TEST BANK FOR Psychiatric-Mental Health Nursing 8th
edition by Sheila L. Videbeck UPDATED ALL CHAPTERS
Chapter 1
1. The nurse is assessing the factors contributing to the well-being of a newly
admitted client. Which of the following would the nurse identify as having a
positive impact on the individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-
reliance Selected answer: B
Response/RATIONALE:
Individual factors influencing mental health include biologic makeup, autonomy,
independence, self-esteem, capacity for growth, vitality, ability to find meaning
in life, emotional resilience or hardiness, sense of belonging, reality orientation,
and coping or stress management abilities. Interpersonal factors such as
intimacy and a balance of separateness and connectedness are both needed
for good mental health, and therefore a healthy person would need others for
companionship. A family history of mental illness could relate to the biologic
makeup of an individual, which may have a negative impact
,Psychiatric-Mental Health Nursing 8th edition by Sheila L. Videbeck
on an individual's mental health, as well as a negative impact on an
individual's interpersonal and socialñcultural factors of health. Total self-
reliance is not possible, and a positive social/cultural factor is access to
adequate resources.
2. Which of the following statements about mental illness are true? Select all that
apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive
dependency on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope
effectively with daily life.
E) Individuals suffering from mental illness may experience
dissatisfaction with relationships and self.
Selected answer: A, D, E
Response/RATIONALE:
Mental illness can cause significant distress, impaired functioning, or both.
Mental illness may be related to individual, interpersonal, or social/cultural
factors. Excessive dependency on or withdrawal from relationships are
interpersonal factors that relate to mental illness. Individuals suffering from
mental illness can feel overwhelmed with daily life. Individuals suffering from
mental illness may experience dissatisfaction with relationships and self.
,Psychiatric-Mental Health Nursing 8th edition by Sheila L. Videbeck
3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always
unacceptable in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and
social wellness evidenced by satisfying interpersonal relationships,
effective behavior and coping, positive self-concept, and emotional
stability.
D) Persons who engage in fantasies are
mentally ill. Selected answer: C
Response/RATIONALE:
What one society may view as acceptable and appropriate behavior, another
society may see that as maladaptive, and inappropriate. Mental health and
mental illness are difficult to define precisely. In most cases, mental health is a
state of emotional, psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept,
and emotional stability. Persons who engage in fantasies may be mentally
healthy, but the inability to distinguish reality from fantasy is an individual factor
that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming
mentally ill because she is so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing
so much pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss
you have experienced.î
C) ìWere you generally dissatisfied with your relationship before your
husband's death?î
D) ìTry not to worry about that right now. You never know what the future
brings.î Selected answer: B
Response/RATIONALE:
Mental illness includes general dissatisfaction with self, ineffective
relationships, ineffective coping, and lack of personal growth. Additionally the
behavior must not be culturally expected. Acute grief reactions are expected
and therefore not considered mental illness. False reassurance or overanalysis
does not accurately address the client's concerns.
, Psychiatric-Mental Health Nursing 8th edition by Sheila L. Videbeck
5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client
assessment Selected answer: D
Response/RATIONALE:
The DSM provides standard nomenclature, presents defining characteristics,
and identifies underlying causes of mental disorders. It does not provide care
plSelected answer or prognostic outcomes of treatment. Diagnosis of mental
illness is not within the generalist RN's scope of practice, so documenting the
code in the medical record wouldbe inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric
illnesses. Selected answer: D
Response/RATIONALE:
Although student nurses do not use the DSM to diagnose clients, they will find
it a helpful resource to understand the reason for the admission and to begin
building knowledge about the nature of psychiatric illnesses. Identifying the
medical diagnosis, treating, and evaluating treatments are not a part of the
nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the
following shifts in care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional
care Selected answer: A
Response/RATIONALE:
The Community Mental Health Centers Construction Act of 1963
accomplished the release of individuals from long-term stays in state
institutions, the decrease in admissions to hospitals, and the development
of community-based services as an alternative to hospital care.
