TestBankForPsychiatricMentalHealth Nursing9thEdition
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Chapter 1 q
1. Thenurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following
q q q q q q q q q q
would thenurse identifyashaving apositive impactonthe
q q q q q q q q q q
individual's mental health?
q q q
A) Not needing others for companionship q q q q
B) Theabilityto effectively manage stress q q q q q
C) A family history of mental illness q q q q q
D) Strivingfortotalself-reliance q q q
Ans: B
q q
Feedback:
Individual factors influencing mental health include biologic q q q q q q
makeup, autonomy, independence, self-esteem, capacityfor
q q q q q q
growth, vitality, abilityto find meaningin life, emotional
q q q q q q q q q
resilience or hardiness, sense of belonging, reality
q q q q q q q
orientation, and coping or stress management abilities.
q q q q q q q
Interpersonal factors such as intimacy and a balanceof
q q q q q q q q q
separateness and connectednessare bothneeded
q q q q q q
for good mental health, and therefore ahealthy person would need others for
q q q q q q q q q q q
companionship. A family history of mental illnesscould relate to the biologic makeup of an
q q q q q q q q q q q q q q
individual, which mayhave a negative impacton an individual's mental health, as well as a
q q q q q q q q q q q q q q q
negative impact on an individual's interpersonal and socialñcultural factors of health. Total
q q q q q q q q q q q q
self-reliance is not possible, and a positive social/cultural factor is access to adequate
q q q q q q q q q q q q q
resources.
q
2. Whichof the followingstatements about mental illness are true? Select all that apply.
q q q q q q q q q q q q q
A) Mental illness can cause significant distress, impaired functioning, or both. q q q q q q q q q
B) Mental illness is only due to social/cultural factors. q q q q q q q
C) Social/cultural factors thatrelateto mentalillness includeexcessive dependency on q q q q q q q q q q
or withdrawal from relationships.
q q q q
D) Individuals sufferingfrommental illness areusuallyable to cope effectivelywith q q q q q q q q q q q
daily life. q q
E) Individualssufferingfrom mentalillnessmayexperiencedissatisfaction with q q q q q q q q
relationships and self.
q q q
Ans: A, D, E q q q
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
q q q q q q q q q q q
may be related to individual, interpersonal, or social/cultural factors. Excessive
q q q q q q q q q q
dependency on or withdrawal from relationships are interpersonal factors that relate to
q q q q q q q q q q q q
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
q q q q q q q q q q q q
life. Individuals sufferingfrom mentalillness mayexperiencedissatisfaction with
q q q q q q q q q q
relationships and self.
q q q
,3. Whichof the following are true regarding mental health and mental illness?
q q q q q q q q q q q
A) Behaviorthat maybe viewed asacceptable in one cultureisalways unacceptable in q q q q q q q q q q q q q
other cultures.
q q
B) It is easyto determine if a person is mentallyhealthy or mentallyill.
q q q q q q q q q q q q q
C) In most cases, mental health is a state of emotional, psychological, and social
q q q q q q q q q q q q
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
q q q q q q q q
and coping, positive self-concept, and emotional stability.
q q q q q q q
D) Personswho engage infantasiesarementallyill. q q q q q q q
Ans: C
q q
Feedback:
What onesocietymayview as acceptable and appropriate behavior, another societymay see
q q q q q q q q q q q q q
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
q q q q q q q q q q q q q
define precisely. In most cases, mental health is a state of emotional, psychological, and
q q q q q q q q q q q q q q
social wellness evidenced by satisfying interpersonal relationships, effective behavior and
q q q q q q q q q q
coping, positive self-concept, and emotional stability. Persons who engage in fantasies may
q q q q q q q q q q q q
be mentallyhealthy, but the inabilityto distinguish reality from fantasy is an individual
q q q q q q q q q q q q q q
factor that may contribute to mental illness.
q q q q q q q
4. A client grievingthe recent loss of her husband asks if she is becoming mentallyill
q q q q q q q q q q q q q q q
because she is so sad. The nurse's best response would be,
q q q q q q q q q q q
A) ìYoumayhave atemporarymental illnessbecause you areexperiencing so much
q q q q q q q q q q q q
pain.î q
B) ìYou arenot mentallyill. This isan expectedreaction tothe loss you have
q q q q q q q q q q q q q q
experienced.îq
C) ìWereyou generallydissatisfiedwith yourrelationshipbeforeyourhusband's q q q q q q q q q
death?î q
D) ìTrynot toworryabout that right now. You never know what thefuture brings.î Ans:
q q q q q q q q q q q q q q q
qB
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
q q q q q q q q
ineffective coping, and lack of personal growth. Additionally the behavior must not be
q q q q q q q q q q q q q
culturally expected. Acute grief reactions are expected and therefore not considered
q q q q q q q q q q q
mental illness. False reassurance or overanalysis does not accuratelyaddress the client's
q q q q q q q q q q q q
concerns.
