COMPLETE SOLUTIONS FOR TE oy oy oy
ST BANK FOR PSYCHIATRIC ME
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NTAL HEALTH NURSING 8TH EDI oy oy oy oy
TION BY SHEILA L. VIDEBECK IS oy oy oy oy oy
BN-13;978-
1975116378/ ALL CHAPTERS CO
oy oy oy oy
VERED/ SCORED A+ oy oy
PsychiatricMentalHealthNursing 8thEditionTestBank o
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Chapter 1 oy
1. The nurse is assessing the factors contributing to the well-
oy oy oy oy oy oy oy oy oy
being of a newly admitted client. Which of the following would the nurse identify as
oy oy oy oy oy oy oy oy oy oy oy oy oy oy o
having a positive impact on the individual's mental health?
y oy oy oy oy oy oy oy oy
A) Not needingothers for companionship oy oy oy
B) The ability to effectivelymanage stress oy oy oy oy
C) Afamily history of mental illness oy oy oy oy
D) Strivingfortotalself- oy oy
reliance Ans: B oy oy
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, in
oy oy oy oy oy oy oy oy oy
dependence, self- oy
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience
oy oy oy oy oy oy oy oy oy oy oy oy oy
or hardiness, sense of belonging, reality orientation, and coping or stress management a
oy oy oy oy oy oy oy oy oy oy oy oy
bilities. Interpersonal factors such as intimacy and a balance of separateness and con
oy oy oy oy oy oy oy oy oy oy oy oy
nectedness are bothneeded forgoodmentalhealth, and therefore a healthy person would
oy oy oy oy oy oy oy oy oy oy o
need others for companionship. A family history of mental illness couldrelate to the
y oy oy oy oy oy oy oy oy oy oy oy oy oy
biologic makeup of anindividual, whichmay have a negative impact on an individual's
oy oy oy oy oy oy oy oy oy oy oy oy oy
mental health, as well as a negative impact on an individual's interpersonal and socialñc
oy oy oy oy oy oy oy oy oy oy oy oy oy
ultural factors of health. Total self-
oy oy oy oy oy
reliance is not possible, and a positive social/cultural factor is access to adequate res
oy oy oy oy oy oy oy oy oy oy oy oy oy
ources.
2. Which of the following statements about mental illness are true? Select all that apply.
oy oy oy oy oy oy oy oy oy oy oy oy oy
A) Mental illness cancausesignificant distress, impaired functioning, or both. oy oy oy oy oy oy oy
B) Mentalillness is only due to social/cultural factors. oy oy oy oy oy oy
C) Social/cultural factors that relate to mental illness include excessive dependency oy oy oy oy oy oy oy oy oy oy
on or withdrawal from relationships. oy oy oy oy
D) Individualssuffering from mental illness areusually able to cope effectively with d oy oy oy oy oy oy oy oy oy oy
aily life. oy
E) Individualssuffering from mental illness may experiencedissatisfaction with oy oy oy oy oy oy
, relationships and self. oy oy
Ans:A, D, E oy oy oy
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illn
oy oy oy oy oy oy oy oy oy oy oy
ess may be related to individual, interpersonal, or social/cultural factors. Excessive depend
oy oy oy oy oy oy oy oy oy oy oy
ency on or withdrawal from relationships are interpersonal factors that relate to mental illn
oy oy oy oy oy oy oy oy oy oy oy oy oy
ess. Individuals suffering from mental illness can feel overwhelmed with daily life. Indi
oy oy oy oy oy oy oy oy oy oy oy oy
viduals suffering frommental illness may experiencedissatisfaction with relationships and
oy oy oy oy oy oy oy oy oy oy oy
self.
Page 1 oy
,3. Whichof the following aretrue regarding mentalhealth andmental illness?
oy oy oy oy oy oy oy oy oy
A) Behavior that may be viewed as acceptable in one culture is always oy oy oy oy oy oy oy oy oy oy oy oy
unacceptable in other cultures. oy oy oy
B) It is easy to determine if a person is mentally healthy or mentally ill.
