Pagez1
,Psychiatric-MentalzHealthzNursingz9thzeditionzbyzVidebeckzTestzBank
Chapterz1
1. Theznurseziszassessingzthezfactorszcontributingztozthezwell-
beingzofzaznewlyzadmittedzclient.zWhichzofzthezfollowingzwouldztheznursezidentifyzaszhav
ingzazpositivezimpactzonzthezindividual'szmentalzhealth?
A) Notzneedingzotherszforzcompanionship
B) Thezabilityztozeffectivelyzmanagezstress
C) Azfamilyzhistoryzofzmentalzillness
D) Strivingzforztotalzself-
reliancezAns:z B
Feedback:
Individualzfactorszinfluencingzmentalzhealthzincludezbiologiczmakeup,zautonomy,zindepe
ndence,zself-
esteem,zcapacityzforzgrowth,zvitality, zabilityztozfindzmeaningzinzlife,zemotionalzresiliencezo
rzhardiness,zsensezofzbelonging,zrealityzorientation,zandzcopingzorzstresszmanagementzabili
ties.zInterpersonalzfactorszsuchzaszintimacyzandzazbalancezofzseparatenesszandzconnectedn
esszarezbothzneededzforzgoodzmentalzhealth,zandzthereforezazhealthyzpersonzwouldzneedzoth
erszforzcompanionship.zAzfamilyzhistoryzofzmentalzillnesszcouldzrelateztozthezbiologiczmak
eupzofzanzindividual,zwhichzmayzhavezaznegativezimpactzonzanzindividual'szmentalzhealth,z
aszwellzaszaznegativezimpactzonzanzindividual'szinterpersonalzandzsocialñculturalzfactorszof
zhealth. zTotalzself-
reliancezisznotzpossible,zandzazpositivezsocial/culturalzfactorziszaccessztozadequatezresource
s.
2. Whichzofzthezfollowingzstatementszaboutzmentalzillnesszareztrue?zSelectzallzthatzapply.
A) Mentalzillnesszcanzcausezsignificantzdistress,zimpairedzfunctioning,zorzboth.
B) Mentalzillnessziszonlyzdueztozsocial/culturalzfactors.
C) Social/culturalzfactorszthatzrelateztozmentalzillnesszincludezexcessivezdependencyzo
nzorzwithdrawalzfromzrelationships.
D) Individualszsufferingzfromzmentalzillnesszarezusuallyzableztozcopezeffectivelyzwithzd
ailyzlife.
E) Individualszsufferingzfromzmentalzillnesszmayzexperiencezdissatisfactionzwithzr
elationshipszandzself.
Ans:z A,zD,zE
Feedback:
Mentalzillnesszcanzcausezsignificantzdistress,zimpairedzfunctioning,zorzboth.zMentalzillnessz
mayzbezrelatedztozindividual, zinterpersonal,zorzsocial/culturalzfactors.zExcessivezdependen
cyzonzorzwithdrawalzfromzrelationshipszarezinterpersonalzfactorszthatzrelateztozmentalzillnes
s.zIndividualszsufferingzfromzmentalzillnesszcanzfeelz overwhelmedzwithzdailyzlife.zIndividu
alszsufferingzfromzmentalzillnesszmayzexperiencezdissatisfactionzwithzrelationshipszandzsel
f.
Pagez2
,3. Whichzofzthezfollowingzareztruezregardingzmentalzhealthzandzmentalzillness?
A) Behaviorzthatzmayzbezviewedzaszacceptablezinzonezcultureziszalwayszunacceptablezi
nzotherzcultures.
B) Itziszeasyztozdeterminezifzazpersonziszmentallyzhealthyzorzmentallyzill.
C) Inzmostzcases,zmentalzhealthziszazstatezofzemotional, zpsychological,zandzsocialzwe
llnesszevidencedzbyzsatisfyingzinterpersonalzrelationships,zeffectivezbehaviorzandz
coping,zpositivezself-concept,zandzemotionalzstability.
