TEST BANK
,Psychiatric-Mental Health Nursing 8th edition by Shelia Videbeck
Table of contents
UNIT 1 Current Theories and Practice
• 1. Foundations of Psychiatric–Mental Health Nursing
• 2. Neurobiologic Theories and Psychopharmacology
• 3. Psychosocial Theories and Therapy
• 4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship
• 5. Therapeutic Relationships
• 6. Therapeutic Communication
• 7. Client’s Response to Illness
• 8. Assessment
UNIT 3 Current Social and Emotional Concerns
• 9. Legal and Ethical Issues
• 10. Grief and Loss
• 11. Anger, Hostility, and Aggression
• 12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders
• 13. Trauma and Stressor-Related Disorders
• 14. Anxiety and Anxiety Disorders
• 15. Obsessive–Compulsive and Related Disorders
• 16. Schizophrenia
• 17. Mood Disorders and Suicide
• 18. Personality Disorders
• 19. Addiction
• 20. Eating Disorders
• 21. Somatic Symptom Illnesses
• 22. Neurodevelopmental Disorders
• 23 Disruptive Behavior Disorders
• 24 Cognitive Disorders
Chapter 1 Foundations of Psychiatric–Mental Health Nursing
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
Ans: 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
Page 1
, 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.
Ans: 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.
Ans: C
Feedback:
Whatsonessocietysmaysviewsassacceptablesandsappropriatesbehavior,sanotherssocietysmay
sseesthatsassmaladaptive,sandsinappropriate.sMentalshealthsandsmentalsillnesssaresdifficul
tstosdefinesprecisely.sInsmostscases,smentalshealthsissasstatesofsemotional,spsychological,s
andssocialswellnesssevidencedsbyssatisfyingsinterpersonalsrelationships,seffectivesbehavi
orsandscoping,spositivesself-
concept,sandsemotionalsstability.sPersonsswhosengagesinsfantasiessmaysbesmentallyshealt
hy,sbutsthesinabilitystosdistinguishsrealitysfromsfantasysissansindividualsfactorsthatsmaysc
ontributestosmentalsillness.
4. Asclientsgrievingsthesrecentslosssofshershusbandsaskssifsshesissbecomingsmentallysill
sbecausesshesisssossad.sThesnurse'ssbestsresponseswouldsbe,
A) ìYousmayshavesastemporarysmentalsillnesssbecausesyousaresexperiencingssosmuch
spain.î
B) ìYousaresnotsmentallysill.sThississansexpectedsreactionstostheslosssyoushave
sexperienced.î
Page 2
, C) ìWeresyousgenerallysdissatisfiedswithsyoursrelationshipsbeforesyourshusband's
sdeath?î
D) ìTrysnotstosworrysaboutsthatsrightsnow.sYousneversknowswhatsthesfuturesbrings.î
sAns:sB
Feedback:
Mentalsillnesssincludessgeneralsdissatisfactionswithsself,sineffectivesrelationships,sineffe
ctivescoping,sandslacksofspersonalsgrowth.sAdditionallysthesbehaviorsmustsnotsbescultur
allysexpected.sAcutesgriefsreactionssaresexpectedsandsthereforesnotsconsideredsmentalsil
lness.sFalsesreassurancesorsoveranalysissdoessnotsaccuratelysaddresssthesclient'ssconcern
s.
5. ThesnursesconsultssthesDSMsforswhichsofsthesfollowingspurposes?
A) Tosdevisesasplansofscaresforsasnewlysadmittedsclient
B) Tospredictsthesclient'ssprognosissofstreatmentsoutcomes
C) Tosdocumentsthesappropriatesdiagnosticscodesinsthesclient'ssmedicalsrecord
D) Tosservesassasguidesforsclientsassessment
sAns:sD
Feedback:
ThesDSMsprovidessstandardsnomenclature,spresentssdefiningscharacteristics,sandsidenti
fiessunderlyingscausessofsmentalsdisorders.sItsdoessnotsprovidescaresplanssorsprognostics
outcomessofstreatment.sDiagnosissofsmentalsillnesssissnotswithinsthesgeneralistsRN'sssco
pesofspractice,ssosdocumentingsthescodesinsthesmedicalsrecordswouldsbesinappropriate.
6. WhichswouldsbesasreasonsforsasstudentsnursestosusesthesDSM?
A) Identifyingsthesmedicalsdiagnosis
B) Treatsclients
C) Evaluatestreatments
D) Understandsthesreasonsforsthesadmissionsandsthesnaturesofspsychiatricsillnesses.
sAns:sD
Feedback:
AlthoughsstudentsnursessdosnotsusesthesDSMstosdiagnosesclients,stheyswillsfindsitsashelp
fulsresourcestosunderstandsthesreasonsforsthesadmissionsandstosbeginsbuildingsknowledg
esaboutsthesnaturesofspsychiatricsillnesses.sIdentifyingsthesmedicalsdiagnosis,streating,sa
ndsevaluatingstreatmentssaresnotsaspartsofsthesnursingsprocess.
7. Theslegislationsenactedsins1963swasslargelysresponsiblesforswhichsofsthesfollowingsshifts
sinscaresforsthesmentallysill?
A) Theswidespreadsusesofscommunity-basedsservices
B) Thesadvancementsinspharmacotherapies
C) Increasedsaccessstoshospitalization
D) Improvedsrightssforsclientssinslong-
termsinstitutionalscaresAns:sA
Feedback:
ThesCommunitysMentalsHealthsCenterssConstructionsActsofs1963saccomplishedsthesrele
asesofsindividualssfromslong-
termsstayssinsstatesinstitutions,sthesdecreasesinsadmissionsstoshospitals,sandsthesdevelop
mentsofscommunity-basedsservicessassansalternativestoshospitalscare.
