FULL TEST BANK For Psychiatric-Mental Health Nursing 7th Edition by R.N. Videbeck, Sheila L., Ph.D Latest Update Graded A+

,Psychiatric Mental Health Nursing 7th Edition Test Bank hk hk hk hk hk hk hk




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



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



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



D) Striving for total self-reliance hk hk hk



Ans: B
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Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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independence, self-esteem, capacity for growth, vitality, ability to find meaning in
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life, emotional resilience or hardiness, sense of belonging, reality orientation, and
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coping or stress management abilities. Interpersonal factors such as intimacy and a
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balance of separateness and connectedness are both needed for good mental health, and
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therefore a healthy person would need others for companionship. A family history of
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mental illness could relate to the biologic makeup of an individual, which may have a
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negative impact on an individual's mental health, as well as a negative impact on an
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individual's interpersonal and socialñcultural factors of health. Total self-reliance is not
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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.
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B) Mental illness is only due to social/cultural factors. hk hk hk hk hk hk hk



C) Social/cultural factors that relate to mental illness include excessive dependency hk hk hk hk hk hk hk hk hk



on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with hk hk hk hk hk hk hk hk hk hk hk



daily life. hk hk



E) Individuals suffering from mental illness may experience dissatisfaction with hk hk hk hk hk hk hk hk



relationships and self.
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Ans: A, D, E hk hk hk



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



unacceptable in other cultures.
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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
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wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally hk hk hk hk hk hk



ill. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
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see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
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to define precisely. In most cases, mental health is a state of emotional, psychological,
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and social wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-concept, and emotional stability. Persons who
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engage in fantasies may be mentally healthy, but the inability to distinguish reality from
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fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally
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ill because 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 much
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pain.î hk



B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î hk



C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î hk



D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must not be
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culturally expected. Acute grief reactions are expected and therefore not considered
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mental illness. False reassurance or overanalysis does not accurately address the client's
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concerns.
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, 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
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the
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generalist RN's scope of practice, so documenting the code in the medical record would
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be 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 hk hk hk



B) Treat clients hk



C) Evaluate treatments hk



D) Understand the reason for the admission and the nature of psychiatric hk hk hk hk hk hk hk hk hk hk



illnesses. Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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helpful resource to understand the reason for the admission and to begin building
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knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
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treating, and evaluating 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
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shifts in 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
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C) Increased access to hospitalization hk hk hk



D) Improved rights for clients in long-term institutional care hk hk hk hk hk hk hk



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