Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
TEST BANK
Psychiatric-Mental Health Nursing
Sheila L. Videbeck
8th Edition
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
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
on the 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
Selected answer: B
Response/RATIONALE:
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 socialñcultural 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.
Selected answer: A, D, E
Response/RATIONALE:
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.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
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.
Selected answer: C
Response/RATIONALE:
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) You may have a temporary mental illness because you are experiencing so much
pain.
B) You 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.
Selected answer: B
Response/RATIONALE:
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 overanalysis does not accurately address the client's
concerns.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
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
Selected answer: D
Response/RATIONALE:
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plSelected
answer 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
wouldbe 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.
Selected answer: D
Response/RATIONALE:
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
Selected answer: A
Response/RATIONALE:
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.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
8. Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against
their will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons.
Selected answer: B
Response/RATIONALE:
Commitment laws changed in the early 1970s, making it more difficult to commit
people for mental health treatment against their will. Deinstitutionalization
accomplished the release of individuals from long-term stays in state institutions.
Deinstitutionalization also had negative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit care for mentally ill persons.
9. The goal of the 1963 Community Mental Health Centers Act was to
A) ensure patients' rights for the mentally ill.
B) deinstitutionalize state hospitals.
C) provide funds to build hospitals with psychiatric units.
D) treat people with mental illness in a humane fashion.
Selected answer: B
Response/RATIONALE:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Selected answerwer choices A, C, and D were not purposes
of the 1963Community Mental Health Centers Act.
10. The creation of asylums during the 1800s was meant to
A) improve treatment of mental disorders.
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community.
Selected answer: B
Response/RATIONALE:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
the mentally ill. Asylums were not used to improve treatment of mental disorders or to
punish mentally ill people who were believed to be possessed. The asylum was not
created to remove the dangerously mentally ill from the community.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
11. The major problems with large state institutions are: Select all that apply.
A) attendants were accused of abusing the residents.
B) stigma associated with residence in an insane asylum.
C) clients were geographically isolated from family and community.
D) increasing financial costs to individual residents.
Selected answer: A, C
Response/RATIONALE:
Clients were often far removed from the local community, family, and friends because
state institutions were usually in rural or remote settings. Choices B and D were not
major problems associated with large state instructions.
12. A significant change in the treatment of people with mental illness occurred in the 1950s
when
A) community support services were established.
B) legislation dramatically changed civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
D) psychotropic drugs became available for use.
Selected answer: D
Response/RATIONALE:
The development of psychotropic drugs, or drugs used to treat mental illness, began in
the 1950s. Selected answerwer choices A, B, and C did not occur in the 1950s.
13. Before the period of the enlightenment, treatment of the mentally ill included
A) creating large institutions to provide custodial care.
B) focusing on religious education to improve their souls.
C) placing the mentally ill on display for the public's amusement.
D) providing a safe refuge or haven offering protection.
Selected answer: C
Response/RATIONALE:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human. Custodial care
was not often provided as persons who were considered harmless were allowed to
wander in the countryside or live in rural communities, and more dangerous lunatics
were imprisoned, chained, and starved. In early Christian times, primitive beliefs and
superstitions were strong. The mentally ill were viewed as evil or possessed. Priests
performed exorcisms to rid evil spirits, and in the colonies, witch hunts were conducted
with offenders burned at the stake. It was not until the period of enlightenment when
persons who were mentally ill were offered asylum as a safe refuge or haven offering
protection at institutions.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
14. The first training of nurses to work with persons with mental illness was in 1882 in
which state?
A) California
B) Illinois
C) Massachusetts
D) New York
Selected
answer: C
Response/RAT
IONALE:
The first training for nurses to work with persons with mental illness was in 1882 at
McLean Hospital in Belmont, Massachusetts.
15. What is meant by the term ìrevolving door effectî in mental health care?
A) An overall reduction in incidence of severe mental illness
B) Shorter and more frequent hospital stays for persons with severe and persistent
mental illness
C) Flexible treatment settings for mentally ill
D) Most effective and least expensive treatment settings
Selected answer: B
Response/RATIONALE:
The revolving door effect refers to shorter, but more frequent, hospital stays. Clients are
quickly discharged into the community where services are not adequate; without
adequate community services, clients become acutely ill and require rehospitalization.
