TestBank
r
ForPsychiatricMental HealthNursing9thEdition r r r r r r
Chapter1 r
1. Thenurseisassessingthefactorscontributingtothewell-
r r r r r r r r r
being of a newly admitted client. Which of the following
r r r r r r r r r r
wouldthenurseidentifyashavingapositiveimpact onthe
r r r r r r r r r r
individual's mental health?
r r r
A) Notneedingothersforcompanionship r r r
B) Theabilitytoeffectivelymanagestress r r r
C) Afamilyhistoryof mental illness r r r
D) Strivingfortotalself-reliance r r r
Ans: B
r r
Feedback:
Individual factors influencing mental health include biologic r r r r r r
makeup, autonomy, independence, self-esteem, capacity for
r r r r r r
growth, vitality, ability to find meaning in life,emotional
r r r r r r r r
resilience or hardiness, sense of belonging, reality orientation,
r r r r r r r r
and coping or stress management abilities. Interpersonal
r r r r r r r
factors such as intimacy and a balanceofseparatenessand
r r r r r r r r r r
connectednessarebothneeded
r r r r
for good mental health, and therefore ahealthy person would need others for companionship.
r r r r r r r r r r r r
Afamilyhistoryofmental illnesscould relateto thebiologicmakeup of an individual, which
r r r r r r r r r r r r r r r
may have a negative impacton an individual's mental health, aswell as a negative impact on
r r r r r r r r r r r r r r r
an individual's interpersonal and socialñcultural factorsofhealth.Totalself-relianceisnot
r r r r r r r r r r
possible,andapositivesocial/culturalfactor is access to adequate resources.
r r r r r r r r r r r
2. Whichofthefollowingstatementsaboutmentalillnessaretrue? Selectallthatapply.
r r r r r r r r r r r r
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. r r r r r r r r r
B) Mentalillnessisonlyduetosocial/cultural factors. r r r r r r r
C) Social/culturalfactorsthatrelatetomentalillness includeexcessivedependencyon or r r r r r r r r r r r
withdrawal from relationships. r r r
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith r r r r r r r r r
dailylife. r r
E) Individualssufferingfrommentalillnessmayexperiencedissatisfaction with r r r r r r r
relationships and self. r r r
Ans:A,D, E r r r
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
r r r r r r r r r r r
mayberelatedto individual, interpersonal, orsocial/cultural factors. Excessive dependency
r r r r r r r r r r r
onorwithdrawal from relationships areinterpersonal factors that relateto mental illness.
r r r r r r r r r r r r r
Individuals suffering from mental illness can feel overwhelmed with dailylife.Individuals
r r r r r r r r r r r r
sufferingfrommentalillnessmayexperiencedissatisfaction with relationships and self.
r r r r r r r r r r r
,3. Whichofthefollowingaretrueregardingmental healthandmentalillness?
r r r r r r r r r r
A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in r r r r r r r r r r r r
other cultures. r r
B) Itiseasytodetermineif apersonismentallyhealthyor mentallyill.
r r r r r r r r r r r
C) In most cases, mental health is a state of emotional, psychological, and social
r r r r r r r r r r r r
wellness evidenced bysatisfyinginterpersonal relationships, effective behavior and
r r r r r r r r
coping, positive self-concept, and emotional stability.
r r r r r r
D) Persons who engage in fantasies are mentallyill. r r r r r r
Ans: C
r r
Feedback:
Whatonesocietymayviewasacceptableand appropriatebehavior, anothersocietymay see
r r r r r r r r r r r r
thatasmaladaptive,andinappropriate.Mentalhealthandmentalillnessaredifficult to define
r r r r r r r r r r r r r r
precisely. In most cases, mental health is a state of emotional, psychological, and social
r r r r r r r r r r r r r r
wellness evidenced by satisfying interpersonal relationships, effective behavior and coping,
r r r r r r r r r r
positive self-concept, and emotional stability. Persons who engagein fantasies maybe
r r r r r r r r r r r
mentallyhealthy, but theinabilityto distinguish realityfrom fantasyis an individual factor that
r r r r r r r r r r r r r r
maycontribute to mental illness.
r r r r r
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill
r r r r r r r r r r r r r r
because she is so sad. The nurse's best response would be,
r r r r r r r r r r r
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuch r r r r r r r r r r
pain.î r
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyouhave r r r r r r r r r r r r
experienced.î r
C) ìWereyougenerallydissatisfiedwith yourrelationshipbeforeyourhusband's r r r r r r r
death?î r
D) ìTrynottoworryaboutthatrightnow.Youneverknowwhatthefuturebrings.î Ans: r r r r r r r r r r r r
B
r
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
r r r r r r r r
ineffective coping, and lack of personal growth. Additionally the behavior must not
r r r r r r r r r r r r
beculturallyexpected.Acutegriefreactionsareexpectedandthereforenotconsidered
r r r r r r r r r r r
mental illness. False reassurance or overanalysis does not accurately address the
r r r r r r r r r r r
client'sconcerns.
