management abilities
th th th th th th th th th th th
, lOMoAR th thcPSD| 11
700591
. Interpersonal factors such as intimacy and a balance of separateness and connectedness are
th th th th th th th th th th th th th th
both needed for good mental health, and therefore a
th th th th th th th th
, lOMoAR th th
cPSD| 11
700591
healthy person would need others for companionship. A family history of mental illness c
th th th th th th th th th th th th th
ould relate to the biologic makeup of an individual, which may have a negative impact on
th th th th th th th th th th th th th th th th
an individual's mental health, as well as a negative impact on an individual's interpersona
th th th th th th th th th th th th th
l and socialñcultural factors of health. Total self-
th th th th th th th
reliance is not possible, and a positive social/cultural factor is access to adequate resource
th th th th th th th th th th th th th
s.
2. Which of the following statements about mental illness are true? Select all that apply.
th th th th th th th th th th th th th
A) Mental illness can cause significant distress, impaired functioning, or both. th th th th th th th th th
B) Mental illness is only due to social/cultural factors. th th th th th th th
C) Social/cultural factors that relate to mental illness include excessive dependency o th th th th th th th th th th
n or withdrawal from relationships. th th th th
D) Individuals suffering from mental illness are usually able to cope effectively with d th th th th th th th th th th th th
aily life. th
E) Individuals suffering from mental illness may experience dissatisfaction with r th th th th th th th th th
elationships and self. th th
Ans: A, D, E th th th
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illnes
th th th th th th th th th th th
s may be related to individual, interpersonal, or social/cultural factors. Excessive depend
th th th th th th th th th th th
ency on or withdrawal from relationships are interpersonal factors that relate to mental ill
th th th th th th th th th th th th th
ness. Individuals suffering from mental illness can feel overwhelmed with daily life. Indi
th th th th th th th th th th th th
viduals suffering from mental illness may experience dissatisfaction with relationships an
th th th th th th th th th th
d self.
th
3. Which of the following are true regarding mental health and mental illness?
th th th th th th th th th th th
A) Behavior that may be viewed as acceptable in one culture is always unacceptable in th th th th th th th th th th th th th
other cultures. th th
B) It is easy to determine if a person is mentally healthy or mentally ill.
th th th th th th th th th th th th th
C) In most cases, mental health is a state of emotional, psychological, and social we
th th th th th th th th th th th th th
llness evidenced by satisfying interpersonal relationships, effective behavior and
th th th th th th th th th
coping, positive self-concept, and emotional stability. th th th th th
D) Persons who engage in fantasies are mentally ill. th th th th th th th th
Ans: C th
Feedback:
What one society may view as acceptable and appropriate behavior, another society may s
th th th th th th th th th th th th th
ee that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
th th th th th th th th th th th th th th
define precisely. In most cases, mental health is a state of emotional, psychological, and s
th th th th th th th th th th th th th th
ocial wellness evidenced by satisfying interpersonal relationships, effective behavior and
th th th th th th th th th th
coping, positive self- th th
concept, and emotional stability. Persons who engage in fantasies may be mentally health
th th th th th th th th th th th th
y, but the inability to distinguish reality from fantasy is an individual factor that may contr
th th th th th th th th th th th th th th th
ibute to mental illness. th th th
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill be
th th th th th th th th th th th th th th th th
cause she is so sad. The nurse's best response would be,
th th th th th th th th th th
A) ìYou may have a temporary mental illness because you are experiencing so much p th th th th th th th th th th th th th
ain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have e th th th th th th th th th th th th th th th
xperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's d th th th th th th th th th th
eath?î
D) ìTry not to worry about that right now. You never know what the future brings.î A
th th th th th th th th th th th th th th th
ns: B th
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffectiv
th th th th th th th th th
e coping, and lack of personal growth. Additionally the behavior must not be
th th th th th th th th th th th th
, lOMoAR th th
cPSD| 11
700591
culturally expected. Acute grief reactions are expected and therefore not considered ment
th th th th th th th th th th th
al illness. False reassurance or overanalysis does not accurately address the client's concer
th th th th th th th th th th th th
ns.
