Test Bank for Psychiatric-Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters (1-24)| Latest version

lOMoARn n
1700591
cPSD| 1




TEST BANK FOR n n



Psychiatric–
Mental Health Nursing 9th Edition by Sheila L. Videbeck
n n n n n n n n




All Chapters (1-24)
n n




Table Of Contents
n n


UNITn 1n Currentn Theoriesn andn Practice
Chaptern 1.n Foundationsn ofn Psychiatric–
Mentaln Healthn NursingnChaptern 2.n Neurobiologicn Theoriesn andn Ps
ychopharmacologynChaptern 3.n Psychosocialn Theoriesn andn Therapy
Chaptern 4.n Treatmentn Settingsn andn Therapeuticn Programsn
UNITn 2n Buildingn then Nurse–
Clientn Relationshipn Chaptern 5.n Therapeuticn Relationships
Chaptern6.nTherapeuticnCommunicationnC
haptern7.nClient’snResponsentonIllnessnChap
tern8.nAssessment
UNITn 3n Currentn Socialn andn Emotionaln Concerns
Chaptern9.nLegalnandnEthicalnIssuesn Chapt
ern10.nGriefnandnLoss
Chaptern11.nAnger,nHostility,nandnAggressionn
Chaptern 12.n Abusen andn Violence
UNITn 4n Nursingn Practicen forn Psychiatricn DisordersnCh
aptern 13.n Trauman andn Stressor-
Relatedn DisordersnChaptern 14.n Anxietyn andn Anxietyn Disor
ders
Chaptern 15.n Obsessive–
Compulsiven andn Relatedn DisordersnChaptern16.nSchizophrenia
Chaptern17.nMoodnDisordersnandnSuiciden
Chaptern 18.n Personalityn Disordersn Chap
tern19.nAddiction
Chaptern 20.n Eatingn Disorders
Chaptern21.nSomaticnSymptomnIllnessesn Chapt
ern22.nNeurodevelopmentalnDisordersn Chaptern
23.nDisruptivenBehaviornDisordersn Chaptern 24.
n Cognitiven Disorders




Chaptern1
1. Thennursenisnassessingnthenfactorsncontributingntonthenwell-
beingnofnannewlynadmittednclient.nWhichnofnthenfollowingnwouldnthennursenidentifynasnha
vingnanpositivenimpactnonnthenindividual'snmentalnhealth?
A) Notnneedingnothersnforncompanionship
B) Thenabilityntoneffectivelynmanagenstress
C) Anfamilynhistorynofnmentalnillness
D) Strivingnforntotalnself-
reliancenAns:nB
Feedback:
Individualnfactorsninfluencingnmentalnhealthnincludenbiologicnmakeup,nautonomy,nindepend
ence,nself-
esteem,ncapacitynforngrowth,nvitality,nabilityntonfindnmeaningninnlife,nemotionalnresiliencenorn
hardiness,nsensenofnbelonging,nrealitynorientation,nandncopingnornstressnmanagementnabilities
.nInterpersonalnfactorsnsuchnasnintimacynandnanbalancenofnseparatenessnandnconnectednessnar
enbothnneedednforngoodnmentalnhealth,nandnthereforena

, lOMoARn n
1700591
cPSD| 1




healthynpersonnwouldnneednothersnforncompanionship.nAnfamilynhistorynofnmentalnillnessnc
ouldnrelatentonthenbiologicnmakeupnofnannindividual,nwhichnmaynhavenannegativenimpactno
nnannindividual'snmentalnhealth,nasnwellnasnannegativenimpactnonnannindividual'sninterperso
nalnandnsocialñculturalnfactorsnofnhealth.nTotalnself-
reliancenisnnotnpossible,nandnanpositivensocial/culturalnfactornisnaccessntonadequatenresourc
es.


2. Whichnofnthenfollowingnstatementsnaboutnmentalnillnessnarentrue?n Selectnallnthatnapply.
A) Mentalnillnessncanncausensignificantndistress,nimpairednfunctioning,nornboth.
B) Mentalnillnessnisnonlynduentonsocial/culturalnfactors.
C) Social/culturalnfactorsnthatnrelatentonmentalnillnessnincludenexcessivendependencyn
onnornwithdrawalnfromnrelationships.
D) Individualsnsufferingnfromnmentalnillnessnarenusuallynablentoncopeneffectivelynwithn
dailynlife.
E) Individualsnsufferingnfromnmentalnillnessnmaynexperiencendissatisfactionnwithn
relationshipsnandnself.
Ans:n A,nD,nE
Feedback:
Mentalnillnessncanncausensignificantndistress,nimpairednfunctioning,nornboth.nMentalnillnes
snmaynbenrelatedntonindividual,ninterpersonal,nornsocial/culturalnfactors.nExcessivendepend
encynonnornwithdrawalnfromnrelationshipsnareninterpersonalnfactorsnthatnrelatentonmentalnill
ness.nIndividualsnsufferingnfromnmentalnillnessncannfeelnoverwhelmednwithndailynlife.nIndi
vidualsnsufferingnfromnmentalnillnessnmaynexperiencendissatisfactionnwithnrelationshipsna
ndnself.

