Test
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss For Psychiatric Mental Health Nursing 9th Edition
s s s s s s s s s s s s
Bank
Chapter 1 s s
1. The nurse is assessing the factors contributing
s s s s s s s s s s s s
to the well- being of a newly admitted client.
s s s s ss oo s s s s s s s s s s
Which of the following would the nurse identify
s s s s s s ss s s s s ss ss
as having a positive impact ontheindividual's
ss ss ss ss s s ss
mental health?
s s s s
A) Not needing others for companionship ss ss ss ss
B) The ability to effectively manage stress ss ss s s ss s s
C) A family history of mental illness ss ss ss s s s s
D) Striving for total s s s s
self- relianceAns: B
s s ss
Feedback:
Individual factors influencing mental health include s s s s s s s s s s
biologic makeup, autonomy, independence, self-
ss s s s s s s s s
esteem, capacity for growth, vitality, ability to find
ss s s s s s s s s s s s s
meaning in life,emotional resilience or hardiness,
s s s s ss s s s s s s
sense of belonging, reality orientation, and coping
s s s s ss s s s s s s s s
or stress management abilities. Interpersonal factors
s s s s ss s s s s s s
such as intimacy and a balance of separateness and
s s s s ss s s s s s s ss ss s s
connectedness are both needed
ss s s ss ss
for good mental health, and therefore ahealthy person would need others
s s s s s s s s s s s s s s s s s s s s
for companionship. A family history of mental illnesscould relate to the
s s ss s s s s s s s s s s s s s s s s s s
biologic makeup of an individual, which may have a negative impacton
s s ss s s s s s s s s s s s s s s s s s s
an individual's mental health, aswell as a negative impact on an
s s s s ss s s s s s s s s s s s s s s s s
individual's interpersonal and socialñcultural factors ofhealth. Total self-
s s s s s s ss s s s s s s s s
reliance is not possible, and a positive social/cultural factor is access to
s s s s s s s s s s s s ss s s s s s s s s
adequate resources.
s s s s
2. Which of the following statements about mental illness are true? Select all that apply.
ss ss s s ss s s ss s s ss s s s s s s s s s s
A) Mental illness can cause significant distress, impaired functioning, or both.
ss s s s s s s s s s s ss s s s s
B) Mental illness is only due to social/cultural factors. s s s s ss ss s s s s s s
C) Social/cultural factors that relate to mental illness include excessive s s ss ss ss ss ss ss ss
dependencyon or withdrawal from relationships.
ss s s s s s s s s
D) Individuals suffering from mental illness are usually able to cope s s ss ss s s ss ss ss ss s s
effectively withdaily life.
s s ss ss
E) Individuals suffering from mental illness may experience dissatisfaction ss ss ss ss ss ss ss
with relationships and self.
ss oo s s s s
Ans: A, D, E s s s s s s
Feedback:
Mental illness can cause significant distress, impaired functioning, or both.
s s s s s s s s s s s s s s s s s s
Mental illness may be related to individual, interpersonal, or
s s ss s s s s s s s s s s s s s s
social/cultural factors.
s s s s
Excessive dependency on or withdrawal from relationships are s s s s s s s s s s s s s s
interpersonal factors that relate to mental illness. Individuals suffering from
s s ss s s s s s s s s s s s s s s s s
mental illness can feel overwhelmed with daily life. Individuals suffering
s s s s s s ss s s s s s s ss s s s s
from mental illness may experience dissatisfaction with relationships and self.
ss ss ss ss ss ss s s oo s s s s
,3. Which of the following are true regarding mental health and mental illness?
ss s s s s s s s s s s s s s s s s s s s s
A) Behavior that may be viewed as acceptable in one culture is ss s s ss s s s s ss s s s s ss ss
always unacceptable in other cultures.
ss ss oo s s s s
B) It is easy to determine if a person is mentally healthy or mentally ill.
s s s s ss s s s s s s s s s s s s ss ss s s ss
C) In most cases, mental health is a state of emotional,
s s s s s s s s s s s s s s s s s s
psychological, and social wellness evidenced by satisfying interpersonal
s s s s ss s s ss ss ss ss
relationships, effective behaviorand coping, positive self-concept, and
ss ss ss s s s s s s s s
emotional stability.
