FULL TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9TH EDITION BY
SHEILA L. VIDEBECK
,Contents
Chapter 1, Foundations of Psychiatric–Mental Health Nursing ............................................................... 3
Chapter 2, Neurobiologic Theories and Psychopharmacology ............................................................... 26
Chapter 3, Psychosocial Theories and Therapy ...................................................................................... 55
Chapter 4, Treatment Settings and Therapeutic Programs .................................................................... 88
Chapter 5, Therapeutic Relationships ................................................................................................... 122
Chapter 6, Therapeutic Communication............................................................................................... 157
Chapter 7, Client’s Response to Illness ................................................................................................. 197
Chapter 8, Assessment.......................................................................................................................... 225
Chapter 9, Legal and Ethical Issues ....................................................................................................... 257
Chapter 10, Grief and Loss .................................................................................................................... 292
Chapter 11............................................................................................................................................. 326
Chapter 12............................................................................................................................................. 340
Chapter 13............................................................................................................................................. 353
Chapter 14............................................................................................................................................. 362
Chapter 15............................................................................................................................................. 378
Chapter 16............................................................................................................................................. 386
Chapter 17............................................................................................................................................. 403
Chapter 18............................................................................................................................................. 418
Chapter 19............................................................................................................................................. 431
Chapter 20............................................................................................................................................. 448
Chapter 21............................................................................................................................................. 462
Chapter 22............................................................................................................................................. 477
Chapter 23............................................................................................................................................. 490
Chapter 24............................................................................................................................................. 501
,Chapter 1, Foundations of Psychiatric–Mental Health Nursing
1. The nurse is assessing a newly admitted client with cholecystitis. When performing the
admission assessment, which statement by the client is an indicator of optimal mental health?
A. “I don’t need anyone in my life, I manage well on my own.”
B. “I practice yoga regularly since it helps manage any stress I am feeling.”
C. “My family has several people with mental health problems.”
D. “I had a history of alcohol use disorder and have been sober for 2 months.”
ANS:B
Rationale: Individual factors influencing mental health include coping or stress management abilities.
Interpersonal factors such as intimacy and a balance of separateness and connectedness are both
needed for good mental health, and therefore a healthy person would need others for companionship.
A family history of mental illness could relate to the biologic makeup of an individual, which may have a
negative impact on an individual’s mental health. A recent history of the use of maladaptive coping
mechanisms such as alcohol does not indicate that the client is mentally healthy.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness,
2. The nurse is performing an admission assessment for a client admitted to the behavioral health
unit. Which social/cultural category will the nurse document that
may be contributing to the client’s degree of mental illness? Select all that apply.
,A. The client is unable to find work and does not have enough money for housing.
B. The client states that they are discriminated against due to their country of origin.
C. The client attributes life’s problems to being without family support.
D. The client reports being unable to find anything meaningful within their life.
E. The client reports not belonging anywhere and is without family support.
ANS:A, B
Rationale: Social or cultural categories relate to a lack of resources, poverty, negative view of the world,
and discrimination and may result in isolation and violent or criminal behavior. The client that attributes
life’s problems to being without family support is not able to find meaning in life. Being without support
is interpersonal determinant of mental illness.
Question format: Multiple Select
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Analyze
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process: Nursing
Process
Learning Objective: 1 Reference: p. 2, Mental Illness
3. A client grieving the recent loss of a spouse, asks, “Am I becoming mentally ill? I feel so sad”
Which is the nurse’s best response?
A. “You may have a temporary mental illness because you are experiencing so much pain.”
B. “You are not mentally ill. This is an expected reaction to the loss you have experienced.”
C. “Were you generally dissatisfied with your relationship before your husband’s death?”
D. “Try not to worry about that right now. You never know what the future brings.”
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,ANS:B
Rationale: Acute grief reactions are expected and therefore not considered mental illness. Downplaying
the client’s grief does not appropriately address the client’s concerns. The quality of the relationship
does not determine the presence of absence of mental illness.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness
4. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with bipolar I disorder.
