Psychiatric-Mental0Health0Nursing08th0edition0by0Videbeck0Test0Bank
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,Psychiatric-Mental0Health0Nursing08th0edition0by0Videbeck0Test0Bank
Psychiatric-Mental Health Nursing 8th edition 0 0 0 0 0
Chapter01
1. The0nurse0is0assessing0the0factors0contributing0to0the0well-
being0of0a0newly0admitted0client.0Which0of0the0following0would0the0nurse0identify0as0having0a0positive0imp
act0onthe0individual's0mental0health?
A) Not0needing0others0for0companionship
B) The0ability0to0effectively0manage0stress
C) A0family0history0of0mental0illness
D) Striving0for0total0self-relianceAns:0B
Feedback:
Individual0factors0influencing0mental0health0include0biologic0makeup,0autonomy,0independence,0self-
esteem,0capacity0for0growth,0vitality,0ability0to0find0meaning0in0life,0emotional0resilience0or0hardiness,0sense0of0belo
nging,0reality0orientation,0and0coping0or0stress0management0abilities.0Interpersonal0factors0such0as0intimacy0and0
a0balance0of0separateness0and0connectedness0are0both0needed0for0good0mental0health,0and0therefore0ahealthy0p
erson0would0need0others0for0companionship.0A0family0history0of0mental0illnesscould0relate0to0the0biologic0makeup
0of0an0individual,0which0may0have0a0negative0impacton0an0individual's0mental0health,0as0well0as0a0negative0impact0on
0an0individual's 0interpersonal0and0socialñcultural0factors0of0health.0Total0self-
reliance0is0not0possible,0and0a0positive0social/cultural0factor0is0access0to0adequate0resources.
2. Which0of0the0following0statements0about0mental0illness0are0true?0Select0all0that0apply.
A) Mental0illness0can0cause0significant0distress,0impaired0functioning,0or0both.
B) Mental0illness0is0only0due0to0social/cultural0factors.
C) Social/cultural0factors0that0relate0to0mental0illness0include0excessive0dependencyon0or0withdrawal0f
rom0relationships.
D) Individuals0suffering0from0mental0illness0are0usually0able0to0cope0effectively0withdaily0life.
E) Individuals0suffering0from0mental0illness0may0experience0dissatisfaction0withrelationships0and0
self.
Ans:0A,0D,0E
Feedback:
Mental0illness0can0cause0significant0distress,0impaired0functioning,0or0both.0Mental0illness0may0be0related0to0indiv
idual,0interpersonal,0or0social/cultural0factors.0Excessive0dependency0on0or0withdrawal0from0relationships0are0int
erpersonal0factors0that0relate0to0mental0illness.0Individuals0suffering0from0mental0illness0can0feel0overwhelmed0
with0daily0life.0Individuals0suffering0from0mental0illness0may0experience0dissatisfaction0with0relationships0and0s
elf.
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,Psychiatric-Mental0Health0Nursing08th0edition0by0Videbeck0Test0Bank
3. Which0of0the0following0are0true0regarding0mental0health0and0mental0illness?
A) Behavior0that0may0be0viewed0as0acceptable0in0one0culture0is0always0unacceptablein0other0cultures.
B) It0is0easy0to0determine0if0a0person0is0mentally0healthy0or0mentally0ill.
C) In0most0cases,0mental0health0is0a0state0of0emotional,0psychological,0and0social0wellness0evidenced0by0sa
tisfying0interpersonal0relationships,0effective0behaviorand0coping,0positive0self-
concept,0and0emotional0stability.
D) Persons0who0engage0in0fantasies0are0mentally0ill.Ans:0 C
Feedback:
What0one0society0may0view0as0acceptable0and0appropriate0behavior,0another0society0maysee0that0as0maladaptive
,0and0inappropriate.0Mental0health0and0mental0illness0are0difficult0to0define0precisely.0In0most0cases,0mental0healt
h0is0a0state0of0emotional,0psychological,0and0social0wellness0evidenced0by0satisfying0interpersonal0relationships,0
effective0behavior0and0coping,0positive0self-
concept,0and0emotional0stability.0Persons0who0engage0in0fantasies0may0be0mentally0healthy,0but0the0inability0to0d
istinguish0reality0from0fantasyis0an0individual0factor0that0may0contribute0to0mental0illness.
4. A0client0grieving0the0recent0loss0of0her0husband0asks0if0she0is0becoming0mentally0illbecause0she0is0so0sad.0T
he0nurse's0best0response0would0be,
A) ìYou0may0have0a0temporary0mental0illness0because0you0are0experiencing0so0muchpain.î
B) ìYou0are0not0mentally0ill.0This0is0an0expected0reaction0to0the0loss0you0haveexperienced.î
C) ìWere0you0generally0dissatisfied0with0your0relationship0before0your0husband'sdeath?î
D) ìTry0not0to0worry0about0that0right0now.0You0never0know0what0the0future0brings.îAns:0B
Feedback:
Mental0illness0includes0general0dissatisfaction0with0self,0ineffective0relationships,0ineffective0coping,0and0lack0of0per
sonal0growth.0Additionally0the0behavior0must0not0be0culturally0expected.0Acute0grief0reactions0are0expected0and0
therefore0not0considered0mental0illness.0False0reassurance0or0overanalysis0does0not0accurately0address0 the0cli
ent'sconcerns.