edition by Sheila L. Videbeck UPDATED ALL CHAPTERS
Chapter 1
1. The nurse is assessing the factors contributing to the well-being of a newly
admitted client. Which of the following would the nurse identify as having a
positive impact on the individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-
reliance Selected answer: B
Response/RATIONALE:
Individual factors influencing mental health include biologic makeup, autonomy,
independence, self-esteem, capacity for growth, vitality, ability to find meaning
in life, emotional resilience or hardiness, sense of belonging, reality orientation,
and coping or stress management abilities. Interpersonal factors such as
intimacy and a balance of separateness and connectedness are both needed
for good mental health, and therefore a healthy person would need others for
companionship. A family history of mental illness could relate to the biologic
makeup of an individual, which may have a negative impact
,Psychiatric-Mental Health Nursing 8th edition by Sheila L. Videbeck
on an individual's mental health, as well as a negative impact on an
individual's interpersonal and socialñcultural factors of health. Total self-
reliance is not possible, and a positive social/cultural factor is access to
adequate resources.
2. Which of the following statements about mental illness are true? Select all that
apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive
dependency on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope
effectively with daily life.
E) Individuals suffering from mental illness may experience
dissatisfaction with relationships and self.
Selected answer: A, D, E
Response/RATIONALE:
Mental illness can cause significant distress, impaired functioning, or both.
Mental illness may be related to individual, interpersonal, or social/cultural
factors. Excessive dependency on or withdrawal from relationships are
interpersonal factors that relate to mental illness. Individuals suffering from
mental illness can feel overwhelmed with daily life. Individuals suffering from
mental illness may experience dissatisfaction with relationships and self.
,Psychiatric-Mental Health Nursing 8th edition by Sheila L. Videbeck
3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always
unacceptable in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and
social wellness evidenced by satisfying interpersonal relationships,
effective behavior and coping, positive self-concept, and emotional
stability.
D) Persons who engage in fantasies are
mentally ill. Selected answer: C
Response/RATIONALE:
What one society may view as acceptable and appropriate behavior, another
society may see that as maladaptive, and inappropriate. Mental health and
mental illness are difficult to define precisely. In most cases, mental health is a
state of emotional, psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping, positive self-concept,
and emotional stability. Persons who engage in fantasies may be mentally
healthy, but the inability to distinguish reality from fantasy is an individual factor
that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming
mentally ill because she is so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing
so much pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss
you have experienced.î
C) ìWere you generally dissatisfied with your relationship before your
husband's death?î
D) ìTry not to worry about that right now. You never know what the future
brings.î Selected answer: B
Response/RATIONALE:
Mental illness includes general dissatisfaction with self, ineffective
relationships, ineffective coping, and lack of personal growth. Additionally the
behavior must not be culturally expected. Acute grief reactions are expected
and therefore not considered mental illness. False reassurance or overanalysis
does not accurately address the client's concerns.
, Psychiatric-Mental Health Nursing 8th edition by Sheila L. Videbeck
5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client
assessment Selected answer: D
Response/RATIONALE:
The DSM provides standard nomenclature, presents defining characteristics,
and identifies underlying causes of mental disorders. It does not provide care
plSelected answer or prognostic outcomes of treatment. Diagnosis of mental
illness is not within the generalist RN's scope of practice, so documenting the
code in the medical record wouldbe inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric
illnesses. Selected answer: D
Response/RATIONALE:
Although student nurses do not use the DSM to diagnose clients, they will find
it a helpful resource to understand the reason for the admission and to begin
building knowledge about the nature of psychiatric illnesses. Identifying the
medical diagnosis, treating, and evaluating treatments are not a part of the
nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the
following shifts in care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional
care Selected answer: A
Response/RATIONALE:
The Community Mental Health Centers Construction Act of 1963
accomplished the release of individuals from long-term stays in state
institutions, the decrease in admissions to hospitals, and the development
of community-based services as an alternative to hospital care.