D) Personszwhozengagezinzfantasieszarezmentallyzill.z
Ans:z C
Feedback:
Whatzonezsocietyzmayzviewzaszacceptablezandzappropriatezbehavior,zanotherzsocietyzmayzse
ezthatzaszmaladaptive,zandzinappropriate.zMentalzhealthzandzmentalzillnesszarezdifficultztozd
efinezprecisely.zInzmostzcases,zmentalzhealthziszazstatezofzemotional,zpsychological,zandzsoc
ialzwellnesszevidencedzbyzsatisfyingzinterpersonalzrelationships,zeffectivezbehaviorzandzco
ping,zpositivezself-
concept,zandzemotionalzstability. zPersonszwhozengagezinzfantasieszmayzbezmentallyzhealthy
,zbutzthezinabilityztozdistinguishzrealityzfromzfantasyziszanzindividualzfactorzthatzmayzcontrib
uteztozmentalzillness.
4. Azclientzgrievingzthezrecentzlosszofzherzhusbandzaskszifzsheziszbecomingzmentallyzillzbe
causezsheziszsozsad.zTheznurse'szbestzresponsezwouldzbe,
A) ìYouzmayzhavezaztemporaryzmentalzillnesszbecausezyouzarezexperiencingzsozmuchzp
ain.î
B) ìYouzareznotzmentallyzill. zThisziszanzexpectedzreactionztozthezlosszyouzhaveze
xperienced.î
C) ìWerezyouzgenerallyzdissatisfiedzwithzyourzrelationshipzbeforezyourzhusband'szd
eath?î
D) ìTryznotztozworryzaboutzthatzrightznow.zYouzneverzknowzwhatzthezfuturezbrings.îzA
ns:z B
Feedback:
Mentalzillnesszincludeszgeneralzdissatisfactionzwithzself,zineffectivezrelationships,zineffec
tivezcoping,zandzlackzofzpersonalzgrowth.zAdditionallyzthezbehaviorzmustznotzbezculturally
zexpected.zAcutezgriefzreactions zarezexpectedzandzthereforeznot zconsideredz mentalzillness.z
Falsezreassurancezorzoveranalysiszdoesznotzaccuratelyzaddresszthezclient'szconcerns.
Pagez3
, 5. TheznursezconsultszthezDSMzforzwhichzofzthezfollowingzpurposes?
A) Tozdevisezazplanzofzcarezforzaznewlyzadmittedzclient
B) Tozpredictzthezclient'szprognosiszofztreatmentzoutcomes
C) Tozdocumentzthezappropriatezdiagnosticzcodezinzthezclient'szmedicalzrecord
D) Tozservezaszazguidezforzclientzassessmentz
Ans:z D
Feedback:
ThezDSMzprovideszstandardznomenclature,zpresentszdefiningzcharacteristics,zandzidentifi
eszunderlyingzcauseszofzmentalzdisorders.zItzdoesznotzprovidezcarezplanszorzprognosticzoutc
omeszofztreatment.zDiagnosiszofzmentalzillnesszisznotzwithinzthezgeneralistzRN'szscopezofzp
ractice,zsozdocumentingzthezcodezinzthezmedicalzrecordzwouldzbezinappropriate.
6. WhichzwouldzbezazreasonzforzazstudentznurseztozusezthezDSM?
A) Identifyingzthezmedicalzdiagnosis
B) Treatzclients
C) Evaluateztreatments
D) Understandzthezreasonzforzthezadmissionzandztheznaturezofzpsychiatriczillnesses.zA
ns:z D
Feedback:
AlthoughzstudentznurseszdoznotzusezthezDSMztozdiagnosezclients,ztheyzwillzfindzitzazhelpful
zresourcezto zunderstandzthezreasonz forzthezadmissionzand zto zbeginz buildingzknowledge zabo
utztheznaturezofzpsychiatriczillnesses.zIdentifyingzthezmedicalzdiagnosis,ztreating,zandzevalu
atingztreatmentszareznotzazpartzofztheznursingzprocess.
7. Thezlegislationzenactedzinz1963zwaszlargelyzresponsiblezforzwhichzofzthezfollowingzshiftszin
zcarez forzthez mentallyz ill?
A) Thezwidespreadzusezofzcommunity-basedzservices
B) Thezadvancementzinzpharmacotherapies
C) Increasedzaccessztozhospitalization
D) Improvedzrightszforzclientszinzlong-
termzinstitutionalzcarezAns:z A
Feedback:
ThezCommunityzMentalzHealthzCenterszConstructionzActzofz1963zaccomplishedzthezrelea
sezofzindividualszfromzlong-
termzstayszinzstatezinstitutions,zthezdecreasezinzadmissionsztozhospitals,zandzthezdevelopme
ntzofzcommunity-basedzserviceszaszanzalternativeztozhospitalzcare.