q
,5. The nurse consults the DSM for which of the following purposes?
q q q q q q q q q q q
A) To devise a plan of care for a newlyadmitted client
q q q q q q q q q q
B) Topredict the client's prognosis of treatment outcomes
q q q q q q q
C) To document the appropriate diagnostic code in the client's medical record
q q q q q q q q q q
D) Toserveas aguidefor clientassessment
q q q q q q q q q
q Ans: D q
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
q q q q q q q q
qidentifies underlying causes of mental disorders. It does not provide care plans or
q q q q q q q q q q q q
qprognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
q q q q q q q q q q q q
qRN's scope of practice, so documenting the code in themedical record would be
q q q q q q q q q q q q q
qinappropriate.
6. Which would be a reason for a student nurse to use the DSM?
q q q q q q q q q q q q q
A) Identifyingthemedical diagnosis q q q
B) Treatclients q
C) Evaluate treatments q
D) Understand the reason for theadmission and thenatureof psychiatric illnesses.
q q q q q q q q q q q q q
qAns: D q
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
q q q q q q q q q q q q q q q q
resource to understand the reason for the admission and to begin building knowledge about
q q q q q q q q q q q q q q
the natureof psychiatricillnesses. Identifying the medical diagnosis, treating, and
q q q q q q q q q q q
evaluating treatments are not a part of the nursing process.
q q q q q q q q q q
7. Thelegislation enacted in 1963 was largelyresponsible forwhich of the followingshifts in
q q q q q q q q q q q q q q
care for the mentally ill?
q q q q q
A) Thewidespread use of community-based services q q q q q
B) Theadvancement inpharmacotherapies q q q
C) Increasedaccess tohospitalization q q q
D) Improvedrights for clients inlong-terminstitutional care q q q q q q q
Ans: A
q q
Feedback:
TheCommunityMental Health Centers Construction Act of 1963 accomplished the release
q q q q q q q q q q q
of individuals from long-term stays in state institutions, the decrease in admissions to
q q q q q q q q q q q q q
hospitals, and the development of community-based services as an alternative to hospital
q q q q q q q q q q q q
care.
q
, 8. Which one of the following is a result of federal legislation?
q q q q q q q q q q
A) Making it easier to commit people for mental health treatment against their will.
q q q q q q q q q q q q
B) Makingit moredifficultto commit people formentalhealthtreatment against their q q q q q q q q q q q q
will. q
C) State mental institutions being the primary source of care for mentallyill persons.
q q q q q q q q q q q q
D) Improvedcareformentallyillpersons. q q q q q
Ans: B
q q
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
q q q q q q q q q q q q
people for mental health treatment against their will. Deinstitutionalization
q q q q q q q q q
accomplished the release of individuals from long-term stays in state institutions.
q q q q q q q q q q q
Deinstitutionalization also had negative effects in that some mentallyill persons are
q q q q q q q q q q q q
subjectedto the revolving door effect, which may limit care for mentallyill persons.
q q q q q q q q q q q q q q
9. Thegoal of the 1963 CommunityMental Health Centers Act was to
q q q q q q q q q q q
A) ensure patients' rights for the mentallyill. q q q q q q
B) deinstitutionalizestatehospitals. q q
C) provide funds to build hospitals with psychiatric units. q q q q q q q
D) treatpeoplewith mentalillness in a humanefashion. q q q q q q q q
Ans: B
q q
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward treating
q q q q q q q q q q q
those with mental illness in a less restrictive environment. This legislation resulted in the
q q q q q q q q q q q q q q
shift of clients with mental illness from large state institutions to care basedin the
q q q q q q q q q q q q q q q
community. Answer choices A, C, and Dwerenot purposes of the1963 Community Mental
q q q q q q q q q q q q q q q
Health Centers Act.
q q q
10. The creation of asylums during the 1800s was meant to
q q q q q q q q q
A) improve treatment of mental disorders. q q q q
B) provide food and shelter for the mentally ill. q q q q q q q
C) punish people with mental illness who were believed to be possessed. q q q q q q q q q q
D) removedangerouspeoplewithmentalillnessfrom thecommunity. q q q q q q q q
Ans: B
q q
Feedback:
Theasylum was meant to be asafe haven with food, shelter, and humane treatment for the
q q q q q q q q q q q q q q q q
mentallyill. Asylums were not used to improve treatment of mental disorders or to punish
q q q q q q q q q q q q q q q
mentally ill people who were believed to be possessed. The asylum was not created to
q q q q q q q q q q q q q q q
remove the dangerously mentally ill from the community.
