TEST BANK
,Psychiatric-Mental Health Nursing 8th edition by Shelia Videbeck
Table of contents
UNIT 1 Current Theories and Practice
1. Foundations of Psychiatric–Mental Health Nursing
2. Neurobiologic Theories and Psychopharmacology
3. Psychosocial Theories and Therapy
4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship
5. Therapeutic Relationships
6. Therapeutic Communication
7. Client’s Response to Illness
8. Assessment
UNIT 3 Current Social and Emotional Concerns
9. Legal and Ethical Issues
10. Grief and Loss
11. Anger, Hostility, and Aggression
12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders
13. Trauma and Stressor-Related Disorders
14. Anxiety and Anxiety Disorders
15. Obsessive–Compulsive and Related Disorders
16. Schizophrenia
17. Mood Disorders and Suicide
18. Personality Disorders
19. Addiction
20. Eating Disorders
21. Somatic Symptom Illnesses
22. Neurodevelopmental Disorders
23 Disruptive Behavior Disorders
24 Cognitive Disorders
Chapter 1 Foundations of Psychiatric–Mental Health Nursing
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
Ans: B
Feedback:
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
Page 1
, 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
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.
Ans: A, D, E
Feedback:
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.
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.
Ans: C
Feedback:
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
Page 2
, C) ìWere iyou igenerally idissatisfied iwith iyour irelationship ibefore iyour
ihusband's ideath?î
D) ìTry inot ito iworry iabout ithat iright inow. iYou inever iknow iwhat ithe ifuture
ibrings.î iAns: iB
Feedback:
Mental iillness iincludes igeneral idissatisfaction iwith iself, iineffective irelationships,
iineffective icoping, iand ilack iof ipersonal igrowth. iAdditionally ithe ibehavior imust inot
ibe iculturally iexpected. iAcute igrief ireactions iare iexpected iand itherefore inot
iconsidered imental iillness. iFalse ireassurance ior ioveranalysis idoes inot iaccurately
iaddress ithe iclient's iconcerns.
5. The inurse iconsults ithe iDSM ifor iwhich iof ithe ifollowing ipurposes?
A) To idevise ia iplan iof icare ifor ia inewly iadmitted iclient
B) To ipredict ithe iclient's iprognosis iof itreatment ioutcomes
C) To idocument ithe iappropriate idiagnostic icode iin ithe iclient's imedical irecord
D) To iserve ias ia iguide ifor iclient
iassessment iAns: iD
Feedback:
The iDSM iprovides istandard inomenclature, ipresents idefining icharacteristics, iand
iidentifies iunderlying icauses iof imental idisorders. iIt idoes inot iprovide icare iplans ior
iprognostic ioutcomes iof itreatment. iDiagnosis iof imental iillness iis inot iwithin ithe
igeneralist iRN's iscope iof ipractice, iso idocumenting ithe icode iin ithe imedical irecord
iwould ibe iinappropriate.
6. Which iwould ibe ia ireason ifor ia istudent inurse ito iuse ithe iDSM?
A) Identifying ithe imedical idiagnosis
B) Treat iclients
C) Evaluate itreatments
D) Understand ithe ireason ifor ithe iadmission iand ithe inature iof ipsychiatric
iillnesses. iAns: iD
Feedback:
Although istudent inurses ido inot iuse ithe iDSM ito idiagnose iclients, ithey iwill ifind iit ia
ihelpful iresource ito iunderstand ithe ireason ifor ithe iadmission iand ito ibegin ibuilding
iknowledge iabout ithe inature iof ipsychiatric iillnesses. iIdentifying ithe imedical
idiagnosis, itreating, iand ievaluating itreatments iare inot ia ipart iof ithe inursing iprocess.
7. The ilegislation ienacted iin i1963 iwas ilargely iresponsible ifor iwhich iof ithe ifollowing
ishifts iin icare ifor ithe imentally iill?
A) The iwidespread iuse iof icommunity-based iservices
B) The iadvancement iin ipharmacotherapies
C) Increased iaccess ito ihospitalization
D) Improved irights ifor iclients iin ilong-term iinstitutional
icare iAns: iA
Feedback:
The iCommunity iMental iHealth iCenters iConstruction iAct iof i1963 iaccomplished ithe
irelease iof iindividuals ifrom ilong-term istays iin istate iinstitutions, ithe idecrease iin
iadmissions ito ihospitals, iand ithe idevelopment iof icommunity-based iservices ias ian
ialternative ito ihospital icare.
