7/13/23,n1:33nPM Psychiatric nmentalnhealthnnursingn8thneditionnby nvidebeckntestnbank[n138
9]
Psychiatric-
Mental nHealthnNursing n8thneditionnby nVidebecknTestnBankn Chaptern1
1. Then nursen is n assessingn then factors n contributingn to n then well-
beingn ofn an newlyn admitted n client.n Which nofnthenfollowingn would nthennursen identifyn
as n havingn an positiven impact n on n then individual's n mental n health?
A) Not n needingn others n forn companionship
B) Then ability n to n effectively n managen stress
C) A n family n history n ofn mental n illness
D) Strivingn forn total n self-
reliancen Ans: n B
Feedback:
Individual n factors ninfluencingn mental nhealth nincludenbiologicn makeup,nautonomy,n ind
ependence,n self-
esteem,n capacity n forn growth,nvitality,n abilityn to nfindn meaningn inn life,n emotional nresili
encen orn hardiness,nsensenofnbelonging,n reality norientation,nand ncopingn orn stress nmana
gement n abilities.n Interpersonaln factors nsuch nas nintimacy n andn anbalancen ofn separatenes
s n and n connectedness naren bothn needed nforn goodn mental nhealth,n andn thereforen an healthy
n person n would nneed nothers nforn companionship.nA nfamily nhistory nofnmental nillness n co
uld n relaten to nthen biologicn makeupn ofn ann individual,nwhich nmay n haven annegativenimpac
t n on n an nindividual's nmentaln health,n as nwelln asn annegativenimpact nonn ann individual's n i
nterpersonal n and n socialñcultural n factors n ofn health.n Total n self-
reliancen is n notn possible,n and nan positiven social/culturaln factorn is naccess n to nadequaten re
sources.
2. Which n ofn then followingn statements n about n mental n illness n aren true?n Select n all n that n apply.
A) Mental n illness n can n causen significant n distress,n impaired n functioning,n orn both.
B) Mental n illness n is n only n duen to n social/cultural n factors.
C) Social/cultural n factors n that nrelaten ton mental nillnessnincludenexcessivendependenc
y n on n orn withdrawal n fromn relationships.
D) Individuals nsufferingn fromn mentaln illnessn aren usually nablen to ncopeneffectivelynwi
th n daily n life.
E) Individuals nsufferingn fromn mentaln illnessn may nexperiencen dissatisfactionn wit
h n relationships n and n self.
Ans: n A,n D,n E
Feedback:
Mental n illness ncan ncausensignificant ndistress,n impaired nfunctioning,n ornboth.nMentaln il
lness n may n ben related nto nindividual,ninterpersonal,n ornsocial/cultural nfactors.nExcessive
n dependency n onn orn withdrawal nfromn relationshipsn areninterpersonal nfactors nthat nrelate
n to n mental nillness.n Individuals nsufferingn fromn mental n illnessn can nfeel noverwhelmed nw
ith n daily nlife.n Individuals nsufferingn fromn mentaln illnessn may nexperiencen dissatisfactio
n n with n relationships n and n self.
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9]
3. Which n ofn then followingn aren truen regardingn mental n health n and n mental n illness?
A) Behaviorn that n may nbenviewedn as nacceptablen in nonenculturenis nalways n unaccepta
blen in n othern cultures.
B) It n is n easy n to n determinen ifn an person n is n mentally n healthy n orn mentally n ill.
C) In n most n cases,n mentaln health nis nan statenofnemotional,npsychological,n and nsocial
n wellness nevidenced n by nsatisfyingn interpersonal nrelationships,neffectivenbehav
iorn and n coping,n positiven self-concept,n and n emotional n stability.
D) Persons n who n engagen in nfantasies naren mentallynil
l.n Ans: n C
Feedback:
What n onen society nmay n view nas nacceptablen andn appropriaten behavior,n anothern society n
may n seen that n asn maladaptive,n and ninappropriate.nMental nhealth nand nmental nillness naren
difficult n ton definenprecisely.n Inn most ncases,n mental nhealthn is nan statenofnemotional,npsy
chological,n and n social nwellnessn evidenced nbyn satisfyingn interpersonal nrelationships,n ef
fectiven behaviorn and n coping,n positiven self-
concept,n and n emotional nstability.n Persons nwhon engagen inn fantasiesn may nbenmentally nh
ealthy,n but n theninability nton distinguish nreality nfromn fantasy n is nan nindividual nfactorn that
n may n contributen to n mental n illness.