Pagez4
,Psychiatric-MentalzHealthzNursingz9thzeditionzbyzVidebeckzTestzBank
Chapterz1
1. Theznurseziszassessingzthezfactorszcontributingztozthezwell-
beingzofzaznewlyzadmittedzclient.zWhichzofzthezfollowingzwouldztheznursezidentifyzaszhav
ingzazpositivezimpactzonzthezindividual'szmentalzhealth?
A) Notzneedingzotherszforzcompanionship
B) Thezabilityztozeffectivelyzmanagezstress
C) Azfamilyzhistoryzofzmentalzillness
D) Strivingzforztotalzself-
reliancezAns:z B
Feedback:
Individualzfactorszinfluencingzmentalzhealthzincludezbiologiczmakeup,zautonomy,zindepe
ndence,zself-
esteem,zcapacityzforzgrowth,zvitality, zabilityztozfindzmeaningzinzlife,zemotionalzresiliencezo
rzhardiness,zsensezofzbelonging,zrealityzorientation,zandzcopingzorzstresszmanagementzabili
ties.zInterpersonalzfactorszsuchzaszintimacyzandzazbalancezofzseparatenesszandzconnectedn
esszarezbothzneededzforzgoodzmentalzhealth,zandzthereforezazhealthyzpersonzwouldzneedzoth
erszforzcompanionship.zAzfamilyzhistoryzofzmentalzillnesszcouldzrelateztozthezbiologiczmak
eupzofzanzindividual,zwhichzmayzhavezaznegativezimpactzonzanzindividual'szmentalzhealth,z
aszwellzaszaznegativezimpactzonzanzindividual'szinterpersonalzandzsocialñculturalzfactorszof
zhealth. zTotalzself-
reliancezisznotzpossible,zandzazpositivezsocial/culturalzfactorziszaccessztozadequatezresource
s.
2. Whichzofzthezfollowingzstatementszaboutzmentalzillnesszareztrue?zSelectzallzthatzapply.
A) Mentalzillnesszcanzcausezsignificantzdistress,zimpairedzfunctioning,zorzboth.
B) Mentalzillnessziszonlyzdueztozsocial/culturalzfactors.
C) Social/culturalzfactorszthatzrelateztozmentalzillnesszincludezexcessivezdependencyzo
nzorzwithdrawalzfromzrelationships.
D) Individualszsufferingzfromzmentalzillnesszarezusuallyzableztozcopezeffectivelyzwithzd
ailyzlife.
E) Individualszsufferingzfromzmentalzillnesszmayzexperiencezdissatisfactionzwithzr
elationshipszandzself.
Ans:z A,zD,zE
Feedback:
Mentalzillnesszcanzcausezsignificantzdistress,zimpairedzfunctioning,zorzboth.zMentalzillnessz
mayzbezrelatedztozindividual, zinterpersonal,zorzsocial/culturalzfactors.zExcessivezdependen
cyzonzorzwithdrawalzfromzrelationshipszarezinterpersonalzfactorszthatzrelateztozmentalzillnes
s.zIndividualszsufferingzfromzmentalzillnesszcanzfeelz overwhelmedzwithzdailyzlife.zIndividu
alszsufferingzfromzmentalzillnesszmayzexperiencezdissatisfactionzwithzrelationshipszandzsel
f.
Pagez2
,3. Whichzofzthezfollowingzareztruezregardingzmentalzhealthzandzmentalzillness?
A) Behaviorzthatzmayzbezviewedzaszacceptablezinzonezcultureziszalwayszunacceptablezi
nzotherzcultures.
B) Itziszeasyztozdeterminezifzazpersonziszmentallyzhealthyzorzmentallyzill.
C) Inzmostzcases,zmentalzhealthziszazstatezofzemotional, zpsychological,zandzsocialzwe
llnesszevidencedzbyzsatisfyingzinterpersonalzrelationships,zeffectivezbehaviorzandz
coping,zpositivezself-concept,zandzemotionalzstability.
