PSYCHIATRIC-MENTAL HEALTH NURSING
10TH EDITION
• AUTHOR(S)SHEILA L. VIDEBECK
TEST BANK
UNIT 1 — CURRENT THEORIES & PRACTICE
1.
Reference: Ch. 1 — Foundations of Psychiatric–Mental Health
Nursing — Mental Health and Mental Illness (definition &
nurse’s role)
Stem: A 28-year-old client admitted to the psychiatric unit
expresses hopelessness and difficulty carrying out daily self-
care. The nurse documents symptoms affecting function and
plans an initial nursing goal. Which nursing goal most accurately
reflects a recovery-oriented, functional definition of mental
health for this client?
,A. Eliminate all depressive symptoms within 48 hours.
B. Restore the client’s ability to perform essential self-care tasks
safely.
C. Ensure the client accepts a psychiatric diagnosis and
medication.
D. Arrange long-term hospitalization to prevent relapse.
Correct answer: B
Rationale — Correct: Restoring functional ability for essential
self-care is consistent with a recovery-oriented, functional
definition of mental health and aligns with nursing scope:
promoting safety and independence. Videbeck emphasizes
improvement in functioning and adaptive coping as core
nursing goals. This goal is realistic, measurable, and prioritizes
immediate safety and daily living skills.
Rationale — Incorrect:
A. Unrealistic timeline and focuses on symptom elimination
rather than functional recovery.
C. Forcing acceptance of diagnosis or medication is neither
therapeutic nor necessary for initial functional goals.
D. Long-term hospitalization without rationale may reduce
autonomy and is not the least restrictive option.
Teaching point: Prioritize restoring safe, functional daily living
before aiming for symptom elimination.
Citation: Videbeck, S. L. (2025). Psychiatric–Mental Health
Nursing (10th ed.). Ch. 1.
,2.
Reference: Ch. 1 — Foundations — Mental Health and Mental
Illness — Continuum & cultural factors
Stem: A nurse is completing an admission assessment for a
client from a culture where emotional distress is expressed
primarily through physical complaints. The client reports
headaches and fatigue but denies sadness. Which nursing
approach best demonstrates cultural sensitivity while assessing
for possible depressive illness?
A. Tell the client that depression looks different in everyone and
proceed with a standard depression inventory.
B. Assume the client does not have depression because they
deny sadness.
C. Explore the meaning of the physical complaints in the client’s
cultural context and assess changes in functioning.
D. Recommend immediate antidepressant medication since
physical complaints often hide depression.
Correct answer: C
Rationale — Correct: Exploring culturally shaped symptom
expression and assessing functional changes is culturally
sensitive and aligns with trauma-informed, person-centered
psychiatric nursing. Videbeck highlights that mental health
assessment must consider cultural idioms of distress and
, functional impact. This approach avoids cultural bias and
gathers data to inform collaborative care planning.
Rationale — Incorrect:
A. Using a standard inventory without cultural adaptation risks
misinterpretation.
B. Denial of typical affect does not rule out illness; this is
culturally insensitive.
D. Jumping to medication without culturally informed
assessment and collaboration is premature.
Teaching point: Assess symptom meaning and functional
impact within cultural context.
Citation: Videbeck, S. L. (2025). Psychiatric–Mental Health
Nursing (10th ed.). Ch. 1.
3.
Reference: Ch. 1 — Foundations — DSM & diagnostic
formulation (use in nursing care)
Stem: On shift report, a nurse learns a client’s provisional DSM
diagnosis is generalized anxiety disorder. The client reports
persistent worry interfering with work. Which nursing action
best translates diagnostic information into practical care
planning?
A. Teach the client that the diagnosis explains all their problems
and no further assessment is needed.
B. Use the diagnosis to identify specific functional impairments
10TH EDITION
• AUTHOR(S)SHEILA L. VIDEBECK
TEST BANK
UNIT 1 — CURRENT THEORIES & PRACTICE
1.
Reference: Ch. 1 — Foundations of Psychiatric–Mental Health
Nursing — Mental Health and Mental Illness (definition &
nurse’s role)
Stem: A 28-year-old client admitted to the psychiatric unit
expresses hopelessness and difficulty carrying out daily self-
care. The nurse documents symptoms affecting function and
plans an initial nursing goal. Which nursing goal most accurately
reflects a recovery-oriented, functional definition of mental
health for this client?
,A. Eliminate all depressive symptoms within 48 hours.
B. Restore the client’s ability to perform essential self-care tasks
safely.
C. Ensure the client accepts a psychiatric diagnosis and
medication.
D. Arrange long-term hospitalization to prevent relapse.
Correct answer: B
Rationale — Correct: Restoring functional ability for essential
self-care is consistent with a recovery-oriented, functional
definition of mental health and aligns with nursing scope:
promoting safety and independence. Videbeck emphasizes
improvement in functioning and adaptive coping as core
nursing goals. This goal is realistic, measurable, and prioritizes
immediate safety and daily living skills.
Rationale — Incorrect:
A. Unrealistic timeline and focuses on symptom elimination
rather than functional recovery.
C. Forcing acceptance of diagnosis or medication is neither
therapeutic nor necessary for initial functional goals.
D. Long-term hospitalization without rationale may reduce
autonomy and is not the least restrictive option.
Teaching point: Prioritize restoring safe, functional daily living
before aiming for symptom elimination.
Citation: Videbeck, S. L. (2025). Psychiatric–Mental Health
Nursing (10th ed.). Ch. 1.
,2.
Reference: Ch. 1 — Foundations — Mental Health and Mental
Illness — Continuum & cultural factors
Stem: A nurse is completing an admission assessment for a
client from a culture where emotional distress is expressed
primarily through physical complaints. The client reports
headaches and fatigue but denies sadness. Which nursing
approach best demonstrates cultural sensitivity while assessing
for possible depressive illness?
A. Tell the client that depression looks different in everyone and
proceed with a standard depression inventory.
B. Assume the client does not have depression because they
deny sadness.
C. Explore the meaning of the physical complaints in the client’s
cultural context and assess changes in functioning.
D. Recommend immediate antidepressant medication since
physical complaints often hide depression.
Correct answer: C
Rationale — Correct: Exploring culturally shaped symptom
expression and assessing functional changes is culturally
sensitive and aligns with trauma-informed, person-centered
psychiatric nursing. Videbeck highlights that mental health
assessment must consider cultural idioms of distress and
, functional impact. This approach avoids cultural bias and
gathers data to inform collaborative care planning.
Rationale — Incorrect:
A. Using a standard inventory without cultural adaptation risks
misinterpretation.
B. Denial of typical affect does not rule out illness; this is
culturally insensitive.
D. Jumping to medication without culturally informed
assessment and collaboration is premature.
Teaching point: Assess symptom meaning and functional
impact within cultural context.
Citation: Videbeck, S. L. (2025). Psychiatric–Mental Health
Nursing (10th ed.). Ch. 1.
3.
Reference: Ch. 1 — Foundations — DSM & diagnostic
formulation (use in nursing care)
Stem: On shift report, a nurse learns a client’s provisional DSM
diagnosis is generalized anxiety disorder. The client reports
persistent worry interfering with work. Which nursing action
best translates diagnostic information into practical care
planning?
A. Teach the client that the diagnosis explains all their problems
and no further assessment is needed.
B. Use the diagnosis to identify specific functional impairments