q q q q q q q q
q q q q q q q q
Chapter 1 q
1. Thenurse is assessing the factors contributing to the well-
q q q q q q q q q
being of a newly admitted client. Which of the following
q q q q q q q q q q
would thenurse identifyashaving apositive impactonthe
q q q q q q q q q q
individual's mental health?
q q q
A) Not needing others for companionship q q q q
B) Theabilityto effectively manage stress q q q q q
C) A family history of mental illness q q q q q
D) Strivingfortotalself-reliance q q q
Ans: B
q q
Feedback:
Individual factors influencing mental health include biologic q q q q q q
makeup, autonomy, independence, self-esteem, capacityfor
q q q q q q
growth, vitality, abilityto find meaningin life, emotional
q q q q q q q q q
resilience or hardiness, sense of belonging, reality
q q q q q q q
orientation, and coping or stress management abilities.
q q q q q q q
Interpersonal factors such as intimacy and a balanceof
q q q q q q q q q
separateness and connectednessare bothneeded
q q q q q q
for good mental health, and therefore ahealthy person would need others for
q q q q q q q q q q q
companionship. A family history of mental illnesscould relate to the biologic makeup of an
q q q q q q q q q q q q q q
individual, which mayhave a negative impacton an individual's mental health, as well as a
q q q q q q q q q q q q q q q
negative impact on an individual's interpersonal and socialñcultural factors of health. Total
q q q q q q q q q q q q
self-reliance is not possible, and a positive social/cultural factor is access to adequate
q q q q q q q q q q q q q
resources.
q
2. Whichof the followingstatements about mental illness are true? Select all that apply.
q q q q q q q q q q q q q
A) Mental illness can cause significant distress, impaired functioning, or both. q q q q q q q q q
B) Mental illness is only due to social/cultural factors. q q q q q q q
C) Social/cultural factors thatrelateto mentalillness includeexcessive dependency on q q q q q q q q q q
or withdrawal from relationships.
q q q q
D) Individuals sufferingfrommental illness areusuallyable to cope effectivelywith q q q q q q q q q q q
daily life. q q
E) Individualssufferingfrom mentalillnessmayexperiencedissatisfaction with q q q q q q q q
relationships and self.
q q q
Ans: A, D, E q q q
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
q q q q q q q q q q q
may be related to individual, interpersonal, or social/cultural factors. Excessive
q q q q q q q q q q
dependency on or withdrawal from relationships are interpersonal factors that relate to
q q q q q q q q q q q q
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
q q q q q q q q q q q q
life. Individuals sufferingfrom mentalillness mayexperiencedissatisfaction with
q q q q q q q q q q
relationships and self.
q q q
,3. Whichof the following are true regarding mental health and mental illness?
q q q q q q q q q q q
A) Behaviorthat maybe viewed asacceptable in one cultureisalways unacceptable in q q q q q q q q q q q q q
other cultures.
q q
B) It is easyto determine if a person is mentallyhealthy or mentallyill.
q q q q q q q q q q q q q
C) In most cases, mental health is a state of emotional, psychological, and social
q q q q q q q q q q q q
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
q q q q q q q q
and coping, positive self-concept, and emotional stability.
q q q q q q q
D) Personswho engage infantasiesarementallyill. q q q q q q q
Ans: C
q q
Feedback:
What onesocietymayview as acceptable and appropriate behavior, another societymay see
q q q q q q q q q q q q q
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
q q q q q q q q q q q q q
define precisely. In most cases, mental health is a state of emotional, psychological, and
q q q q q q q q q q q q q q
social wellness evidenced by satisfying interpersonal relationships, effective behavior and
q q q q q q q q q q
coping, positive self-concept, and emotional stability. Persons who engage in fantasies may
q q q q q q q q q q q q
be mentallyhealthy, but the inabilityto distinguish reality from fantasy is an individual
q q q q q q q q q q q q q q
factor that may contribute to mental illness.
q q q q q q q
4. A client grievingthe recent loss of her husband asks if she is becoming mentallyill
q q q q q q q q q q q q q q q
because she is so sad. The nurse's best response would be,
q q q q q q q q q q q
A) ìYoumayhave atemporarymental illnessbecause you areexperiencing so much
q q q q q q q q q q q q
pain.î q
B) ìYou arenot mentallyill. This isan expectedreaction tothe loss you have
q q q q q q q q q q q q q q
experienced.îq
C) ìWereyou generallydissatisfiedwith yourrelationshipbeforeyourhusband's q q q q q q q q q
death?î q
D) ìTrynot toworryabout that right now. You never know what thefuture brings.î Ans:
q q q q q q q q q q q q q q q
qB
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
q q q q q q q q
ineffective coping, and lack of personal growth. Additionally the behavior must not be
q q q q q q q q q q q q q
culturally expected. Acute grief reactions are expected and therefore not considered
q q q q q q q q q q q
mental illness. False reassurance or overanalysis does not accuratelyaddress the client's
q q q q q q q q q q q q
concerns.