The revolving door effect does not refer to flexible treatment settings for mentally ill.
Even though hospitalization is more expensive than outpatient treatment, if utilized
appropriately could result in stabilization and less need for emergency department visits
and/or rehospitalization. The revolving door effect does not relate to the incidence of
severe mental illness.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
16. Which of the following statements is true of treatment of people with mental illness in
the United States today?
A) Substance abuse is effectively treated with brief hospitalization.
B) Financial resources are reallocated from state hospitals to community programs
and support.
C) Only 25% of people needing mental health services are receiving those services.
D) Emergency department visits by persons who are acutely disturbed are declining.
Selected answer: C
Response/RATIONALE:
Only one in four (25%) adults needing mental health care receives the needed services.
Substance abuse issues cannot be dealt with in the 3 to 5 days typical for admissions in
the current managed care environment. Money saved by states when state hospitals were
closed has not been trSelected answerferred to community programs and support.
Although people with severe and persistent mental illness have shorter hospital stays,
they are admitted tohospitals more frequently. In some cities, emergency department
visits for acutely disturbed persons have increased by 400% to 500%.
17. Which of the following is the priority of the Healthy People 2020 objectives for mental
health?
A) Improved inpatient care
B) Primary prevention of emotional problems
C) Stress reduction and management
D) Treatment of mental illness
Selected answer: D
Response/RATIONALE:
The objectives are to increase the number of people who are identified, diagnosed,
treated, and helped to live healthier lives. The objectives also strive to decrease rates of
suicide and homelessness, to increase employment among those with serious mental
illness, and to provide more services both for juveniles and for adults who are
incarcerated and have mental health problems. Selected answerwer choices A, B, and
C are not priorities of Healthy People 2020.
TEST BANK
Psychiatric-Mental Health Nursing
Sheila L. Videbeck
8th Edition
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
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
on the 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
Selected answer: B
Response/RATIONALE:
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 socialñcultural 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.
Selected answer: A, D, E
Response/RATIONALE:
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.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
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.
Selected answer: C
Response/RATIONALE:
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) You may have a temporary mental illness because you are experiencing so much
pain.
B) You 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.
Selected answer: B
Response/RATIONALE:
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 overanalysis does not accurately address the client's
concerns.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
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
Selected answer: D
Response/RATIONALE:
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plSelected
answer 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
wouldbe 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.
Selected answer: D
Response/RATIONALE:
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
Selected answer: A
Response/RATIONALE:
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.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
8. Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against
their will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons.
Selected answer: B
Response/RATIONALE:
Commitment laws changed in the early 1970s, making it more difficult to commit
people for mental health treatment against their will. Deinstitutionalization
accomplished the release of individuals from long-term stays in state institutions.
Deinstitutionalization also had negative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit care for mentally ill persons.
9. The goal of the 1963 Community Mental Health Centers Act was to
A) ensure patients' rights for the mentally ill.
B) deinstitutionalize state hospitals.
C) provide funds to build hospitals with psychiatric units.
D) treat people with mental illness in a humane fashion.
Selected answer: B
Response/RATIONALE:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Selected answerwer choices A, C, and D were not purposes
of the 1963Community Mental Health Centers Act.
10. The creation of asylums during the 1800s was meant to
A) improve treatment of mental disorders.
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community.
Selected answer: B
Response/RATIONALE:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
the mentally ill. Asylums were not used to improve treatment of mental disorders or to
punish mentally ill people who were believed to be possessed. The asylum was not
created to remove the dangerously mentally ill from the community.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
11. The major problems with large state institutions are: Select all that apply.
A) attendants were accused of abusing the residents.
B) stigma associated with residence in an insane asylum.
C) clients were geographically isolated from family and community.
D) increasing financial costs to individual residents.