r
,5. The nurse consults the DSM for which of the following purposes?
vb v vv
r r r r b b b b b b b b b b
A) Todeviseaplan ofcareforanewlyadmittedclient r B
B) To predict theclient'sprognosis oftreatment outcomes v r B r
C) Todocumentthe appropriatediagnosticcodein theclient'smedicalrecord
B B r B
D) To serve as a guide for client assessment
b
b b b b b b b
Ans:D r
Feedback:
TheDSMprovides standardnomenclature,presents definingcharacteristics,and identifies
r r r r r r r r r
underlyingcausesofmentaldisorders.Itdoesnotprovidecareplansor prognosticoutcomes
r r r r r r r r r r r r r r
oftreatment.Diagnosisofmentalillnessisnotwithinthegeneralist
r r r r r r r r r r r
RN'sscopeofpractice,sodocumenting thecodeinthemedicalrecordwouldbe
r B r
inappropriate.
r
6.
vb v v
r r r r
A) Identifyingt hemedicaldiagnosis B r
B) Treatclients r
C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses.
b b b b b b b b b b b b
Ans:D r
Feedback:
AlthoughstudentnursesdonotusetheDSMtodiagnoseclients,theywillfinditahelpful
r r r r r r r r r r r r r
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledge aboutthe
r r r r r r r r r r r r r r r
natureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and
r r r r r r r r r
evaluatingtreatments arenot a part of thenursing process.
r r r r B r r
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin r r
care for the mentallyill?
r r r r r
A) Thewidespread useofcommunity-based services r r
B) Theadvancementin pharmacotherapies r
C) Increasedaccesstohospitalization
D) Improvedrightsforclientsinlong-terminstitutionalcare
Ans: A r r
Feedback:
TheCommunityMental HealthCentersConstructionActof1963accomplishedthe B r r r r r
releaseofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissions
r r r r r r r r r r r r r
tohospitals,andthedevelopmentofcommunity-basedservicesasan alternative to
r r r r r r r r r r r r
hospital care. r r
, 8. Whichoneofthefollowingisaresultoffederallegislation? B
A) Makingi teasiertocommitpeopleformentalhealthtreatmentagainst theirwill. B r r B
B) Makingi tmoredifficulttocommitpeopleformentalhealthtreatmentagainst B r
theirwill. r r
C) Statementalinstitutionsbeingtheprimarysourceofcareformentallyillpersons.
D) Improvedcareformentallyillpersons.
Ans: B
r r
Feedback:
Commitmentlawschangedintheearly1970s,makingitmoredifficulttocommitpeople for r r r r r r r r r r r r r
mentalhealthtreatmentagainsttheirwill.Deinstitutionalizationaccomplishedthe releaseof
r r r r r r r r r r r
individualsfromlong-termstaysinstateinstitutions.Deinstitutionalization alsohad
r r r r r r r r r r
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolving dooreffect,
r r r r r r r r r r r r r r
whichmaylimitcareformentallyillpersons.
r r r r r r r r
9. Thegoalofthe1963CommunityMentalHealth CentersActwas to r r
A) ensurepatients'rightsforthementallyill. r
B) deinstitutionalizestatehospitals.
C) providefunds tobuild hospitalswithpsychiatricunits. B r
D) treatpeoplewithmentalillness in ahumanefashion. B B B
Ans: B
r r
Feedback:
The1963CommunityMentalHealthCentersActintimatedthemovementtowardtreating
r r r r r r r r r
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedinthe shift
r r r r r r r r r r r r r r
ofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe community.
r r r r r r r r r r r r r
Answer choices A,C, and Dwerenot purposes of the1963Community MentalHealth
r r r r B r r r r r
CentersAct.r
10. Thecreationofasylums duringthe1800swasmeant to r r
A) improvetreatment ofmentaldisorders. B
B) providefoodandshelter forthementallyill. r
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed.