s s s s
D) Persons who engage in fantasies are ss s s ss s s s s
mentally ill.Ans:
ss C ss
Feedback:
What one society may view as acceptable and appropriate behavior, another
ss s s ss ss s s s s s s s s s s s s
society maysee that as maladaptive, and inappropriate. Mental health and
ss ss s s s s s s s s s s s s s s s s
mental illness are difficult to define precisely. In most cases, mental
s s s s ss s s oo s s s s s s s s s s s s
health is a state of emotional, psychological, and social wellness
s s s s s s s s s s ss s s s s s s s s
evidenced by satisfying interpersonal relationships, effective behavior and
s s s s s s s s ss s s s s s s
coping, positive self-concept, and emotional stability. Persons who
s s s s s s s s s s ss s s s s
engage in fantasies may be mentally healthy, but the inability to
s s oo s s s s s s s s s s s s s s ss s s
distinguish reality from fantasyis an individual factor that may contribute
s s s s s s s s s s s s s s s s s s ss
to mental illness.
s s s s s s
4. A client grieving the recent loss of her husband asks if she is
s s s s s s s s s s s s s s s s s s s s s s s s
becoming mentally ill because she is so sad. The nurse's best
s s ss ss oo s s s s s s s s s s s s s s
response would be,
s s s s s s
A) ìYou may have a temporary mental illness because you are experiencing so
ss ss ss ss ss s s ss s s s s ss ss
muchpain.î ss
B) ìYou are not mentally ill. This is an expected reaction to the loss
ss ss s s ss s s s s s s s s ss s s s s s s
you have experienced.î
s s ss oo
C) ìWere you generally dissatisfied with your relationship before your
ss ss ss ss s s ss ss ss
husband'sdeath?îss
D) ìTry not to worry about that right now. You never know what the
ss s s ss ss ss s s s s ss ss s s ss s s
future brings.î Ans: B
s s ss oo
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
ss ss ss ss ss ss ss ss
ineffective coping, and lack of personal growth. Additionally the behavior must
ss ss s s ss ss ss s s ss ss ss ss
not be culturally expected. Acute grief reactions are expected and therefore not
s s ss ss ss ss ss ss ss ss ss ss ss
considered mental illness. False reassurance or overanalysis does not accurately
ss ss ss ss ss ss ss ss ss ss
address the client'sconcerns.
ss s s s s
,5. ss o The nurse consults the DSM for which of the following
s s o s s oo oo oo oo oo oo oo oo oo
A) To devise a plan of care for a newly admitted client
s s s s ss s s s s s s s s ss ss s s
B) To predict the client's prognosis of treatment outcomes
ss s s ss ss ss ss s s
C) To document the appropriate diagnostic code in the client's medical
ss ss s s s s s s ss s s ss s s
recordTD
oo o)serve as a guide for cliento oo oo oo oo oo oo
Ans: D s s
Feedback:
The DSM provides standard nomenclature, presents defining characteristics,
s s s s s s s s s s s s s s
and identifies underlying causes of mental disorders. It does not provide
s s ss s s s s s s s s s s s s s s s s s s
care plans or prognostic outcomes of treatment. Diagnosis of mental
s s s s s s ss s s s s s s s s s s s s
illness is not within the generalist RN's scope of practice, so
s s s s s s s s s s ss s s s s s s s s s s
documenting the code in the medical record would be inappropriate.
s s s s s s ss s s s s s s ss oo ss
6. s s o s s o
A) would
Which Identifying the medical
be a reason diagnosis
for a student nurse to use the ss ss ss
B) Treat clients ss
C) Evaluate
treatmUendtseD
oo rs)tand the reason for the admission and the nature of psychiatric
o oo oo oo oo oo oo oo oo oo oo
Ans: D s s
Feedback:
Although student nurses do not use the DSM to diagnose clients, they
s s s s s s s s s s s s s s s s s s s s s s
will find it a helpful resource to understand the reason for the
s s s s ss s s s s s s s s s s s s s s s s s s
admission and to begin building knowledge about the nature of
s s s s s s s s ss s s s s s s s s ss
psychiatric illnesses. Identifying the medical diagnosis,treating, and
s s ss s s ss ss s s s s
evaluating treatments are not a part of the nursing process.
