Test Bank - Psychiatric-Mental Health Nursing 9th Edition by SHEILA L. VIDEBECK, All Chapters

Test Bank Videbeck Psychiatric Mental Health Nursing
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Psychology (Keiser University)
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,Psychiatric-
Mental Health 9th TEST BANK/Stu
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Wolters Kluwer d


by Videbeck Test Bank/Study Guide
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Chapter 1 d


1.dThednursedisdassessingdthedfactorsdcontributingdtodthedwell-beingdofdadnewlydadmitteddclient.
Whichdofdthedfollowingdwoulddthednursedidentifydasdhavingdadpositivedimpactdondthedindividual's
mentaldhealth?
A) Notdneedingdothersdfordcompanionship
B) Thedabilitydtodeffectivelydmanagedstress
C) Adfamilydhistorydofdmentaldillness
D) Strivingdfordtotaldself-reliance

Ans:dBdFeedbac
k:
Individualdfactorsdinfluencingdmentaldhealthdincludedbiologicdmakeup,dautonomy,dindependence,d
self-
esteem,dcapacitydfordgrowth,dvitality,dabilitydtodfinddmeaningdindlife,demotionaldresiliencedordhardi
ness,dsensedofdbelonging,drealitydorientation,danddcopingdordstressdmanagementdabilities.
Interpersonaldfactorsdsuchdasdintimacydanddadbalancedofdseparatenessdanddconnectednessdaredb
othdneededdfordgooddmentaldhealth,danddthereforedadhealthydpersondwoulddneeddothersdfordco
mpanionship.dAdfamilydhistorydofdmentaldillnessdcoulddrelatedtodthedbiologicdmakeupdofdandindiv
idual,dwhichdmaydhavedadnegativedimpactdondandindividual'sdmentaldhealth,dasdwelldasdadnegativ
edimpactdondandindividual'sdinterpersonaldanddsocialdanddculturaldfactorsdofdhealth.dTotaldself-
reliancedisdnotdpossible,danddadpositivedsocial/culturaldfactordisdaccessdtodadequatedresources.

2.dWhichdofdthedfollowingdstatementsdaboutdmentaldillnessdaredtrue?dSelectdalldthatdapply .
A) Mentaldillnessdcandcausedsignificantddistress,dimpaireddfunctioning,dordboth.
B) Mentaldillnessdisdonlydduedtodsocial/culturaldfactors.
C) Social/culturaldfactorsdthatdrelatedtodmentaldillnessdincludedexcessiveddependencyd
ondordwithdrawaldfromdrelationships.
D) Individualsdsufferingdfromdmentaldillnessdaredusuallydabledtodcopedeffectivelydwith
d

E) Individualsdsufferingdfromdmentaldillnessdmaydexperienceddissatisfactiondwith
relationshipsdanddself.

Ans:dA,dD,dE
Feedback:
Mentaldillnessdcandcausedsignificantddistress,dimpaireddfunctioning,dordboth.dMentaldillnessdmaydb
edrelateddtodindividual,dinterpersonal,dordsocial/culturaldfactors.dExcessiveddependencydondordwi
thdrawaldfromdrelationshipsdaredinterpersonaldfactorsdthatdrelatedtodmentaldillness.dIndividualsdsuf
feringdfromdmentaldillnessdcandfeeldoverwhelmeddwithddailydlife.dIndividualsdsufferingdfromdment
aldillnessdmaydexperienceddissatisfactiondwithdrelationshipsdanddself.



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,3. Whichdofdthedfollowingdaredtruedregardingdmentaldhealthdanddmentaldillness?
A) Behaviordthatdmaydbedvieweddasdacceptabledindonedculturedisdalwaysdunacceptabledi
ndotherdcultures.
B) Itdisdeasydtoddeterminedifdadpersondisdmentallydhealthydordmentallydill.
C)dIndmostdcases,dmentaldhealthdisdadstatedofdemotional,dpsychological,danddsocial
wellnessdevidenceddbydsatisfyingdinterpersonaldrelationships,deffectivedbehavior
anddcoping,dpositivedself-concept,danddemotionaldstability.
D)dPersonsdwhodengagedindfantasiesdaredmentallydill.

Ans:dCdFeedbac
k:
Whatdonedsocietydmaydviewdasdacceptabledanddappropriatedbehavior,danotherdsocietydmaydseedth
atdasdmaladaptive,danddinappropriate.dMentaldhealthdanddmentaldillnessdareddifficultdtoddefinedprec
isely.dIndmostdcases,dmentaldhealthdisdadstatedofdemotional,dpsychological,danddsocialdwellnessde
videnceddbydsatisfyingdinterpersonaldrelationships,deffectivedbehaviordanddcoping,dpositivedself-
concept,danddemotionaldstability.dPersonsdwhodengagedindfantasiesdmaydbedmentallydhealthy,dbu
tdthedinabilitydtoddistinguishdrealitydfromdfantasydisdandindividualdfactordthatdmaydcontributedtodmen
taldillness.

4.dAdclientdgrievingdthedrecentdlossdofdherdhusbanddasksdifdshedisdbecomingdmentallydilldbecause
shedisdsodsad.dThednurse'sdbestdresponsedwoulddbe,
A) Youdmaydhavedadtemporarydmentaldillnessdbecausedyoudaredexperiencingdsodmuchdp
ain.
B)dYoudarednotdmentallydill.dThisdisdandexpecteddreactiondtodthedlossdyoudhave
experienced.
C) Weredyoudgenerallyddissatisfieddwithdyourdrelationshipdbeforedyourdhusband'sd
death?
D) Trydnotdtodworrydaboutdthatdrightdnow.dYoudneverdknowdwhatdthedfuturedbrings.