5. The nurse consults the DSM for which of the following purposes?
th th th th th th th th th th
A) To devise a plan of care for a newly admitted client
th th th th th th th th th th
B) To predict the client's prognosis of treatment outcomes
th th th th th th th
C) To document the appropriate diagnostic code in the client's medical record
th th th th th th th th th th
D) To serve as a guide for client assessment th th th th th th th th
Ans: D th
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifi
th th th th th th th th th
es underlying causes of mental disorders. It does not provide care plans or prognostic out
th th th th th th th th th th th th th th
comes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of
th th th th th th th th th th th th th th th
practice, so documenting the code in the medical record would be inappropriate.
th th th th th th th th th th th
6. Which would be a reason for a student nurse to use the DSM?
th th th th th th th th th th th th
A) Identifying the medical diagnosis th th th
B) Treat clients th
C) Evaluate treatments th
D) Understand the reason for the admission and the nature of psychiatric illnesses. A th th th th th th th th th th th th
ns: D th
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpfu
th th th th th th th th th th th th th th th th
l resource to understand the reason for the admission and to begin building knowledge ab
th th th th th th th th th th th th th th
out the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and eval
th th th th th th th th th th th th
uating treatments are not a part of the nursing process.
th th th th th th th th th
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
th th th th th th th th th th th th th th t
care for the mentally ill?
h th th th th
A) The widespread use of community-based services th th th th th
B) The advancement in pharmacotherapies th th th
C) Increased access to hospitalization th th th
D) Improved rights for clients in long- th th th th th
term institutional care Ans: A
th th th th
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the releas
th th th th th th th th th th th
e of individuals from long-
th th th th
term stays in state institutions, the decrease in admissions to hospitals, and the developme
th th th th th th th th th th th th th
nt of community-based services as an alternative to hospital care.
th th th th th th th th th
8. Which one of the following is a result of federal legislation?
th th th th th th th th th th
A) Making it easier to commit people for mental health treatment against their will.
th th th th th th th th th th th th
B) Making it more difficult to commit people for mental health treatment against thth th th th th th th th th th th th
eir will. th
C) State mental institutions being the primary source of care for mentally ill persons.
th th th th th th th th th th th th
D) Improved care for mentally ill persons. th th th th th th
Ans: B th
Feedback:
cPSD| 11
700591
TEST BANK FOR t h th
Psychiatric–
Mental Health Nursing 9th Edition by Sheila L. Videbeck th th th th th th th th
All Chapters (1-24) th th
Table Of Contents th th
UNIT 1 Current Theories and Practicet h t h t h t h t h
Chapter 1. Foundations of Psychiatric– t h t h t h t h
Mental Health Nursing Chapter 2. Neurobiologic Theories and
t h t h th t h t h t h t h t
hPsychopharmacology Chapter 3. Psychosocial Theories and Th th t h t h t h t h t h
erapy
Chapter 4. Treatment Settings and Therapeutic Program
t h t h t h t h t h t h
s UNIT 2 Building the Nurse–
th t h t h t h t h
Client Relationship Chapter 5. Therapeutic Relationsh
t h t h t h t h t h
ips
Chapter 6. Therapeutic Communication C th th th th
hapter 7. Client’s Response to Illness Chap
th th th th th th
ter 8. Assessment
th th
UNIT 3 Current Social and Emotional Concerns
t h t h t h t h t h t h
Chapter 9. Legal and Ethical Issues Chapt th th th th th t h
er 10. Grief and Loss
th th th th
Chapter 11. Anger, Hostility, and Aggression
th th th th th t h
Chapter 12. Abuse and Violence t h t h t h t h
UNIT 4 Nursing Practice for Psychiatric Disorders
t h t h t h t h t h t h th
Chapter 13. Trauma and Stressor- t h t h t h t h
Related Disorders Chapter 14. Anxiety and Anxiety Dis
t h th t h t h t h t h t h
orders
Chapter 15. Obsessive– t h t h
Compulsive and Related Disorders Chapter 16. Schizophrenia t h t h t h th th th
Chapter 17. Mood Disorders and Suicide th th th th th t
h Chapter 18. Personality Disorders C t h t h t h t h
hapter 19. Addiction th th
Chapter 20. Eating Disorders t h t h t h
Chapter 21. Somatic Symptom Illnesses Chap th th th th t h
ter 22. Neurodevelopmental Disorders Chapte
th th th t h
r 23. Disruptive Behavior Disorders Chapter
th th th th t h t h
24. Cognitive Disorders
t h t h
Chapter 1 th
1. The nurse is assessing the factors contributing to the well-
th th th th th th th th th
being of a newly admitted client. Which of the following would the nurse identify as hav
th th th th th th th th th th th th th th th
ing a positive impact on the individual's mental health?
