Psychiatric-
Mental44Health44Nursing448th44edition44by44Videbeck44Test44Bank
1. The44nurse44is44assessing44the44factors44contributing44to44the44well-
being44of44a44newly44admitted44client.44Which44of44the44following44would44the44nurse
44identify44as44having44a44positive44impact44on44the44individual's44mental44health?
A) Not44needing44others44for44companionship
B) The44ability44to44effectively44manage44stress
C) A44family44history44of44mental44illness
D) Striving44for44total44self-
reliance44Ans:44 B
Feedback:
Individual44factors44influencing44mental44health44include44biologic44makeup,44autonom
y,44independence,44self-
esteem,44capacity44for44growth,44vitality,44ability44to44find44meaning44in44life,44emotion
al44resilience44or44hardiness,44sense44of44belonging,44reality44orientation,44and44coping4
4or44stress44management44abilities.44Interpersonal44factors44such44as44intimacy44and44a4
4balance44of44separateness44and44connectedness44are44both44needed44for44good44mental4
4health,44and44therefore44a44healthy44person44would44need44others44for44companionship.4
4A44family44history44of44mental44illness44could44relate44to44the44biologic44makeup44of44a
n44individual,44which44may44have44a44negative44impact44on44an44individual's44mental44he
alth,44as44well44as44a44negative44impact44on44an44individual's44interpersonal44and44social
ñcultural44factors44of44health.44Total44self-
reliance44is44not44possible,44and44a44positive44social/cultural44factor44is44access44to44ade
quate44resources.
2. Which44of44the44following44statements44about44mental44illness44are44true?44Select44all44tha
t44apply.
A) Mental44illness44can44cause44significant44distress,44impaired44functioning,44or44both.
B) Mental44illness44is44only44due44to44social/cultural44factors.
C) Social/cultural44factors44that44relate44to44mental44illness44include44excessive44de
pendency44on44or44withdrawal44from44relationships.
D) Individuals44suffering44from44mental44illness44are44usually44able44to44cope44effec
tively44with44daily44life.
E) Individuals44suffering44from44mental44illness44may44experience44dissatisfacti
on44with44relationships44and44self.
Ans:44 A,44D,44E
Feedback:
Mental44illness44can44cause44significant44distress,44impaired44functioning,44or44both.44
Mental44illness44may44be44related44to44individual,44interpersonal,44or44social/cultural44f
actors.44Excessive44dependency44on44or44withdrawal44from44relationships44are44interpe
rsonal44factors44that44relate44to44mental44illness.44Individuals44suffering44from44mental4
4illness44can44feel44overwhelmed44with44daily44life.44Individuals44suffering44from44men
tal44illness44may44experience44dissatisfaction44with44relationships44and44self.
Page441
,Psychiatric-
Mental44Health44Nursing448th44edition44by44Videbeck44Test44Bank
3. Which44of44the44following44are44true44regarding44mental44health44and44mental44illness?
A) Behavior44that44may44be44viewed44as44acceptable44in44one44culture44is44always44
unacceptable44in44other44cultures.
B) It44is44easy44to44determine44if44a44person44is44mentally44healthy44or44mentally44ill.
C) In44most44cases,44mental44health44is44a44state44of44emotional,44psychological,44
and44social44wellness44evidenced44by44satisfying44interpersonal44relationships,
44effective44behavior44and44coping,44positive44self-
concept,44and44emotional44stability.
D) Persons44who44engage44in44fantasies44are44ment
ally44ill.44Ans:44C
Feedback:
What44one44society44may44view44as44acceptable44and44appropriate44behavior,44another44
society44may44see44that44as44maladaptive,44and44inappropriate.44Mental44health44and44me
ntal44illness44are44difficult44to44define44precisely.44In44most44cases,44mental44health44is44
a44state44of44emotional,44psychological,44and44social44wellness44evidenced44by44satisfyin
g44interpersonal44relationships,44effective44behavior44and44coping,44positive44self-
concept,44and44emotional44stability.44Persons44who44engage44in44fantasies44may44be44men
tally44healthy,44but44the44inability44to44distinguish44reality44from44fantasy44is44an44individ
ual44factor44that44may44contribute44to44mental44illness.
