Testbank For psychiatric mental Health nursing 9th edition
H H H H
Chapter h h 1
1. The h nurse h is h assessing h the h factors
h contributing h to h the h well-hbeing h of h a h newly
h admitted h client.
Which h of h the h following h would h the h nurse
h identify has h having h a h positive h impact
h ontheindividual's h mental h health?
A) Not h needing h others h for h companionship
B) The h ability h to h effectively h manage h stress
C) A h family h history h of h mental h illness
D) Striving h for h total
h self- hreliancehAns: B
Feedback:
Individual h factors h influencing h mental h health
h include hbiologic h makeup, h autonomy, h independence,
h self- hesteem, h capacity h for h growth, h vitality,
h ability h to h find h meaning h in h life,hemotional
h resilience h or h hardiness, hsense h of h belonging,
h reality h orientation, h and h coping h or h stress
h management h abilities. h Interpersonal
factors h such h as h intimacy h and h a h balance h of
hseparateness h and h connectedness h are h both
h needed
for h good h mental h health, h and h therefore h ahealthy h person h would
h need h others hfor h companionship. h A h family h history h of h mental
h illnesscould h relate h to h the hbiologic h makeup h of h an h individual,
h which h may h have h a h negative h impacton han h individual's h mental
h health, h ashwell h as h a h negative h impact h on h an hindividual's
h interpersonal h and h socialñcultural h factors h ofhealth. h Total h self- h reliance
h is h not h possible, h and h a h positive h social/cultural h factor h is h access
h to hadequate h resources.
2. Which h of h the h following h statements h about h mental h illness h are h true? h Select
h all h that happly.
A) Mental h illness h can h cause h significant h distress, h impaired h functioning, h or
h both.
B) Mental h illness h is h only h due h to h social/cultural h factors.
C) Social/cultural h factors h that h relate h to h mental h illness h include
h excessive hdependencyon h or h withdrawal h from h relationships.
D) Individuals h suffering h from h mental h illness h are h usually h able h to
h cope heffectively h withdaily h life.
E) Individuals h suffering h from h mental h illness h may
h experience hdissatisfaction h withprrelationships h and h self.
Ans: h h A, h D, h h E
Feedback:
Mental h illness h can h cause h significant h distress, h impaired h functioning, h or
h both. h Mental h illness h may h be h related h to h individual, h interpersonal,
h or h social/cultural h factors. h Excessive h dependency h on h or h withdrawal
,h from h relationships h are h interpersonal h factors h that h relate h to h mental
h illness.
Individuals h suffering h from h mental h illness h can h feel h overwhelmed h with
h daily hlife. hIndividuals hsuffering hfrom hmental hillness hmay hexperience hdissatisfaction
hwithrelationships h and h self.
,3. Which h of h the h following h are h true h regarding h mental h h health h and h mental
h illness?
A) Behavior h that h may h be h viewed h as h acceptable h in h one h culture h is
h always hunacceptablein h other h cultures.
B) It h is h easy h to h determine h if h h a h person h is h mentally h healthy h or h h mentally
h ill.
C) In h most h cases, h mental h health h is h a h state h of h emotional,
h psychological, hand h social h wellness h evidenced h by h satisfying
h interpersonal hrelationships, h effective h behaviorprand h coping, h positive
h self-concept, h and hemotional h stability.
D) Persons h who h engage h in h fantasies
h are hmentally h ill.hAns: C
Feedback:
What h one h society h may h view h as h acceptable h and h appropriate h behavior,
h another h society h maysee h that h as h maladaptive, h and h inappropriate. h Mental
h health h and h mental h illness h are h difficultprto h define h precisely. h In h most
h cases, h mental h health h is h a h state h of h emotional, h psychological, h and
h social h wellness h evidenced h by hsatisfying h interpersonal h relationships,
h effective h behavior h and h coping, h positive h self-concept, h and h emotional
h stability. h Persons h who h engagein h fantasies h may h be h mentally h healthy,
h but h the h inability h to h distinguish h reality h from h fantasyis han h individual
h factor h that h may h contribute h to h mental h illness.
4. A h client h grieving h the h recent h loss h of h her h husband h asks h if h she
h is hbecoming h mentally h illbecause h she h is h so h sad. h The h nurse's
h best h response hwould h be,
A) ìYou h may h have h a h temporary h mental h illness h because
h you h are hexperiencing h so h muchpain.î
B) ìYou h are h not h mentally h ill. h This h is h an h expected h reaction
h to h the h loss h you h haveprexperienced.î
C) ìWere h you h generally h dissatisfied h with h your h relationship h before
h your hhusband'sdeath?î
D) ìTry h not h to h worry h about h that h right h now. h You h never h know
h what h the hfuture h brings.î hAns: B
Feedback:
Mental h illness h includes h general h dissatisfaction h with h self, h ineffective
h relationships, h ineffective h coping, h and h lack h of h personal h growth.
h Additionally h the h behavior h must h not h be h culturally h expected. h Acute
h grief h reactions h are hexpected h and h therefore h not h considered h mental
h illness. h False h reassurance h or h overanalysis h does h not h accurately
h address h the h client'sconcerns.
