TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING, 9TH
EDITION BY SHEILA L. VIDEBECK
ALL CHAPTERS 1-24 LATEST
T
Chapter 1
1. The nurse is assessing the factors contributing to the well-
being of a newly admitted client. Which of the following would the nurse identify as
having a positive impact onthe individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-
relianceAns: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indep
endence, self-
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilienc
e or1hardiness, sense of belonging, reality orientation, and coping or stress management
abilities. Interpersonal factors such as intimacy and a balance of separateness and conn
ectedness are both needed for good mental health, and therefore ahealthy person would
need others for companionship. A family history of mental illnesscould relate to the bio
logic makeup of an individual, which may have a negative impacton an individual's me
ntal health, as well as a negative impact on an individual's interpersonal and socialñcult
ural factors of health. Total self-
reliance is not possible, and a positive social/cultural factor is access to adequate resour
ces.
2. Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependenc
y on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively wit
h daily life.
Page 1
,E) Individuals suffering from mental illness may experience dissatisfaction wit
h relationships and self.
Ans: A, D, E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental ill
n ess may be related to individual, interpersonal, or social/cultural factors. Excessive
dep endency on or withdrawal from relationships are interpersonal factors that relate
to me ntal illness. Individuals suffering from mental illness can feel overwhelmed wit
h daily l ife. Individuals suffering from mental illness may experience dissatisfaction
withrelatio nships and self.
Page 2
,3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always unacceptab
le in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and socia
l wellness evidenced by satisfying interpersonal relationships, effective behavi
or and coping, positive self-concept, and emotional stability.
D) Persons who engage in fantasies are mentally ill
. Ans: C
Feedback:
What one society may view as acceptable and appropriate behavior, another society m
ay see that as maladaptive, and inappropriate. Mental health and mental illness are dif
ficult to define precisely. In most cases, mental health is a state of emotional, psychol
ogical, a nd social wellness evidenced by satisfying interpersonal relationships, effecti
ve behavio r and coping, positive self-
concept, and emotional stability. Persons who engagein fantasies may be mentally hea
lt hy, but the inability to distinguish reality from fantasyis an individual factor that ma
y co ntribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentally
ill because she is so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing so mu
ch pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
ve experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband'
s death?î
D) ìTry not to worry about that right now. You never know what the future bring
s.î Ans: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
e ctive coping, and lack of personal growth. Additionally the behavior must not be cu
ltur ally expected. Acute grief reactions are expected and therefore not considered me
ntal ill ness. False reassurance or overanalysis does not accurately address the client's
concerns.
Page 3
, 5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessmen
t Ans: D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identi
f ies underlying causes of mental disorders. It does not provide care plans or prognost
ic o utcomes of treatment. Diagnosis of mental illness is not within the generalist RN
's scop e of practice, so documenting the code in the medical record wouldbe inappro
priate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesse
s. Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a h
el pful resource to understand the reason for the admission and to begin building kn
owle dge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
treatin g, and evaluating treatments are not a part of the nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the following shif
ts in care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long
- term institutional careAns: A
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
elease of individuals from long-
term stays in state institutions, the decrease in admissions to hospitals, and the deve l
opment of community-based services as an alternative to hospital care.
Paged
1 4
MENTAL HEALTH NURSING, 9TH
EDITION BY SHEILA L. VIDEBECK
ALL CHAPTERS 1-24 LATEST
T
Chapter 1
1. The nurse is assessing the factors contributing to the well-
being of a newly admitted client. Which of the following would the nurse identify as
having a positive impact onthe individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-
relianceAns: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indep
endence, self-
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilienc
e or1hardiness, sense of belonging, reality orientation, and coping or stress management
abilities. Interpersonal factors such as intimacy and a balance of separateness and conn
ectedness are both needed for good mental health, and therefore ahealthy person would
need others for companionship. A family history of mental illnesscould relate to the bio
logic makeup of an individual, which may have a negative impacton an individual's me
ntal health, as well as a negative impact on an individual's interpersonal and socialñcult
ural factors of health. Total self-
reliance is not possible, and a positive social/cultural factor is access to adequate resour
ces.
2. Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependenc
y on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively wit
h daily life.
Page 1
,E) Individuals suffering from mental illness may experience dissatisfaction wit
h relationships and self.
Ans: A, D, E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental ill
n ess may be related to individual, interpersonal, or social/cultural factors. Excessive
dep endency on or withdrawal from relationships are interpersonal factors that relate
to me ntal illness. Individuals suffering from mental illness can feel overwhelmed wit
h daily l ife. Individuals suffering from mental illness may experience dissatisfaction
withrelatio nships and self.
Page 2
,3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always unacceptab
le in other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and socia
l wellness evidenced by satisfying interpersonal relationships, effective behavi
or and coping, positive self-concept, and emotional stability.
D) Persons who engage in fantasies are mentally ill
. Ans: C
Feedback:
What one society may view as acceptable and appropriate behavior, another society m
ay see that as maladaptive, and inappropriate. Mental health and mental illness are dif
ficult to define precisely. In most cases, mental health is a state of emotional, psychol
ogical, a nd social wellness evidenced by satisfying interpersonal relationships, effecti
ve behavio r and coping, positive self-
concept, and emotional stability. Persons who engagein fantasies may be mentally hea
lt hy, but the inability to distinguish reality from fantasyis an individual factor that ma
y co ntribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentally
ill because she is so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing so mu
ch pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
ve experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband'
s death?î
D) ìTry not to worry about that right now. You never know what the future bring
s.î Ans: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
e ctive coping, and lack of personal growth. Additionally the behavior must not be cu
ltur ally expected. Acute grief reactions are expected and therefore not considered me
ntal ill ness. False reassurance or overanalysis does not accurately address the client's
concerns.
Page 3
, 5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessmen
t Ans: D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identi
f ies underlying causes of mental disorders. It does not provide care plans or prognost
ic o utcomes of treatment. Diagnosis of mental illness is not within the generalist RN
's scop e of practice, so documenting the code in the medical record wouldbe inappro
priate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesse
s. Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a h
el pful resource to understand the reason for the admission and to begin building kn
owle dge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
treatin g, and evaluating treatments are not a part of the nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the following shif
ts in care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long
- term institutional careAns: A
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the r
elease of individuals from long-
term stays in state institutions, the decrease in admissions to hospitals, and the deve l
opment of community-based services as an alternative to hospital care.
Paged
1 4