Selected answer: A, C
Response/RATIONALE:
Clients were often far removed from the local community, family, and friends because
state institutions were usually in rural or remote settings. Choices B and D were not
major problems associated with large state instructions.
12. A significant change in the treatment of people with mental illness occurred in the 1950s
when
A) community support services were established.
B) legislation dramatically changed civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
D) psychotropic drugs became available for use.
Selected answer: D
Response/RATIONALE:
The development of psychotropic drugs, or drugs used to treat mental illness, began in
the 1950s. Selected answerwer choices A, B, and C did not occur in the 1950s.
13. Before the period of the enlightenment, treatment of the mentally ill included
A) creating large institutions to provide custodial care.
B) focusing on religious education to improve their souls.
C) placing the mentally ill on display for the public's amusement.
D) providing a safe refuge or haven offering protection.
Selected answer: C
Response/RATIONALE:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and
ridiculing the mentally ill, who were seen as animals, less than human. Custodial care
was not often provided as persons who were considered harmless were allowed to
wander in the countryside or live in rural communities, and more dangerous lunatics
were imprisoned, chained, and starved. In early Christian times, primitive beliefs and
superstitions were strong. The mentally ill were viewed as evil or possessed. Priests
performed exorcisms to rid evil spirits, and in the colonies, witch hunts were conducted
with offenders burned at the stake. It was not until the period of enlightenment when
persons who were mentally ill were offered asylum as a safe refuge or haven offering
protection at institutions.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
14. The first training of nurses to work with persons with mental illness was in 1882 in
which state?
A) California
B) Illinois
C) Massachusetts
D) New York
Selected
answer: C
Response/RAT
IONALE:
The first training for nurses to work with persons with mental illness was in 1882 at
McLean Hospital in Belmont, Massachusetts.
15. What is meant by the term ìrevolving door effectî in mental health care?
A) An overall reduction in incidence of severe mental illness
B) Shorter and more frequent hospital stays for persons with severe and persistent
mental illness
C) Flexible treatment settings for mentally ill
D) Most effective and least expensive treatment settings
Selected answer: B
Response/RATIONALE:
The revolving door effect refers to shorter, but more frequent, hospital stays. Clients are
quickly discharged into the community where services are not adequate; without
adequate community services, clients become acutely ill and require rehospitalization.
The revolving door effect does not refer to flexible treatment settings for mentally ill.
Even though hospitalization is more expensive than outpatient treatment, if utilized
appropriately could result in stabilization and less need for emergency department visits
and/or rehospitalization. The revolving door effect does not relate to the incidence of
severe mental illness.
, Test Bank - Psychiatric-Mental Health Nursing 8th Edition (Videbeck, 2020)
16. Which of the following statements is true of treatment of people with mental illness in
the United States today?
A) Substance abuse is effectively treated with brief hospitalization.
B) Financial resources are reallocated from state hospitals to community programs
and support.
C) Only 25% of people needing mental health services are receiving those services.
D) Emergency department visits by persons who are acutely disturbed are declining.
Selected answer: C
Response/RATIONALE:
Only one in four (25%) adults needing mental health care receives the needed services.
Substance abuse issues cannot be dealt with in the 3 to 5 days typical for admissions in
the current managed care environment. Money saved by states when state hospitals were
closed has not been trSelected answerferred to community programs and support.
Although people with severe and persistent mental illness have shorter hospital stays,
they are admitted tohospitals more frequently. In some cities, emergency department
visits for acutely disturbed persons have increased by 400% to 500%.
17. Which of the following is the priority of the Healthy People 2020 objectives for mental
health?
A) Improved inpatient care
B) Primary prevention of emotional problems
C) Stress reduction and management
D) Treatment of mental illness
Selected answer: D
Response/RATIONALE:
The objectives are to increase the number of people who are identified, diagnosed,
treated, and helped to live healthier lives. The objectives also strive to decrease rates of
suicide and homelessness, to increase employment among those with serious mental
illness, and to provide more services both for juveniles and for adults who are
incarcerated and have mental health problems. Selected answerwer choices A, B, and
C are not priorities of Healthy People 2020.
