Test Bank - Psychiatric-Mental Health Nursing 8th Edition by Sheila L. Videbeck

Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank hh hh hh hh hh hh hh hh




Psychiatric-MentalvHealthvNursingv8th
edition
Chapter 1 hh



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
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a positive impact onthe individual's mental health?
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A) Not needing others for companionship hh hh hh hh



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



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



relianceAns: B hh



Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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independence, self-esteem, capacity for growth, vitality, ability to find meaning
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in life, emotional resilience or hardiness, sense of belonging, reality orientation, and
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coping or stress management abilities. Interpersonal factors such as intimacy and a
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balance of separateness and connectedness are both needed for good mental health,
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and therefore ahealthy person would need others for companionship. A family
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history of mental illnesscould relate to the biologic makeup of an individual,
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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
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health. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate
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resources.
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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. hh hh hh hh hh hh hh



C) Social/cultural factors that relate to mental illness include hh hh hh hh hh hh hh



excessive dependencyon or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively hh hh hh hh hh hh hh hh hh hh



withdaily life. hh hh



E) Individuals suffering from mental illness may experience dissatisfaction hh hh hh hh hh hh hh



withrelationships and self.
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Ans: A, D, E h h hh hh



Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors.
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Excessive dependency on or withdrawal from relationships are interpersonal factors
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that relate to mental illness. Individuals suffering from mental illness can feel
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overwhelmed with daily life. Individuals suffering from mental illness may
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experience dissatisfaction withrelationships 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 hh hh hh hh hh hh hh hh hh hh



always unacceptablein other cultures.
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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
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behaviorand coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally hh hh hh hh hh hh



ill.Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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maysee that as maladaptive, and inappropriate. Mental health and mental illness are
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difficult to define precisely. In most cases, mental health is a state of emotional,
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psychological, and social wellness evidenced by satisfying interpersonal
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relationships, effective behavior and coping, positive self-concept, and emotional
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stability. Persons who engagein fantasies may be mentally healthy, but the
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inability to distinguish reality from fantasyis an individual factor that may
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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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illbecause 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
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so muchpain.î hh hh



B) ìYou are not mentally ill. This is an expected reaction to the loss
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you haveexperienced.î
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C) ìWere you generally dissatisfied with your relationship before
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your husband'sdeath?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.îAns: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must
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not be culturally expected. Acute grief reactions are expected and therefore not
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considered mental illness. False reassurance or overanalysis does not accurately
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address the client'sconcerns.
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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
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client assessmentAns: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the
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generalist RN's scope of practice, so documenting the code in the medical record
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wouldbe inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis hh hh hh



B) Treat clients hh



C) Evaluate treatments hh



D) Understand the reason for the admission and the nature of hh hh hh hh hh hh hh hh hh



psychiatric illnesses.Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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helpful resource to understand the reason for the admission and to begin building
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knowledge about the nature of psychiatric illnesses. Identifying the medical
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diagnosis,treating, 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
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shiftsvin 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 hh hh hh



D) Improved rights for clients in long-term institutionalhh hh hh hh hh hh



carevAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
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therelease of individuals from long-term stays in state institutions, the decrease in
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admissions to hospitals, and the development of community-based services as an
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alternative to hospital care.
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