Test Bank For
Psychiatric-Mental Health Nursing
9th Edition
,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-
Reliance
Correct Answer: B
Feedback:
Individual Factors Influencing Mental Health Include
Biologic Makeup, Autonomy, Independence, Self-Esteem,
Capacity For Growth, Vitality, Ability To Find Meaning In
Life, Emotional Resilience Or Hardiness, Sense Of
Belonging, Reality Orientation, And Coping Or Stress
Management Abilities. Interpersonal Factors Such As
Intimacy And A Balance Of Separateness And
Connectedness Are Both Needed
For Good Mental Health, And Therefore A Healthy Person Would Need Others For
Companionship. A Family History Of Mental Illness Could Relate To The Biologic
Makeup Of An Individual, Which May Have A Negative Impact On An Individual's
Mental Health, As Well As A Negative Impact On An Individual's Interpersonal And
Social Ñ Cultural Factors Of Health. Total Self-Reliance Is Not Possible, And A
Positive Social/Cultural Factor Is Access To Adequate Resources.
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
Dependency On Or Withdrawal From Relationships.
D) Individuals Suffering From Mental Illness Are Usually Able To Cope Effectively
With Daily Life.
E) Individuals Suffering From Mental Illness May Experience Dissatisfaction
With Relationships And Self.
Correct Answer: A, D, E
Feedback:
Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both. Mental
Illness May Be Related To Individual, Interpersonal, Or Social/Cultural Factors.
Excessive Dependency On Or Withdrawal From Relationships Are Interpersonal
Factors That Relate To Mental Illness. Individuals Suffering From Mental Illness Can
Feel Overwhelmed With Daily Life. Individuals Suffering From Mental Illness May
Experience Dissatisfaction With Relationships And Self.
,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
Unacceptable 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
Social Wellness Evidenced By Satisfying Interpersonal Relationships,
Effective Behavior And Coping, Positive Self-Concept, And Emotional
Stability.
D) Persons Who Engage In Fantasies Are Mentally
ill
Correct Answer: C
Feedback:
What One Society May View As Acceptable And Appropriate Behavior, Another
Society May See That As Maladaptive, And Inappropriate. Mental Health And Mental
Illness Are Difficult To Define Precisely. In Most Cases, Mental Health Is A State Of
Emotional, Psychological, And Social Wellness Evidenced By Satisfying Interpersonal
Relationships, Effective Behavior And Coping, Positive Self-Concept, And Emotional
Stability. Persons Who Engage In Fantasies May Be Mentally Healthy, But The
Inability To Distinguish Reality From Fantasy Is An Individual Factor That May
Contribute 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) May Have A Temporary Mental Illness Because You Are Experiencing So Much
Pain.
B) Are Not Mentally Ill. This Is An Expected Reaction To The Loss You
Have Experienced.
C) were You Generally Dissatisfied With Your Relationship Before Your
Husband's Death?
D) try Not To Worry About That Right Now. You Never Know What The Future
Brings.
Correct Answer: B
Feedback:
Mental Illness Includes General Dissatisfaction With Self, Ineffective Relationships,
Ineffective Coping, And Lack Of Personal Growth. Additionally The Behavior Must
Not Be Culturally Expected. Acute Grief Reactions Are Expected And Therefore Not
Considered Mental Illness. False Reassurance Or Over analysis Does Not Accurately
Address The Client's Concerns.
, 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 Assessment
Correct Answer: D
Feedback:
The Dsm Provides Standard Nomenclature, Presents Defining Characteristics, And
Identifies Underlying Causes Of Mental Disorders. It Does Not Provide Care Plans Or
Prognostic Outcomes Of Treatment. Diagnosis Of Mental Illness Is Not Within The
Generalist Rn's Scope Of Practice, So Documenting The Code In The Medical Record
Would Be Inappropriate.
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 Illnesses.
Correct Answer: D
Feedback:
Although Student Nurses Do Not Use The Dsm To Diagnose Clients, They Will Find It
A Helpful Resource To Understand The Reason For The Admission And To Begin
Building Knowledge About The Nature Of Psychiatric Illnesses. Identifying The
Medical Diagnosis, Treating, 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 Shifts 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
Care Correct Answer: A
Feedback:
The Community Mental Health Centers Construction Act Of 1963 Accomplished The
Release Of Individuals From Long-Term Stays In State Institutions, The Decrease In
Admissions To Hospitals, And The Development Of Community-Based Services As
An Alternative To Hospital Care.
