Test Bank for Psychiatric
Mental Health Nursing,8th
Chapter 01 – Mental Health
Question 1
A nurse is giving a presentation about preventing mental illness
to college freshmen. A student asks, “What does it mean to be
mentally healthy?” Which of the following potential responses by
the nurse is best?
A) “Mental health is difficult to define and depends on cultural
norms.”
B) “Mental health is marked by productivity, fulfilling
relationships, and adaptability.”
C) “Mental health is characterized by the absence of mental
illness.”
D) “Mental health is the performance of behavior that is accepted
as normal.”
Question 2
A 48-year-old independent, successful woman is recovering from
a modified radical mastectomy. She states she was grateful that
during the first few weeks after surgery her mother stayed with
,her and did “everything” for her. Which element of mental health
does this reflect?
A) Reality orientation
B) Mastery of the environment
C) Self-governance
D) Tolerance of the unknown
Question 3
Why is the document Mental Health: A Report of the Surgeon
General (1999) most significant?
A) Because it states clearly that there are effective treatments for
mental illness
B) Because it allocates research money to psychiatric facilities
C) Because it sets new guidelines for use of restraints
D) Because it establishes reimbursement guidelines for third-
party payers
Question 4
While a nurse is performing an admission assessment for a
mental health client, the client states that all of his problems have
been caused by his parents. The nurse knows that psychological
factors that can influence mental health include which of the
following?
A) Neuroanatomy
,B) Emotional developmental level
C) Values and beliefs
D) Religion
Question 5
What is the primary purpose of the five-axis system used in the
fourth edition of the Diagnostic and Statistical Manual of Mental
Disorders, 4th edition, text revision (DSM-IV-TR)?
A) To separate the various mental disorders into five related
categories
B) To give a comprehensive picture of client functioning
C) To improve prognostic ability
D) To provide a decision-making algorithm for pharmacologic
treatment
Question 6
One limitation of the DSM relates to diagnostic labels given to
children. The most problematic issue caused by applying adult
categories to children is which of the following?
A) It prevents the proper treatment of childhood disorders.
B) The criteria for diagnosis of a disorder are flexible for an
adult, but not for children.
C) Categories are based on manifestations of adult disorders, not
research in children.
, D) The DSM was written before childhood psychological
conditions were recognized.
Question 7
Which of the following represents a problem complicating the
treatment of people with mental illness?
A) Insurers' reimbursement decisions
B) Increased responsibility for care by state mental hospitals
C) Overuse of the well-coordinated mental health care system
D) Lack of effective treatments
Question 8
Julie, a 47-year-old woman, missed 1 week of work when she
was hospitalized with bipolar disorder. She was placed on
medication and was able to return to work. When asked about her
absence, Julie informed coworkers that she was suffering from
influenza. What is the most likely reason Julie lied about her
illness?
A) This is a sign that the medication is not effectively treating her
illness.
B) Fear of rejection, isolation, and discrimination based on her
mental health diagnosis
C) Due to workplace policies that encourage the firing of those
with mental illnesses
D) To avoid eliciting sympathy among her coworkers
Mental Health Nursing,8th
Chapter 01 – Mental Health
Question 1
A nurse is giving a presentation about preventing mental illness
to college freshmen. A student asks, “What does it mean to be
mentally healthy?” Which of the following potential responses by
the nurse is best?
A) “Mental health is difficult to define and depends on cultural
norms.”
B) “Mental health is marked by productivity, fulfilling
relationships, and adaptability.”
C) “Mental health is characterized by the absence of mental
illness.”
D) “Mental health is the performance of behavior that is accepted
as normal.”
Question 2
A 48-year-old independent, successful woman is recovering from
a modified radical mastectomy. She states she was grateful that
during the first few weeks after surgery her mother stayed with
,her and did “everything” for her. Which element of mental health
does this reflect?
A) Reality orientation
B) Mastery of the environment
C) Self-governance
D) Tolerance of the unknown
Question 3
Why is the document Mental Health: A Report of the Surgeon
General (1999) most significant?
A) Because it states clearly that there are effective treatments for
mental illness
B) Because it allocates research money to psychiatric facilities
C) Because it sets new guidelines for use of restraints
D) Because it establishes reimbursement guidelines for third-
party payers
Question 4
While a nurse is performing an admission assessment for a
mental health client, the client states that all of his problems have
been caused by his parents. The nurse knows that psychological
factors that can influence mental health include which of the
following?
A) Neuroanatomy
,B) Emotional developmental level
C) Values and beliefs
D) Religion
Question 5
What is the primary purpose of the five-axis system used in the
fourth edition of the Diagnostic and Statistical Manual of Mental
Disorders, 4th edition, text revision (DSM-IV-TR)?
A) To separate the various mental disorders into five related
categories
B) To give a comprehensive picture of client functioning
C) To improve prognostic ability
D) To provide a decision-making algorithm for pharmacologic
treatment
Question 6
One limitation of the DSM relates to diagnostic labels given to
children. The most problematic issue caused by applying adult
categories to children is which of the following?
A) It prevents the proper treatment of childhood disorders.
B) The criteria for diagnosis of a disorder are flexible for an
adult, but not for children.
C) Categories are based on manifestations of adult disorders, not
research in children.
, D) The DSM was written before childhood psychological
conditions were recognized.
Question 7
Which of the following represents a problem complicating the
treatment of people with mental illness?
A) Insurers' reimbursement decisions
B) Increased responsibility for care by state mental hospitals
C) Overuse of the well-coordinated mental health care system
D) Lack of effective treatments
Question 8
Julie, a 47-year-old woman, missed 1 week of work when she
was hospitalized with bipolar disorder. She was placed on
medication and was able to return to work. When asked about her
absence, Julie informed coworkers that she was suffering from
influenza. What is the most likely reason Julie lied about her
illness?
A) This is a sign that the medication is not effectively treating her
illness.
B) Fear of rejection, isolation, and discrimination based on her
mental health diagnosis
C) Due to workplace policies that encourage the firing of those
with mental illnesses
D) To avoid eliciting sympathy among her coworkers