Which information will the nurse obtain to assist with the use of this resource?
A. Devise a plan of care for a newly admitted client
B. Predict the client’s prognosis of treatment outcomes
C. Document the appropriate diagnostic code in the client’s medical record
D. Use as a guide for client assessment
ANS:D
Rationale: The DSM-5-TR provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or prognostic outcomes
of treatment. The DSM-5-TR does not provide coding for record-keeping or billing purposes.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation Learning Objective: 2
Reference: p. 2, Mental Illness
, 5. A client with the inability to work due to relapsing schizophrenia is receiving Social Security
Benefits. Which benefit will this provide to the client experiencing serious mental illness?
A. The client will be able to maintain some level of independence financially.
B. The client will have the option to only obtain inpatient treatment.
C. The client will be able to pay all of their bills as well as purchase medication.
D. The client will have the ability to obtain psychiatric service regardless of setting.
ANS:A
Rationale: Federal legislation was passed to provide an income for disabled persons: supplemental
security income (SSI) and Social Security disability income (SSDI). This allowed people with severe and
persistent mental illness to be more independent financially and to not rely on family for money. This
does not prevent the client in acute crisis from a relapse from being admitted to the inpatient setting if
they are at risk of harm to self or others. Social security is limited and the client may still have some
degree of financial difficulty. The client may be limited to state owned facilities and not be able to seek
treatment at a private facility. This does not dictate to the client the level of care offered to the client.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process: Nursing
Process
Learning Objective: 3
Reference: p. 4, Development of Psychopharmacology
6. The nurse working in the ED of an urban hospital notifies the manager that there are several
clients with mental health disorders still present in the ED that have been there over 48 hours. Which
issue related to this phenomenon does the nurse discuss with the manager?
A. Temporary detaining orders for clients
B. Decision to practice boarding
C. The revolving door for clients
SHEILA L. VIDEBECK
,Contents
Chapter 1, Foundations of Psychiatric–Mental Health Nursing ............................................................... 3
Chapter 2, Neurobiologic Theories and Psychopharmacology ............................................................... 26
Chapter 3, Psychosocial Theories and Therapy ...................................................................................... 55
Chapter 4, Treatment Settings and Therapeutic Programs .................................................................... 88
Chapter 5, Therapeutic Relationships ................................................................................................... 122
Chapter 6, Therapeutic Communication............................................................................................... 157
Chapter 7, Client’s Response to Illness ................................................................................................. 197
Chapter 8, Assessment.......................................................................................................................... 225
Chapter 9, Legal and Ethical Issues ....................................................................................................... 257
Chapter 10, Grief and Loss .................................................................................................................... 292
Chapter 11............................................................................................................................................. 326
Chapter 12............................................................................................................................................. 340
Chapter 13............................................................................................................................................. 353
Chapter 14............................................................................................................................................. 362
Chapter 15............................................................................................................................................. 378
Chapter 16............................................................................................................................................. 386
Chapter 17............................................................................................................................................. 403
Chapter 18............................................................................................................................................. 418
Chapter 19............................................................................................................................................. 431
Chapter 20............................................................................................................................................. 448
Chapter 21............................................................................................................................................. 462
Chapter 22............................................................................................................................................. 477
Chapter 23............................................................................................................................................. 490
Chapter 24............................................................................................................................................. 501
,Chapter 1, Foundations of Psychiatric–Mental Health Nursing
1. The nurse is assessing a newly admitted client with cholecystitis. When performing the
admission assessment, which statement by the client is an indicator of optimal mental health?
A. “I don’t need anyone in my life, I manage well on my own.”
B. “I practice yoga regularly since it helps manage any stress I am feeling.”
C. “My family has several people with mental health problems.”
D. “I had a history of alcohol use disorder and have been sober for 2 months.”
ANS:B
Rationale: Individual factors influencing mental health include coping or stress management abilities.