4. A44client44grieving44the44recent44loss44of44her44husband44asks44if44she44is44becomi
ng44mentally44ill44because44she44is44so44sad.44The44nurse's44best44response44would44
be,
A) ìYou44may44have44a44temporary44mental44illness44because44you44are44experienci
ng44so44much44pain.î
B) ìYou44are44not44mentally44ill.44This44is44an44expected44reaction44to44the44l
oss44you44have44experienced.î
C) ìWere44you44generally44dissatisfied44with44your44relationship44before44your44
husband's44death?î
D) ìTry44not44to44worry44about44that44right44now.44You44never44know44what44the44
future44brings.î44Ans:44 B
Feedback:
Mental44illness44includes44general44dissatisfaction44with44self,44ineffective44relationship
s,44ineffective44coping,44and44lack44of44personal44growth.44Additionally44the44behavior4
4must44not44be44culturally44expected.44Acute44grief44reactions44are44expected44and44ther
efore44not44considered44mental44illness.44False44reassurance44or44overanalysis44does44n
ot44accurately44address44the44client's44concerns.
Page442
,Psychiatric-
Mental44Health44Nursing448th44edition44by44Videbeck44Test44Bank
5. The44nurse44consults44the44DSM44for44which44of44the44following44purposes?
A) To44devise44a44plan44of44care44for44a44newly44admitted44client
B) To44predict44the44client's44prognosis44of44treatment44outcomes
C) To44document44the44appropriate44diagnostic44code44in44the44client's44medical44recor
d
D) To44serve44as44a44guide44for44client44ass
essment44Ans:44 D
Feedback:
The44DSM44provides44standard44nomenclature,44presents44defining44characteristics,44an
d44identifies44underlying44causes44of44mental44disorders.44It44does44not44provide44care44
plans44or44prognostic44outcomes44of44treatment.44Diagnosis44of44mental44illness44is44no
t44within44the44generalist44RN's44scope44of44practice,44so44documenting44the44code44in44
the44medical44record44would44be44inappropriate.
6. Which44would44be44a44reason44for44a44student44nurse44to44use44the44DSM?
A) Identifying44the44medical44diagnosis
B) Treat44clients
C) Evaluate44treatments
D) Understand44the44reason44for44the44admission44and44the44nature44of44psychiatri
c44illnesses.44Ans:44 D
Feedback:
Although44student44nurses44do44not44use44the44DSM44to44diagnose44clients,44they44wil
l44find44it44a44helpful44resource44to44understand44the44reason44for44the44admission44an
d44to44begin44building44knowledge44about44the44nature44of44psychiatric44illnesses.44Id
entifying44the44medical44diagnosis,44treating,44and44evaluating44treatments44are44not44a4
4part44of44the44nursing44process.
7. The44legislation44enacted44in44196344was44largely44responsible44for44which44of44the44fol
lowing44shifts44in44care44for44the44mentally44ill?
A) The44widespread44use44of44community-based44services
B) The44advancement44in44pharmacotherapies
C) Increased44access44to44hospitalization
D) Improved44rights44for44clients44in44long-
term44institutional44care44Ans:44 A
Feedback:
The44Community44Mental44Health44Centers44Construction44Act44of44196344accomp
lished44the44release44of44individuals44from44long-
term44stays44in44state44institutions,44the44decrease44in44admissions44to44hospitals,44a
nd44the44development44of44community-
based44services44as44an44alternative44to44hospital44care.
Page443
, Psychiatric-
Mental44Health44Nursing448th44edition44by44Videbeck44Test44Bank
8. Which44one44of44the44following44is44a44result44of44federal44legislation?
A) Making44it44easier44to44commit44people44for44mental44health44treatment44against44th
eir44will.
B) Making44it44more44difficult44to44commit44people44for44mental44health44treatm
ent44against44their44will.
C) State44mental44institutions44being44the44primary44source44of44care44for44mentally44ill
44persons.