D) removedangerous peoplewithmentalillnessfromthecommunity. B
Ans: B
r r
Feedback:
Theasylumwasmeant to beasafehaven withfood,shelter,andhumanetreatment forthe r B r r r
mentallyill.Asylumswere notusedtoimprovetreatmentofmentaldisordersortopunish
r r r B r r r r r r r
mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto remove
r r r r r r r r r r r r r r r r
the dangerouslymentallyill from the community.
r r r r r
r
ForPsychiatricMental HealthNursing9thEdition r r r r r r
Chapter1 r
1. Thenurseisassessingthefactorscontributingtothewell-
r r r r r r r r r
being of a newly admitted client. Which of the following
r r r r r r r r r r
wouldthenurseidentifyashavingapositiveimpact onthe
r r r r r r r r r r
individual's mental health?
r r r
A) Notneedingothersforcompanionship r r r
B) Theabilitytoeffectivelymanagestress r r r
C) Afamilyhistoryof mental illness r r r
D) Strivingfortotalself-reliance r r r
Ans: B
r r
Feedback:
Individual factors influencing mental health include biologic r r r r r r
makeup, autonomy, independence, self-esteem, capacity for
r r r r r r
growth, vitality, ability to find meaning in life,emotional
r r r r r r r r
resilience or hardiness, sense of belonging, reality orientation,
r r r r r r r r
and coping or stress management abilities. Interpersonal
r r r r r r r
factors such as intimacy and a balanceofseparatenessand
r r r r r r r r r r
connectednessarebothneeded
r r r r
for good mental health, and therefore ahealthy person would need others for companionship.
r r r r r r r r r r r r
Afamilyhistoryofmental illnesscould relateto thebiologicmakeup of an individual, which
r r r r r r r r r r r r r r r
may have a negative impacton an individual's mental health, aswell as a negative impact on
r r r r r r r r r r r r r r r
an individual's interpersonal and socialñcultural factorsofhealth.Totalself-relianceisnot
r r r r r r r r r r
possible,andapositivesocial/culturalfactor is access to adequate resources.
r r r r r r r r r r r
2. Whichofthefollowingstatementsaboutmentalillnessaretrue? Selectallthatapply.
r r r r r r r r r r r r
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. r r r r r r r r r
B) Mentalillnessisonlyduetosocial/cultural factors. r r r r r r r
C) Social/culturalfactorsthatrelatetomentalillness includeexcessivedependencyon or r r r r r r r r r r r
withdrawal from relationships. r r r
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith r r r r r r r r r
dailylife. r r
E) Individualssufferingfrommentalillnessmayexperiencedissatisfaction with r r r r r r r
relationships and self. r r r
Ans:A,D, E r r r
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
r r r r r r r r r r r
mayberelatedto individual, interpersonal, orsocial/cultural factors. Excessive dependency
r r r r r r r r r r r
onorwithdrawal from relationships areinterpersonal factors that relateto mental illness.
r r r r r r r r r r r r r
Individuals suffering from mental illness can feel overwhelmed with dailylife.Individuals
r r r r r r r r r r r r
sufferingfrommentalillnessmayexperiencedissatisfaction with relationships and self.
r r r r r r r r r r r
,3. Whichofthefollowingaretrueregardingmental healthandmentalillness?
r r r r r r r r r r
A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in r r r r r r r r r r r r
other cultures. r r
B) Itiseasytodetermineif apersonismentallyhealthyor mentallyill.
r r r r r r r r r r r
C) In most cases, mental health is a state of emotional, psychological, and social
r r r r r r r r r r r r
wellness evidenced bysatisfyinginterpersonal relationships, effective behavior and
r r r r r r r r
coping, positive self-concept, and emotional stability.
r r r r r r
D) Persons who engage in fantasies are mentallyill. r r r r r r
Ans: C
r r
Feedback:
Whatonesocietymayviewasacceptableand appropriatebehavior, anothersocietymay see
r r r r r r r r r r r r
thatasmaladaptive,andinappropriate.Mentalhealthandmentalillnessaredifficult to define
r r r r r r r r r r r r r r
precisely. In most cases, mental health is a state of emotional, psychological, and social
r r r r r r r r r r r r r r
wellness evidenced by satisfying interpersonal relationships, effective behavior and coping,
r r r r r r r r r r
positive self-concept, and emotional stability. Persons who engagein fantasies maybe
r r r r r r r r r r r
mentallyhealthy, but theinabilityto distinguish realityfrom fantasyis an individual factor that
r r r r r r r r r r r r r r
maycontribute to mental illness.
r r r r r
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill
r r r r r r r r r r r r r r
because she is so sad. The nurse's best response would be,
r r r r r r r r r r r
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuch r r r r r r r r r r
pain.î r
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyouhave r r r r r r r r r r r r
experienced.î r
C) ìWereyougenerallydissatisfiedwith yourrelationshipbeforeyourhusband's r r r r r r r
death?î r
D) ìTrynottoworryaboutthatrightnow.Youneverknowwhatthefuturebrings.î Ans: r r r r r r r r r r r r
B
r
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
r r r r r r r r
ineffective coping, and lack of personal growth. Additionally the behavior must not
r r r r r r r r r r r r
beculturallyexpected.Acutegriefreactionsareexpectedandthereforenotconsidered
r r r r r r r r r r r
mental illness. False reassurance or overanalysis does not accurately address the
r r r r r r r r r r r
client'sconcerns.
