Test Bank for Psychiatric-Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters (1-24) LATEST UPDATE 2025

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TestBankfor r r




Psychiatric–MentalHealthNursing9thEditionbySheilaL. r r r r r r r Videbeck
AllChapters(1-24)
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TableOf Contents r r




UNIT 1Current Theories and Practice
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Chapter 1. Foundations of Psychiatric–Mental Health Nursing r r r r r r




Chapter 2. Neurobiologic Theories and Psychopharmacology
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Chapter3.Psychosocial Theories andTherapy
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Chapter 4. Treatment Settings and Therapeutic Programs
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UNIT 2 Buildingthe Nurse–Client Relationship Chapter
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5. Therapeutic Relationships
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Chapter 6. Therapeutic Communication r r r




Chapter 7. Client’s Response to Illness
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Chapter 8. Assessment
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UNIT 3Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical Issues Chapter
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10. Grief and Loss
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Chapter 11. Anger, Hostility, and Aggression
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Chapter12.AbuseandViolence
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UNIT 4 Nursing Practice for Psychiatric Disorders Chapter
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13. Trauma and Stressor-Related Disorders Chapter14.
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AnxietyandAnxietyDisorders
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Chapter 15. Obsessive–Compulsive and Related Disorders
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Chapter16.Schizophrenia
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Chapter 17. Mood Disorders and Suicide
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Chapter18.Personality Disorders Chapter
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19. Addiction
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Chapter20.EatingDisorders r r r




Chapter21.SomaticSymptomIllnessesChapter r r r r r




22. Neurodevelopmental Disorders Chapter23.
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DisruptiveBehaviorDisordersChapter24.
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Cognitive Disorders
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Chapter 1 r




1. Thenurseisassessingthefactorscontributingtothewell-beingof anewlyadmitted client.
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Whichofthefollowing wouldthenurseidentifyashavingapositiveimpactonthe
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individual's mental health?
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A) Notneedingothersforcompanionship r r r r




B) Theabilitytoeffectivelymanagestress r r r r r




C) Afamilyhistoryofmentalillness r r r r r




D) Strivingfortotalself-reliance r r r




Ans: B r r




Feedback:
Individualfactors influencing mentalhealthincludebiologicmakeup,autonomy,independence, r r r r r r r r r




self-esteem, capacity for growth, vitality, abilityto find meaning in life, emotionalresilienceor
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hardiness, sense ofbelonging, realityorientation, and copingorstress managementabilities.
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Interpersonalfactorssuchasintimacyandabalanceof separatenessandconnectednessare
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bothneededforgoodmentalhealth,andthereforea
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healthyperson wouldneed othersforcompanionship. Afamilyhistoryof mentalillnesscould
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relatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpact onan
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individual's mentalhealth,as wellasanegativeimpact onanindividual's interpersonaland
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socialñcultural factorsofhealth. Total self-relianceisnotpossible,andapositive
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social/culturalfactorisaccesstoadequateresources.
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2. Which ofthefollowingstatements about mental illness aretrue? Select all thatapply.
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A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. r r r r r r r r r




B) Mental illness is onlydue tosocial/cultural factors. r r r r r r r




C) Social/cultural factors that relate to mental illness include excessive dependency onor r r r r r r r r r r r




withdrawalfromrelationships. r r r




D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywithdaily r r r r r r r r r r r r




life. r




E) Individuals suffering from mental illness may experience dissatisfaction with r r r r r r r r




relationshipsandself. r r r




Ans: A,D,E r r r




Feedback:
Mental illness can cause significant distress, impaired functioning, orboth. Mental illness may
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berelatedtoindividual,interpersonal,or social/culturalfactors.Excessive dependencyon
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orwithdrawalfromrelationshipsareinterpersonalfactorsthatrelateto mentalillness.
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Individualssufferingfrommentalillnesscanfeeloverwhelmedwith dailylife. Individuals
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sufferingfrommentalillness mayexperiencedissatisfaction with relationshipsandself.
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3. Whichofthefollowingaretrueregardingmentalhealthandmentalillness?
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A) Behaviorthat maybeviewedasacceptableinonecultureisalways r r r r r r r r r r r




unacceptable inothercultures. r r r r




B) Itiseasytodetermineifapersonismentallyhealthyor mentallyill. r r r r r r r r r r r r r




C) Inmostcases,mentalhealthisastateofemotional,psychological,andsocial r r r r r r r r r r r r




wellnessevidencedbysatisfyinginterpersonalrelationships, effectivebehaviorand
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coping,positiveself-concept,and emotionalstability.
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D) Persons who engage in fantasies are mentally ill. r r r r r r r




Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
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rseethat as maladaptive,and inappropriate.Mentalhealthand mentalillnessare difficult to
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defineprecisely.Inmostcases,mentalhealthisastate ofemotional, psychological, and
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socialwellnessevidencedbysatisfying interpersonalrelationships,effective behaviorand
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coping,positiveself-concept,andemotionalstability.Persons whoengage infantasiesmay
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bementallyhealthy,buttheinabilitytodistinguishreality fromfantasy isan individualfactor
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that maycontributetomental illness.
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4. A client grieving the recent loss of her husband asks if she isbecoming mentally ill because
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she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so much pain.î r r r r r r r r r r r r r




B) ìYou are not mentally ill. This is an expected reaction to the loss youhave r r r r r r r r r r r r r r




experienced.î r




C) ìWereyougenerallydissatisfied with yourrelationship before yourhusband's r r r r r r r r r




death?î r




D) ìTrynot toworryaboutthatrightnow.Youneverknow whatthefuturebrings.î Ans: B r r r r r r r r r r r r r r r r