oy oy oy oy oy oy oy oy oy oy oy oy oy
C) In most cases, mental health is a state of emotional, psychological, and social
oy oy oy oy oy oy oy oy oy oy oy oy oy
wellness evidenced by satisfying interpersonal relationships, effective behavior oy oy oy oy oy oy oy oy
and coping, positive self-concept, and emotional stability. oy oy oy oy oy oy
D) Persons who engagein fantasies are mentally oy oy oy oy oy oy
ill. Ans: C oy oy
Feedback:
What one society may view as acceptable and appropriate behavior, another society may se
oy oy oy oy oy oy oy oy oy oy oy oy oy
e that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
oy oy oy oy oy oy oy oy oy oy oy oy oy oy
define precisely. In most cases, mental health is a state of emotional, psychological, and
oy oy oy oy oy oy oy oy oy oy oy oy oy
social wellness evidenced by satisfying interpersonal relationships, effective behavio
oy oy oy oy oy oy oy oy oy
r and coping, positive self-
oy oy oy oy
concept, and emotional stability. Persons who engage in fantasiesmay be mentally healthy,
oy oy oy oy oy oy oy oy oy oy oy
but the inability to distinguishreality from fantasyis an individual factor that may contri
oy oy oy oy oy oy oy oy oy oy oy oy oy
bute to mental illness. oy oy oy
4. Aclient grieving the recent loss of her husband asks if she is becoming mentally ill
oy oy oy oy oy oy oy oy oy oy oy oy oy oy oy o
because she is so sad. The nurse's best response would be,
y oy oy oy oy oy oy oy oy oy oy
A) ìYou may have a temporary mental illness because you are experiencing so much p
oy oy oy oy oy oy oy oy oy oy oy oy oy
ain.î
B) ìYouare not mentally ill. This is anexpected reaction to the loss you have e oy oy oy oy oy oy oy oy oy oy oy oy oy oy
xperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
oy oy oy oy oy oy oy oy oy oy
death?î
D) ìTrynot to worry about that right now.You never knowwhat the future brings.î A oy oy oy oy oy oy oy oy oy oy oy oy oy
ns: B oy
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
oy oy oy oy oy oy oy oy oy
ective coping, and lack of personal growth. Additionally the behavior must not be culturally
oy oy oy oy oy oy oy oy oy oy oy oy oy o
expected. Acute grief reactions are expected and therefore not considered mentalillness.
y oy oy oy oy oy oy oy oy oy oy oy
False reassurance or overanalysis does not accurately address the client's concerns.
oy oy oy oy oy oy oy oy oy oy
, 5. The nurseconsults the DSM forwhich of the following purposes?
oy oy oy oy oy oy oy oy
A) Todevise a plan of care fora newly admitted client oy oy oy oy oy oy oy oy oy
B) Topredict the client's prognosis of treatment outcomes oy oy oy oy oy oy
C) Todocument the appropriate diagnostic code in the client's medical record oy oy oy oy oy oy oy oy oy
D) To serve as a guide for client assessment oy oy oy oy oy oy oy oy
Ans: D oy
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ident
oy oy oy oy oy oy oy oy oy
ifies underlying causes of mental disorders. It does not provide care plans or prognost
oy oy oy oy oy oy oy oy oy oy oy oy oy
ic outcomes of treatment. Diagnosis of mental illness is not within the generalistRN's s
oy oy oy oy oy oy oy oy oy oy oy oy oy oy
copeof practice, so documenting the codein the medical record wouldbe inappropriate.
oy oy oy oy oy oy oy oy oy oy oy oy
6. Which would be a reason for astudent nurse to use the DSM?
oy oy oy oy oy oy oy oy oy oy oy oy
A) Identifying the medical diagnosis oy oy oy
B) Treatclients
C) Evaluate treatments oy
D) Understand the reasonfor the admissionand the nature of psychiatric i oy oy oy oy oy oy oy oy oy
llnesses. Ans: D oy oy
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpf
oy oy oy oy oy oy oy oy oy oy oy oy oy oy oy oy
ul resource to understand the reason for the admission and to begin building knowledge
oy oy oy oy oy oy oy oy oy oy oy oy oy
about the natureof psychiatric illnesses. Identifying the medical diagnosis, treating, and eva
oy oy oy oy oy oy oy oy oy oy oy
luating treatments are not a part of the nursing process.
oy oy oy oy oy oy oy oy oy
7. The legislation enacted in 1963 waslargely responsibleforwhich of the following s
oy oy oy oy oy oy oy oy oy oy
hifts in care for the mentally ill?
oy oy oy oy oy oy
A) Thewidespreaduseof community-based services oy oy
B) The advancement in pharmacotherapies oy oy oy
C) Increasedaccess to hospitalization oy oy
D) Improved rights for clients in long- oy oy oy oy oy
term institutional care Ans: A
oy oy oy oy
Feedback:
TheCommunityMentalHealthCenters Construction Actof 1963 accomplished the releas
oy oy oy oy oy oy oy oy oy oy oy
e of individuals from long-
oy oy oy oy
term stays in state institutions, the decrease in admissions to hospitals, and the devel
oy oy oy oy oy oy oy oy oy oy oy oy oy
opment of community-based services as an alternative to hospital care.