r
,5. The nurse consults the DSM for which of the following purposes?
vb v vv
r r r r b b b b b b b b b b
A) Todeviseaplan ofcareforanewlyadmittedclient r B
B) To predict theclient'sprognosis oftreatment outcomes v r B r
C) Todocumentthe appropriatediagnosticcodein theclient'smedicalrecord
B B r B
D) To serve as a guide for client assessment
b
b b b b b b b
Ans:D r
Feedback:
TheDSMprovides standardnomenclature,presents definingcharacteristics,and identifies
r r r r r r r r r
underlyingcausesofmentaldisorders.Itdoesnotprovidecareplansor prognosticoutcomes
r r r r r r r r r r r r r r
oftreatment.Diagnosisofmentalillnessisnotwithinthegeneralist
r r r r r r r r r r r
RN'sscopeofpractice,sodocumenting thecodeinthemedicalrecordwouldbe
r B r
inappropriate.
r
6.
vb v v
r r r r
A) Identifyingt hemedicaldiagnosis B r
B) Treatclients r
C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses.
b b b b b b b b b b b b
Ans:D r
Feedback:
AlthoughstudentnursesdonotusetheDSMtodiagnoseclients,theywillfinditahelpful
r r r r r r r r r r r r r
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledge aboutthe
r r r r r r r r r r r r r r r
natureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and
r r r r r r r r r
evaluatingtreatments arenot a part of thenursing process.
r r r r B r r
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin r r
care for the mentallyill?
r r r r r
A) Thewidespread useofcommunity-based services r r
B) Theadvancementin pharmacotherapies r
C) Increasedaccesstohospitalization
D) Improvedrightsforclientsinlong-terminstitutionalcare
Ans: A r r
Feedback:
TheCommunityMental HealthCentersConstructionActof1963accomplishedthe B r r r r r
releaseofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissions
r r r r r r r r r r r r r
tohospitals,andthedevelopmentofcommunity-basedservicesasan alternative to
r r r r r r r r r r r r
hospital care. r r
, 8. Whichoneofthefollowingisaresultoffederallegislation? B
A) Makingi teasiertocommitpeopleformentalhealthtreatmentagainst theirwill. B r r B
B) Makingi tmoredifficulttocommitpeopleformentalhealthtreatmentagainst B r
theirwill. r r
C) Statementalinstitutionsbeingtheprimarysourceofcareformentallyillpersons.
D) Improvedcareformentallyillpersons.
Ans: B
r r
Feedback:
Commitmentlawschangedintheearly1970s,makingitmoredifficulttocommitpeople for r r r r r r r r r r r r r
mentalhealthtreatmentagainsttheirwill.Deinstitutionalizationaccomplishedthe releaseof
r r r r r r r r r r r
individualsfromlong-termstaysinstateinstitutions.Deinstitutionalization alsohad
r r r r r r r r r r
negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolving dooreffect,
r r r r r r r r r r r r r r
whichmaylimitcareformentallyillpersons.
r r r r r r r r
9. Thegoalofthe1963CommunityMentalHealth CentersActwas to r r
A) ensurepatients'rightsforthementallyill. r
B) deinstitutionalizestatehospitals.
C) providefunds tobuild hospitalswithpsychiatricunits. B r
D) treatpeoplewithmentalillness in ahumanefashion. B B B
Ans: B
r r
Feedback:
The1963CommunityMentalHealthCentersActintimatedthemovementtowardtreating
r r r r r r r r r
thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedinthe shift
r r r r r r r r r r r r r r
ofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe community.
r r r r r r r r r r r r r
Answer choices A,C, and Dwerenot purposes of the1963Community MentalHealth
r r r r B r r r r r
CentersAct.r
10. Thecreationofasylums duringthe1800swasmeant to r r
A) improvetreatment ofmentaldisorders. B
B) providefoodandshelter forthementallyill. r
C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed.
D) removedangerous peoplewithmentalillnessfromthecommunity. B
Ans: B
r r
Feedback:
Theasylumwasmeant to beasafehaven withfood,shelter,andhumanetreatment forthe r B r r r
mentallyill.Asylumswere notusedtoimprovetreatmentofmentaldisordersortopunish
r r r B r r r r r r r
mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto remove
r r r r r r r r r r r r r r r r
the dangerouslymentallyill from the community.
r r r r r