4. A n client n grievingn thenrecent nloss nofnhern husband nasksn ifn shenis nbecomingn mentally
n ill n becausen shen is n so n sad.n Then nurse's n best n responsen would n be,
A) ìYou n may n havenan temporary n mental nillnessn becausenyoun arenexperiencingn son mu
ch n pain.î
B) ìYou n aren not nmentally nill.nThis nis nan nexpected n reaction nton thenloss nyoun h
aven experienced.î
C) ìWeren you n generally n dissatisfied nwith nyournrelationshipn beforen yournhusband
's n death?î
D) ìTry n not n to nworry nabout nthat nright nnow.n You nnevern known what nthen futuren brin
gs.î n Ans: n B
Feedback:
Mental n illness nincludes ngeneral n dissatisfaction nwith nself,n ineffectivenrelationships,n ine
ffectiven coping,n and n lack n ofn personaln growth.n Additionally nthenbehaviornmustn not nben
culturally n expected.n Acuten griefn reactionsn arenexpected nandn thereforen not nconsidered n
mental n illness.nFalsenreassurancenornoveranalysis ndoesn not naccuratelyn address nthen clien
t's n concerns.
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5. Then nursen consults n then DSMn forn which n ofn then followingn purposes?
A) To n devisen an plan n ofn caren forn an newly n admitted n client
B) To n predict n then client's n prognosis n ofn treatment n outcomes
C) To n document n then appropriaten diagnosticn coden in n then client's n medical n record
D) To n serven as n an guidenfornclient nassessme
nt n Ans: n D
Feedback:
Then DSMn provides n standard nnomenclature,n presents ndefiningn characteristics,n andn ide
ntifies n underlyingn causes nofnmental ndisorders.n It ndoes nnotn providen carenplansnorn prog
nosticn outcomes n ofn treatment.n Diagnosisnofn mental nillnessn is nnot nwithinn then generalist
n RN's n scopen ofn practice,n son documentingn thencodenin nthen medical n recordn would n benin
appropriate.
6. Which n would n ben an reason n forn an student n nursen to n usen then DSM?
A) Identifyingn then medical n diagnosis
B) Treat n clients
C) Evaluaten treatments
D) Understand n thenreasonn fornthen admission nandn then naturenofnpsychiatricn illness
es.n Ans: n D
Feedback:
Although n student nnurses ndon not nusen then DSMn ton diagnosenclients,ntheyn willn find nitnan
helpful n resourcen to nunderstandn thenreason nfornthenadmission nand nton begin n buildingn kn
owledgen about n then naturenofn psychiatricn illnesses.nIdentifyingn then medical n diagnosis,n
treating,n and n evaluatingn treatments n aren not n an part n ofn then nursingn process.
7. Then legislation n enacted ninn 1963n was nlargely n responsiblen forn which nofnthen followingn shi
fts n in n caren forn then mentally n ill?
A) Then widespread n usen ofn community-based n services
B) Then advancement n in n pharmacotherapies
C) Increased n access n to n hospitalization
D) Improved n rights n forn clients n in n long-
termn institutional n caren Ans: n A
Feedback:
Then Community n Mental n Healthn Centers n Construction nAct nofn1963 naccomplished nthen
releasen ofn individuals n fromn long-
termn stays n in nstaten institutions,n thendecreasen in n admissions nton hospitals,nand nthendevel
opment n ofn community-based n services n as n an n alternativen to n hospital n care.
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9]
8. Which n onen ofn then followingn is n an result n ofn federal n legislation?
A) Makingn it n easiern to n commit n peoplen forn mental n health n treatment n against n theirn will.
B) Makingn it n moren difficult nto ncommit npeoplen forn mental nhealthn treatment n agai
nst n theirn will.
C) Staten mental n institutions n beingn then primary n sourcen ofn caren forn mentally n ill n persons.