D) Personszwhozengagezinzfantasieszarezmentallyzill.z
Ans:z C
Feedback:
Whatzonezsocietyzmayzviewzaszacceptablezandzappropriatezbehavior,zanotherzsocietyzmayzse
ezthatzaszmaladaptive,zandzinappropriate.zMentalzhealthzandzmentalzillnesszarezdifficultztozd
efinezprecisely.zInzmostzcases,zmentalzhealthziszazstatezofzemotional,zpsychological,zandzsoc
ialzwellnesszevidencedzbyzsatisfyingzinterpersonalzrelationships,zeffectivezbehaviorzandzco
ping,zpositivezself-
concept,zandzemotionalzstability. zPersonszwhozengagezinzfantasieszmayzbezmentallyzhealthy
,zbutzthezinabilityztozdistinguishzrealityzfromzfantasyziszanzindividualzfactorzthatzmayzcontrib
uteztozmentalzillness.
4. Azclientzgrievingzthezrecentzlosszofzherzhusbandzaskszifzsheziszbecomingzmentallyzillzbe
causezsheziszsozsad.zTheznurse'szbestzresponsezwouldzbe,
A) ìYouzmayzhavezaztemporaryzmentalzillnesszbecausezyouzarezexperiencingzsozmuchzp
ain.î
B) ìYouzareznotzmentallyzill. zThisziszanzexpectedzreactionztozthezlosszyouzhaveze
xperienced.î
C) ìWerezyouzgenerallyzdissatisfiedzwithzyourzrelationshipzbeforezyourzhusband'szd
eath?î
D) ìTryznotztozworryzaboutzthatzrightznow.zYouzneverzknowzwhatzthezfuturezbrings.îzA
ns:z B
Feedback:
Mentalzillnesszincludeszgeneralzdissatisfactionzwithzself,zineffectivezrelationships,zineffec
tivezcoping,zandzlackzofzpersonalzgrowth.zAdditionallyzthezbehaviorzmustznotzbezculturally
zexpected.zAcutezgriefzreactions zarezexpectedzandzthereforeznot zconsideredz mentalzillness.z
Falsezreassurancezorzoveranalysiszdoesznotzaccuratelyzaddresszthezclient'szconcerns.
Pagez3
, 5. TheznursezconsultszthezDSMzforzwhichzofzthezfollowingzpurposes?
A) Tozdevisezazplanzofzcarezforzaznewlyzadmittedzclient
B) Tozpredictzthezclient'szprognosiszofztreatmentzoutcomes
C) Tozdocumentzthezappropriatezdiagnosticzcodezinzthezclient'szmedicalzrecord
D) Tozservezaszazguidezforzclientzassessmentz
Ans:z D
Feedback:
ThezDSMzprovideszstandardznomenclature,zpresentszdefiningzcharacteristics,zandzidentifi
eszunderlyingzcauseszofzmentalzdisorders.zItzdoesznotzprovidezcarezplanszorzprognosticzoutc
omeszofztreatment.zDiagnosiszofzmentalzillnesszisznotzwithinzthezgeneralistzRN'szscopezofzp
ractice,zsozdocumentingzthezcodezinzthezmedicalzrecordzwouldzbezinappropriate.
6. WhichzwouldzbezazreasonzforzazstudentznurseztozusezthezDSM?
A) Identifyingzthezmedicalzdiagnosis
B) Treatzclients
C) Evaluateztreatments
D) Understandzthezreasonzforzthezadmissionzandztheznaturezofzpsychiatriczillnesses.zA
ns:z D
Feedback:
AlthoughzstudentznurseszdoznotzusezthezDSMztozdiagnosezclients,ztheyzwillzfindzitzazhelpful
zresourcezto zunderstandzthezreasonz forzthezadmissionzand zto zbeginz buildingzknowledge zabo
utztheznaturezofzpsychiatriczillnesses.zIdentifyingzthezmedicalzdiagnosis,ztreating,zandzevalu
atingztreatmentszareznotzazpartzofztheznursingzprocess.
7. Thezlegislationzenactedzinz1963zwaszlargelyzresponsiblezforzwhichzofzthezfollowingzshiftszin
zcarez forzthez mentallyz ill?
A) Thezwidespreadzusezofzcommunity-basedzservices
B) Thezadvancementzinzpharmacotherapies
C) Increasedzaccessztozhospitalization
D) Improvedzrightszforzclientszinzlong-
termzinstitutionalzcarezAns:z A
Feedback:
ThezCommunityzMentalzHealthzCenterszConstructionzActzofz1963zaccomplishedzthezrelea
sezofzindividualszfromzlong-
termzstayszinzstatezinstitutions,zthezdecreasezinzadmissionsztozhospitals,zandzthezdevelopme
ntzofzcommunity-basedzserviceszaszanzalternativeztozhospitalzcare.
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