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, Psychiatric-Mental0Health0Nursing08th0edition0by0Videbeck0Test0Bank
5. The0nurse0consults0the0DSM0for0which0of0the0following0purposes?
A) To0devise0a0plan0of0care0for0a0newly0admitted0client
B) To0predict0the0client's0prognosis0of0treatment0outcomes
C) To0document0the0appropriate0diagnostic0code0in0the0client's0 medical0record
D) To0serve0as0a0guide0for0client0assessmentAns:0D
Feedback:
The0DSM0provides0standard0nomenclature,0presents0defining0characteristics,0and0identifies0underlying0causes0of
0mental0disorders.0It0 does0not0 provide0care0plans0or0prognostic0outcomes0of0 treatment.0 Diagnosis 0of0mental0illne
ss0is0not0within0the0generalist0RN's0scope0of0practice,0so0documenting0the0code0in0the0medical0record0would0be0in
appropriate.
6. Which0would0be0a0reason0for0a0student0nurse0to0use0the0DSM?
A) Identifying0the0medical0diagnosis
B) Treat0clients
C) Evaluate0treatments
D) Understand0the0reason0for0the0admission0and0the0nature0of0psychiatric0illnesses.Ans:0D
Feedback:
Although0student0nurses0do0not0use0the0DSM0to0diagnose0clients,0they0will0find0it0a0helpful0resource0to0understand
0the0reason0for0the0 admission0and0to0begin0 building0knowledge0about0 the0 nature0of0 psychiatric0illnesses.0Identifyi
ng0the0medical0diagnosis,treating,0and0evaluating0treatments0are0not0a0part0of0the0nursing0process.
7. The0legislation0enacted0in019630was0largely0responsible0for0which0of0the0following0shiftsin0care0for0the0mentally0ill
?
A) The0widespread0use0of0community-based0services
B) The0advancement0in0pharmacotherapies
C) Increased0access0to0hospitalization
D) Improved0rights0for0clients0in0long-term0institutional0careAns:0A
Feedback:
The0Community0Mental0Health0Centers0Construction0Act0of019630accomplished0therelease0of0individuals0fro
m0long-
term0stays0in0state0institutions,0the0decrease0in0admissions0to0hospitals,0and0the0development0of0community
-based0services0as0an0alternative0to0hospital0care.
Page0 4
Page0 1
,Psychiatric-Mental0Health0Nursing08th0edition0by0Videbeck0Test0Bank
Psychiatric-Mental Health Nursing 8th edition 0 0 0 0 0
Chapter01
1. The0nurse0is0assessing0the0factors0contributing0to0the0well-
being0of0a0newly0admitted0client.0Which0of0the0following0would0the0nurse0identify0as0having0a0positive0imp
act0onthe0individual's0mental0health?
A) Not0needing0others0for0companionship
B) The0ability0to0effectively0manage0stress
C) A0family0history0of0mental0illness
D) Striving0for0total0self-relianceAns:0B
Feedback:
Individual0factors0influencing0mental0health0include0biologic0makeup,0autonomy,0independence,0self-
esteem,0capacity0for0growth,0vitality,0ability0to0find0meaning0in0life,0emotional0resilience0or0hardiness,0sense0of0belo
nging,0reality0orientation,0and0coping0or0stress0management0abilities.0Interpersonal0factors0such0as0intimacy0and0
a0balance0of0separateness0and0connectedness0are0both0needed0for0good0mental0health,0and0therefore0ahealthy0p
erson0would0need0others0for0companionship.0A0family0history0of0mental0illnesscould0relate0to0the0biologic0makeup
0of0an0individual,0which0may0have0a0negative0impacton0an0individual's0mental0health,0as0well0as0a0negative0impact0on
0an0individual's 0interpersonal0and0socialñcultural0factors0of0health.0Total0self-
reliance0is0not0possible,0and0a0positive0social/cultural0factor0is0access0to0adequate0resources.
2. Which0of0the0following0statements0about0mental0illness0are0true?0Select0all0that0apply.
A) Mental0illness0can0cause0significant0distress,0impaired0functioning,0or0both.
B) Mental0illness0is0only0due0to0social/cultural0factors.
C) Social/cultural0factors0that0relate0to0mental0illness0include0excessive0dependencyon0or0withdrawal0f
rom0relationships.
D) Individuals0suffering0from0mental0illness0are0usually0able0to0cope0effectively0withdaily0life.
E) Individuals0suffering0from0mental0illness0may0experience0dissatisfaction0withrelationships0and0
self.
Ans:0A,0D,0E
Feedback:
Mental0illness0can0cause0significant0distress,0impaired0functioning,0or0both.0Mental0illness0may0be0related0to0indiv
idual,0interpersonal,0or0social/cultural0factors.0Excessive0dependency0on0or0withdrawal0from0relationships0are0int
erpersonal0factors0that0relate0to0mental0illness.0Individuals0suffering0from0mental0illness0can0feel0overwhelmed0
with0daily0life.0Individuals0suffering0from0mental0illness0may0experience0dissatisfaction0with0relationships0and0s
elf.
