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TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9TH EDITION BY
SHEILA L. VIDEBECK
CHAPTER 1- FOUNDATION OF PSYCHIATRIC
1. The nurse is assessing a newly admitted client with cholecystitis.
When performing the admission assessment, which statement by the
client is an indicatorof optimal mental health?
A. I don’t need anyone in my life, I manage well on my own.
B. I practice yoga regularly since it helps manage any stress I am feeling.
C. My family has several people with mental health problems.
D. I had a history of alcohol use disorder and have been sober for 2 months.
Answer: B
Rationale: Individual factors influencing mental health include 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. A recent history of the useof maladaptive
coping mechanisms such as alcohol does not indicate that the client is
mentally healthy.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health
NursingCognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of
CareIntegrated Process: Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness,
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2. The nurse is performing an admission assessment for a client admitted
to the behavioral health unit. Which social/cultural category will the
nurse document that may be contributing to the client’s degree of mental
illness? Select all that apply.
A. The client is unable to find work and does not have enough money for housing.
B. The client states that they are discriminated against due to their
country oforigin.
C. The client attributes life’s problems to being without family support.
D. The client reports being unable to find anything meaningful within their life.
E. The client reports not belonging anywhere and is without family support.
Answer: A, B
Rationale: Social or cultural categories relate to a lack of resources,
poverty, negative view of the world, and discrimination and may
result in isolation and violent or criminal behavior. The client that
attributes life’s problems to being
without family support is not able to find meaning in life. Being without
support isinterpersonal determinant of mental illness.
Question format: Multiple Select
Chapter 1: Foundations of Psychiatric–Mental Health
NursingCognitive Level: Analyze
Client Needs: Safe and Effective Care Environment: Management of
CareIntegrated Process: Nursing Process
Learning Objective: 1
Reference: p. 2, Mental
Illness
3. A client grieving the recent loss of a spouse, asks, ‘Am I becoming
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mentally ill? Ifeel so sad’ Which is the nurse’s best response?
A. You may have a temporary mental illness because you are
experiencing somuch pain.
B. You are not mentally ill. This is an expected reaction to the loss
you haveexperienced.
C. Were you generally dissatisfied with your relationship before your
husband’sdeath?
Answer: B
Rationale: Acute grief reactions are expected and therefore not
considered mental illness. Downplaying the client’s grief does not
appropriately address the client’s concerns. The quality of the
relationship does not determine the presence of absence of mental illness.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health
NursingCognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Communication and
DocumentationLearning Objective: 1
Reference: p. 2, Mental Health and Mental Illness
4. The nurse is using the DSM-5-TR for a newly admitted client
diagnosed with bipolar I disorder. Which information will the nurse
obtain to assist with the use ofthis resource?
A. Devise a plan of care for a newly admitted client
B. Predict the client’s prognosis of treatment outcomes
C. Document the appropriate diagnostic code in the client’s medical record
D. Use as a guide for client assessment
Answer: D
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9TH EDITION BY
SHEILA L. VIDEBECK
CHAPTER 1- FOUNDATION OF PSYCHIATRIC
1. The nurse is assessing a newly admitted client with cholecystitis.
When performing the admission assessment, which statement by the
client is an indicatorof optimal mental health?
A. I don’t need anyone in my life, I manage well on my own.
B. I practice yoga regularly since it helps manage any stress I am feeling.
C. My family has several people with mental health problems.
D. I had a history of alcohol use disorder and have been sober for 2 months.
Answer: B
Rationale: Individual factors influencing mental health include 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. A recent history of the useof maladaptive
coping mechanisms such as alcohol does not indicate that the client is
mentally healthy.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health
NursingCognitive Level: Apply
Client Needs: Safe and Effective Care Environment: Management of
CareIntegrated Process: Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness,
, lOMoARcPSD|125 042 45
2. The nurse is performing an admission assessment for a client admitted
to the behavioral health unit. Which social/cultural category will the
nurse document that may be contributing to the client’s degree of mental
illness? Select all that apply.
A. The client is unable to find work and does not have enough money for housing.
B. The client states that they are discriminated against due to their
country oforigin.
C. The client attributes life’s problems to being without family support.
D. The client reports being unable to find anything meaningful within their life.
E. The client reports not belonging anywhere and is without family support.
Answer: A, B
Rationale: Social or cultural categories relate to a lack of resources,
poverty, negative view of the world, and discrimination and may
result in isolation and violent or criminal behavior. The client that
attributes life’s problems to being
without family support is not able to find meaning in life. Being without
support isinterpersonal determinant of mental illness.
Question format: Multiple Select
Chapter 1: Foundations of Psychiatric–Mental Health
NursingCognitive Level: Analyze
Client Needs: Safe and Effective Care Environment: Management of
CareIntegrated Process: Nursing Process
Learning Objective: 1
Reference: p. 2, Mental
Illness
3. A client grieving the recent loss of a spouse, asks, ‘Am I becoming
, lOMoARcPSD|125 042 45
mentally ill? Ifeel so sad’ Which is the nurse’s best response?
A. You may have a temporary mental illness because you are
experiencing somuch pain.
B. You are not mentally ill. This is an expected reaction to the loss
you haveexperienced.
C. Were you generally dissatisfied with your relationship before your
husband’sdeath?
Answer: B
Rationale: Acute grief reactions are expected and therefore not
considered mental illness. Downplaying the client’s grief does not
appropriately address the client’s concerns. The quality of the
relationship does not determine the presence of absence of mental illness.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health
NursingCognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Communication and
DocumentationLearning Objective: 1
Reference: p. 2, Mental Health and Mental Illness
4. The nurse is using the DSM-5-TR for a newly admitted client
diagnosed with bipolar I disorder. Which information will the nurse
obtain to assist with the use ofthis resource?
A. Devise a plan of care for a newly admitted client
B. Predict the client’s prognosis of treatment outcomes
C. Document the appropriate diagnostic code in the client’s medical record
D. Use as a guide for client assessment
Answer: D