D) Improved44care44for44mentally44ill44pe
rsons.44Ans:44 B
Feedback:
Commitment44laws44changed44in44the44early441970s,44making44it44more44difficult44t
o44commit44people44for44mental44health44treatment44against44their44will.44Deinstituti
onalization44accomplished44the44release44of44individuals44from44long-
term44stays44in44state44institutions.44Deinstitutionalization44also44had44negative44eff
ects44in44that44some44mentally44ill44persons44are44subjected44to44the44revolving44door
44effect,44which44may44limit44care44for44mentally44ill44persons.
9. The44goal44of44the44196344Community44Mental44Health44Centers44Act44was44to
A) ensure44patients'44rights44for44the44mentally44ill.
B) deinstitutionalize44state44hospitals.
C) provide44funds44to44build44hospitals44with44psychiatric44units.
D) treat44people44with44mental44illness44in44a44humane4
4fashion.44Ans:44 B
Feedback:
The44196344Community44Mental44Health44Centers44Act44intimated44the44movement4
4toward44treating44those44with44mental44illness44in44a44less44restrictive44environment
.44This44legislation44resulted44in44the44shift44of44clients44with44mental44illness44from
44large44state44institutions44to44care44based44in44the44community.44Answer44choices44
A,44C,44and44D44were44not44purposes44of44the44196344Community44Mental44Health44
Centers44Act.
10. The44creation44of44asylums44during44the441800s44was44meant44to
A) improve44treatment44of44mental44disorders.
B) provide44food44and44shelter44for44the44mentally44ill.
C) punish44people44with44mental44illness44who44were44believed44to44be44possessed.
D) remove44dangerous44people44with44mental44illness44from44the44co
mmunity.44Ans:44 B
Feedback:
The44asylum44was44meant44to44be44a44safe44haven44with44food,44shelter,44and44humane
44treatment44for44the44mentally44ill.44Asylums44were44not44used44to44improve44treatmen
t44of44mental44disorders44or44to44punish44mentally44ill44people44who44were44believed44t
o44be44possessed.44The44asylum44was44not44created44to44remove44the44dangerously44m
entally44ill44from44the44community.
Page444
Mental44Health44Nursing448th44edition44by44Videbeck44Test44Bank
1. The44nurse44is44assessing44the44factors44contributing44to44the44well-
being44of44a44newly44admitted44client.44Which44of44the44following44would44the44nurse
44identify44as44having44a44positive44impact44on44the44individual's44mental44health?
A) Not44needing44others44for44companionship
B) The44ability44to44effectively44manage44stress
C) A44family44history44of44mental44illness
D) Striving44for44total44self-
reliance44Ans:44 B
Feedback:
Individual44factors44influencing44mental44health44include44biologic44makeup,44autonom
y,44independence,44self-
esteem,44capacity44for44growth,44vitality,44ability44to44find44meaning44in44life,44emotion
al44resilience44or44hardiness,44sense44of44belonging,44reality44orientation,44and44coping4
4or44stress44management44abilities.44Interpersonal44factors44such44as44intimacy44and44a4
4balance44of44separateness44and44connectedness44are44both44needed44for44good44mental4
4health,44and44therefore44a44healthy44person44would44need44others44for44companionship.4
4A44family44history44of44mental44illness44could44relate44to44the44biologic44makeup44of44a
n44individual,44which44may44have44a44negative44impact44on44an44individual's44mental44he
alth,44as44well44as44a44negative44impact44on44an44individual's44interpersonal44and44social
ñcultural44factors44of44health.44Total44self-
reliance44is44not44possible,44and44a44positive44social/cultural44factor44is44access44to44ade
quate44resources.
2. Which44of44the44following44statements44about44mental44illness44are44true?44Select44all44tha
t44apply.
A) Mental44illness44can44cause44significant44distress,44impaired44functioning,44or44both.
B) Mental44illness44is44only44due44to44social/cultural44factors.
C) Social/cultural44factors44that44relate44to44mental44illness44include44excessive44de
pendency44on44or44withdrawal44from44relationships.
D) Individuals44suffering44from44mental44illness44are44usually44able44to44cope44effec
tively44with44daily44life.