, 5. p hr h Thehprnursehprconsults hprthehprDSMhprforhprwhichhprofhprthe
A) To h devise h a h plan h of h care h for h a h newly h admitted h client
B) To h predict h the h client's h prognosis h of h treatment h outcomes
C) To h document h the h appropriate h diagnostic h h code h in h the h client's
prmediT caolpprsrrercvoerpdraprDs)pra hprguidehprforhprclient
Ans: h h D
Feedback:
The h DSM h provides h standard h nomenclature, h presents h defining
h characteristics, h and h identifies h underlying h causes h of h mental h disorders.
h It h does h not h provide hcare h plans h or h prognostic h outcomes h of
h treatment. h Diagnosis h of h mental hillness h is h not h within h the
h generalist h RN's h scope h of h practice, h so hdocumenting h the h code h in
h the h medical h record h wouldprbe h inappropriate.
6. p hr hWhichhprwouldhprbehprahprreason hprforhprahprstudenthprnursehprto
A) Identifying h the h medical h diagnosis
B) Treat h clients
C) Evaluate
prtreathm
UenndtesrprDs t)a n d hprthehprreasonhprforhprthehpradmissionhprandhprthehprnaturehprof
Ans: h h D
Feedback:
Although h student h nurses h do h not h use h the h DSM h to h diagnose
h clients, h they hwill h find h it h a h helpful h resource h to h understand h the
h reason h for h the hadmission h and h to h begin h building h knowledge h about
h the h nature h of h psychiatric h illnesses. h Identifying h the h medical
h diagnosis,htreating, h and hevaluating h treatments h are h not h a h part h of
h the h nursing h process.
7. The h legislation h enacted h in h 1963 h was h largely h responsible h for h which
h of h the hfollowing h shiftsin h care h for h the h mentally h ill?
A) The h widespread h use h of h community-based h services
B) The h advancement h in h pharmacotherapies
C) Increased h access h to h hospitalization
D) Improved h rights h for h clients h in h long-
term hinstitutional h carehAns: A
Feedback:
The h Community h Mental h Health h Centers h Construction h Act h of
h 1963 haccomplished h therelease h of h individuals h from h long-term
h stays h in h state h institutions, h the h decrease h in h admissions h to
h hospitals, h and h the h development h of h community-based h services h as
h an h alternative h to h hospital h care.
H H H H
Chapter h h 1
1. The h nurse h is h assessing h the h factors
h contributing h to h the h well-hbeing h of h a h newly
h admitted h client.
Which h of h the h following h would h the h nurse
h identify has h having h a h positive h impact
h ontheindividual's h mental h health?
A) Not h needing h others h for h companionship
B) The h ability h to h effectively h manage h stress
C) A h family h history h of h mental h illness
D) Striving h for h total
h self- hreliancehAns: B
Feedback:
Individual h factors h influencing h mental h health
h include hbiologic h makeup, h autonomy, h independence,
h self- hesteem, h capacity h for h growth, h vitality,
h ability h to h find h meaning h in h life,hemotional
h resilience h or h hardiness, hsense h of h belonging,
h reality h orientation, h and h coping h or h stress
h management h abilities. h Interpersonal
factors h such h as h intimacy h and h a h balance h of
hseparateness h and h connectedness h are h both
h needed
for h good h mental h health, h and h therefore h ahealthy h person h would
h need h others hfor h companionship. h A h family h history h of h mental
h illnesscould h relate h to h the hbiologic h makeup h of h an h individual,
h which h may h have h a h negative h impacton han h individual's h mental
h health, h ashwell h as h a h negative h impact h on h an hindividual's
h interpersonal h and h socialñcultural h factors h ofhealth. h Total h self- h reliance
h is h not h possible, h and h a h positive h social/cultural h factor h is h access
h to hadequate h resources.
2. Which h of h the h following h statements h about h mental h illness h are h true? h Select
h all h that happly.
A) Mental h illness h can h cause h significant h distress, h impaired h functioning, h or
h both.
B) Mental h illness h is h only h due h to h social/cultural h factors.
C) Social/cultural h factors h that h relate h to h mental h illness h include
h excessive hdependencyon h or h withdrawal h from h relationships.
D) Individuals h suffering h from h mental h illness h are h usually h able h to
h cope heffectively h withdaily h life.
E) Individuals h suffering h from h mental h illness h may
h experience hdissatisfaction h withprrelationships h and h self.
Ans: h h A, h D, h h E
Feedback:
Mental h illness h can h cause h significant h distress, h impaired h functioning, h or
h both. h Mental h illness h may h be h related h to h individual, h interpersonal,
h or h social/cultural h factors. h Excessive h dependency h on h or h withdrawal
,h from h relationships h are h interpersonal h factors h that h relate h to h mental
h illness.