D) Improved n caren forn mentallynilln persons
.n Ans: n B
Feedback:
Commitment n laws n changed n in nthen early n1970s,n makingn itn morendifficultn to ncommitn p
eoplen forn mental n healthn treatment nagainst ntheirn will.n Deinstitutionalization n accomplis
hed n then releasen ofn individuals n fromn long-
termn stays n in nstaten institutions.n Deinstitutionalizationn also nhadn negativen effects ninn tha
t n somen mentally nill npersons naren subjected nton then revolvingn doorn effect,n which nmay nli
mit n caren forn mentally n ill n persons.
9. Then goal n ofn then 1963 n Community n Mental n Health n Centers n Act n was n to
A) ensuren patients' n rights n forn then mentally n ill.
B) deinstitutionalizen staten hospitals.
C) providen funds n to n build n hospitals n with n psychiatricn units.
D) treat n peoplen with nmentaln illness ninn anhumanen fashio
n.n Ans: n B
Feedback:
Then 1963 n Communityn Mentaln Healthn Centers n Act n intimated nthen movement n toward n tr
eatingn thosen with nmental nillness ninn anlessnrestrictivenenvironment.n This nlegislation n res
ulted n in n thenshift nofnclients nwith nmentaln illness nfromnlargen staten institutionsn to ncaren b
ased n in n thencommunity.nAnswern choices nA,n C,nand nD nweren not npurposesn ofn then 1963
n Community n Mental n Health n Centers n Act.
10. Then creation n ofn asylums n duringn then 1800s n was n meant n to
A) improven treatment n ofn mental n disorders.
B) providen food n and n sheltern forn then mentally n ill.
C) punish n peoplen with n mental n illness n who n weren believed n to n ben possessed.
D) removen dangerous n peoplenwith nmental nillness nfromn thencommunit
y.n Ans: n B
Feedback:
Then asylumn was n meant nton ben ansafen haven nwith nfood,n shelter,n and nhumanentreatmentnf
orn then mentallyn ill.n Asylums n weren not nusedn to nimproven treatment nofnmental ndisorders
n orn to n punish nmentally nill npeoplenwhon weren believed nton ben possessed.nThen asylumn w
as n not n created n to n removen then dangerously n mentally n ill n fromn then community.
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9]
Psychiatric-
Mental nHealthnNursing n8thneditionnby nVidebecknTestnBankn Chaptern1
1. Then nursen is n assessingn then factors n contributingn to n then well-
beingn ofn an newlyn admitted n client.n Which nofnthenfollowingn would nthennursen identifyn
as n havingn an positiven impact n on n then individual's n mental n health?
A) Not n needingn others n forn companionship
B) Then ability n to n effectively n managen stress
C) A n family n history n ofn mental n illness
D) Strivingn forn total n self-
reliancen Ans: n B
Feedback:
Individual n factors ninfluencingn mental nhealth nincludenbiologicn makeup,nautonomy,n ind
ependence,n self-
esteem,n capacity n forn growth,nvitality,n abilityn to nfindn meaningn inn life,n emotional nresili
encen orn hardiness,nsensenofnbelonging,n reality norientation,nand ncopingn orn stress nmana
gement n abilities.n Interpersonaln factors nsuch nas nintimacy n andn anbalancen ofn separatenes
s n and n connectedness naren bothn needed nforn goodn mental nhealth,n andn thereforen an healthy
n person n would nneed nothers nforn companionship.nA nfamily nhistory nofnmental nillness n co
uld n relaten to nthen biologicn makeupn ofn ann individual,nwhich nmay n haven annegativenimpac
t n on n an nindividual's nmentaln health,n as nwelln asn annegativenimpact nonn ann individual's n i
nterpersonal n and n socialñcultural n factors n ofn health.n Total n self-
reliancen is n notn possible,n and nan positiven social/culturaln factorn is naccess n to nadequaten re
sources.
2. Which n ofn then followingn statements n about n mental n illness n aren true?n Select n all n that n apply.
A) Mental n illness n can n causen significant n distress,n impaired n functioning,n orn both.
B) Mental n illness n is n only n duen to n social/cultural n factors.
C) Social/cultural n factors n that nrelaten ton mental nillnessnincludenexcessivendependenc
y n on n orn withdrawal n fromn relationships.