E) Individuals44suffering44from44mental44illness44may44experience44dissatisfacti
on44with44relationships44and44self.
Ans:44 A,44D,44E
Feedback:
Mental44illness44can44cause44significant44distress,44impaired44functioning,44or44both.44
Mental44illness44may44be44related44to44individual,44interpersonal,44or44social/cultural44f
actors.44Excessive44dependency44on44or44withdrawal44from44relationships44are44interpe
rsonal44factors44that44relate44to44mental44illness.44Individuals44suffering44from44mental4
4illness44can44feel44overwhelmed44with44daily44life.44Individuals44suffering44from44men
tal44illness44may44experience44dissatisfaction44with44relationships44and44self.
Page441
,Psychiatric-
Mental44Health44Nursing448th44edition44by44Videbeck44Test44Bank
3. Which44of44the44following44are44true44regarding44mental44health44and44mental44illness?
A) Behavior44that44may44be44viewed44as44acceptable44in44one44culture44is44always44
unacceptable44in44other44cultures.
B) It44is44easy44to44determine44if44a44person44is44mentally44healthy44or44mentally44ill.
C) In44most44cases,44mental44health44is44a44state44of44emotional,44psychological,44
and44social44wellness44evidenced44by44satisfying44interpersonal44relationships,
44effective44behavior44and44coping,44positive44self-
concept,44and44emotional44stability.
D) Persons44who44engage44in44fantasies44are44ment
ally44ill.44Ans:44C
Feedback:
What44one44society44may44view44as44acceptable44and44appropriate44behavior,44another44
society44may44see44that44as44maladaptive,44and44inappropriate.44Mental44health44and44me
ntal44illness44are44difficult44to44define44precisely.44In44most44cases,44mental44health44is44
a44state44of44emotional,44psychological,44and44social44wellness44evidenced44by44satisfyin
g44interpersonal44relationships,44effective44behavior44and44coping,44positive44self-
concept,44and44emotional44stability.44Persons44who44engage44in44fantasies44may44be44men
tally44healthy,44but44the44inability44to44distinguish44reality44from44fantasy44is44an44individ
ual44factor44that44may44contribute44to44mental44illness.
4. A44client44grieving44the44recent44loss44of44her44husband44asks44if44she44is44becomi
ng44mentally44ill44because44she44is44so44sad.44The44nurse's44best44response44would44
be,
A) ìYou44may44have44a44temporary44mental44illness44because44you44are44experienci
ng44so44much44pain.î
B) ìYou44are44not44mentally44ill.44This44is44an44expected44reaction44to44the44l
oss44you44have44experienced.î
C) ìWere44you44generally44dissatisfied44with44your44relationship44before44your44
husband's44death?î
D) ìTry44not44to44worry44about44that44right44now.44You44never44know44what44the44
future44brings.î44Ans:44 B
Feedback:
Mental44illness44includes44general44dissatisfaction44with44self,44ineffective44relationship
s,44ineffective44coping,44and44lack44of44personal44growth.44Additionally44the44behavior4
4must44not44be44culturally44expected.44Acute44grief44reactions44are44expected44and44ther
efore44not44considered44mental44illness.44False44reassurance44or44overanalysis44does44n
ot44accurately44address44the44client's44concerns.
Page442
,Psychiatric-
Mental44Health44Nursing448th44edition44by44Videbeck44Test44Bank
5. The44nurse44consults44the44DSM44for44which44of44the44following44purposes?
A) To44devise44a44plan44of44care44for44a44newly44admitted44client
B) To44predict44the44client's44prognosis44of44treatment44outcomes
C) To44document44the44appropriate44diagnostic44code44in44the44client's44medical44recor
d
D) To44serve44as44a44guide44for44client44ass
essment44Ans:44 D
Feedback:
The44DSM44provides44standard44nomenclature,44presents44defining44characteristics,44an
d44identifies44underlying44causes44of44mental44disorders.44It44does44not44provide44care44
plans44or44prognostic44outcomes44of44treatment.44Diagnosis44of44mental44illness44is44no
t44within44the44generalist44RN's44scope44of44practice,44so44documenting44the44code44in44
the44medical44record44would44be44inappropriate.