oy oy oy oy oy oy oy oy oy
ST BANK FOR PSYCHIATRIC ME
oy oy oy oy
NTAL HEALTH NURSING 8TH EDI oy oy oy oy
TION BY SHEILA L. VIDEBECK IS oy oy oy oy oy
BN-13;978-
1975116378/ ALL CHAPTERS CO
oy oy oy oy
VERED/ SCORED A+ oy oy
PsychiatricMentalHealthNursing 8thEditionTestBank o
y o
y o
y o y o
y o
y
Chapter 1 oy
1. The nurse is assessing the factors contributing to the well-
oy oy oy oy oy oy oy oy oy
being of a newly admitted client. Which of the following would the nurse identify as
oy oy oy oy oy oy oy oy oy oy oy oy oy oy o
having a positive impact on the individual's mental health?
y oy oy oy oy oy oy oy oy
A) Not needingothers for companionship oy oy oy
B) The ability to effectivelymanage stress oy oy oy oy
C) Afamily history of mental illness oy oy oy oy
D) Strivingfortotalself- oy oy
reliance Ans: B oy oy
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, in
oy oy oy oy oy oy oy oy oy
dependence, self- oy
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience
oy oy oy oy oy oy oy oy oy oy oy oy oy
or hardiness, sense of belonging, reality orientation, and coping or stress management a
oy oy oy oy oy oy oy oy oy oy oy oy
bilities. Interpersonal factors such as intimacy and a balance of separateness and con
oy oy oy oy oy oy oy oy oy oy oy oy
nectedness are bothneeded forgoodmentalhealth, and therefore a healthy person would
oy oy oy oy oy oy oy oy oy oy o
need others for companionship. A family history of mental illness couldrelate to the
y oy oy oy oy oy oy oy oy oy oy oy oy oy
biologic makeup of anindividual, whichmay have a negative impact on an individual's
oy oy oy oy oy oy oy oy oy oy oy oy oy
mental health, as well as a negative impact on an individual's interpersonal and socialñc
oy oy oy oy oy oy oy oy oy oy oy oy oy
ultural factors of health. Total self-
oy oy oy oy oy
reliance is not possible, and a positive social/cultural factor is access to adequate res
oy oy oy oy oy oy oy oy oy oy oy oy oy
ources.
2. Which of the following statements about mental illness are true? Select all that apply.
oy oy oy oy oy oy oy oy oy oy oy oy oy
A) Mental illness cancausesignificant distress, impaired functioning, or both. oy oy oy oy oy oy oy
B) Mentalillness is only due to social/cultural factors. oy oy oy oy oy oy
C) Social/cultural factors that relate to mental illness include excessive dependency oy oy oy oy oy oy oy oy oy oy
on or withdrawal from relationships. oy oy oy oy
D) Individualssuffering from mental illness areusually able to cope effectively with d oy oy oy oy oy oy oy oy oy oy
aily life. oy
E) Individualssuffering from mental illness may experiencedissatisfaction with oy oy oy oy oy oy
, relationships and self. oy oy
Ans:A, D, E oy oy oy
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illn
oy oy oy oy oy oy oy oy oy oy oy
ess may be related to individual, interpersonal, or social/cultural factors. Excessive depend
oy oy oy oy oy oy oy oy oy oy oy
ency on or withdrawal from relationships are interpersonal factors that relate to mental illn
oy oy oy oy oy oy oy oy oy oy oy oy oy
ess. Individuals suffering from mental illness can feel overwhelmed with daily life. Indi
oy oy oy oy oy oy oy oy oy oy oy oy
viduals suffering frommental illness may experiencedissatisfaction with relationships and
oy oy oy oy oy oy oy oy oy oy oy
self.
Page 1 oy
,3. Whichof the following aretrue regarding mentalhealth andmental illness?
oy oy oy oy oy oy oy oy oy
A) Behavior that may be viewed as acceptable in one culture is always oy oy oy oy oy oy oy oy oy oy oy oy
unacceptable in other cultures. oy oy oy
B) It is easy to determine if a person is mentally healthy or mentally ill.
