lOMoARcPSD| 11700591
TEST BANK
Psychiatric–Mental Health Nursing 9th Edition by Sheila L. Videbeck
All Chapters (1-24)
, lOMoARcPSD| 11700591
Table Of Contents
UNIT 1 Current Theories and Practice
Chapter 1. Foundations of Psychiatric–Mental Health Nursing Chapter
2. Neurobiologic Theories and Psychopharmacology Chapter 3.
Psychosocial Theories and Therapy
Chapter 4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship Chapter
5. Therapeutic Relationships
Chapter 6. Therapeutic Communication
Chapter 7. Client’s Response to Illness
Chapter 8. Assessment
UNIT 3 Current Social and Emotional Concerns
Chapter 9. Legal and Ethical Issues Chapter 10.
Grief and Loss
Chapter 11. Anger, Hostility, and Aggression Chapter
12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders Chapter 13.
Trauma and Stressor-Related Disorders Chapter 14. Anxiety and
Anxiety Disorders
Chapter 15. Obsessive–Compulsive and Related Disorders
Chapter 16. Schizophrenia
Chapter 17. Mood Disorders and Suicide
Chapter 18. Personality Disorders Chapter
19. Addiction
Chapter 20. Eating Disorders
Chapter 21. Somatic Symptom Illnesses Chapter 22.
Neurodevelopmental Disorders Chapter 23.
Disruptive Behavior Disorders Chapter 24.
Cognitive Disorders
Chapter 1
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client.
Which of the following would the nurse identify as having a positive impact on the
individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance
Ans: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independence,
self-esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or
hardiness, sense of belonging, reality orientation, and 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
, lOMoARcPSD| 11700591
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, as well as a negative impact on an individual's interpersonal and
socialñcultural factors of health. Total self-reliance is not possible, and a positive social/cultural
factor is access to adequate resources.
2. Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependency on or
withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with daily
life.
E) Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
Ans: A, D, E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be
related to individual, interpersonal, or social/cultural factors. Excessive dependency on or
withdrawal from relationships are interpersonal factors that relate to mental illness. Individuals
suffering from mental illness can feel overwhelmed with daily life. Individuals suffering from
mental illness may experience dissatisfaction with relationships and self.
3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always
unacceptable in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social wellness
evidenced by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability.
D) Persons who engage in fantasies are mentally ill. Ans:
C
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to define
precisely. In most cases, mental health is a state of emotional, psychological, and social
wellness evidenced by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability. Persons who engage in fantasies may be
mentally healthy, but the inability to distinguish reality from fantasy is an individual factor
that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill because
she is so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing so much pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
death?î
D) ìTry not to worry about that right now. You never know what the future brings.î Ans:
B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective
coping, and lack of personal growth. Additionally the behavior must not be
, lOMoARcPSD| 11700591
culturally expected. Acute grief reactions are expected and therefore not considered mental
illness. False reassurance or overanalysis does not accurately address the client's concerns.
5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment Ans:
D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
underlying causes of mental disorders. It does not provide care plans or prognostic outcomes of
treatment. Diagnosis of mental illness is not within the generalist RN's scope of practice, so
documenting the code in the medical record would be inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses. Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to
understand the reason for the admission and to begin building knowledge about the nature of
psychiatric illnesses. Identifying the medical diagnosis, treating, and evaluating treatments are not
a part of the nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in care
for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional care
Ans: A
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the release of
individuals from long-term stays in state institutions, the decrease in admissions to hospitals, and
the development of community-based services as an alternative to hospital care.
8. Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against their
will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons.
Ans: B
Feedback:
TEST BANK
Psychiatric–Mental Health Nursing 9th Edition by Sheila L. Videbeck
All Chapters (1-24)
, lOMoARcPSD| 11700591
Table Of Contents
UNIT 1 Current Theories and Practice
Chapter 1. Foundations of Psychiatric–Mental Health Nursing Chapter
2. Neurobiologic Theories and Psychopharmacology Chapter 3.
Psychosocial Theories and Therapy
Chapter 4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship Chapter
5. Therapeutic Relationships
Chapter 6. Therapeutic Communication
Chapter 7. Client’s Response to Illness
Chapter 8. Assessment
UNIT 3 Current Social and Emotional Concerns
Chapter 9. Legal and Ethical Issues Chapter 10.
Grief and Loss
Chapter 11. Anger, Hostility, and Aggression Chapter
12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders Chapter 13.
Trauma and Stressor-Related Disorders Chapter 14. Anxiety and
Anxiety Disorders
Chapter 15. Obsessive–Compulsive and Related Disorders
Chapter 16. Schizophrenia
Chapter 17. Mood Disorders and Suicide
Chapter 18. Personality Disorders Chapter
19. Addiction
Chapter 20. Eating Disorders
Chapter 21. Somatic Symptom Illnesses Chapter 22.
Neurodevelopmental Disorders Chapter 23.
Disruptive Behavior Disorders Chapter 24.
Cognitive Disorders
Chapter 1
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client.
Which of the following would the nurse identify as having a positive impact on the
individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-reliance
Ans: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independence,
self-esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or
hardiness, sense of belonging, reality orientation, and 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
, lOMoARcPSD| 11700591
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, as well as a negative impact on an individual's interpersonal and
socialñcultural factors of health. Total self-reliance is not possible, and a positive social/cultural
factor is access to adequate resources.
2. Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependency on or
withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with daily
life.
E) Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
Ans: A, D, E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be
related to individual, interpersonal, or social/cultural factors. Excessive dependency on or
withdrawal from relationships are interpersonal factors that relate to mental illness. Individuals
suffering from mental illness can feel overwhelmed with daily life. Individuals suffering from
mental illness may experience dissatisfaction with relationships and self.
3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always
unacceptable in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social wellness
evidenced by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability.
D) Persons who engage in fantasies are mentally ill. Ans:
C
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to define
precisely. In most cases, mental health is a state of emotional, psychological, and social
wellness evidenced by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability. Persons who engage in fantasies may be
mentally healthy, but the inability to distinguish reality from fantasy is an individual factor
that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill because
she is so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing so much pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
death?î
D) ìTry not to worry about that right now. You never know what the future brings.î Ans:
B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective
coping, and lack of personal growth. Additionally the behavior must not be
, lOMoARcPSD| 11700591
culturally expected. Acute grief reactions are expected and therefore not considered mental
illness. False reassurance or overanalysis does not accurately address the client's concerns.
5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment Ans:
D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
underlying causes of mental disorders. It does not provide care plans or prognostic outcomes of
treatment. Diagnosis of mental illness is not within the generalist RN's scope of practice, so
documenting the code in the medical record would be inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses. Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to
understand the reason for the admission and to begin building knowledge about the nature of
psychiatric illnesses. Identifying the medical diagnosis, treating, and evaluating treatments are not
a part of the nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in care
for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional care
Ans: A
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the release of
individuals from long-term stays in state institutions, the decrease in admissions to hospitals, and
the development of community-based services as an alternative to hospital care.
8. Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against their
will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons.
Ans: B
Feedback:
