Test Bank For Psychiatric-Mental Health Nursing From Suffering to Hope 1st Edition All Chapters

Test Bank Videbeck Psychiatric Mental Health Nursing
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Chapterg 1
1.gThegnursegisgassessinggthegfactorsgcontributinggtogthegwell-
being
Whichgof
gofga gnewly
gthe gadmitted
gfollowing gclient.
gwould gthegnursegidentifygasghavinggagpositivegimpactgongthegindividual's
mentalghealth?
A) Notgneedinggothersgforgcompanionship
B) Thegabilitygtogeffectivelygmanagegstress
C) Agfamilyghistorygofgmentalgillness
D) Strivinggforgtotalgself-reliance

Ans:gBgFeedbac
k:
Individualgfactorsginfluencinggmentalghealthgincludegbiologicgmakeup,gautonomy,gindependence,
gself-
esteem,gcapacitygforggrowth,gvitality,gabilitygtogfindgmeaningginglife,gemotionalgresiliencegorghar
diness,gsensegofgbelonging,grealitygorientation,gandgcopinggorgstressgmanagementgabilities.
Interpersonalgfactorsgsuchgasgintimacygandgagbalancegofgseparatenessgandgconnectednessgare
gbothgneededgforggoodgmentalghealth,gandgthereforegaghealthygpersongwouldgneedgothersgfor
gcompanionship.gAgfamilyghistorygofgmentalgillnessgcouldgrelategtogthegbiologicgmakeupgofgang
individual,gwhichgmayghavegagnegativegimpactgongangindividual'sgmentalghealth,gasgwellgasgag
negativegimpactgongangindividual'sginterpersonalgandgsocialgandgculturalgfactorsgofghealth.gTota
lgself-
reliancegisgnotgpossible,gandgagpositivegsocial/culturalgfactorgisgaccessgtogadequategresources
.

2.gWhichgofgthegfollowinggstatementsgaboutgmentalgillnessgaregtrue?gSelectgallgthatgapply.
A) Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.
B) Mentalgillnessgisgonlygduegtogsocial/culturalgfactors.
C) Social/culturalgfactorsgthatgrelategtogmentalgillnessgincludegexcessivegdependency
gongorgwithdrawalgfromgrelationships.
D) Individualsgsufferinggfromgmentalgillnessgaregusuallygablegtogcopegeffectivelygwith
g
E) Individualsgsufferinggfromgmentalgillnessgmaygexperiencegdissatisfactiongwith
relationshipsgandgself.

Ans:gA,gD,gE
Feedback:
Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.gMentalgillnessgmay
gbegrelatedgtogindividual,ginterpersonal,gorgsocial/culturalgfactors.gExcessivegdependencygongo
rgwithdrawalgfromgrelationshipsgareginterpersonalgfactorsgthatgrelategtogmentalgillness.gIndividu
alsgsufferinggfromgmentalgillnessgcangfeelgoverwhelmedgwithgdailyglife.gIndividualsgsufferinggfr
omgmentalgillnessgmaygexperiencegdissatisfactiongwithgrelationshipsgandgself.

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,3. Whichgofgthegfollowinggaregtruegregardinggmentalghealthgandgmentalgillness?
A) Behaviorgthatgmaygbegviewedgasgacceptablegingonegculturegisgalwaysgunacceptabl
egingothergcultures.
B) Itgisgeasygtogdeterminegifgagpersongisgmentallyghealthygorgmentallygill.
C)gIngmostgcases,gmentalghealthgisgagstategofgemotional,gpsychological,gandgsocial
wellnessgevidencedgbygsatisfyingginterpersonalgrelationships,geffectivegbehavior
andgcoping,gpositivegself-concept,gandgemotionalgstability.
D)gPersonsgwhogengagegingfantasiesgaregmentallygill.

Ans:gCgFeedbac
k:
Whatgonegsocietygmaygviewgasgacceptablegandgappropriategbehavior,ganothergsocietygmaygseegt
hatgasgmaladaptive,gandginappropriate.gMentalghealthgandgmentalgillnessgaregdifficultgtogdefinegp
recisely.gIngmostgcases,gmentalghealthgisgagstategofgemotional,gpsychological,gandgsocialgwelln
essgevidencedgbygsatisfyingginterpersonalgrelationships,geffectivegbehaviorgandgcoping,gpositiv
egself-
concept,gandgemotionalgstability.gPersonsgwhogengagegingfantasiesgmaygbegmentallyghealthy,gb
utgtheginabilitygtogdistinguishgrealitygfromgfantasygisgangindividualgfactorgthatgmaygcontributegtog
mentalgillness.

4.gAgclientggrievinggthegrecentglossgofgherghusbandgasksgifgshegisgbecominggmentallygillgbecause
shegisgsogsad.gThegnurse'sgbestgresponsegwouldgbe
, Yougmayghavegagtemporarygmentalgillnessgbecausegyougaregexperiencinggsogmuch
A)
gpain.
B)gYougaregnotgmentallygill.gThisgisgangexpectedgreactiongtogtheglossgyoughave
experienced.
C) Weregyouggenerallygdissatisfiedgwithgyourgrelationshipgbeforegyourghusband's
gdeath?
D) Trygnotgtogworrygaboutgthatgrightgnow.gYougnevergknowgwhatgthegfuturegbrings.