Interpersonal factors such as intimacy and a balance of separateness and connectedness are both
needed for good mental health, and therefore a healthy person would need others for companionship.
A family history of mental illness could relate to the biologic makeup of an individual, which may have a
negative impact on an individual’s mental health. A recent history of the use of maladaptive coping
mechanisms such as alcohol does not indicate that the client is mentally healthy.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness,
2. The nurse is performing an admission assessment for a client admitted to the behavioral health
unit. Which social/cultural category will the nurse document that
may be contributing to the client’s degree of mental illness? Select all that apply.
,A. The client is unable to find work and does not have enough money for housing.
B. The client states that they are discriminated against due to their country of origin.
C. The client attributes life’s problems to being without family support.
D. The client reports being unable to find anything meaningful within their life.
E. The client reports not belonging anywhere and is without family support.
ANS:A, B
Rationale: Social or cultural categories relate to a lack of resources, poverty, negative view of the world,
and discrimination and may result in isolation and violent or criminal behavior. The client that attributes
life’s problems to being without family support is not able to find meaning in life. Being without support
is interpersonal determinant of mental illness.
Question format: Multiple Select
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Analyze
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process: Nursing
Process
Learning Objective: 1 Reference: p. 2, Mental Illness
3. A client grieving the recent loss of a spouse, asks, “Am I becoming mentally ill? I feel so sad”
Which is the nurse’s best response?
A. “You may have a temporary mental illness because you are experiencing so much pain.”
B. “You are not mentally ill. This is an expected reaction to the loss you have experienced.”
C. “Were you generally dissatisfied with your relationship before your husband’s death?”
D. “Try not to worry about that right now. You never know what the future brings.”
Stuvia.com - The Marketplace to Buy and Sell your Study Material
,ANS:B
Rationale: Acute grief reactions are expected and therefore not considered mental illness. Downplaying
the client’s grief does not appropriately address the client’s concerns. The quality of the relationship
does not determine the presence of absence of mental illness.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness
4. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with bipolar I disorder.
Which information will the nurse obtain to assist with the use of this resource?
A. Devise a plan of care for a newly admitted client
B. Predict the client’s prognosis of treatment outcomes
C. Document the appropriate diagnostic code in the client’s medical record
D. Use as a guide for client assessment
ANS:D
Rationale: The DSM-5-TR provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or prognostic outcomes
of treatment. The DSM-5-TR does not provide coding for record-keeping or billing purposes.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation Learning Objective: 2
Reference: p. 2, Mental Illness
, 5. A client with the inability to work due to relapsing schizophrenia is receiving Social Security
Benefits. Which benefit will this provide to the client experiencing serious mental illness?
A. The client will be able to maintain some level of independence financially.
B. The client will have the option to only obtain inpatient treatment.
C. The client will be able to pay all of their bills as well as purchase medication.
D. The client will have the ability to obtain psychiatric service regardless of setting.
ANS:A
Rationale: Federal legislation was passed to provide an income for disabled persons: supplemental
security income (SSI) and Social Security disability income (SSDI). This allowed people with severe and
persistent mental illness to be more independent financially and to not rely on family for money. This
does not prevent the client in acute crisis from a relapse from being admitted to the inpatient setting if
they are at risk of harm to self or others. Social security is limited and the client may still have some
degree of financial difficulty. The client may be limited to state owned facilities and not be able to seek
treatment at a private facility. This does not dictate to the client the level of care offered to the client.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process: Nursing
Process
Learning Objective: 3
Reference: p. 4, Development of Psychopharmacology
6. The nurse working in the ED of an urban hospital notifies the manager that there are several
clients with mental health disorders still present in the ED that have been there over 48 hours. Which
issue related to this phenomenon does the nurse discuss with the manager?
A. Temporary detaining orders for clients
B. Decision to practice boarding
C. The revolving door for clients