s s s s s s s s s s s s s s s s ss ss
7. The legislation enacted in 1963 was largely responsible for which of the
ss s s s s s s s s s s ss s s ss s s s s
following shifts in care for the mentally ill?
s s ss oo s s ss s s s s ss
A) The widespread use of community-based services ss s s ss ss s s
B) The advancement in pharmacotherapies ss ss ss
C) Increased access to hospitalization ss ss ss
D) Improved rights for clients in long-term s s s s s s s s s s
institutional careAns:
s s A ss
Feedback:
The Community Mental Health Centers Construction Act of 1963
ss ss s s s s s s s s s s s s
accomplished the release of individuals from long-term stays in state
s s ss oo s s s s s s s s s s s s s s
institutions, the decrease in admissions to hospitals, and the
s s s s ss s s s s s s s s s s s s
development of community-based services as an alternative to hospital
s s s s s s ss s s s s s s s s s s
care. s s
, 8. Which one of the following is a result of federal legislation?
ss ss s s s s ss s s s s s s s s s s
A) Making it easier to commit people for mental health treatment against their
ss s s s s s s s s s s s s s s s s s s s s
will. s s
B) Making it more difficult to commit people for mental health
ss s s ss ss ss s s s s ss ss
treatment againsttheir will.
ss ss s s
C) State mental institutions being the primary source of care for mentally ill
ss s s s s s s s s ss s s s s s s s s ss
persons. s s
D) Improved care for mentally ill ss s s ss ss
sspersons.Ans: B
Feedback:
Commitment laws changed in the early 1970s, making it more difficult
s s s s s s s s s s s s s s s s s s s s
s sto commit people for mental health treatment against their will.
ss s s s s s s s s s s s s s s s s
Deinstitutionalization accomplished the release of individuals from long- s s s s s s s s s s s s s s
term stays in state institutions. Deinstitutionalization also had negative
ss s s s s s s s s s s s s s s
s seffects in that some mentally ill persons are subjected to the revolving
s s ss s s s s s s s s s s oo ss s s ss
ssdoor effect, which may limit care for mentally ill persons.
ss ss ss ss s s ss ss ss s s
9. The goal of the 1963 Community Mental Health Centers Act was to
s s s s s s s s s s ss s s s s s s s s s s
A) ensure patients' rights for the mentally ill. ss s s s s s s s s ss
B) deinstitutionalize state hospitals. ss ss
C) provide funds to build hospitals with psychiatric units.
ss s s s s s s s s s s s s
D) treat people with mental illness in as s s s s s s s ss s s
humane fashion.Ans:
ss B ss
Feedback:
The 1963 Community Mental Health Centers Act intimated the
s s s s s s s s s s s s s s s s
movement toward treating those with mental illness in a less
s s ss s s s s s s s s s s s s s s s s
restrictive environment. This legislation resulted in the shift of clients
s s s s ss s s s s s s s s s s s s s s
with mental illness from large state institutions to care based in the
s s s s s s s s s s ss s s s s s s oo ss s s
community. Answer choices A, C, and D were not purposes of the
ss s s s s s s ss ss ss ss ss s s s s s s
1963Community Mental Health Centers Act.
s s ss s s s s ss
10. The creation of asylums during the 1800s was meant to
s s s s s s s s s s s s s s s s s s
A) improve treatment of mental disorders. ss s s ss ss
B) provide food and shelter for the mentally ill. ss s s s s s s s s s s ss
C) punish people with mental illness who were believed to be possessed.
ss s s s s s s ss s s ss s s ss ss
D) remove dangerous people with mental illness from the ss ss ss ss ss ss ss
community.Ans: B
ss
Feedback:
The asylum was meant to be a safe haven with food, shelter, and
ss s s s s s s s s s s s s s s s s s s s s s s
humane treatment forthe mentally ill. Asylums were not used to improve
s s ss s s s s ss s s s s s s s s s s s s
treatment of mental disorders or to punish mentally ill people who were
s s s s ss s s s s ss oo s s s s s s s s s s
believed to be possessed. The asylum was not created to remove the
s s s s s s ss s s s s s s s s s s s s s s s s
dangerously mentally ill from the community.
s s ss ss ss s s s s
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss For Psychiatric Mental Health Nursing 9th Edition
s s s s s s s s s s s s
Bank
Chapter 1 s s
1. The nurse is assessing the factors contributing
s s s s s s s s s s s s
to the well- being of a newly admitted client.
s s s s ss oo s s s s s s s s s s
Which of the following would the nurse identify
s s s s s s ss s s s s ss ss
as having a positive impact ontheindividual's
ss ss ss ss s s ss
mental health?
s s s s
A) Not needing others for companionship ss ss ss ss
B) The ability to effectively manage stress ss ss s s ss s s
C) A family history of mental illness ss ss ss s s s s
D) Striving for total s s s s
self- relianceAns: B
s s ss
Feedback:
Individual factors influencing mental health include s s s s s s s s s s
biologic makeup, autonomy, independence, self-
ss s s s s s s s s
esteem, capacity for growth, vitality, ability to find
ss s s s s s s s s s s s s
meaning in life,emotional resilience or hardiness,
s s s s ss s s s s s s
sense of belonging, reality orientation, and coping
s s s s ss s s s s s s s s
or stress management abilities. Interpersonal factors
s s s s ss s s s s s s
such as intimacy and a balance of separateness and
s s s s ss s s s s s s ss ss s s
connectedness are both needed
ss s s ss ss
for good mental health, and therefore ahealthy person would need others
s s s s s s s s s s s s s s s s s s s s
for companionship. A family history of mental illnesscould relate to the
s s ss s s s s s s s s s s s s s s s s s s
biologic makeup of an individual, which may have a negative impacton
s s ss s s s s s s s s s s s s s s s s s s
an individual's mental health, aswell as a negative impact on an
s s s s ss s s s s s s s s s s s s s s s s
individual's interpersonal and socialñcultural factors ofhealth. Total self-
s s s s s s ss s s s s s s s s
reliance is not possible, and a positive social/cultural factor is access to
s s s s s s s s s s s s ss s s s s s s s s
adequate resources.
s s s s
2. Which of the following statements about mental illness are true? Select all that apply.
ss ss s s ss s s ss s s ss s s s s s s s s s s
A) Mental illness can cause significant distress, impaired functioning, or both.
ss s s s s s s s s s s ss s s s s
B) Mental illness is only due to social/cultural factors. s s s s ss ss s s s s s s
C) Social/cultural factors that relate to mental illness include excessive s s ss ss ss ss ss ss ss
dependencyon or withdrawal from relationships.
ss s s s s s s s s
D) Individuals suffering from mental illness are usually able to cope s s ss ss s s ss ss ss ss s s
effectively withdaily life.
s s ss ss
E) Individuals suffering from mental illness may experience dissatisfaction ss ss ss ss ss ss ss
with relationships and self.
ss oo s s s s
Ans: A, D, E s s s s s s
Feedback:
Mental illness can cause significant distress, impaired functioning, or both.
s s s s s s s s s s s s s s s s s s
Mental illness may be related to individual, interpersonal, or
s s ss s s s s s s s s s s s s s s
social/cultural factors.
s s s s
Excessive dependency on or withdrawal from relationships are s s s s s s s s s s s s s s
interpersonal factors that relate to mental illness. Individuals suffering from
s s ss s s s s s s s s s s s s s s s s
mental illness can feel overwhelmed with daily life. Individuals suffering
s s s s s s ss s s s s s s ss s s s s
from mental illness may experience dissatisfaction with relationships and self.
ss ss ss ss ss ss s s oo s s s s
,3. Which of the following are true regarding mental health and mental illness?
ss s s s s s s s s s s s s s s s s s s s s
A) Behavior that may be viewed as acceptable in one culture is ss s s ss s s s s ss s s s s ss ss
always unacceptable in other cultures.
ss ss oo s s s s
B) It is easy to determine if a person is mentally healthy or mentally ill.
s s s s ss s s s s s s s s s s s s ss ss s s ss
C) In most cases, mental health is a state of emotional,
s s s s s s s s s s s s s s s s s s
psychological, and social wellness evidenced by satisfying interpersonal
s s s s ss s s ss ss ss ss
relationships, effective behaviorand coping, positive self-concept, and
ss ss ss s s s s s s s s
emotional stability.
s s s s
D) Persons who engage in fantasies are ss s s ss s s s s
mentally ill.Ans:
ss C ss
Feedback:
What one society may view as acceptable and appropriate behavior, another
ss s s ss ss s s s s s s s s s s s s
society maysee that as maladaptive, and inappropriate. Mental health and
ss ss s s s s s s s s s s s s s s s s
mental illness are difficult to define precisely. In most cases, mental
s s s s ss s s oo s s s s s s s s s s s s
health is a state of emotional, psychological, and social wellness
s s s s s s s s s s ss s s s s s s s s
evidenced by satisfying interpersonal relationships, effective behavior and
s s s s s s s s ss s s s s s s
coping, positive self-concept, and emotional stability. Persons who
s s s s s s s s s s ss s s s s
engage in fantasies may be mentally healthy, but the inability to
s s oo s s s s s s s s s s s s s s ss s s
distinguish reality from fantasyis an individual factor that may contribute
s s s s s s s s s s s s s s s s s s ss
to mental illness.
s s s s s s
4. A client grieving the recent loss of her husband asks if she is
s s s s s s s s s s s s s s s s s s s s s s s s
becoming mentally ill because she is so sad. The nurse's best
s s ss ss oo s s s s s s s s s s s s s s
response would be,
s s s s s s
A) ìYou may have a temporary mental illness because you are experiencing so
ss ss ss ss ss s s ss s s s s ss ss
muchpain.î ss
B) ìYou are not mentally ill. This is an expected reaction to the loss
ss ss s s ss s s s s s s s s ss s s s s s s
you have experienced.î
s s ss oo
C) ìWere you generally dissatisfied with your relationship before your
ss ss ss ss s s ss ss ss
husband'sdeath?îss
D) ìTry not to worry about that right now. You never know what the
ss s s ss ss ss s s s s ss ss s s ss s s
future brings.î Ans: B
s s ss oo
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
ss ss ss ss ss ss ss ss
ineffective coping, and lack of personal growth. Additionally the behavior must
ss ss s s ss ss ss s s ss ss ss ss
not be culturally expected. Acute grief reactions are expected and therefore not
s s ss ss ss ss ss ss ss ss ss ss ss
considered mental illness. False reassurance or overanalysis does not accurately
ss ss ss ss ss ss ss ss ss ss
address the client'sconcerns.
ss s s s s
,5. ss o The nurse consults the DSM for which of the following
s s o s s oo oo oo oo oo oo oo oo oo
A) To devise a plan of care for a newly admitted client
s s s s ss s s s s s s s s ss ss s s
B) To predict the client's prognosis of treatment outcomes
ss s s ss ss ss ss s s
C) To document the appropriate diagnostic code in the client's medical
ss ss s s s s s s ss s s ss s s
recordTD
oo o)serve as a guide for cliento oo oo oo oo oo oo
Ans: D s s
Feedback:
The DSM provides standard nomenclature, presents defining characteristics,
s s s s s s s s s s s s s s
and identifies underlying causes of mental disorders. It does not provide
s s ss s s s s s s s s s s s s s s s s s s
care plans or prognostic outcomes of treatment. Diagnosis of mental
s s s s s s ss s s s s s s s s s s s s
illness is not within the generalist RN's scope of practice, so
s s s s s s s s s s ss s s s s s s s s s s
documenting the code in the medical record would be inappropriate.
s s s s s s ss s s s s s s ss oo ss
6. s s o s s o
A) would
Which Identifying the medical
be a reason diagnosis
for a student nurse to use the ss ss ss
B) Treat clients ss
C) Evaluate
treatmUendtseD
oo rs)tand the reason for the admission and the nature of psychiatric
o oo oo oo oo oo oo oo oo oo oo
Ans: D s s
Feedback:
Although student nurses do not use the DSM to diagnose clients, they
s s s s s s s s s s s s s s s s s s s s s s
will find it a helpful resource to understand the reason for the
s s s s ss s s s s s s s s s s s s s s s s s s
admission and to begin building knowledge about the nature of
s s s s s s s s ss s s s s s s s s ss
psychiatric illnesses. Identifying the medical diagnosis,treating, and
s s ss s s ss ss s s s s
evaluating treatments are not a part of the nursing process.