th th th th th th th th
A) Not needing others for companionship th th th th
B) The ability to effectively manage stress th th th th th
C) A family history of mental illness th th th th th
D) Striving for total self- th th th
reliance Ans: B th th
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independ th th th th th th th th th
ence, self- th
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or
th th th th th th th th th th th th th th
hardiness, sense of belonging, reality orientation, and coping or stress management abilities
th th th th th th th th th th th
, lOMoAR th thcPSD| 11
700591
. Interpersonal factors such as intimacy and a balance of separateness and connectedness are
th th th th th th th th th th th th th th
both needed for good mental health, and therefore a
th th th th th th th th
, lOMoAR th th
cPSD| 11
700591
healthy person would need others for companionship. A family history of mental illness c
th th th th th th th th th th th th th
ould relate to the biologic makeup of an individual, which may have a negative impact on
th th th th th th th th th th th th th th th th
an individual's mental health, as well as a negative impact on an individual's interpersona
th th th th th th th th th th th th th
l and socialñcultural factors of health. Total self-
th th th th th th th
reliance is not possible, and a positive social/cultural factor is access to adequate resource
th th th th th th th th th th th th th
s.
2. Which of the following statements about mental illness are true? Select all that apply.
th th th th th th th th th th th th th
A) Mental illness can cause significant distress, impaired functioning, or both. th th th th th th th th th
B) Mental illness is only due to social/cultural factors. th th th th th th th
C) Social/cultural factors that relate to mental illness include excessive dependency o th th th th th th th th th th
n or withdrawal from relationships. th th th th
D) Individuals suffering from mental illness are usually able to cope effectively with d th th th th th th th th th th th th
aily life. th
E) Individuals suffering from mental illness may experience dissatisfaction with r th th th th th th th th th
elationships and self. th th
Ans: A, D, E th th th
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illnes
th th th th th th th th th th th
s may be related to individual, interpersonal, or social/cultural factors. Excessive depend
th th th th th th th th th th th
ency on or withdrawal from relationships are interpersonal factors that relate to mental ill
th th th th th th th th th th th th th
ness. Individuals suffering from mental illness can feel overwhelmed with daily life. Indi
th th th th th th th th th th th th
viduals suffering from mental illness may experience dissatisfaction with relationships an
th th th th th th th th th th
d self.
th
3. Which of the following are true regarding mental health and mental illness?
th th th th th th th th th th th
A) Behavior that may be viewed as acceptable in one culture is always unacceptable in th th th th th th th th th th th th th
other cultures. th th
B) It is easy to determine if a person is mentally healthy or mentally ill.
