Test Bank For psychiatric mental health nursing 8th edition.

Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank b b b b b b b b




Psychiatric-Mental Health Nursing 8th edition b b b b b




Chapter 1 b


1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following would the nurse identify as hav
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ing a positive impact onthe individual's mental health?
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A) Not needing others for companionship b b b b


B) The ability to effectively manage stress b b b b b


C) A family history of mental illness b b b b b


D) Striving for total self- b b b


relianceAns: B b b


Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indepen
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dence, self- b


esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience o
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r hardiness, sense of belonging, reality orientation, and coping or stress management abilit
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ies. Interpersonal factors such as intimacy and a balance of separateness and connectednes
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s are both needed for good mental health, and therefore ahealthy person would need others
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for companionship. A family history of mental illnesscould relate to the biologic makeup
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of an individual, which may have a negative impacton an individual's mental health, as we
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ll as a negative impact on an individual's interpersonal and socialñcultural factors of health
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. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate resources
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.


2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both.b b b b b b b b b


B) Mental illness is only due to social/cultural factors. b b b b b b b


C) Social/cultural factors that relate to mental illness include excessive dependencyo b b b b b b b b b b


n or withdrawal from relationships. b b b b


D) Individuals suffering from mental illness are usually able to cope effectively withd b b b b b b b b b b b b


aily life. b


E) Individuals suffering from mental illness may experience dissatisfaction withr b b b b b b b b b


elationships and self. b b


Ans: A, D, E b b b


Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
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may be related to individual, interpersonal, or social/cultural factors. Excessive depende
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ncy on or withdrawal from relationships are interpersonal factors that relate to mental illn
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ess. Individuals suffering from mental illness can feel overwhelmed with daily life. Indivi
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duals suffering from mental illness may experience dissatisfaction withrelationships and
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self.



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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank b b b b b b b b




3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always unacceptableinb b b b b b b b b b b b b b


other cultures. b


B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and social wel
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lness evidenced by satisfying interpersonal relationships, effective behaviorand
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coping, positive self-concept, and emotional stability. b b b b b


D) Persons who engage in fantasies are mentally ill. b b b b b b b b


Ans: C b


Feedback:
What one society may view as acceptable and appropriate behavior, another society mayse
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e that as maladaptive, and inappropriate. Mental health and mental illness are difficult to de
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fine precisely. In most cases, mental health is a state of emotional, psychological, and socia
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l wellness evidenced by satisfying interpersonal relationships, effective behavior and copi
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ng, positive self-
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concept, and emotional stability. Persons who engagein fantasies may be mentally healthy,
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bbut the inability to distinguish reality from fantasyis an individual factor that may contribu
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te to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally illbe
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cause she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so muchpa
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in.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you haveex
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perienced.î
C) ìWere you generally dissatisfied with your relationship before your husband'sd
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eath?î
D) ìTry not to worry about that right now. You never know what the future brings.îA
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ns: B b


Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffect
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ive coping, and lack of personal growth. Additionally the behavior must not be culturally e
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xpected. Acute grief reactions are expected and therefore not considered mental illness. F
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alse reassurance or overanalysis does not accurately address the client'sconcerns.
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, Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank b b b b b b b b




5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessment
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Ans: D b


Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifie
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s underlying causes of mental disorders. It does not provide care plans or prognostic outco
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mes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of pra
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ctice, so documenting the code in the medical record wouldbe inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis b b b


B) Treat clients b


C) Evaluate treatments b


D) Understand the reason for the admission and the nature of psychiatric illnesses.A
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ns: Db


Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpfu
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l resource to understand the reason for the admission and to begin building knowledge ab
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out the nature of psychiatric illnesses. Identifying the medical diagnosis,treating, and ev
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aluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following shiftsin
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care for the mentally ill?
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A) The widespread use of community-based services
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B) The advancement in pharmacotherapies b b b


C) Increased access to hospitalization b b b


D) Improved rights for clients in long- b b b b b


term institutional careAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished there
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lease of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the develop
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ment of community-based services as an alternative to hospital care.
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