3. Whichnofnthenfollowingnarentruenregardingnmentalnhealthnandnmentalnillness?
A) Behaviornthatnmaynbenviewednasnacceptableninnonenculturenisnalwaysnunacceptableni
nnotherncultures.
B) Itnisneasyntondeterminenifnanpersonnisnmentallynhealthynornmentallynill.
C) Innmostncases,nmentalnhealthnisnanstatenofnemotional,npsychological,nandnsocialnw
ellnessnevidencednbynsatisfyingninterpersonalnrelationships,neffectivenbehaviornan
dncoping,npositivenself-concept,nandnemotionalnstability.
D) Personsnwhonengageninnfantasiesnarenmentallynill.n
Ans:nC
Feedback:
Whatnonensocietynmaynviewnasnacceptablenandnappropriatenbehavior,nanothernsocietynmayns
eenthatnasnmaladaptive,nandninappropriate.nMentalnhealthnandnmentalnillnessnarendifficultnton
definenprecisely.nInnmostncases,nmentalnhealthnisnanstatenofnemotional,npsychological,nandns
ocialnwellnessnevidencednbynsatisfyingninterpersonalnrelationships,neffectivenbehaviornandn
coping,npositivenself-
concept,nandnemotionalnstability.nPersonsnwhonengageninnfantasiesnmaynbenmentallynhealth
y,nbutntheninabilityntondistinguishnrealitynfromnfantasynisnannindividualnfactornthatnmayncontr
ibutentonmentalnillness.


4. Anclientngrievingnthenrecentnlossnofnhernhusbandnasksnifnshenisnbecomingnmentallynillnb
ecausenshenisnsonsad.nThennurse'snbestnresponsenwouldnbe,
A) ìYounmaynhavenantemporarynmentalnillnessnbecausenyounarenexperiencingnsonmuchn
pain.î
B) ìYounarennotnmentallynill.nThisnisnannexpectednreactionntonthenlossnyounhavene
xperienced.î
C) ìWerenyoungenerallyndissatisfiednwithnyournrelationshipnbeforenyournhusband'sn
death?î
D) ìTrynnotntonworrynaboutnthatnrightnnow.nYounnevernknownwhatnthenfuturenbrings.în
Ans:nB
Feedback:
Mentalnillnessnincludesngeneralndissatisfactionnwithnself,nineffectivenrelationships,nineffectiv
encoping,nandnlacknofnpersonalngrowth.nAdditionallynthenbehaviornmustnnotnbe

, lOMoARn n
1700591
cPSD| 1




culturallynexpected.nAcutengriefnreactionsnarenexpectednandnthereforennotnconsiderednmen
talnillness.nFalsenreassurancenornoveranalysisndoesnnotnaccuratelynaddressnthenclient'snconc
erns.



5. ThennursenconsultsnthenDSMnfornwhichnofnthenfollowingnpurposes?
A) Tondevisenanplannofncarenfornannewlynadmittednclient
B) Tonpredictnthenclient'snprognosisnofntreatmentnoutcomes
C) Tondocumentnthenappropriatendiagnosticncodeninnthenclient'snmedicalnrecord
D) Tonservenasnanguidenfornclientnassessmentn
Ans:nD
Feedback:
ThenDSMnprovidesnstandardnnomenclature,npresentsndefiningncharacteristics,nandnidentifi
esnunderlyingncausesnofnmentalndisorders.nItndoesnnotnprovidencarenplansnornprognosticnout
comesnofntreatment.nDiagnosisnofnmentalnillnessnisnnotnwithinnthengeneralistnRN'snscopenof
npractice,nsondocumentingnthencodeninnthenmedicalnrecordnwouldnbeninappropriate.




6. WhichnwouldnbenanreasonnfornanstudentnnursentonusenthenDSM?
A) Identifyingnthenmedicalndiagnosis
B) Treatnclients
C) Evaluatentreatments
D) Understandnthenreasonnfornthenadmissionnandnthennaturenofnpsychiatricnillnesses.n
Ans:nD
Feedback:
AlthoughnstudentnnursesndonnotnusenthenDSMntondiagnosenclients,ntheynwillnfindnitnanhelpfu
lnresourcentonunderstandnthenreasonnfornthenadmissionnandntonbeginnbuildingnknowledgenab
outnthennaturenofnpsychiatricnillnesses.nIdentifyingnthenmedicalndiagnosis,ntreating,nandneva
luatingntreatmentsnarennotnanpartnofnthennursingnprocess.