th th th th th th th th th th th th th
C) In most cases, mental health is a state of emotional, psychological, and social we
th th th th th th th th th th th th th
llness evidenced by satisfying interpersonal relationships, effective behavior and
th th th th th th th th th
coping, positive self-concept, and emotional stability. th th th th th
D) Persons who engage in fantasies are mentally ill. th th th th th th th th
Ans: C th
Feedback:
What one society may view as acceptable and appropriate behavior, another society may s
th th th th th th th th th th th th th
ee that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
th th th th th th th th th th th th th th
define precisely. In most cases, mental health is a state of emotional, psychological, and s
th th th th th th th th th th th th th th
ocial wellness evidenced by satisfying interpersonal relationships, effective behavior and
th th th th th th th th th th
coping, positive self- th th
concept, and emotional stability. Persons who engage in fantasies may be mentally health
th th th th th th th th th th th th
y, but the inability to distinguish reality from fantasy is an individual factor that may contr
th th th th th th th th th th th th th th th
ibute to mental illness. th th th
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill be
th th th th th th th th th th th th th th th th
cause she is so sad. The nurse's best response would be,
th th th th th th th th th th
A) ìYou may have a temporary mental illness because you are experiencing so much p th th th th th th th th th th th th th
ain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have e th th th th th th th th th th th th th th th
xperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's d th th th th th th th th th th
eath?î
D) ìTry not to worry about that right now. You never know what the future brings.î A
th th th th th th th th th th th th th th th
ns: B th
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffectiv
th th th th th th th th th
e coping, and lack of personal growth. Additionally the behavior must not be
th th th th th th th th th th th th
, lOMoAR th th
cPSD| 11
700591
culturally expected. Acute grief reactions are expected and therefore not considered ment
th th th th th th th th th th th
al illness. False reassurance or overanalysis does not accurately address the client's concer
th th th th th th th th th th th th
ns.
5. The nurse consults the DSM for which of the following purposes?
th th th th th th th th th th
A) To devise a plan of care for a newly admitted client
th th th th th th th th th th
B) To predict the client's prognosis of treatment outcomes
th th th th th th th
C) To document the appropriate diagnostic code in the client's medical record
th th th th th th th th th th
D) To serve as a guide for client assessment th th th th th th th th
Ans: D th
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifi
th th th th th th th th th
es underlying causes of mental disorders. It does not provide care plans or prognostic out
th th th th th th th th th th th th th th
comes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of
th th th th th th th th th th th th th th th
practice, so documenting the code in the medical record would be inappropriate.
th th th th th th th th th th th
6. Which would be a reason for a student nurse to use the DSM?
th th th th th th th th th th th th
A) Identifying the medical diagnosis th th th
B) Treat clients th
C) Evaluate treatments th
D) Understand the reason for the admission and the nature of psychiatric illnesses. A th th th th th th th th th th th th
ns: D th
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpfu
th th th th th th th th th th th th th th th th
l resource to understand the reason for the admission and to begin building knowledge ab
th th th th th th th th th th th th th th
out the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and eval
th th th th th th th th th th th th
uating treatments are not a part of the nursing process.
th th th th th th th th th
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
th th th th th th th th th th th th th th t
care for the mentally ill?
h th th th th
A) The widespread use of community-based services th th th th th
B) The advancement in pharmacotherapies th th th
C) Increased access to hospitalization th th th
D) Improved rights for clients in long- th th th th th
term institutional care Ans: A
th th th th
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the releas
th th th th th th th th th th th
e of individuals from long-
th th th th
term stays in state institutions, the decrease in admissions to hospitals, and the developme
th th th th th th th th th th th th th
nt of community-based services as an alternative to hospital care.
th th th th th th th th th
8. Which one of the following is a result of federal legislation?
th th th th th th th th th th
A) Making it easier to commit people for mental health treatment against their will.
th th th th th th th th th th th th
B) Making it more difficult to commit people for mental health treatment against thth th th th th th th th th th th th
eir will. th
C) State mental institutions being the primary source of care for mentally ill persons.
th th th th th th th th th th th th
D) Improved care for mentally ill persons. th th th th th th
Ans: B th
Feedback:
