,Test Bank ForPsychiatricMental Health Nursing9thEdition
ii ii ss s
Chapter 1 ss
1. The nurse is assessing the factors contributing to the well-
ss ss ss ss ss ss ss ss ss
being of a newly admitted client. Which of the following
ss ss ss ss ss ss ss ss ss ss
would thenurseidentifyashavinga positive impact onthe
ss ss ss ss ss
individual's mental health?
ss ss ss
A) Notneedingothersforcompanionship
B) Theabilityto effectivelymanage stress ss ss
C) Afamilyhistory of mental illness ss ss ss
D) Strivingfortotalself-reliance
Ans: B
ss ss
Feedback:
Individual factors influencing mental health include ss ss ss ss ss
biologic makeup, autonomy, independence, self-esteem,
ss ss ss ss ss
capacityfor growth, vitality, abilityto findmeaningin life,
ss ss ss s s s s s
emotional resilience or hardiness, sense of belonging,
ss ss ss ss ss ss ss
reality orientation, and coping or stress management
ss ss ss ss ss ss ss
abilities. Interpersonal factors such as intimacy and a
ss ss ss ss ss ss ss ss
balanceofseparateness andconnectedness arebothneeded
ss ss s
for good mental health, and therefore ahealthy person would need others for
ss ss ss ss ss ss ss ss ss ss ss
companionship. A family history of mental illnesscould relate to the biologic makeup of an
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
individual, which mayhave anegativeimpacton an individual's mental health, as well
s ss ss s s s ss s ss ss ss ss
asanegativeimpact onanindividual's interpersonalandsocialñculturalfactorsof health.
ss s s s ss s s ss s s s s ss
Total self-reliance is not possible, and a positive social/cultural factor is access to
ss ss ss ss ss ss ss ss ss ss ss ss ss
adequate resources.
ss ss
2. Whichofthe followingstatements aboutmental illnessare true? Select all that apply.
ss ss ss s ss ss ss ss ss
A) Mentalillness cancause significant distress,impairedfunctioning, orboth. s ss s s ss s ss s
B) Mentalillnessisonlydue tosocial/cultural factors. s s s s s s
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependency s
on or withdrawal from relationships.
ss ss ss ss ss
D) Individuals suffering frommental illness areusuallyableto cope effectivelywith ss ii s s s ss ss
daily life. ss ss
E) Individualssufferingfrommental illnessmayexperiencedissatisfaction with ss ss
relationships and self.
ss ss ss
Ans: A,D, E ss s ss
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
ss ss ss ss ss ss ss ss ss ss
illness maybe related to individual, interpersonal, or social/cultural factors. Excessive
ss ss s ss ss ss ss ss ss ss ss
dependencyon or withdrawal from relationships are interpersonal factors that relate to
ss s ss ss ss ss ss ss ss ss ss ss
mental illness. Individuals suffering from mental illness can feel overwhelmed with
ss ss ss ss ss ss ss ss ss ss ss
dailylife. Individuals suffering from mentalillness mayexperiencedissatisfaction with
ss ss ss ii ss ss ss
relationships and self.
ss ss ss
,3. Whichofthe followingaretrueregardingmental health and mental illness?
s ss s s s s ss ss s ss
A) Behaviorthat maybe viewedasacceptable in onecultureisalways unacceptable in ss ss ss ss ss ss
other cultures. ss ss
B) Itis easyto determine if a person is mentallyhealthyor mentallyill.
s ss ss ss ss ss ss ss ss s
C) In most cases, mental health is a state of emotional, psychological, and social
ss ss ss ss ss ss ss ss ss ss ss ss
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
ss s
and coping, positive self-concept, and emotional stability.
ss ss ss ss ss ss ss
D) Personswhoengageinfantasiesarementallyill.
