Test Bank For Psychiatric Mental Health Nursing 9th Edition
2x 2x 2x 2x 2x 2x 2x 2x
,Chapter 1 2x
1. The nurse is assessing the factors contributing to the wel
2x 2x 2x 2x 2x 2x 2x 2x 2x
l-
being of a newly admitted client. Which of the followi
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ng would the nurse identify as having a positive impact o
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
nthe individual's mental health?
2x 2x 2x
A) Not needing others for companionship 2x 2x 2x 2x
B) The ability to effectively manage stress 2x 2x 2x 2x 2x
C) A family history of mental illness
2x 2x 2x 2x 2x
D) Striving for total self- 2x 2x 2x
reliance Ans: B 2x 2 x
Feedback:
Individual factors influencing mental health include biolo
2x 2x 2x 2x 2x 2x
gic makeup, autonomy, independence, self-
2x 2x 2x 2x
esteem, capacity for growth, vitality, ability to find meani
2x 2x 2x 2x 2x 2x 2x 2x
ng in life, emotional resilience or hardiness, sense of belo
2x 2x 2x 2x 2x 2x 2x 2x 2x
nging, reality orientation, and coping or stress manageme
2x 2x 2x 2x 2x 2x 2x
nt abilities. Interpersonal factors such as intimacy and a b
2x 2x 2x 2x 2x 2x 2x 2x 2x
alance of separateness and connectedness are both needed
2x 2x 2x 2x 2x 2x 2x
for good mental health, and therefore ahealthy person would need others for compan
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ionship. A family history of mental illnesscould relate to the biologic makeup of an
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
individual, which may have a negative impacton an individual's mental health, as wel
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
l as a negative impact on an individual's interpersonal and socialñcultural factors of h
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ealth. Total self- 2x 2x
reliance is not possible, and a positive social/cultural factor is access to adequate res
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ources.
2. Which of the following statements about mental illness are true? Select all that apply.
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
A) Mental illness can cause significant distress, impaired functioning, or both.
2x 2x 2x 2x 2x 2x 2x 2x 2x
B) Mental illness is only due to social/cultural factors. 2x 2x 2x 2x 2x 2x 2x
C) Social/cultural factors that relate to mental illness include excessive dependenc 2x 2x 2x 2x 2x 2x 2x 2x 2x
y on or withdrawal from relationships.
2x 2x 2x 2x 2x
D) Individuals suffering from mental illness are usually able to cope effectively wit 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
h daily life. 2x 2x
E) Individuals suffering from mental illness may experience dissatisfaction wit 2x 2x 2x 2x 2x 2x 2x 2x
h relationships and self. 2x 2x 2x
Ans: A, D, E 2x 2x 2x
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
lness may be related to individual, interpersonal, or social/cultural factors. Excessive
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2
xdependency on or withdrawal from relationships are interpersonal factors that relate
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
h daily life. Individuals suffering from mental illness may experience dissatisfaction
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
with relationships and self.
2x 2x 2x
,3. Which of the following are true regarding mental health and mental illness?
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
A) Behavior that may be viewed as acceptable in one culture is always unacceptab
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
le in other cultures. 2x 2x 2x
B) It is easy to determine if a person is mentally healthy or mentally ill.
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
C) In most cases, mental health is a state of emotional, psychological, and socia
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
l wellness evidenced by satisfying interpersonal relationships, effective behavi
2x 2x 2x 2x 2x 2x 2x 2x
or and coping, positive self-concept, and emotional stability.
2x 2x 2x 2x 2x 2x 2x
D) Persons who engage in fantasies are mentally ill 2x 2x 2x 2x 2x 2x 2x
. Ans: C
2x 2 x
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
cult to define precisely. In most cases, mental health is a state of emotional, psycholo
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
gical, and social wellness evidenced by satisfying interpersonal relationships, effective
2x 2x 2x 2x 2x 2x 2x 2x 2x
behavior and coping, positive self-
2x 2x 2x 2x 2x
concept, and emotional stability. Persons who engage in fantasies may be mentally he
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
althy, but the inability to distinguish reality from fantasy is an individual factor that
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
may contribute to mental illness.
2x 2x 2x 2x
4. A client grieving the recent loss of her husband asks if she is becoming mentally
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ill because she is so sad. The nurse's best response would be,
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
A) ìYou may have a temporary mental illness because you are experiencing so muc
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
h pain.î 2x
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ve experienced.î 2x
C) ìWere you generally dissatisfied with your relationship before your husband'
2x 2x 2x 2x 2x 2x 2x 2x 2x
s death?î 2x
D) ìTry not to worry about that right now. You never know what the future brings
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
.î Ans: B
2x 2 x
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
2x 2x 2x 2x 2x 2x 2x 2x 2x
ective coping, and lack of personal growth. Additionally the behavior must not be cul
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
turally expected. Acute grief reactions are expected and therefore not considered ment
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
al illness. False reassurance or overanalysis does not accurately address the client's con
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
cerns.