D) Individuals nsufferingn fromn mentaln illnessn aren usually nablen to ncopeneffectivelynwi
th n daily n life.
E) Individuals nsufferingn fromn mentaln illnessn may nexperiencen dissatisfactionn wit
h n relationships n and n self.
Ans: n A,n D,n E
Feedback:
Mental n illness ncan ncausensignificant ndistress,n impaired nfunctioning,n ornboth.nMentaln il
lness n may n ben related nto nindividual,ninterpersonal,n ornsocial/cultural nfactors.nExcessive
n dependency n onn orn withdrawal nfromn relationshipsn areninterpersonal nfactors nthat nrelate
n to n mental nillness.n Individuals nsufferingn fromn mental n illnessn can nfeel noverwhelmed nw
ith n daily nlife.n Individuals nsufferingn fromn mentaln illnessn may nexperiencen dissatisfactio
n n with n relationships n and n self.
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9]
3. Which n ofn then followingn aren truen regardingn mental n health n and n mental n illness?
A) Behaviorn that n may nbenviewedn as nacceptablen in nonenculturenis nalways n unaccepta
blen in n othern cultures.
B) It n is n easy n to n determinen ifn an person n is n mentally n healthy n orn mentally n ill.
C) In n most n cases,n mentaln health nis nan statenofnemotional,npsychological,n and nsocial
n wellness nevidenced n by nsatisfyingn interpersonal nrelationships,neffectivenbehav
iorn and n coping,n positiven self-concept,n and n emotional n stability.
D) Persons n who n engagen in nfantasies naren mentallynil
l.n Ans: n C
Feedback:
What n onen society nmay n view nas nacceptablen andn appropriaten behavior,n anothern society n
may n seen that n asn maladaptive,n and ninappropriate.nMental nhealth nand nmental nillness naren
difficult n ton definenprecisely.n Inn most ncases,n mental nhealthn is nan statenofnemotional,npsy
chological,n and n social nwellnessn evidenced nbyn satisfyingn interpersonal nrelationships,n ef
fectiven behaviorn and n coping,n positiven self-
concept,n and n emotional nstability.n Persons nwhon engagen inn fantasiesn may nbenmentally nh
ealthy,n but n theninability nton distinguish nreality nfromn fantasy n is nan nindividual nfactorn that
n may n contributen to n mental n illness.
4. A n client n grievingn thenrecent nloss nofnhern husband nasksn ifn shenis nbecomingn mentally
n ill n becausen shen is n so n sad.n Then nurse's n best n responsen would n be,
A) ìYou n may n havenan temporary n mental nillnessn becausenyoun arenexperiencingn son mu
ch n pain.î
B) ìYou n aren not nmentally nill.nThis nis nan nexpected n reaction nton thenloss nyoun h
aven experienced.î
C) ìWeren you n generally n dissatisfied nwith nyournrelationshipn beforen yournhusband
's n death?î
D) ìTry n not n to nworry nabout nthat nright nnow.n You nnevern known what nthen futuren brin
gs.î n Ans: n B
Feedback:
Mental n illness nincludes ngeneral n dissatisfaction nwith nself,n ineffectivenrelationships,n ine
ffectiven coping,n and n lack n ofn personaln growth.n Additionally nthenbehaviornmustn not nben
culturally n expected.n Acuten griefn reactionsn arenexpected nandn thereforen not nconsidered n
mental n illness.nFalsenreassurancenornoveranalysis ndoesn not naccuratelyn address nthen clien
t's n concerns.
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9]
5. Then nursen consults n then DSMn forn which n ofn then followingn purposes?
A) To n devisen an plan n ofn caren forn an newly n admitted n client
B) To n predict n then client's n prognosis n ofn treatment n outcomes
C) To n document n then appropriaten diagnosticn coden in n then client's n medical n record
D) To n serven as n an guidenfornclient nassessme
nt n Ans: n D
Feedback:
Then DSMn provides n standard nnomenclature,n presents ndefiningn characteristics,n andn ide
ntifies n underlyingn causes nofnmental ndisorders.n It ndoes nnotn providen carenplansnorn prog
nosticn outcomes n ofn treatment.n Diagnosisnofn mental nillnessn is nnot nwithinn then generalist
n RN's n scopen ofn practice,n son documentingn thencodenin nthen medical n recordn would n benin
appropriate.
