Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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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 on
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the individual's mental health?
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A) Not needing others for companionship jg jg jg jg
B) The ability to effectively manage stress jg jg jg jg jg
C) A family history of mental illness jg jg jg jg jg
D) Striving for total self-reliance jg jg jg
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 life,
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emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
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stress management abilities. Interpersonal factors such as intimacy and a balance of
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separateness and connectedness are both needed for good mental health, and therefore a
jg jg jg jg jg jg jg jg jg jg jg jg jg
healthy person would need others for companionship. A family history of mental illness
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could relate to the biologic makeup of an individual, which may have a negative impact
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on an individual's mental health, as well as a negative impact on an individual's
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interpersonal and socialñcultural factors of health. Total self-reliance is not possible,
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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. jg jg jg jg jg jg jg
C) Social/cultural factors that relate to mental illness include excessive dependency jg jg jg jg jg jg jg jg jg
on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with jg jg jg jg jg jg jg jg jg jg jg
daily life. jg jg
E) Individuals suffering from mental illness may experience dissatisfaction with jg jg jg jg jg jg jg jg
relationships and self.
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Ans: A, D, E j g jg jg
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
jg jg jg jg jg jg jg jg jg jg jg
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 unacceptable jg jg jg jg jg jg jg jg jg jg jg jg
in other cultures. jg jg jg
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 behavior
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and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. jg jg jg jg jg jg jg
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,
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
and social wellness evidenced by satisfying interpersonal relationships, effective
jg jg jg jg jg jg jg jg jg
behavior and coping, positive self-concept, and emotional stability. Persons who engage
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in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
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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 ill
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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 jg
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î jg
C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î jg
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
jg jg jg jg jg jg jg jg jg jg jg jg jg
culturally expected. Acute grief reactions are expected and therefore not considered
jg jg jg jg jg jg jg jg jg jg jg
mental illness. False reassurance or overanalysis does not accurately address the client's
jg jg jg jg jg jg jg jg jg jg jg jg
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
jg jg jg jg jg jg jg jg jg jg jg jg jg
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
jg jg jg jg jg jg jg jg jg jg jg jg
generalist RN's scope of practice, so documenting the code in the medical record would
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
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 jg jg jg
B) Treat clients jg
C) Evaluate treatments jg
D) Understand the reason for the admission and the nature of psychiatric illnesses. jg jg jg jg jg jg jg jg jg jg jg
Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
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,
jg jg jg jg jg jg jg jg jg jg jg
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 shifts
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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 pharmacotherapiesjg jg jg
C) Increased access to hospitalization jg jg jg
D) Improved rights for clients in long-term institutional care jg jg jg jg jg jg jg
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
jg jg jg jg jg jg jg jg jg jg jg
alternative to hospital care.
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Chapter 1
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,1. The nurse is assessing the factors contributing to the well-being of a newly admitted
jg jg jg jg jg jg jg jg jg jg jg jg jg
client. Which of the following would the nurse identify as having a positive impact on
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
the individual's mental health?
jg jg jg jg
A) Not needing others for companionship jg jg jg jg
B) The ability to effectively manage stress jg jg jg jg jg
C) A family history of mental illness jg jg jg jg jg
D) Striving for total self-reliance jg jg jg
Ans: B
jg j g
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
jg jg jg jg jg jg jg jg
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
jg jg jg jg jg jg jg jg jg jg jg jg
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
jg jg jg jg jg jg jg jg jg jg jg jg
stress management abilities. Interpersonal factors such as intimacy and a balance of
jg jg jg jg jg jg jg jg jg jg jg jg
separateness and connectedness are both needed for good mental health, and therefore a
jg jg jg jg jg jg jg jg jg jg jg jg jg
healthy person would need others for companionship. A family history of mental illness
jg jg jg jg jg jg jg jg jg jg jg jg jg
could relate to the biologic makeup of an individual, which may have a negative impact
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
on an individual's mental health, as well as a negative impact on an individual's
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interpersonal and socialñcultural factors of health. Total self-reliance is not possible,
jg jg jg jg jg jg jg jg jg jg jg
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. jg jg jg jg jg jg jg
C) Social/cultural factors that relate to mental illness include excessive dependency jg jg jg jg jg jg jg jg jg
on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with jg jg jg jg jg jg jg jg jg jg jg
daily life. jg jg
E) Individuals suffering from mental illness may experience dissatisfaction with jg jg jg jg jg jg jg jg
relationships and self.