Page 3
,Psychiatric-Mental Health Nursing 8th edition by Shelia Videbeck
Table of contents
UNIT 1 Current Theories and Practice
1. Foundations of Psychiatric–Mental Health Nursing
2. Neurobiologic Theories and Psychopharmacology
3. Psychosocial Theories and Therapy
4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship
5. Therapeutic Relationships
6. Therapeutic Communication
7. Client’s Response to Illness
8. Assessment
UNIT 3 Current Social and Emotional Concerns
9. Legal and Ethical Issues
10. Grief and Loss
11. Anger, Hostility, and Aggression
12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders
13. Trauma and Stressor-Related Disorders
14. Anxiety and Anxiety Disorders
15. Obsessive–Compulsive and Related Disorders
16. Schizophrenia
17. Mood Disorders and Suicide
18. Personality Disorders
19. Addiction
20. Eating Disorders
21. Somatic Symptom Illnesses
22. Neurodevelopmental Disorders
23 Disruptive Behavior Disorders
24 Cognitive Disorders
Chapter 1 Foundations of Psychiatric–Mental Health Nursing
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
Ans: B
Feedback:
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
Page 1
, 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
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.
Ans: A, D, E
Feedback:
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.
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.
Ans: C
Feedback:
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
Page 2
, C) ìWere iyou igenerally idissatisfied iwith iyour irelationship ibefore iyour
ihusband's ideath?î
D) ìTry inot ito iworry iabout ithat iright inow. iYou inever iknow iwhat ithe ifuture
ibrings.î iAns: iB
Feedback:
Mental iillness iincludes igeneral idissatisfaction iwith iself, iineffective irelationships,
iineffective icoping, iand ilack iof ipersonal igrowth. iAdditionally ithe ibehavior imust inot
ibe iculturally iexpected. iAcute igrief ireactions iare iexpected iand itherefore inot
iconsidered imental iillness. iFalse ireassurance ior ioveranalysis idoes inot iaccurately
iaddress ithe iclient's iconcerns.
5. The inurse iconsults ithe iDSM ifor iwhich iof ithe ifollowing ipurposes?
A) To idevise ia iplan iof icare ifor ia inewly iadmitted iclient
B) To ipredict ithe iclient's iprognosis iof itreatment ioutcomes
C) To idocument ithe iappropriate idiagnostic icode iin ithe iclient's imedical irecord
D) To iserve ias ia iguide ifor iclient
iassessment iAns: iD
Feedback:
The iDSM iprovides istandard inomenclature, ipresents idefining icharacteristics, iand
iidentifies iunderlying icauses iof imental idisorders. iIt idoes inot iprovide icare iplans ior
iprognostic ioutcomes iof itreatment. iDiagnosis iof imental iillness iis inot iwithin ithe
igeneralist iRN's iscope iof ipractice, iso idocumenting ithe icode iin ithe imedical irecord
iwould ibe iinappropriate.
6. Which iwould ibe ia ireason ifor ia istudent inurse ito iuse ithe iDSM?
A) Identifying ithe imedical idiagnosis
B) Treat iclients
C) Evaluate itreatments
D) Understand ithe ireason ifor ithe iadmission iand ithe inature iof ipsychiatric
iillnesses. iAns: iD
Feedback:
Although istudent inurses ido inot iuse ithe iDSM ito idiagnose iclients, ithey iwill ifind iit ia
ihelpful iresource ito iunderstand ithe ireason ifor ithe iadmission iand ito ibegin ibuilding
iknowledge iabout ithe inature iof ipsychiatric iillnesses. iIdentifying ithe imedical
idiagnosis, itreating, iand ievaluating itreatments iare inot ia ipart iof ithe inursing iprocess.
7. The ilegislation ienacted iin i1963 iwas ilargely iresponsible ifor iwhich iof ithe ifollowing
ishifts iin icare ifor ithe imentally iill?
A) The iwidespread iuse iof icommunity-based iservices
B) The iadvancement iin ipharmacotherapies
C) Increased iaccess ito ihospitalization
D) Improved irights ifor iclients iin ilong-term iinstitutional
icare iAns: iA
Feedback:
The iCommunity iMental iHealth iCenters iConstruction iAct iof i1963 iaccomplished ithe
irelease iof iindividuals ifrom ilong-term istays iin istate iinstitutions, ithe idecrease iin
iadmissions ito ihospitals, iand ithe idevelopment iof icommunity-based iservices ias ian
ialternative ito ihospital icare.
Page 3