oy oy oy oy oy oy oy oy oy oy oy oy oy
C) In most cases, mental health is a state of emotional, psychological, and social
oy oy oy oy oy oy oy oy oy oy oy oy oy
wellness evidenced by satisfying interpersonal relationships, effective behavior oy oy oy oy oy oy oy oy
and coping, positive self-concept, and emotional stability. oy oy oy oy oy oy
D) Persons who engagein fantasies are mentally oy oy oy oy oy oy
ill. Ans: C oy oy
Feedback:
What one society may view as acceptable and appropriate behavior, another society may se
oy oy oy oy oy oy oy oy oy oy oy oy oy
e that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
oy oy oy oy oy oy oy oy oy oy oy oy oy oy
define precisely. In most cases, mental health is a state of emotional, psychological, and
oy oy oy oy oy oy oy oy oy oy oy oy oy
social wellness evidenced by satisfying interpersonal relationships, effective behavio
oy oy oy oy oy oy oy oy oy
r and coping, positive self-
oy oy oy oy
concept, and emotional stability. Persons who engage in fantasiesmay be mentally healthy,
oy oy oy oy oy oy oy oy oy oy oy
but the inability to distinguishreality from fantasyis an individual factor that may contri
oy oy oy oy oy oy oy oy oy oy oy oy oy
bute to mental illness. oy oy oy
4. Aclient grieving the recent loss of her husband asks if she is becoming mentally ill
oy oy oy oy oy oy oy oy oy oy oy oy oy oy oy o
because she is so sad. The nurse's best response would be,
y oy oy oy oy oy oy oy oy oy oy
A) ìYou may have a temporary mental illness because you are experiencing so much p
oy oy oy oy oy oy oy oy oy oy oy oy oy
ain.î
B) ìYouare not mentally ill. This is anexpected reaction to the loss you have e oy oy oy oy oy oy oy oy oy oy oy oy oy oy
xperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
oy oy oy oy oy oy oy oy oy oy
death?î
D) ìTrynot to worry about that right now.You never knowwhat the future brings.î A oy oy oy oy oy oy oy oy oy oy oy oy oy
ns: B oy
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
oy oy oy oy oy oy oy oy oy
ective coping, and lack of personal growth. Additionally the behavior must not be culturally
oy oy oy oy oy oy oy oy oy oy oy oy oy o
expected. Acute grief reactions are expected and therefore not considered mentalillness.
y oy oy oy oy oy oy oy oy oy oy oy
False reassurance or overanalysis does not accurately address the client's concerns.
oy oy oy oy oy oy oy oy oy oy
, 5. The nurseconsults the DSM forwhich of the following purposes?
oy oy oy oy oy oy oy oy
A) Todevise a plan of care fora newly admitted client oy oy oy oy oy oy oy oy oy
B) Topredict the client's prognosis of treatment outcomes oy oy oy oy oy oy
C) Todocument the appropriate diagnostic code in the client's medical record oy oy oy oy oy oy oy oy oy
D) To serve as a guide for client assessment oy oy oy oy oy oy oy oy
Ans: D oy
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and ident
oy oy oy oy oy oy oy oy oy
ifies underlying causes of mental disorders. It does not provide care plans or prognost
oy oy oy oy oy oy oy oy oy oy oy oy oy
ic outcomes of treatment. Diagnosis of mental illness is not within the generalistRN's s
oy oy oy oy oy oy oy oy oy oy oy oy oy oy
copeof practice, so documenting the codein the medical record wouldbe inappropriate.
oy oy oy oy oy oy oy oy oy oy oy oy
6. Which would be a reason for astudent nurse to use the DSM?
oy oy oy oy oy oy oy oy oy oy oy oy
A) Identifying the medical diagnosis oy oy oy
B) Treatclients
C) Evaluate treatments oy
D) Understand the reasonfor the admissionand the nature of psychiatric i oy oy oy oy oy oy oy oy oy
llnesses. Ans: D oy oy
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpf
oy oy oy oy oy oy oy oy oy oy oy oy oy oy oy oy
ul resource to understand the reason for the admission and to begin building knowledge
oy oy oy oy oy oy oy oy oy oy oy oy oy
about the natureof psychiatric illnesses. Identifying the medical diagnosis, treating, and eva
oy oy oy oy oy oy oy oy oy oy oy
luating treatments are not a part of the nursing process.
oy oy oy oy oy oy oy oy oy
7. The legislation enacted in 1963 waslargely responsibleforwhich of the following s
oy oy oy oy oy oy oy oy oy oy
hifts in care for the mentally ill?
oy oy oy oy oy oy
A) Thewidespreaduseof community-based services oy oy
B) The advancement in pharmacotherapies oy oy oy
C) Increasedaccess to hospitalization oy oy
D) Improved rights for clients in long- oy oy oy oy oy
term institutional care Ans: A
oy oy oy oy
Feedback:
TheCommunityMentalHealthCenters Construction Actof 1963 accomplished the releas
oy oy oy oy oy oy oy oy oy oy oy
e of individuals from long-
oy oy oy oy
term stays in state institutions, the decrease in admissions to hospitals, and the devel
oy oy oy oy oy oy oy oy oy oy oy oy oy
opment of community-based services as an alternative to hospital care.
oy oy oy oy oy oy oy oy oy