Ans: C
ss s s
Feedback:
Whatonesocietymayview as acceptable and appropriate behavior, another societymay see ss ss ss ss ss ss ss ss
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
ss ss ss ss ss ss ss ss ss ss ss ss ss
define precisely. In most cases, mental health is a state of emotional, psychological, and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
social wellness evidenced by satisfying interpersonal relationships, effective behavior
ss ss ss ss ss ss ss ss ss
and coping, positive self-concept, and emotional stability. Persons who engage in
ss ss ss ss ss ss ss ss ss ss ss
fantasies maybe mentally healthy, but the inabilityto distinguish reality from fantasy is
ss ss ss ss ss ss ss ss ss ss ss ss
an individual factor that may contribute to mental illness.
ss ss ss ss ss ss ss ss ss
4. Aclientgrievingthe recentlossofher husbandasksif sheisbecomingmentallyill
s s ss s s s s s s ss s s s
because she is so sad. The nurse's best response would be,
ss ss ss ss ss ss ss ss ss ss ss
A) ìYoumayhave atemporarymental illness because you areexperiencingso much ss ss s ss ss ss
pain.î ss
B) ìYouarenot mentallyill. This is an expectedreaction totheloss you have ss ss ss s ss ss ss ss
experienced.î ss
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's s
death?î ss
D) ìTrynot toworryaboutthatright now. Youneverknowwhat thefuturebrings.î ss ss ss ss
Ans: B
ss ss
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. Additionallythe behavior must not be
ss ss ss ss ss ss ss ss s ss ss ss ss
culturally expected. Acute grief reactions are expected and therefore not considered
ss ss ss ss ss ss ss ss ss ss ss
mentalillness.False reassuranceoroveranalysisdoesnotaccuratelyaddresstheclient's
ss s s s s s s s s s s
concerns.
ss
, 5. The nurse consults the DSM for which of the following purposes?
s s i s s
ii ii ii ii ii ii ii ii ii ii s s i
A) Todevise aplan of care for anewlyadmitted client
s ss ss ss s ss s ss
B) To p redict theclient'sprognosisoftreatment outcomes
ii ss ss
C) Todocumenttheappropriatediagnostic codeintheclient'smedicalrecord D)
s s s ss s s s s s ss
Ans: DTo serve as a guide for client assessment
ss ii
s s i s s
ii ii ii ii ii ii ii ss i
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
ss ss ss ss ss ss ss ss
identifies underlying causes of mental disorders. It does not provide care plans or
ss ss ss ss ss ss ss ss ss ss ss ss ss
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
ss ss ss ss ss ss ss ss ss ss ss ss
generalist RN's scopeof practice, sodocumentingthe codein themedical record would be
ss ss ss s s s ss s s ss
inappropriate.
ss
6. Which would be a reason for a student nurse to use the DSM?
s s i s s
ii ii ii ii ii ii ii ii ii ii ii ii s s i
A) Identifyingthemedicaldiagnosis
B) Treat clients i
C) Evaluatetreatments s
D) Understand the reason for the admission and the nature of psychiatric illnesses.
ss ii ii ii ii ii ii ii ii ii ii ii ii ssi s s i
s s
Ans: D ss
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
resource to understand the reason for the admission and to begin building knowledge
ss ss ss ss ss ss ss ss ss ss ss ss ss
about the nature of psychiatric illnesses. Identifyingthe medical diagnosis, treating, and
ss ss ss ss ss s ss ss ss ss ss
evaluating treatments are not a part of the nursing process.
ss ss ss ss ss ss ss ss ss ss
7. Thelegislation enacted in 1963waslargelyresponsible forwhichofthe followingshifts in
ss ss ss s s ss s s ss ss
care for the mentally ill?
ss ss ss ss ss
A) Thewidespread useofcommunity-based services ss ss
B) Theadvancementin pharmacotherapies i i
C) Increasedaccesstohospitalization
D) Improved rights for clientsin long-terminstitutionalcare ss ss ss ss
Ans: A
ss ss
Feedback:
TheCommunityMental HealthCentersConstructionActof1963accomplishedthe release
s ss s s s s s s s ss
of individuals from long-term stays in state institutions, the decrease in admissions to
ss ss ss ss ss ss ss ss ss ss ss ss ss
hospitals, and the development of community-based services as an alternative to
ss ss ss ss ss ss ss ss ss ss ss
hospital care.