Individuals h suffering h from h mental h illness h can h feel h overwhelmed h with
h daily hlife. hIndividuals hsuffering hfrom hmental hillness hmay hexperience hdissatisfaction
hwithrelationships h and h self.
,3. Which h of h the h following h are h true h regarding h mental h h health h and h mental
h illness?
A) Behavior h that h may h be h viewed h as h acceptable h in h one h culture h is
h always hunacceptablein h other h cultures.
B) It h is h easy h to h determine h if h h a h person h is h mentally h healthy h or h h mentally
h ill.
C) In h most h cases, h mental h health h is h a h state h of h emotional,
h psychological, hand h social h wellness h evidenced h by h satisfying
h interpersonal hrelationships, h effective h behaviorprand h coping, h positive
h self-concept, h and hemotional h stability.
D) Persons h who h engage h in h fantasies
h are hmentally h ill.hAns: C
Feedback:
What h one h society h may h view h as h acceptable h and h appropriate h behavior,
h another h society h maysee h that h as h maladaptive, h and h inappropriate. h Mental
h health h and h mental h illness h are h difficultprto h define h precisely. h In h most
h cases, h mental h health h is h a h state h of h emotional, h psychological, h and
h social h wellness h evidenced h by hsatisfying h interpersonal h relationships,
h effective h behavior h and h coping, h positive h self-concept, h and h emotional
h stability. h Persons h who h engagein h fantasies h may h be h mentally h healthy,
h but h the h inability h to h distinguish h reality h from h fantasyis han h individual
h factor h that h may h contribute h to h mental h illness.
4. A h client h grieving h the h recent h loss h of h her h husband h asks h if h she
h is hbecoming h mentally h illbecause h she h is h so h sad. h The h nurse's
h best h response hwould h be,
A) ìYou h may h have h a h temporary h mental h illness h because
h you h are hexperiencing h so h muchpain.î
B) ìYou h are h not h mentally h ill. h This h is h an h expected h reaction
h to h the h loss h you h haveprexperienced.î
C) ìWere h you h generally h dissatisfied h with h your h relationship h before
h your hhusband'sdeath?î
D) ìTry h not h to h worry h about h that h right h now. h You h never h know
h what h the hfuture h brings.î hAns: B
Feedback:
Mental h illness h includes h general h dissatisfaction h with h self, h ineffective
h relationships, h ineffective h coping, h and h lack h of h personal h growth.
h Additionally h the h behavior h must h not h be h culturally h expected. h Acute
h grief h reactions h are hexpected h and h therefore h not h considered h mental
h illness. h False h reassurance h or h overanalysis h does h not h accurately
h address h the h client'sconcerns.
, 5. p hr h Thehprnursehprconsults hprthehprDSMhprforhprwhichhprofhprthe
A) To h devise h a h plan h of h care h for h a h newly h admitted h client
B) To h predict h the h client's h prognosis h of h treatment h outcomes
C) To h document h the h appropriate h diagnostic h h code h in h the h client's
prmediT caolpprsrrercvoerpdraprDs)pra hprguidehprforhprclient
Ans: h h D
Feedback:
The h DSM h provides h standard h nomenclature, h presents h defining
h characteristics, h and h identifies h underlying h causes h of h mental h disorders.
h It h does h not h provide hcare h plans h or h prognostic h outcomes h of
h treatment. h Diagnosis h of h mental hillness h is h not h within h the
h generalist h RN's h scope h of h practice, h so hdocumenting h the h code h in
h the h medical h record h wouldprbe h inappropriate.
6. p hr hWhichhprwouldhprbehprahprreason hprforhprahprstudenthprnursehprto
A) Identifying h the h medical h diagnosis
B) Treat h clients
C) Evaluate
prtreathm
UenndtesrprDs t)a n d hprthehprreasonhprforhprthehpradmissionhprandhprthehprnaturehprof
Ans: h h D
Feedback:
Although h student h nurses h do h not h use h the h DSM h to h diagnose
h clients, h they hwill h find h it h a h helpful h resource h to h understand h the
h reason h for h the hadmission h and h to h begin h building h knowledge h about
h the h nature h of h psychiatric h illnesses. h Identifying h the h medical
h diagnosis,htreating, h and hevaluating h treatments h are h not h a h part h of
h the h nursing h process.
7. The h legislation h enacted h in h 1963 h was h largely h responsible h for h which
h of h the hfollowing h shiftsin h care h for h the h mentally h ill?
A) The h widespread h use h of h community-based h services
B) The h advancement h in h pharmacotherapies
C) Increased h access h to h hospitalization
D) Improved h rights h for h clients h in h long-
term hinstitutional h carehAns: A
Feedback:
The h Community h Mental h Health h Centers h Construction h Act h of
h 1963 haccomplished h therelease h of h individuals h from h long-term
h stays h in h state h institutions, h the h decrease h in h admissions h to
h hospitals, h and h the h development h of h community-based h services h as
h an h alternative h to h hospital h care.