Feedback:
Mentalillnessincludesgeneraldissatisfactionwithself,ineffectiverelationships,ineffective
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coping,andlackofpersonalgrowth. Additionallythebehavior mustnotbe
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culturallyexpected. Acute grief reactions are expected andtherefore not considered mental
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illness.Falsereassurance or overanalysisdoes not accuratelyaddressthe client's concerns.
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5. ThenurseconsultstheDSMforwhich ofthefollowingpurposes?
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A) To deviseaplan ofcareforanewlyadmitted client r r r r r r r r r r




B) To predict the client's prognosis of treatment outcomes r r r r r r r




C) Todocument theappropriatediagnosticcodeintheclient's medicalrecord
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D) Toserveasaguideforclientassessment r r r r r r r




Ans: D
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Feedback:
TheDSMprovidesstandardnomenclature,presentsdefiningcharacteristics,andidentifies
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underlying causesof mentaldisorders.Itdoesnotprovidecareplansor prognostic outcomes
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oftreatment. Diagnosis of mentalillness is not within the generalist RN'sscopeofpractice,so
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documentingthecodeinthemedicalrecordwould be inappropriate.
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6. Whichwould be areasonfora student nurseto usethe DSM?
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A) Identifyingthemedicaldiagnosis r r r




B) Treatclients r




C) Evaluatetreatments
D) Understand the reason for the admission and the nature ofpsychiatric illnesses. Ans: r r r r r r r r r r r r




D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resourceto
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understandthereasonfortheadmissionand tobeginbuilding knowledge aboutthenatureof
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psychiatricillnesses.Identifyingthemedicaldiagnosis, treating,andevaluatingtreatments are
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not apart of thenursingprocess.
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7. Thelegislationenactedin1963waslargelyresponsiblefor whichofthefollowingshiftsincare
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forthementallyill?
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A) Thewidespread useof community-basedservices r r r r r




B) Theadvancementinpharmacotherapies r r r




C) Increased access to hospitalization r r r




D) Improvedrightsforclientsinlong-terminstitutional care r r r r r r r




Ans: A
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Feedback:
The CommunityMental Health Centers Construction Act of 1963 accomplished the release of
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individualsfromlong-termstaysinstateinstitutions,thedecreaseinadmissions to hospitals,
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and the development of community-based services as an alternativetohospitalcare.
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8. Whichoneofthefollowing isaresult offederallegislation?
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A) Making iteasiertocommitpeopleformentalhealthtreatmentagainsttheirwill. r r r r r r r r r r r r




B) Makingitmoredifficulttocommitpeopleformentalhealthtreatmentagainst their r r r r r r r r r r r r




will. r




C) State mental institutions being the primary source of care for mentally illpersons. r r r r r r r r r r r r




D) Improvedcareformentallyillpersons. r r r r r




Ans: B
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Feedback:

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Commitmentlaws changedintheearly1970s,making itmoredifficulttocommit r r r r r r r r r r r r




peopleformentalhealthtreatmentagainsttheirwill.Deinstitutionalization accomplished the
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releaseofindividualsfromlong-termstaysinstateinstitutions. Deinstitutionalizationalsohad
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negativeeffectsinthatsomementallyillpersonsare subjectedtothe revolving door effect,
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which maylimit carefor mentallyillpersons.
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9. Thegoal of the1963 CommunityMental Health Centers Act was to
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A) ensurepatients' rights for the mentallyill. r r r r r r




B) deinstitutionalizestatehospitals. r r




C) provide funds to build hospitals with psychiatric units. r r r r r r r




D) treat people with mental illness in a humane fashion. r r r r r r r r




Ans: B
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Feedback:
The 1963 CommunityMentalHealthCentersActintimatedthemovementtowardtreating
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those withmental illnessin aless restrictiveenvironment. This legislation resulted intheshiftof
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clientswithmentalillnessfromlargestateinstitutionstocare basedinthe community.Answer
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choicesA,C,andDwerenotpurposesofthe1963 Community MentalHealthCentersAct.
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10. Thecreation ofasylums duringthe1800s was meant to
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A) improvetreatmentofmentaldisorders. r r r r




B) providefoodand shelterforthementallyill. r r r r r r r




C) punish people with mental illness who werebelieved to bepossessed. r r r r r r r r r r




D) remove dangerous people with mental illness fromthe community. r r r r r r r r




Ans: B
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Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for the
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mentallyill. Asylumswerenotusedtoimprovetreatment ofmentaldisordersorto punish
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mentallyillpeople who werebelievedtobepossessed.Theasylumwasnot created toremove
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thedangerouslymentallyillfromthe community.
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11. Themajorproblems withlargestate institutions are:Select allthat apply.
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A) attendants were accused ofabusingtheresidents. r r r r r r




B) stigmaassociatedwithresidenceinaninsaneasylum. r r r r r r r




C) clients weregeographicallyisolated fromfamilyand community. r r r r r r r




D) increasingfinancial costs toindividualresidents. r r r r r




Ans: A, C
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Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecause state
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institutionswereusuallyinruralorremotesettings.ChoicesBand Dwerenot majorproblems
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associatedwithlargestateinstructions.
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12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen
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A) communitysupport serviceswereestablished. r r r r




B) legislationdramaticallychanged civilcommitmentprocedures. r r r r r




C) thePatient's BillofRightswasenacted. r r r r r r




D) psychotropicdrugsbecameavailableforuse. r r r r r




Ans: D
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Feedback:
The development of psychotropic drugs, or drugs used to treat mental illness, began in the
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1950s.Answer choicesA,B,andCdidnotoccurin the1950s.
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13. Beforetheperiodoftheenlightenment,treatmentofthementallyillincluded
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