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Test Bank For Psychiatric-Mental Health Nursing Ninth Edition by SHEILA L. VIDEBECK||ISBN NO:10,1975184777||ISBN NO:13,978-1975184773||All Chapters||Complete Guide A+||Latest Update

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Test Bank For Psychiatric-Mental Health Nursing Ninth Edition by SHEILA L. VIDEBECK||ISBN NO:10,1975184777||ISBN NO:13,978-1975184773||All Chapters||Complete Guide A+||Latest Update

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Test Bank For Psychiatric Mental Health Nursing 9th Edition
nd nd nd nd nd nd nd nd




Chapter nd1
1. The ndnurse ndis ndassessing ndthe ndfactors ndcontributing ndto ndthe
ndwell- ndbeing ndof nda ndnewly ndadmitted ndclient. ndWhich ndof

ndthe ndfollowing ndwould ndthe ndnurse ndidentify ndas ndhaving nda

ndpositive ndimpact ndonthe ndindividual's ndmental ndhealth?

A) Not ndneeding ndothers ndfor ndcompanionship
B) The ndability ndto ndeffectively ndmanage ndstress
C) A ndfamily ndhistory ndof ndmental ndillness
D) Striving ndfor ndtotal ndself-
reliance ndAns: n d B
Feedback:
Individual ndfactors ndinfluencing ndmental ndhealth ndinclude
ndbiologic ndmakeup, ndautonomy, ndindependence, ndself-

esteem, ndcapacity ndfor ndgrowth, ndvitality, ndability ndto ndfind
ndmeaning ndin ndlife, ndemotional ndresilience ndor ndhardiness,

ndsense ndof ndbelonging, ndreality ndorientation, ndand ndcoping ndor

ndstress ndmanagement ndabilities. ndInterpersonal ndfactors ndsuch

ndas ndintimacy ndand nda ndbalance ndof ndseparateness ndand

ndconnectedness ndare ndboth ndneeded

for ndgood ndmental ndhealth, ndand ndtherefore ndahealthy ndperson ndwould ndneed ndothers ndfor
ndcompanionship. ndA ndfamily ndhistory ndof ndmental ndillnesscould ndrelate ndto ndthe ndbiologic

ndmakeup ndof ndan ndindividual, ndwhich ndmay ndhave nda ndnegative ndimpacton ndan ndindividual's

ndmental ndhealth, ndas ndwell ndas nda ndnegative ndimpact ndon ndan ndindividual's ndinterpersonal ndand

ndsocialñcultural ndfactors ndof ndhealth. ndTotal ndself-reliance ndis ndnot ndpossible, ndand nda

ndpositive ndsocial/cultural ndfactor ndis ndaccess ndto ndadequate ndresources.




2. Which ndof ndthe ndfollowing ndstatements ndabout ndmental ndillness ndare ndtrue? ndSelect ndall ndthat ndapply.
A) Mental ndillness ndcan ndcause ndsignificant nddistress, ndimpaired ndfunctioning, ndor ndboth.
B) Mental ndillness ndis ndonly nddue ndto ndsocial/cultural ndfactors.
C) Social/cultural ndfactors ndthat ndrelate ndto ndmental ndillness ndinclude ndexcessive
nddependency ndon ndor ndwithdrawal ndfrom ndrelationships.

D) Individuals ndsuffering ndfrom ndmental ndillness ndare ndusually ndable ndto ndcope
ndeffectively ndwith nddaily ndlife.

E) Individuals ndsuffering ndfrom ndmental ndillness ndmay ndexperience nddissatisfaction
ndwith ndrelationships ndand ndself.

Ans: ndA, ndD, ndE
Feedback:
Mental ndillness ndcan ndcause ndsignificant nddistress, ndimpaired ndfunctioning, ndor ndboth.
ndMental ndillness ndmay ndbe ndrelated ndto ndindividual, ndinterpersonal, ndor ndsocial/cultural

ndfactors. ndExcessive nddependency ndon ndor ndwithdrawal ndfrom ndrelationships ndare

ndinterpersonal ndfactors ndthat ndrelate ndto ndmental ndillness. ndIndividuals ndsuffering ndfrom

ndmental ndillness ndcan ndfeel ndoverwhelmed ndwith nddaily ndlife. ndIndividuals ndsuffering ndfrom

ndmental ndillness ndmay ndexperience nddissatisfaction ndwith ndrelationships ndand ndself.

,3. Which ndof ndthe ndfollowing ndare ndtrue ndregarding ndmental ndhealth ndand ndmental ndillness?
A) Behavior ndthat ndmay ndbe ndviewed ndas ndacceptable ndin ndone ndculture ndis ndalways
ndunacceptable ndin ndother ndcultures.