6. Which44would44be44a44reason44for44a44student44nurse44to44use44the44DSM?
A) Identifying44the44medical44diagnosis
B) Treat44clients
C) Evaluate44treatments
D) Understand44the44reason44for44the44admission44and44the44nature44of44psychiatri
c44illnesses.44Ans:44 D
Feedback:
Although44student44nurses44do44not44use44the44DSM44to44diagnose44clients,44they44wil
l44find44it44a44helpful44resource44to44understand44the44reason44for44the44admission44an
d44to44begin44building44knowledge44about44the44nature44of44psychiatric44illnesses.44Id
entifying44the44medical44diagnosis,44treating,44and44evaluating44treatments44are44not44a4
4part44of44the44nursing44process.
7. The44legislation44enacted44in44196344was44largely44responsible44for44which44of44the44fol
lowing44shifts44in44care44for44the44mentally44ill?
A) The44widespread44use44of44community-based44services
B) The44advancement44in44pharmacotherapies
C) Increased44access44to44hospitalization
D) Improved44rights44for44clients44in44long-
term44institutional44care44Ans:44 A
Feedback:
The44Community44Mental44Health44Centers44Construction44Act44of44196344accomp
lished44the44release44of44individuals44from44long-
term44stays44in44state44institutions,44the44decrease44in44admissions44to44hospitals,44a
nd44the44development44of44community-
based44services44as44an44alternative44to44hospital44care.
Page443
, Psychiatric-
Mental44Health44Nursing448th44edition44by44Videbeck44Test44Bank
8. Which44one44of44the44following44is44a44result44of44federal44legislation?
A) Making44it44easier44to44commit44people44for44mental44health44treatment44against44th
eir44will.
B) Making44it44more44difficult44to44commit44people44for44mental44health44treatm
ent44against44their44will.
C) State44mental44institutions44being44the44primary44source44of44care44for44mentally44ill
44persons.
D) Improved44care44for44mentally44ill44pe
rsons.44Ans:44 B
Feedback:
Commitment44laws44changed44in44the44early441970s,44making44it44more44difficult44t
o44commit44people44for44mental44health44treatment44against44their44will.44Deinstituti
onalization44accomplished44the44release44of44individuals44from44long-
term44stays44in44state44institutions.44Deinstitutionalization44also44had44negative44eff
ects44in44that44some44mentally44ill44persons44are44subjected44to44the44revolving44door
44effect,44which44may44limit44care44for44mentally44ill44persons.
9. The44goal44of44the44196344Community44Mental44Health44Centers44Act44was44to
A) ensure44patients'44rights44for44the44mentally44ill.
B) deinstitutionalize44state44hospitals.
C) provide44funds44to44build44hospitals44with44psychiatric44units.
D) treat44people44with44mental44illness44in44a44humane4
4fashion.44Ans:44 B
Feedback:
The44196344Community44Mental44Health44Centers44Act44intimated44the44movement4
4toward44treating44those44with44mental44illness44in44a44less44restrictive44environment
.44This44legislation44resulted44in44the44shift44of44clients44with44mental44illness44from
44large44state44institutions44to44care44based44in44the44community.44Answer44choices44
A,44C,44and44D44were44not44purposes44of44the44196344Community44Mental44Health44
Centers44Act.
10. The44creation44of44asylums44during44the441800s44was44meant44to
A) improve44treatment44of44mental44disorders.
B) provide44food44and44shelter44for44the44mentally44ill.
C) punish44people44with44mental44illness44who44were44believed44to44be44possessed.
D) remove44dangerous44people44with44mental44illness44from44the44co
mmunity.44Ans:44 B
Feedback:
The44asylum44was44meant44to44be44a44safe44haven44with44food,44shelter,44and44humane
44treatment44for44the44mentally44ill.44Asylums44were44not44used44to44improve44treatmen
t44of44mental44disorders44or44to44punish44mentally44ill44people44who44were44believed44t
o44be44possessed.44The44asylum44was44not44created44to44remove44the44dangerously44m
entally44ill44from44the44community.
Page444