7. Thenlegislationnenactedninn1963nwasnlargelynresponsiblenfornwhichnofnthenfollowingnshiftsni
nncarenfornthenmentallynill?
A) Thenwidespreadnusenofncommunity-basednservices
B) Thenadvancementninnpharmacotherapies
C) Increasednaccessntonhospitalization
D) Improvednrightsnfornclientsninnlong-
termninstitutionalncarenAns:nA
Feedback:
ThenCommunitynMentalnHealthnCentersnConstructionnActnofn1963naccomplishednthenrelea
senofnindividualsnfromnlong-
termnstaysninnstateninstitutions,nthendecreaseninnadmissionsntonhospitals,nandnthendevelopm
entnofncommunity-basednservicesnasnannalternativentonhospitalncare.




8. Whichnonenofnthenfollowingnisnanresultnofnfederalnlegislation?
A) Makingnitneasierntoncommitnpeoplenfornmentalnhealthntreatmentn againstntheirnwill.
B) Makingnitnmorendifficultntoncommitnpeoplenfornmentalnhealthntreatmentnagainstnt
heirnwill.
C) Statenmentalninstitutionsnbeingnthenprimarynsourcenofncarenfornmentallynillnpersons.
D) Improvedncarenfornmentallynillnpersons.n
Ans:nB
Feedback:

, lOMoARn n
1700591
cPSD| 1




Commitmentnlawsnchangedninnthenearlyn1970s,nmakingnitnmorendifficultntoncommitnpeople
nfornmentalnhealthntreatmentnagainstntheirnwill.nDeinstitutionalizationnaccomplishednthenre

leasenofnindividualsnfromnlong-
termnstaysninnstateninstitutions.nDeinstitutionalizationnalsonhadnnegativeneffectsninnthatnso
menmentallynillnpersonsnarensubjectedntonthenrevolvingndoorneffect,nwhichnmaynlimitncarenf
ornmentallynillnpersons.


9. Thengoalnofnthen1963nCommunitynMentalnHealthnCentersnActnwasnto
A) ensurenpatients'nrightsnfornthenmentallynill.
B) deinstitutionalizenstatenhospitals.
C) providenfundsntonbuildnhospitalsnwithnpsychiatricnunits.
D) treatnpeoplenwithnmentalnillnessninnanhumanenfashion.n
Ans:nB
Feedback:
Then1963nCommunitynMentalnHealthnCentersnActnintimatednthenmovementntowardntreat
ingnthosenwithnmentalnillnessninnanlessnrestrictivenenvironment.nThisnlegislationnresultedni
nnthenshiftnofnclientsnwithnmentalnillnessnfromnlargenstateninstitutionsntoncarenbasedninnthen
community.nAnswernchoicesnA,nC,nandnDnwerennotnpurposesnofnthen1963nCommunitynM
entalnHealthnCentersnAct.


10. Thencreationnofnasylumsnduringnthen1800snwasnmeantnto
A) improventreatmentnofnmentalndisorders.
B) providenfoodnandnshelternfornthenmentallynill.
C) punishnpeoplenwithnmentalnillnessnwhonwerenbelievedntonbenpossessed.
D) removendangerousnpeoplenwithnmentalnillnessnfromnthencommunity.n
Ans:nB
Feedback:
Thenasylumnwasnmeantntonbenansafenhavennwithnfood,nshelter,nandnhumanentreatmentnfornth
enmentallynill.nAsylumsnwerennotnusedntonimproventreatmentnofnmentalndisordersnorntonpuni
shnmentallynillnpeoplenwhonwerenbelievedntonbenpossessed.nThenasylumnwasnnotncreatednton
removenthendangerouslynmentallynillnfromnthencommunity.

11. Thenmajornproblemsnwithnlargenstateninstitutionsnare:nSelectnallnthatnapply.
A) attendantsnwerenaccusednofnabusingnthenresidents.
B) stigmanassociatednwithnresidenceninnanninsanenasylum.
C) clientsnwerengeographicallynisolatednfromnfamilynandncommunity.
D) increasingnfinancialncostsntonindividualnresidents.n
Ans:nA,nC
Feedback:
Clientsnwerenoftennfarnremovednfromnthenlocalncommunity,nfamily,nandnfriendsnbecausenst
ateninstitutionsnwerenusuallyninnruralnornremotensettings.nChoicesnBnandnDnwerennotnmajorn
problemsnassociatednwithnlargenstateninstructions.


12. Ansignificantnchangeninnthentreatmentnofnpeoplenwithnmentalnillnessnoccurredninnthen1950sn
when
A) communitynsupportnservicesnwerenestablished.
B) legislationndramaticallynchangedncivilncommitmentnprocedures.
C) thenPatient'snBillnofnRightsnwasnenacted.
D) psychotropicndrugsnbecamenavailablenfornuse.n
Ans:nD
Feedback:
Thendevelopmentnofnpsychotropicndrugs,norndrugsnusedntontreatnmentalnillness,nbeganninnth
en1950s.nAnswernchoicesnA,nB,nandnCndidnnotnoccurninnthen1950s.


13. Beforenthenperiodnofnthenenlightenment,ntreatmentnofnthenmentallynillnincluded