6. Which n would n ben an reason n forn an student n nursen to n usen then DSM?
A) Identifyingn then medical n diagnosis
B) Treat n clients
C) Evaluaten treatments
D) Understand n thenreasonn fornthen admission nandn then naturenofnpsychiatricn illness
es.n Ans: n D
Feedback:
Although n student nnurses ndon not nusen then DSMn ton diagnosenclients,ntheyn willn find nitnan
helpful n resourcen to nunderstandn thenreason nfornthenadmission nand nton begin n buildingn kn
owledgen about n then naturenofn psychiatricn illnesses.nIdentifyingn then medical n diagnosis,n
treating,n and n evaluatingn treatments n aren not n an part n ofn then nursingn process.
7. Then legislation n enacted ninn 1963n was nlargely n responsiblen forn which nofnthen followingn shi
fts n in n caren forn then mentally n ill?
A) Then widespread n usen ofn community-based n services
B) Then advancement n in n pharmacotherapies
C) Increased n access n to n hospitalization
D) Improved n rights n forn clients n in n long-
termn institutional n caren Ans: n A
Feedback:
Then Community n Mental n Healthn Centers n Construction nAct nofn1963 naccomplished nthen
releasen ofn individuals n fromn long-
termn stays n in nstaten institutions,n thendecreasen in n admissions nton hospitals,nand nthendevel
opment n ofn community-based n services n as n an n alternativen to n hospital n care.
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9]
8. Which n onen ofn then followingn is n an result n ofn federal n legislation?
A) Makingn it n easiern to n commit n peoplen forn mental n health n treatment n against n theirn will.
B) Makingn it n moren difficult nto ncommit npeoplen forn mental nhealthn treatment n agai
nst n theirn will.
C) Staten mental n institutions n beingn then primary n sourcen ofn caren forn mentally n ill n persons.
D) Improved n caren forn mentallynilln persons
.n Ans: n B
Feedback:
Commitment n laws n changed n in nthen early n1970s,n makingn itn morendifficultn to ncommitn p
eoplen forn mental n healthn treatment nagainst ntheirn will.n Deinstitutionalization n accomplis
hed n then releasen ofn individuals n fromn long-
termn stays n in nstaten institutions.n Deinstitutionalizationn also nhadn negativen effects ninn tha
t n somen mentally nill npersons naren subjected nton then revolvingn doorn effect,n which nmay nli
mit n caren forn mentally n ill n persons.
9. Then goal n ofn then 1963 n Community n Mental n Health n Centers n Act n was n to
A) ensuren patients' n rights n forn then mentally n ill.
B) deinstitutionalizen staten hospitals.
C) providen funds n to n build n hospitals n with n psychiatricn units.
D) treat n peoplen with nmentaln illness ninn anhumanen fashio
n.n Ans: n B
Feedback:
Then 1963 n Communityn Mentaln Healthn Centers n Act n intimated nthen movement n toward n tr
eatingn thosen with nmental nillness ninn anlessnrestrictivenenvironment.n This nlegislation n res
ulted n in n thenshift nofnclients nwith nmentaln illness nfromnlargen staten institutionsn to ncaren b
ased n in n thencommunity.nAnswern choices nA,n C,nand nD nweren not npurposesn ofn then 1963
n Community n Mental n Health n Centers n Act.
10. Then creation n ofn asylums n duringn then 1800s n was n meant n to
A) improven treatment n ofn mental n disorders.
B) providen food n and n sheltern forn then mentally n ill.
C) punish n peoplen with n mental n illness n who n weren believed n to n ben possessed.
D) removen dangerous n peoplenwith nmental nillness nfromn thencommunit
y.n Ans: n B
Feedback:
Then asylumn was n meant nton ben ansafen haven nwith nfood,n shelter,n and nhumanentreatmentnf
orn then mentallyn ill.n Asylums n weren not nusedn to nimproven treatment nofnmental ndisorders
n orn to n punish nmentally nill npeoplenwhon weren believed nton ben possessed.nThen asylumn w
as n not n created n to n removen then dangerously n mentally n ill n fromn then community.
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