q
,5. The nurse consults the DSM for which of the following purposes?
q q q q q q q q q q q
A) To devise a plan of care for a newlyadmitted client
q q q q q q q q q q
B) Topredict the client's prognosis of treatment outcomes
q q q q q q q
C) To document the appropriate diagnostic code in the client's medical record
q q q q q q q q q q
D) Toserveas aguidefor clientassessment
q q q q q q q q q
q Ans: D q
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
q q q q q q q q
qidentifies underlying causes of mental disorders. It does not provide care plans or
q q q q q q q q q q q q
qprognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
q q q q q q q q q q q q
qRN's scope of practice, so documenting the code in themedical record would be
q q q q q q q q q q q q q
qinappropriate.
6. Which would be a reason for a student nurse to use the DSM?
q q q q q q q q q q q q q
A) Identifyingthemedical diagnosis q q q
B) Treatclients q
C) Evaluate treatments q
D) Understand the reason for theadmission and thenatureof psychiatric illnesses.
q q q q q q q q q q q q q
qAns: D q
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
q q q q q q q q q q q q q q q q
resource to understand the reason for the admission and to begin building knowledge about
q q q q q q q q q q q q q q
the natureof psychiatricillnesses. Identifying the medical diagnosis, treating, and
q q q q q q q q q q q
evaluating treatments are not a part of the nursing process.
q q q q q q q q q q
7. Thelegislation enacted in 1963 was largelyresponsible forwhich of the followingshifts in
q q q q q q q q q q q q q q
care for the mentally ill?
q q q q q
A) Thewidespread use of community-based services q q q q q
B) Theadvancement inpharmacotherapies q q q
C) Increasedaccess tohospitalization q q q
D) Improvedrights for clients inlong-terminstitutional care q q q q q q q
Ans: A
q q
Feedback:
TheCommunityMental Health Centers Construction Act of 1963 accomplished the release
q q q q q q q q q q q
of individuals from long-term stays in state institutions, the decrease in admissions to
q q q q q q q q q q q q q
hospitals, and the development of community-based services as an alternative to hospital
q q q q q q q q q q q q
care.
q
, 8. Which one of the following is a result of federal legislation?
q q q q q q q q q q
A) Making it easier to commit people for mental health treatment against their will.
q q q q q q q q q q q q
B) Makingit moredifficultto commit people formentalhealthtreatment against their q q q q q q q q q q q q
will. q
C) State mental institutions being the primary source of care for mentallyill persons.
q q q q q q q q q q q q
D) Improvedcareformentallyillpersons. q q q q q
Ans: B
q q
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
q q q q q q q q q q q q
people for mental health treatment against their will. Deinstitutionalization
q q q q q q q q q
accomplished the release of individuals from long-term stays in state institutions.
q q q q q q q q q q q
Deinstitutionalization also had negative effects in that some mentallyill persons are
q q q q q q q q q q q q
subjectedto the revolving door effect, which may limit care for mentallyill persons.
q q q q q q q q q q q q q q
9. Thegoal of the 1963 CommunityMental Health Centers Act was to
q q q q q q q q q q q
A) ensure patients' rights for the mentallyill. q q q q q q
B) deinstitutionalizestatehospitals. q q
C) provide funds to build hospitals with psychiatric units. q q q q q q q
D) treatpeoplewith mentalillness in a humanefashion. q q q q q q q q
Ans: B
q q
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward treating
q q q q q q q q q q q
those with mental illness in a less restrictive environment. This legislation resulted in the
q q q q q q q q q q q q q q
shift of clients with mental illness from large state institutions to care basedin the
q q q q q q q q q q q q q q q
community. Answer choices A, C, and Dwerenot purposes of the1963 Community Mental
q q q q q q q q q q q q q q q
Health Centers Act.
q q q
10. The creation of asylums during the 1800s was meant to
q q q q q q q q q
A) improve treatment of mental disorders. q q q q
B) provide food and shelter for the mentally ill. q q q q q q q
C) punish people with mental illness who were believed to be possessed. q q q q q q q q q q
D) removedangerouspeoplewithmentalillnessfrom thecommunity. q q q q q q q q
Ans: B
q q
Feedback:
Theasylum was meant to be asafe haven with food, shelter, and humane treatment for the
q q q q q q q q q q q q q q q q
mentallyill. Asylums were not used to improve treatment of mental disorders or to punish
q q q q q q q q q q q q q q q
mentally ill people who were believed to be possessed. The asylum was not created to
q q q q q q q q q q q q q q q
remove the dangerously mentally ill from the community.
q q q q q q q q