B) It ndis ndeasy ndto nddetermine ndif nda ndperson ndis ndmentally ndhealthy ndor ndmentally ndill.
C) In ndmost ndcases, ndmental ndhealth ndis nda ndstate ndof ndemotional, ndpsychological, ndand
ndsocial ndwellness ndevidenced ndby ndsatisfying ndinterpersonal ndrelationships,

ndeffective ndbehavior ndand ndcoping, ndpositive ndself-concept, ndand ndemotional

ndstability.

D) Persons ndwho ndengage ndin ndfantasies ndare ndmentally
ndill. ndAns: n d C

Feedback:
What ndone ndsociety ndmay ndview ndas ndacceptable ndand ndappropriate ndbehavior, ndanother
ndsociety ndmay ndsee ndthat ndas ndmaladaptive, ndand ndinappropriate. ndMental ndhealth ndand

ndmental ndillness ndare nddifficult ndto nddefine ndprecisely. ndIn ndmost ndcases, ndmental ndhealth ndis nda

ndstate ndof ndemotional, ndpsychological, ndand ndsocial ndwellness ndevidenced ndby ndsatisfying

ndinterpersonal ndrelationships, ndeffective ndbehavior ndand ndcoping, ndpositive ndself-concept,

ndand ndemotional ndstability. ndPersons ndwho ndengage ndin ndfantasies ndmay ndbe ndmentally

ndhealthy, ndbut ndthe ndinability ndto nddistinguish ndreality ndfrom ndfantasy ndis ndan ndindividual

ndfactor ndthat ndmay ndcontribute ndto ndmental ndillness.




4. A ndclient ndgrieving ndthe ndrecent ndloss ndof ndher ndhusband ndasks ndif ndshe ndis ndbecoming
ndmentally ndill ndbecause ndshe ndis ndso ndsad. ndThe ndnurse's ndbest ndresponse ndwould ndbe,

A) ìYou ndmayndhave nda ndtemporary ndmental ndillness ndbecause ndyou ndare ndexperiencing ndso
ndmuch ndpain.î

B) ìYou ndare ndnot ndmentally ndill. ndThis ndis ndan ndexpected ndreaction ndto ndthe ndloss
ndyou ndhave ndexperienced.î

C) ìWere ndyou ndgenerally nddissatisfied ndwith ndyour ndrelationship ndbefore ndyour
ndhusband's nddeath?î

D) ìTry ndnot ndto ndworry ndabout ndthat ndright ndnow. ndYou ndnever ndknow ndwhat ndthe ndfuture
ndbrings.î ndAns: n d B

Feedback:
Mental ndillness ndincludes ndgeneral nddissatisfaction ndwith ndself, ndineffective ndrelationships,
ndineffective ndcoping, ndand ndlack ndof ndpersonal ndgrowth. ndAdditionally ndthe ndbehavior ndmust

ndnot ndbe ndculturally ndexpected. ndAcute ndgrief ndreactions ndare ndexpected ndand ndtherefore ndnot

ndconsidered ndmental ndillness. ndFalse ndreassurance ndor ndoveranalysis nddoes ndnot ndaccurately

ndaddress ndthe ndclient's ndconcerns.

,5. The ndnurse ndconsults ndthe ndDSM ndfor ndwhich ndof ndthe ndfollowing ndpurposes? n d
A) To nddevise nda ndplan ndof ndcare ndfor nda ndnewly ndadmitted ndclient
B) To ndpredict ndthe ndclient's ndprognosis ndof ndtreatment ndoutcomes
C) To nddocument ndthe ndappropriate nddiagnostic ndcode ndin ndthe ndclient's ndmedical ndrecord
D) ndTo ndserve ndas nda ndguide ndfor ndclient ndassessment n d
Ans: ndD
Feedback:
The ndDSM ndprovides ndstandard ndnomenclature, ndpresents nddefining ndcharacteristics, ndand
ndidentifies ndunderlying ndcauses ndof ndmental nddisorders. ndIt nddoes ndnot ndprovide ndcare ndplans

ndor ndprognostic ndoutcomes ndof ndtreatment. ndDiagnosis ndof ndmental ndillness ndis ndnot ndwithin

ndthe ndgeneralist ndRN's ndscope ndof ndpractice, ndso nddocumenting ndthe ndcode ndin ndthe ndmedical

ndrecord ndwould ndbe ndinappropriate.




6. Which ndwould ndbe nda ndreason ndfor nda ndstudent ndnurse ndto nduse ndthe ndDSM? n d
A) Identifying ndthe ndmedical nddiagnosis
B) Treat ndclients
C) Evaluate ndtreatments
D) ndUnderstand ndthe ndreason ndfor ndthe ndadmission ndand ndthe ndnature ndof ndpsychiatric ndillnesses.
n d

Ans: ndD
Feedback:
Although ndstudent ndnurses nddo ndnot nduse ndthe ndDSM ndto nddiagnose ndclients, ndthey ndwill ndfind
ndit nda ndhelpful ndresource ndto ndunderstand ndthe ndreason ndfor ndthe ndadmission ndand ndto ndbegin

ndbuilding ndknowledge ndabout ndthe ndnature ndof ndpsychiatric ndillnesses. ndIdentifying ndthe

ndmedical nddiagnosis, ndtreating, ndand ndevaluating ndtreatments ndare ndnot nda ndpart ndof ndthe

ndnursing ndprocess.