Page0 2
,Psychiatric-Mental0Health0Nursing08th0edition0by0Videbeck0Test0Bank
3. Which0of0the0following0are0true0regarding0mental0health0and0mental0illness?
A) Behavior0that0may0be0viewed0as0acceptable0in0one0culture0is0always0unacceptablein0other0cultures.
B) It0is0easy0to0determine0if0a0person0is0mentally0healthy0or0mentally0ill.
C) In0most0cases,0mental0health0is0a0state0of0emotional,0psychological,0and0social0wellness0evidenced0by0sa
tisfying0interpersonal0relationships,0effective0behaviorand0coping,0positive0self-
concept,0and0emotional0stability.
D) Persons0who0engage0in0fantasies0are0mentally0ill.Ans:0 C
Feedback:
What0one0society0may0view0as0acceptable0and0appropriate0behavior,0another0society0maysee0that0as0maladaptive
,0and0inappropriate.0Mental0health0and0mental0illness0are0difficult0to0define0precisely.0In0most0cases,0mental0healt
h0is0a0state0of0emotional,0psychological,0and0social0wellness0evidenced0by0satisfying0interpersonal0relationships,0
effective0behavior0and0coping,0positive0self-
concept,0and0emotional0stability.0Persons0who0engage0in0fantasies0may0be0mentally0healthy,0but0the0inability0to0d
istinguish0reality0from0fantasyis0an0individual0factor0that0may0contribute0to0mental0illness.
4. A0client0grieving0the0recent0loss0of0her0husband0asks0if0she0is0becoming0mentally0illbecause0she0is0so0sad.0T
he0nurse's0best0response0would0be,
A) ìYou0may0have0a0temporary0mental0illness0because0you0are0experiencing0so0muchpain.î
B) ìYou0are0not0mentally0ill.0This0is0an0expected0reaction0to0the0loss0you0haveexperienced.î
C) ìWere0you0generally0dissatisfied0with0your0relationship0before0your0husband'sdeath?î
D) ìTry0not0to0worry0about0that0right0now.0You0never0know0what0the0future0brings.îAns:0B
Feedback:
Mental0illness0includes0general0dissatisfaction0with0self,0ineffective0relationships,0ineffective0coping,0and0lack0of0per
sonal0growth.0Additionally0the0behavior0must0not0be0culturally0expected.0Acute0grief0reactions0are0expected0and0
therefore0not0considered0mental0illness.0False0reassurance0or0overanalysis0does0not0accurately0address0 the0cli
ent'sconcerns.
Page0 3
, Psychiatric-Mental0Health0Nursing08th0edition0by0Videbeck0Test0Bank
5. The0nurse0consults0the0DSM0for0which0of0the0following0purposes?
A) To0devise0a0plan0of0care0for0a0newly0admitted0client
B) To0predict0the0client's0prognosis0of0treatment0outcomes
C) To0document0the0appropriate0diagnostic0code0in0the0client's0 medical0record
D) To0serve0as0a0guide0for0client0assessmentAns:0D
Feedback:
The0DSM0provides0standard0nomenclature,0presents0defining0characteristics,0and0identifies0underlying0causes0of
0mental0disorders.0It0 does0not0 provide0care0plans0or0prognostic0outcomes0of0 treatment.0 Diagnosis 0of0mental0illne
ss0is0not0within0the0generalist0RN's0scope0of0practice,0so0documenting0the0code0in0the0medical0record0would0be0in
appropriate.
6. Which0would0be0a0reason0for0a0student0nurse0to0use0the0DSM?
A) Identifying0the0medical0diagnosis
B) Treat0clients
C) Evaluate0treatments
D) Understand0the0reason0for0the0admission0and0the0nature0of0psychiatric0illnesses.Ans:0D
Feedback:
Although0student0nurses0do0not0use0the0DSM0to0diagnose0clients,0they0will0find0it0a0helpful0resource0to0understand
0the0reason0for0the0 admission0and0to0begin0 building0knowledge0about0 the0 nature0of0 psychiatric0illnesses.0Identifyi
ng0the0medical0diagnosis,treating,0and0evaluating0treatments0are0not0a0part0of0the0nursing0process.
7. The0legislation0enacted0in019630was0largely0responsible0for0which0of0the0following0shiftsin0care0for0the0mentally0ill
?
A) The0widespread0use0of0community-based0services
B) The0advancement0in0pharmacotherapies
C) Increased0access0to0hospitalization
D) Improved0rights0for0clients0in0long-term0institutional0careAns:0A
Feedback:
The0Community0Mental0Health0Centers0Construction0Act0of019630accomplished0therelease0of0individuals0fro
m0long-
term0stays0in0state0institutions,0the0decrease0in0admissions0to0hospitals,0and0the0development0of0community
-based0services0as0an0alternative0to0hospital0care.
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