Ans:gBgFeedbac
k:
Mentalgillnessgincludesggeneralgdissatisfactiongwithgself,gineffectivegrelationships,gineffectivegcop
ing,gandglackgofgpersonalggrowth.gAdditionallygthegbehaviorgmustgnotgbegculturallygexpected.gAcut
eggriefgreactionsgaregexpectedgandgthereforegnotgconsideredgmentalgillness.gFalsegreassurancego
rgoveranalysisgdoesgnotgaccuratelygaddressgthegclient'sgconcerns.

5. ThegnursegconsultsgthegDSMgforgwhichgofgthegfollowinggpurposes?
A) Togdevisegagplangofgcaregforgagnewlygadmittedgclient
B) Togpredictgthegclient'sgprognosisgofgtreatmentgoutcomes
C) Togdocumentgthegappropriategdiagnosticgcodegingthegclient'sgmedicalgrecord
D)gTogservegasgagguidegforgclientgassessment
Ans:gDgFeedbac
k:
ThegDSMgprovidesgstandardgnomenclature,gpresentsgdefininggcharacteristics,gandgidentifiesgun
derlyinggcausesgofgmentalgdisorders.gItgdoesgnotgprovidegcaregplansgorgprognosticgoutcomesgof
gtreatment.gDiagnosisgofgmentalgillnessgisgnotgwithingtheggeneralistgRN'sgscopegofgpractice,gsogd
ocumentinggthegcodegingthegmedicalgrecordgwouldgbeginappropriate.

6. WhichgwouldgbegagreasongforgagstudentgnursegtogusegthegDSM?
A) Identifyinggthegmedicalgdiagnosis
B) Treatgclients
C) Evaluategtreatments




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, D)gUnderstandgthegreasongforgthegadmissiongandgthegnaturegofgpsychiatricgillnesses.

Ans:gDgFeedbac
k:
AlthoughgstudentgnursesgdognotgusegthegDSMgtogdiagnosegclients,gtheygwillgfindgitgaghelpfulgres
ourcegtogunderstandgthegreasongforgthegadmissiongandgtogbegingbuildinggknowledgegaboutgtheg
naturegofgpsychiatricgillnesses.gIdentifyinggthegmedicalgdiagnosis,gtreating,gandgevaluatinggtreat
mentsgaregnotgagpartgofgthegnursinggprocess.

7.gTheglegislationgenactedging1963gwasglargelygresponsiblegforgwhichgofgthegfollowinggshiftsgin
caregforgthegmentallygill?
A)gThegwidespreadgusegofgcommunity-basedgservices
B) Thegadvancementgingpharmacotherapies
C) Increasedg accessg tog hospitalization
D) Improvedgrightsgforgclientsginglong-termginstitutionalgcare

Ans:gAgFe
edback:
ThegCommunitygMentalgHealthgCentersgConstructiongActgofg1963gaccomplishedgthegreleasego
fgindividualsgfromglong-
termgstaysgingstateginstitutions,gthegdecreasegingadmissionsgtoghospitals,gandgthegdevelopmen
tgofgcommunity-basedgservicesgasgangalternativegtoghospitalgcare.

8. Whichgonegofgthegfollowinggisgagresultgofgfederalglegislation?
A) Makinggitgeasiergtogcommitgpeoplegforgmentalghealthgtreatmentgagainstgtheirgwill.
B) Makinggitgmoregdifficultgtogcommitgpeoplegforgmentalghealthgtreatmentgagainst
g
C) Stategmentalginstitutionsgbeinggthegprimarygsourcegofgcaregforgmentallygillgpersons.
D) Improvedgcaregforgmentallygillgpersons.

Ans:gBgFeedbac
k:
Commitmentglawsgchangedgingthegearlyg1970s,gmakinggitgmoregdifficultgtogcommitgpeoplegforgme
ntalghealthgtreatmentgagainstgtheirgwill.gDeinstitutionalizationgaccomplishedgthegreleasegofgindivi
dualsgfromglong-
termgstaysgingstateginstitutions.gDeinstitutionalizationgalsoghadgnegativegeffectsgingthatgsomegmen
tallygillgpersonsgaregsubjectedgtogthegrevolvinggdoorgeffect,gwhichgmayglimitgcaregforgmentallygillgp
ersons.

9. Theggoalgofgtheg1963gCommunitygMentalgHealthgCentersgActgwasgto
A) ensuregpatients'grightsgforgthegmentallygill.
B) deinstitutionalizegstateghospitals.
C) providegfundsgtogbuildghospitalsgwithgpsychiatricgunits.
D) treatgpeoplegwithgmentalgillnessgingaghumanegfashion.

Ans:gBgFeedbac
k:
Theg1963gCommunitygMentalgHealthgCentersgActgintimatedgthegmovementgtowardgtreatinggthose
gwithgmentalgillnessgingaglessgrestrictivegenvironment.gThisglegislationgresultedgingthegshiftgofgcli
entsgwithgmentalgillnessgfromglargegstateginstitutionsgtogcaregbasedgingthegcommunity.gAnswergc
hoicesgA,gC,gandgDgweregnotgpurposesgofgtheg1963gCommunitygMentalgHealthgCentersgAct.

10. Thegcreationgofgasylumsgduringgtheg1800sgwasgmeantgto:
A) improvegtreatmentgofgmentalgdisorders.
B) providegfoodgandgsheltergforgthegmentallygill.
C) punishgpeoplegwithgmentalgillnessgwhogweregbelievedgtogbegpossessed.


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