ss ss
ii ii ss s
Chapter 1 ss
1. The nurse is assessing the factors contributing to the well-
ss ss ss ss ss ss ss ss ss
being of a newly admitted client. Which of the following
ss ss ss ss ss ss ss ss ss ss
would thenurseidentifyashavinga positive impact onthe
ss ss ss ss ss
individual's mental health?
ss ss ss
A) Notneedingothersforcompanionship
B) Theabilityto effectivelymanage stress ss ss
C) Afamilyhistory of mental illness ss ss ss
D) Strivingfortotalself-reliance
Ans: B
ss ss
Feedback:
Individual factors influencing mental health include ss ss ss ss ss
biologic makeup, autonomy, independence, self-esteem,
ss ss ss ss ss
capacityfor growth, vitality, abilityto findmeaningin life,
ss ss ss s s s s s
emotional resilience or hardiness, sense of belonging,
ss ss ss ss ss ss ss
reality orientation, and coping or stress management
ss ss ss ss ss ss ss
abilities. Interpersonal factors such as intimacy and a
ss ss ss ss ss ss ss ss
balanceofseparateness andconnectedness arebothneeded
ss ss s
for good mental health, and therefore ahealthy person would need others for
ss ss ss ss ss ss ss ss ss ss ss
companionship. A family history of mental illnesscould relate to the biologic makeup of an
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
individual, which mayhave anegativeimpacton an individual's mental health, as well
s ss ss s s s ss s ss ss ss ss
asanegativeimpact onanindividual's interpersonalandsocialñculturalfactorsof health.
ss s s s ss s s ss s s s s ss
Total self-reliance is not possible, and a positive social/cultural factor is access to
ss ss ss ss ss ss ss ss ss ss ss ss ss
adequate resources.
ss ss
2. Whichofthe followingstatements aboutmental illnessare true? Select all that apply.
ss ss ss s ss ss ss ss ss
A) Mentalillness cancause significant distress,impairedfunctioning, orboth. s ss s s ss s ss s
B) Mentalillnessisonlydue tosocial/cultural factors. s s s s s s
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependency s
on or withdrawal from relationships.
ss ss ss ss ss
D) Individuals suffering frommental illness areusuallyableto cope effectivelywith ss ii s s s ss ss
daily life. ss ss
E) Individualssufferingfrommental illnessmayexperiencedissatisfaction with ss ss
relationships and self.
ss ss ss
Ans: A,D, E ss s ss
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
ss ss ss ss ss ss ss ss ss ss
illness maybe related to individual, interpersonal, or social/cultural factors. Excessive
ss ss s ss ss ss ss ss ss ss ss
dependencyon or withdrawal from relationships are interpersonal factors that relate to
ss s ss ss ss ss ss ss ss ss ss ss
mental illness. Individuals suffering from mental illness can feel overwhelmed with
ss ss ss ss ss ss ss ss ss ss ss
dailylife. Individuals suffering from mentalillness mayexperiencedissatisfaction with
ss ss ss ii ss ss ss
relationships and self.
ss ss ss
,3. Whichofthe followingaretrueregardingmental health and mental illness?
s ss s s s s ss ss s ss
A) Behaviorthat maybe viewedasacceptable in onecultureisalways unacceptable in ss ss ss ss ss ss
other cultures. ss ss
B) Itis easyto determine if a person is mentallyhealthyor mentallyill.
s ss ss ss ss ss ss ss ss s
C) In most cases, mental health is a state of emotional, psychological, and social
ss ss ss ss ss ss ss ss ss ss ss ss
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
ss s
and coping, positive self-concept, and emotional stability.
ss ss ss ss ss ss ss
D) Personswhoengageinfantasiesarementallyill.