, 5. The nurse consults the DSM for which of the following purposes?
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2 x
A) To devise a plan of care for a newly admitted client
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
B) To predict the client's prognosis of treatment outcomes
2x 2x 2x 2x 2x 2x 2x
C) To document the appropriate diagnostic code in the client's medical record
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
D) To serve as a guide for client assessment
2x 2x 2x 2x 2x 2x 2x 2x 2 x
Ans: D 2x
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ide
2x 2x 2x 2x 2x 2x 2x 2x 2x
ntifies underlying causes of mental disorders. It does not provide care plans or progn
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
RN's scope of practice, so documenting the code in the medical record would be inap
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
propriate.
6. Which would be a reason for a student nurse to use the DSM?
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2 x
A) Identifying the medical diagnosis 2x 2x 2x
B) Treat clients 2x
C) Evaluate treatments 2x
D) Understand the reason for the admission and the nature of psychiatric illnesses.
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2 x
Ans: D 2x
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a h
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
elpful resource to understand the reason for the admission and to begin building kno
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
wledge about the nature of psychiatric illnesses. Identifying the medical diagnosis, trea
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ting, and evaluating treatments are not a part of the nursing process.
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
7. The legislation enacted in 1963 was largely responsible for which of the following shif
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ts in care for the mentally ill?
2x 2x 2x 2x 2x 2x
A) The widespread use of community-based services
2x 2x 2x 2x 2x
B) The advancement in pharmacotherapies
2x 2x 2x
C) Increased access to hospitalization 2x 2x 2x
D) Improved rights for clients in long- 2x 2x 2x 2x 2x
term institutional care Ans: A
2x 2x 2x 2 x
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
elease of individuals from long-
2x 2x 2x 2x
term stays in state institutions, the decrease in admissions to hospitals, and the devel
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
opment of community-based services as an alternative to hospital care.
2x 2x 2x 2x 2x 2x 2x 2x 2x
2x 2x 2x 2x 2x 2x 2x 2x
,Chapter 1 2x
1. The nurse is assessing the factors contributing to the wel
2x 2x 2x 2x 2x 2x 2x 2x 2x
l-
being of a newly admitted client. Which of the followi
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ng would the nurse identify as having a positive impact o
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
nthe individual's mental health?
2x 2x 2x
A) Not needing others for companionship 2x 2x 2x 2x
B) The ability to effectively manage stress 2x 2x 2x 2x 2x
C) A family history of mental illness
2x 2x 2x 2x 2x
D) Striving for total self- 2x 2x 2x
reliance Ans: B 2x 2 x
Feedback:
Individual factors influencing mental health include biolo
2x 2x 2x 2x 2x 2x
gic makeup, autonomy, independence, self-
2x 2x 2x 2x
esteem, capacity for growth, vitality, ability to find meani
2x 2x 2x 2x 2x 2x 2x 2x
ng in life, emotional resilience or hardiness, sense of belo
2x 2x 2x 2x 2x 2x 2x 2x 2x
nging, reality orientation, and coping or stress manageme
2x 2x 2x 2x 2x 2x 2x
nt abilities. Interpersonal factors such as intimacy and a b
2x 2x 2x 2x 2x 2x 2x 2x 2x
alance of separateness and connectedness are both needed
2x 2x 2x 2x 2x 2x 2x
for good mental health, and therefore ahealthy person would need others for compan
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ionship. A family history of mental illnesscould relate to the biologic makeup of an
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
individual, which may have a negative impacton an individual's mental health, as wel
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
l as a negative impact on an individual's interpersonal and socialñcultural factors of h
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ealth. Total self- 2x 2x
reliance is not possible, and a positive social/cultural factor is access to adequate res
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ources.
2. Which of the following statements about mental illness are true? Select all that apply.
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
A) Mental illness can cause significant distress, impaired functioning, or both.
2x 2x 2x 2x 2x 2x 2x 2x 2x
B) Mental illness is only due to social/cultural factors. 2x 2x 2x 2x 2x 2x 2x
C) Social/cultural factors that relate to mental illness include excessive dependenc 2x 2x 2x 2x 2x 2x 2x 2x 2x
y on or withdrawal from relationships.