Ans:dBdFeedbac
k:
Mentaldillnessdincludesdgeneralddissatisfactiondwithdself,dineffectivedrelationships,dineffectivedcopi
ng,danddlackdofdpersonaldgrowth.dAdditionallydthedbehaviordmustdnotdbedculturallydexpected.dAcutedg
riefdreactionsdaredexpecteddanddthereforednotdconsidereddmentaldillness.dFalsedreassurancedordove
ranalysisddoesdnotdaccuratelydaddressdthedclient'sdconcerns.

5. ThednursedconsultsdthedDSMdfordwhichdofdthedfollowingdpurposes?
A) Toddevisedadplandofdcaredfordadnewlydadmitteddclient
B) Todpredictdthedclient'sdprognosisdofdtreatmentdoutcomes
C) Toddocumentdthedappropriateddiagnosticdcodedindthedclient'sdmedicaldrecord
D)dTodservedasdadguidedfordclientdassessment
Ans:dDdFeedbac
k:
ThedDSMdprovidesdstandarddnomenclature,dpresentsddefiningdcharacteristics,danddidentifiesdund
erlyingdcausesdofdmentalddisorders.dItddoesdnotdprovidedcaredplansdordprognosticdoutcomesdofdtre
atment.dDiagnosisdofdmentaldillnessdisdnotdwithindthedgeneralistdRN'sdscopedofdpractice,dsoddocume
ntingdthedcodedindthedmedicaldrecorddwoulddbedinappropriate.

6. WhichdwoulddbedadreasondfordadstudentdnursedtodusedthedDSM?
A) Identifyingdthedmedicalddiagnosis
B) Treatdclients
C) Evaluatedtreatments




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, D)dUnderstanddthedreasondfordthedadmissiondanddthednaturedofdpsychiatricdillnesses.

Ans:dDdFeedbac
k:
AlthoughdstudentdnursesddodnotdusedthedDSMdtoddiagnosedclients,dtheydwilldfindditdadhelpfuldresou
rcedtodunderstanddthedreasondfordthedadmissiondanddtodbegindbuildingdknowledgedaboutdthednatur
edofdpsychiatricdillnesses.dIdentifyingdthedmedicalddiagnosis,dtreating,danddevaluatingdtreatmentsd
arednotdadpartdofdthednursingdprocess.

7.dThedlegislationdenacteddind1963dwasdlargelydresponsibledfordwhichdofdthedfollowingdshiftsdin
caredfordthedmentallydill?
A)dThedwidespreaddusedofdcommunity-baseddservices
B) Thedadvancementdindpharmacotherapies
C) Increasedd accessd tod hospitalization
D) Improveddrightsdfordclientsdindlong-termdinstitutionaldcare

Ans:dAdFe
edback:
ThedCommunitydMentaldHealthdCentersdConstructiondActdofd1963daccomplisheddthedreleasedofdi
ndividualsdfromdlong-
termdstaysdindstatedinstitutions,dtheddecreasedindadmissionsdtodhospitals,danddtheddevelopmentd
ofdcommunity-baseddservicesdasdandalternativedtodhospitaldcare.

8. Whichdonedofdthedfollowingdisdadresultdofdfederaldlegislation?
A) Makingditdeasierdtodcommitdpeopledfordmentaldhealthdtreatmentdagainstdtheirdwill.
B) Makingditdmoreddifficultdtodcommitdpeopledfordmentaldhealthdtreatmentdagainst
d

C) Statedmentaldinstitutionsdbeingdthedprimarydsourcedofdcaredfordmentallydilldpersons.
D) Improveddcaredfordmentallydilldpersons.

Ans:dBdFeedbac
k:
Commitmentdlawsdchangeddindthedearlyd1970s,dmakingditdmoreddifficultdtodcommitdpeopledfordment
aldhealthdtreatmentdagainstdtheirdwill.dDeinstitutionalizationdaccomplisheddthedreleasedofdindividual
sdfromdlong-
termdstaysdindstatedinstitutions.dDeinstitutionalizationdalsodhaddnegativedeffectsdindthatdsomedmenta
llydilldpersonsdaredsubjecteddtodthedrevolvingddoordeffect,dwhichdmaydlimitdcaredfordmentallydilldperso
ns.

9. Thedgoaldofdthed1963dCommunitydMentaldHealthdCentersdActdwasdto
A) ensuredpatients'drightsdfordthedmentallydill.
B) deinstitutionalizedstatedhospitals.
C) providedfundsdtodbuilddhospitalsdwithdpsychiatricdunits.
D) treatdpeopledwithdmentaldillnessdindadhumanedfashion.

Ans:dBdFeedbac
k:
Thed1963dCommunitydMentaldHealthdCentersdActdintimateddthedmovementdtowarddtreatingdthosed
withdmentaldillnessdindadlessdrestrictivedenvironment.dThisdlegislationdresulteddindthedshiftdofdclient
sdwithdmentaldillnessdfromdlargedstatedinstitutionsdtodcaredbaseddindthedcommunity.dAnswerdchoice
sdA,dC,danddDdwerednotdpurposesdofdthed1963dCommunitydMentaldHealthdCentersdAct.

10. Thedcreationdofdasylumsdduringdthed1800sdwasdmeantdto:
A) improvedtreatmentdofdmentalddisorders.
B) providedfooddanddshelterdfordthedmentallydill.
C) punishdpeopledwithdmentaldillnessdwhodweredbelieveddtodbedpossessed.


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