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Ans: A, D, E j g jg jg
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
jg jg jg jg jg jg jg jg jg jg
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
jg jg jg jg jg jg jg jg jg jg jg
dependency on or withdrawal from relationships are interpersonal factors that relate to
jg jg jg jg jg jg jg jg jg jg jg jg
mental illness. Individuals suffering from mental illness can feel overwhelmed with
jg jg jg jg jg jg jg jg jg jg jg
daily life. Individuals suffering from mental illness may experience dissatisfaction with
jg jg jg jg jg jg jg jg jg jg jg
relationships and self.
jg jg jg
,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 unacceptable jg jg jg jg jg jg jg jg jg jg jg jg
in other cultures. jg jg jg
B) It is easy to determine if a person is mentally healthy or mentally ill.
jg jg jg jg jg jg jg jg jg jg jg jg jg
C) In most cases, mental health is a state of emotional, psychological, and social
jg jg jg jg jg jg jg jg jg jg jg jg
wellness evidenced by satisfying interpersonal relationships, effective behavior
jg jg jg jg jg jg jg jg
and coping, positive self-concept, and emotional stability.
jg jg jg jg jg jg jg
D) Persons who engage in fantasies are mentally ill. jg jg jg jg jg jg jg
Ans: C
jg j g
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
jg jg jg jg jg jg jg jg jg jg jg jg
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
jg jg jg jg jg jg jg jg jg jg jg jg jg
to define precisely. In most cases, mental health is a state of emotional, psychological,
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
and social wellness evidenced by satisfying interpersonal relationships, effective
jg jg jg jg jg jg jg jg jg
behavior and coping, positive self-concept, and emotional stability. Persons who engage
jg jg jg jg jg jg jg jg jg jg jg
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
is an individual factor that may contribute to mental illness.
jg jg jg jg jg jg jg jg jg jg
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
because she is so sad. The nurse's best response would be,
jg jg jg jg jg jg jg jg jg jg jg
A) ìYou may have a temporary mental illness because you are experiencing so much
jg jg jg jg jg jg jg jg jg jg jg jg
pain.î jg
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
experienced.î jg
C) ìWere you generally dissatisfied with your relationship before your husband's
jg jg jg jg jg jg jg jg jg
death?î jg
D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B
jg j g
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
jg jg jg jg jg jg jg jg
ineffective coping, and lack of personal growth. Additionally the behavior must not be
jg jg jg jg jg jg jg jg jg jg jg jg jg
culturally expected. Acute grief reactions are expected and therefore not considered
jg jg jg jg jg jg jg jg jg jg jg
mental illness. False reassurance or overanalysis does not accurately address the client's
jg jg jg jg jg jg jg jg jg jg jg jg
concerns.
jg
, 5. The nurse consults the DSM for which of the following purposes?
jg jg jg jg jg jg jg jg jg jg
A) To devise a plan of care for a newly admitted client
jg jg jg jg jg jg jg jg jg jg
B) To predict the client's prognosis of treatment outcomes
jg jg jg jg jg jg jg
C) To document the appropriate diagnostic code in the client's medical record
jg jg jg jg jg jg jg jg jg jg
D) To serve as a guide for client assessment
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Ans: D
jg j g
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
jg jg jg jg jg jg jg jg
identifies underlying causes of mental disorders. It does not provide care plans or
jg jg jg jg jg jg jg jg jg jg jg jg jg
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
jg jg jg jg jg jg jg jg jg jg jg jg
generalist RN's scope of practice, so documenting the code in the medical record would
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
be inappropriate.
jg jg
6. Which would be a reason for a student nurse to use the DSM?
jg jg jg jg jg jg jg jg jg jg jg jg
A) Identifying the medical diagnosis jg jg jg
B) Treat clients jg
C) Evaluate treatments jg
D) Understand the reason for the admission and the nature of psychiatric illnesses. jg jg jg jg jg jg jg jg jg jg jg
Ans: D
jg j g
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
helpful resource to understand the reason for the admission and to begin building
jg jg jg jg jg jg jg jg jg jg jg jg jg
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
jg jg jg jg jg jg jg jg jg jg jg
treating, and evaluating treatments are not a part of the nursing process.
jg jg jg jg jg jg jg jg jg jg jg jg
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
jg jg jg jg jg jg jg jg jg jg jg jg jg
in care for the mentally ill?
jg jg jg jg jg jg
A) The widespread use of community-based services
jg jg jg jg jg
B) The advancement in pharmacotherapiesjg jg jg
C) Increased access to hospitalization jg jg jg
D) Improved rights for clients in long-term institutional care jg jg jg jg jg jg jg
Ans: A
jg j g
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
jg jg jg jg jg jg jg jg jg jg
release of individuals from long-term stays in state institutions, the decrease in
jg jg jg jg jg jg jg jg jg jg jg jg
admissions to hospitals, and the development of community-based services as an
jg jg jg jg jg jg jg jg jg jg jg
alternative to hospital care.
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