7. The ndlegislation ndenacted ndin nd1963 ndwas ndlargely ndresponsible ndfor ndwhich ndof ndthe
ndfollowing ndshifts ndin ndcare ndfor ndthe ndmentally ndill?

A) The ndwidespread nduse ndof ndcommunity-based ndservices
B) The ndadvancement ndin ndpharmacotherapies
C) Increased ndaccess ndto ndhospitalization
D) Improved ndrights ndfor ndclients ndin ndlong-term ndinstitutional
ndcare ndAns: n d A

Feedback:
The ndCommunity ndMental ndHealth ndCenters ndConstruction ndAct ndof nd1963 ndaccomplished
ndthe ndrelease ndof ndindividuals ndfrom ndlong-term ndstays ndin ndstate ndinstitutions, ndthe

nddecrease ndin ndadmissions ndto ndhospitals, ndand ndthe nddevelopment ndof ndcommunity-based

ndservices ndas ndan ndalternative ndto ndhospital ndcare.

, 8. Which ndone ndof ndthe ndfollowing ndis nda ndresult ndof ndfederal ndlegislation?
A) Making ndit ndeasier ndto ndcommit ndpeople ndfor ndmental ndhealth ndtreatment ndagainst ndtheir ndwill.
B) Making ndit ndmore nddifficult ndto ndcommit ndpeople ndfor ndmental ndhealth ndtreatment
ndagainst ndtheir ndwill.

C) State ndmental ndinstitutions ndbeing ndthe ndprimary ndsource ndof ndcare ndfor ndmentally ndill
ndpersons.

D) Improved ndcare ndfor ndmentally ndill
ndpersons. ndAns: n d B

Feedback:
Commitment ndlaws ndchanged ndin ndthe ndearly nd1970s, ndmaking ndit ndmore nddifficult ndto
ndcommit ndpeople ndfor ndmental ndhealth ndtreatment ndagainst ndtheir ndwill.

ndDeinstitutionalization ndaccomplished ndthe ndrelease ndof ndindividuals ndfrom ndlong-term

ndstays ndin ndstate ndinstitutions. ndDeinstitutionalization ndalso ndhad ndnegative ndeffects ndin ndthat

ndsome ndmentally ndill ndpersons ndare ndsubjected ndto ndthe ndrevolving nddoor ndeffect, ndwhich

ndmay ndlimit ndcare ndfor ndmentally ndill ndpersons.




9. The ndgoal ndof ndthe nd1963 ndCommunity ndMental ndHealth ndCenters ndAct ndwas ndto
A) ensure ndpatients' ndrights ndfor ndthe ndmentally ndill.
B) deinstitutionalize ndstate ndhospitals.
C) provide ndfunds ndto ndbuild ndhospitals ndwith ndpsychiatric ndunits.
D) treat ndpeople ndwith ndmental ndillness ndin nda ndhumane
ndfashion. ndAns: n d B

Feedback:
The nd1963 ndCommunity ndMental ndHealth ndCenters ndAct ndintimated ndthe ndmovement
ndtoward ndtreating ndthose ndwith ndmental ndillness ndin nda ndless ndrestrictive ndenvironment. ndThis

ndlegislation ndresulted ndin ndthe ndshift ndof ndclients ndwith ndmental ndillness ndfrom ndlarge ndstate

ndinstitutions ndto ndcare ndbased ndin ndthe ndcommunity. ndAnswer ndchoices ndA, ndC, ndand ndD ndwere

ndnot ndpurposes ndof ndthe nd1963 ndCommunity ndMental ndHealth ndCenters ndAct.




10. The ndcreation ndof ndasylums ndduring ndthe nd1800s ndwas ndmeant ndto
A) improve ndtreatment ndof ndmental nddisorders.
B) provide ndfood ndand ndshelter ndfor ndthe ndmentally ndill.
C) punish ndpeople ndwith ndmental ndillness ndwho ndwere ndbelieved ndto ndbe ndpossessed.
D) remove nddangerous ndpeople ndwith ndmental ndillness ndfrom ndthe
ndcommunity. ndAns: n d B

Feedback:
The ndasylum ndwas ndmeant ndto ndbe nda ndsafe ndhaven ndwith ndfood, ndshelter, ndand ndhumane
ndtreatment ndfor ndthe ndmentally ndill. ndAsylums ndwere ndnot ndused ndto ndimprove ndtreatment ndof

ndmental nddisorders ndor ndto ndpunish ndmentally ndill ndpeople ndwho ndwere ndbelieved ndto ndbe

ndpossessed. ndThe ndasylum ndwas ndnot ndcreated ndto ndremove ndthe nddangerously ndmentally ndill

ndfrom ndthe ndcommunity.

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