s s s s s s s s s s s s s s s s ss ss
7. The legislation enacted in 1963 was largely responsible for which of the
ss s s s s s s s s s s ss s s ss s s s s
following shifts in care for the mentally ill?
s s ss oo s s ss s s s s ss
A) The widespread use of community-based services ss s s ss ss s s
B) The advancement in pharmacotherapies ss ss ss
C) Increased access to hospitalization ss ss ss
D) Improved rights for clients in long-term s s s s s s s s s s
institutional careAns:
s s A ss
Feedback:
The Community Mental Health Centers Construction Act of 1963
ss ss s s s s s s s s s s s s
accomplished the release of individuals from long-term stays in state
s s ss oo s s s s s s s s s s s s s s
institutions, the decrease in admissions to hospitals, and the
s s s s ss s s s s s s s s s s s s
development of community-based services as an alternative to hospital
s s s s s s ss s s s s s s s s s s
care. s s
, 8. Which one of the following is a result of federal legislation?
ss ss s s s s ss s s s s s s s s s s
A) Making it easier to commit people for mental health treatment against their
ss s s s s s s s s s s s s s s s s s s s s
will. s s
B) Making it more difficult to commit people for mental health
ss s s ss ss ss s s s s ss ss
treatment againsttheir will.
ss ss s s
C) State mental institutions being the primary source of care for mentally ill
ss s s s s s s s s ss s s s s s s s s ss
persons. s s
D) Improved care for mentally ill ss s s ss ss
sspersons.Ans: B
Feedback:
Commitment laws changed in the early 1970s, making it more difficult
s s s s s s s s s s s s s s s s s s s s
s sto commit people for mental health treatment against their will.
ss s s s s s s s s s s s s s s s s
Deinstitutionalization accomplished the release of individuals from long- s s s s s s s s s s s s s s
term stays in state institutions. Deinstitutionalization also had negative
ss s s s s s s s s s s s s s s
s seffects in that some mentally ill persons are subjected to the revolving
s s ss s s s s s s s s s s oo ss s s ss
ssdoor effect, which may limit care for mentally ill persons.
ss ss ss ss s s ss ss ss s s
9. The goal of the 1963 Community Mental Health Centers Act was to
s s s s s s s s s s ss s s s s s s s s s s
A) ensure patients' rights for the mentally ill. ss s s s s s s s s ss
B) deinstitutionalize state hospitals. ss ss
C) provide funds to build hospitals with psychiatric units.
ss s s s s s s s s s s s s
D) treat people with mental illness in as s s s s s s s ss s s
humane fashion.Ans:
ss B ss
Feedback:
The 1963 Community Mental Health Centers Act intimated the
s s s s s s s s s s s s s s s s
movement toward treating those with mental illness in a less
s s ss s s s s s s s s s s s s s s s s
restrictive environment. This legislation resulted in the shift of clients
s s s s ss s s s s s s s s s s s s s s
with mental illness from large state institutions to care based in the
s s s s s s s s s s ss s s s s s s oo ss s s
community. Answer choices A, C, and D were not purposes of the
ss s s s s s s ss ss ss ss ss s s s s s s
1963Community Mental Health Centers Act.
s s ss s s s s ss
10. The creation of asylums during the 1800s was meant to
s s s s s s s s s s s s s s s s s s
A) improve treatment of mental disorders. ss s s ss ss
B) provide food and shelter for the mentally ill. ss s s s s s s s s s s ss
C) punish people with mental illness who were believed to be possessed.
ss s s s s s s ss s s ss s s ss ss
D) remove dangerous people with mental illness from the ss ss ss ss ss ss ss
community.Ans: B
ss
Feedback:
The asylum was meant to be a safe haven with food, shelter, and
ss s s s s s s s s s s s s s s s s s s s s s s
humane treatment forthe mentally ill. Asylums were not used to improve
s s ss s s s s ss s s s s s s s s s s s s
treatment of mental disorders or to punish mentally ill people who were
s s s s ss s s s s ss oo s s s s s s s s s s
believed to be possessed. The asylum was not created to remove the
s s s s s s ss s s s s s s s s s s s s s s s s
dangerously mentally ill from the community.
s s ss ss ss s s s s