2x 2x 2x 2x 2x
D) Individuals suffering from mental illness are usually able to cope effectively wit 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
h daily life. 2x 2x
E) Individuals suffering from mental illness may experience dissatisfaction wit 2x 2x 2x 2x 2x 2x 2x 2x
h relationships and self. 2x 2x 2x
Ans: A, D, E 2x 2x 2x
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
lness may be related to individual, interpersonal, or social/cultural factors. Excessive
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2
xdependency on or withdrawal from relationships are interpersonal factors that relate
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
h daily life. Individuals suffering from mental illness may experience dissatisfaction
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
with relationships and self.
2x 2x 2x
,3. Which of the following are true regarding mental health and mental illness?
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
A) Behavior that may be viewed as acceptable in one culture is always unacceptab
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
le in other cultures. 2x 2x 2x
B) It is easy to determine if a person is mentally healthy or mentally ill.
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
C) In most cases, mental health is a state of emotional, psychological, and socia
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
l wellness evidenced by satisfying interpersonal relationships, effective behavi
2x 2x 2x 2x 2x 2x 2x 2x
or and coping, positive self-concept, and emotional stability.
2x 2x 2x 2x 2x 2x 2x
D) Persons who engage in fantasies are mentally ill 2x 2x 2x 2x 2x 2x 2x
. Ans: C
2x 2 x
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
cult to define precisely. In most cases, mental health is a state of emotional, psycholo
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
gical, and social wellness evidenced by satisfying interpersonal relationships, effective
2x 2x 2x 2x 2x 2x 2x 2x 2x
behavior and coping, positive self-
2x 2x 2x 2x 2x
concept, and emotional stability. Persons who engage in fantasies may be mentally he
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
althy, but the inability to distinguish reality from fantasy is an individual factor that
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
may contribute to mental illness.
2x 2x 2x 2x
4. A client grieving the recent loss of her husband asks if she is becoming mentally
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ill because she is so sad. The nurse's best response would be,
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
A) ìYou may have a temporary mental illness because you are experiencing so muc
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
h pain.î 2x
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ve experienced.î 2x
C) ìWere you generally dissatisfied with your relationship before your husband'
2x 2x 2x 2x 2x 2x 2x 2x 2x
s death?î 2x
D) ìTry not to worry about that right now. You never know what the future brings
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
.î Ans: B
2x 2 x
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
2x 2x 2x 2x 2x 2x 2x 2x 2x
ective coping, and lack of personal growth. Additionally the behavior must not be cul
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
turally expected. Acute grief reactions are expected and therefore not considered ment
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
al illness. False reassurance or overanalysis does not accurately address the client's con
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
cerns.
, 5. The nurse consults the DSM for which of the following purposes?
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2 x
A) To devise a plan of care for a newly admitted client
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
B) To predict the client's prognosis of treatment outcomes
2x 2x 2x 2x 2x 2x 2x
C) To document the appropriate diagnostic code in the client's medical record
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
D) To serve as a guide for client assessment
2x 2x 2x 2x 2x 2x 2x 2x 2 x
Ans: D 2x
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ide
2x 2x 2x 2x 2x 2x 2x 2x 2x
ntifies underlying causes of mental disorders. It does not provide care plans or progn
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
RN's scope of practice, so documenting the code in the medical record would be inap
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
propriate.
6. Which would be a reason for a student nurse to use the DSM?
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2 x
A) Identifying the medical diagnosis 2x 2x 2x
B) Treat clients 2x
C) Evaluate treatments 2x
D) Understand the reason for the admission and the nature of psychiatric illnesses.
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2 x
Ans: D 2x
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a h
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
elpful resource to understand the reason for the admission and to begin building kno
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
wledge about the nature of psychiatric illnesses. Identifying the medical diagnosis, trea
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ting, and evaluating treatments are not a part of the nursing process.
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
7. The legislation enacted in 1963 was largely responsible for which of the following shif
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
ts in care for the mentally ill?
2x 2x 2x 2x 2x 2x
A) The widespread use of community-based services
2x 2x 2x 2x 2x
B) The advancement in pharmacotherapies
2x 2x 2x
C) Increased access to hospitalization 2x 2x 2x
D) Improved rights for clients in long- 2x 2x 2x 2x 2x
term institutional care Ans: A
2x 2x 2x 2 x
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
elease of individuals from long-
2x 2x 2x 2x
term stays in state institutions, the decrease in admissions to hospitals, and the devel
2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x 2x
opment of community-based services as an alternative to hospital care.
2x 2x 2x 2x 2x 2x 2x 2x 2x