Ans: C
ss s s
Feedback:
Whatonesocietymayview as acceptable and appropriate behavior, another societymay see ss ss ss ss ss ss ss ss
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
ss ss ss ss ss ss ss ss ss ss ss ss ss
define precisely. In most cases, mental health is a state of emotional, psychological, and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
social wellness evidenced by satisfying interpersonal relationships, effective behavior
ss ss ss ss ss ss ss ss ss
and coping, positive self-concept, and emotional stability. Persons who engage in
ss ss ss ss ss ss ss ss ss ss ss
fantasies maybe mentally healthy, but the inabilityto distinguish reality from fantasy is
ss ss ss ss ss ss ss ss ss ss ss ss
an individual factor that may contribute to mental illness.
ss ss ss ss ss ss ss ss ss
4. Aclientgrievingthe recentlossofher husbandasksif sheisbecomingmentallyill
s s ss s s s s s s ss s s s
because she is so sad. The nurse's best response would be,
ss ss ss ss ss ss ss ss ss ss ss
A) ìYoumayhave atemporarymental illness because you areexperiencingso much ss ss s ss ss ss
pain.î ss
B) ìYouarenot mentallyill. This is an expectedreaction totheloss you have ss ss ss s ss ss ss ss
experienced.î ss
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's s
death?î ss
D) ìTrynot toworryaboutthatright now. Youneverknowwhat thefuturebrings.î ss ss ss ss
Ans: B
ss ss
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. Additionallythe behavior must not be
ss ss ss ss ss ss ss ss s ss ss ss ss
culturally expected. Acute grief reactions are expected and therefore not considered
ss ss ss ss ss ss ss ss ss ss ss
mentalillness.False reassuranceoroveranalysisdoesnotaccuratelyaddresstheclient's
ss s s s s s s s s s s
concerns.
ss
, 5. The nurse consults the DSM for which of the following purposes?
s s i s s
ii ii ii ii ii ii ii ii ii ii s s i
A) Todevise aplan of care for anewlyadmitted client
s ss ss ss s ss s ss
B) To p redict theclient'sprognosisoftreatment outcomes
ii ss ss
C) Todocumenttheappropriatediagnostic codeintheclient'smedicalrecord D)
s s s ss s s s s s ss
Ans: DTo serve as a guide for client assessment
ss ii
s s i s s
ii ii ii ii ii ii ii ss i
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
ss ss ss ss ss ss ss ss
identifies underlying causes of mental disorders. It does not provide care plans or
ss ss ss ss ss ss ss ss ss ss ss ss ss
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
ss ss ss ss ss ss ss ss ss ss ss ss
generalist RN's scopeof practice, sodocumentingthe codein themedical record would be
ss ss ss s s s ss s s ss
inappropriate.
ss
6. Which would be a reason for a student nurse to use the DSM?
s s i s s
ii ii ii ii ii ii ii ii ii ii ii ii s s i
A) Identifyingthemedicaldiagnosis
B) Treat clients i
C) Evaluatetreatments s
D) Understand the reason for the admission and the nature of psychiatric illnesses.
ss ii ii ii ii ii ii ii ii ii ii ii ii ssi s s i
s s
Ans: D ss
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
resource to understand the reason for the admission and to begin building knowledge
ss ss ss ss ss ss ss ss ss ss ss ss ss
about the nature of psychiatric illnesses. Identifyingthe medical diagnosis, treating, and
ss ss ss ss ss s ss ss ss ss ss
evaluating treatments are not a part of the nursing process.
ss ss ss ss ss ss ss ss ss ss
7. Thelegislation enacted in 1963waslargelyresponsible forwhichofthe followingshifts in
ss ss ss s s ss s s ss ss
care for the mentally ill?
ss ss ss ss ss
A) Thewidespread useofcommunity-based services ss ss
B) Theadvancementin pharmacotherapies i i
C) Increasedaccesstohospitalization
D) Improved rights for clientsin long-terminstitutionalcare ss ss ss ss
Ans: A
ss ss
Feedback:
TheCommunityMental HealthCentersConstructionActof1963accomplishedthe release
s ss s s s s s s s ss
of individuals from long-term stays in state institutions, the decrease in admissions to
ss ss ss ss ss ss ss ss ss ss ss ss ss
hospitals, and the development of community-based services as an alternative to
ss ss ss ss ss ss ss ss ss ss ss
hospital care.
ss ss