Psychiatric-Mental Health Nursing
9th Edition
,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-
Reliance
Correct Answer: B
Feedback:
Individual Factors Influencing Mental Health Include
Biologic Makeup, Autonomy, Independence, Self-Esteem,
Capacity For Growth, Vitality, Ability To Find Meaning In
Life, Emotional Resilience Or Hardiness, Sense Of
Belonging, Reality Orientation, And Coping Or Stress
Management Abilities. Interpersonal Factors Such As
Intimacy And A Balance Of Separateness And
Connectedness Are Both Needed
For Good Mental Health, And Therefore A Healthy Person Would Need Others For
Companionship. A Family History Of Mental Illness Could Relate To The Biologic
Makeup Of An Individual, Which May Have A Negative Impact On An Individual's
Mental Health, As Well As A Negative Impact On An Individual's Interpersonal And
Social Ñ Cultural Factors Of Health. Total Self-Reliance Is Not Possible, And A
Positive Social/Cultural Factor Is Access To Adequate Resources.
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
Dependency On Or Withdrawal From Relationships.
D) Individuals Suffering From Mental Illness Are Usually Able To Cope Effectively
With Daily Life.
E) Individuals Suffering From Mental Illness May Experience Dissatisfaction
With Relationships And Self.
Correct Answer: A, D, E
Feedback:
Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both. Mental
Illness May Be Related To Individual, Interpersonal, Or Social/Cultural Factors.
Excessive Dependency On Or Withdrawal From Relationships Are Interpersonal
Factors That Relate To Mental Illness. Individuals Suffering From Mental Illness Can
Feel Overwhelmed With Daily Life. Individuals Suffering From Mental Illness May
Experience Dissatisfaction With Relationships And Self.
,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
Unacceptable 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
Social Wellness Evidenced By Satisfying Interpersonal Relationships,
Effective Behavior And Coping, Positive Self-Concept, And Emotional
Stability.
D) Persons Who Engage In Fantasies Are Mentally
ill
Correct Answer: C
Feedback:
What One Society May View As Acceptable And Appropriate Behavior, Another
Society May See That As Maladaptive, And Inappropriate. Mental Health And Mental
Illness Are Difficult To Define Precisely. In Most Cases, Mental Health Is A State Of
Emotional, Psychological, And Social Wellness Evidenced By Satisfying Interpersonal
Relationships, Effective Behavior And Coping, Positive Self-Concept, And Emotional
Stability. Persons Who Engage In Fantasies May Be Mentally Healthy, But The
Inability To Distinguish Reality From Fantasy Is An Individual Factor That May
Contribute 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) May Have A Temporary Mental Illness Because You Are Experiencing So Much
Pain.
B) Are Not Mentally Ill. This Is An Expected Reaction To The Loss You
Have Experienced.
C) were You Generally Dissatisfied With Your Relationship Before Your
Husband's Death?
D) try Not To Worry About That Right Now. You Never Know What The Future
Brings.
Correct Answer: B
Feedback:
Mental Illness Includes General Dissatisfaction With Self, Ineffective Relationships,
Ineffective Coping, And Lack Of Personal Growth. Additionally The Behavior Must
Not Be Culturally Expected. Acute Grief Reactions Are Expected And Therefore Not
Considered Mental Illness. False Reassurance Or Over analysis Does Not Accurately
Address The Client's Concerns.
, 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 Assessment
Correct Answer: D
Feedback:
The Dsm Provides Standard Nomenclature, Presents Defining Characteristics, And
Identifies Underlying Causes Of Mental Disorders. It Does Not Provide Care Plans Or
Prognostic Outcomes Of Treatment. Diagnosis Of Mental Illness Is Not Within The
Generalist Rn's Scope Of Practice, So Documenting The Code In The Medical Record
Would Be Inappropriate.
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 Illnesses.
Correct Answer: D
Feedback:
Although Student Nurses Do Not Use The Dsm To Diagnose Clients, They Will Find It
A Helpful Resource To Understand The Reason For The Admission And To Begin
Building Knowledge About The Nature Of Psychiatric Illnesses. Identifying The
Medical Diagnosis, Treating, 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 Shifts 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
Care Correct Answer: A
Feedback:
The Community Mental Health Centers Construction Act Of 1963 Accomplished The
Release Of Individuals From Long-Term Stays In State Institutions, The Decrease In
Admissions To Hospitals, And The Development Of Community-Based Services As
An Alternative To Hospital Care.