Page 3
,Psychiatric-Mental Health Nursing 8th edition by Shelia Videbeck
Table of contents
UNIT 1 Current Theories and Practice
• 1. Foundations of Psychiatric–Mental Health Nursing
• 2. Neurobiologic Theories and Psychopharmacology
• 3. Psychosocial Theories and Therapy
• 4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship
• 5. Therapeutic Relationships
• 6. Therapeutic Communication
• 7. Client’s Response to Illness
• 8. Assessment
UNIT 3 Current Social and Emotional Concerns
• 9. Legal and Ethical Issues
• 10. Grief and Loss
• 11. Anger, Hostility, and Aggression
• 12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders
• 13. Trauma and Stressor-Related Disorders
• 14. Anxiety and Anxiety Disorders
• 15. Obsessive–Compulsive and Related Disorders
• 16. Schizophrenia
• 17. Mood Disorders and Suicide
• 18. Personality Disorders
• 19. Addiction
• 20. Eating Disorders
• 21. Somatic Symptom Illnesses
• 22. Neurodevelopmental Disorders
• 23 Disruptive Behavior Disorders
• 24 Cognitive Disorders
Chapter 1 Foundations of Psychiatric–Mental Health Nursing
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
Ans: 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
Page 1
, 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.
Ans: 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.
Ans: C
Feedback:
Whatsonessocietysmaysviewsassacceptablesandsappropriatesbehavior,sanotherssocietysmay
sseesthatsassmaladaptive,sandsinappropriate.sMentalshealthsandsmentalsillnesssaresdifficul
tstosdefinesprecisely.sInsmostscases,smentalshealthsissasstatesofsemotional,spsychological,s
andssocialswellnesssevidencedsbyssatisfyingsinterpersonalsrelationships,seffectivesbehavi
orsandscoping,spositivesself-
concept,sandsemotionalsstability.sPersonsswhosengagesinsfantasiessmaysbesmentallyshealt
hy,sbutsthesinabilitystosdistinguishsrealitysfromsfantasysissansindividualsfactorsthatsmaysc
ontributestosmentalsillness.
4. Asclientsgrievingsthesrecentslosssofshershusbandsaskssifsshesissbecomingsmentallysill
sbecausesshesisssossad.sThesnurse'ssbestsresponseswouldsbe,
A) ìYousmayshavesastemporarysmentalsillnesssbecausesyousaresexperiencingssosmuch
spain.î
B) ìYousaresnotsmentallysill.sThississansexpectedsreactionstostheslosssyoushave
sexperienced.î
Page 2
, C) ìWeresyousgenerallysdissatisfiedswithsyoursrelationshipsbeforesyourshusband's
sdeath?î
D) ìTrysnotstosworrysaboutsthatsrightsnow.sYousneversknowswhatsthesfuturesbrings.î
sAns:sB
Feedback:
Mentalsillnesssincludessgeneralsdissatisfactionswithsself,sineffectivesrelationships,sineffe
ctivescoping,sandslacksofspersonalsgrowth.sAdditionallysthesbehaviorsmustsnotsbescultur
allysexpected.sAcutesgriefsreactionssaresexpectedsandsthereforesnotsconsideredsmentalsil
lness.sFalsesreassurancesorsoveranalysissdoessnotsaccuratelysaddresssthesclient'ssconcern
s.
5. ThesnursesconsultssthesDSMsforswhichsofsthesfollowingspurposes?
A) Tosdevisesasplansofscaresforsasnewlysadmittedsclient
B) Tospredictsthesclient'ssprognosissofstreatmentsoutcomes
C) Tosdocumentsthesappropriatesdiagnosticscodesinsthesclient'ssmedicalsrecord
D) Tosservesassasguidesforsclientsassessment
sAns:sD
Feedback:
ThesDSMsprovidessstandardsnomenclature,spresentssdefiningscharacteristics,sandsidenti
fiessunderlyingscausessofsmentalsdisorders.sItsdoessnotsprovidescaresplanssorsprognostics
outcomessofstreatment.sDiagnosissofsmentalsillnesssissnotswithinsthesgeneralistsRN'sssco
pesofspractice,ssosdocumentingsthescodesinsthesmedicalsrecordswouldsbesinappropriate.
6. WhichswouldsbesasreasonsforsasstudentsnursestosusesthesDSM?
A) Identifyingsthesmedicalsdiagnosis
B) Treatsclients
C) Evaluatestreatments
D) Understandsthesreasonsforsthesadmissionsandsthesnaturesofspsychiatricsillnesses.
sAns:sD
Feedback:
AlthoughsstudentsnursessdosnotsusesthesDSMstosdiagnosesclients,stheyswillsfindsitsashelp
fulsresourcestosunderstandsthesreasonsforsthesadmissionsandstosbeginsbuildingsknowledg
esaboutsthesnaturesofspsychiatricsillnesses.sIdentifyingsthesmedicalsdiagnosis,streating,sa
ndsevaluatingstreatmentssaresnotsaspartsofsthesnursingsprocess.
7. Theslegislationsenactedsins1963swasslargelysresponsiblesforswhichsofsthesfollowingsshifts
sinscaresforsthesmentallysill?
A) Theswidespreadsusesofscommunity-basedsservices
B) Thesadvancementsinspharmacotherapies
C) Increasedsaccessstoshospitalization
D) Improvedsrightssforsclientssinslong-
termsinstitutionalscaresAns:sA
Feedback:
ThesCommunitysMentalsHealthsCenterssConstructionsActsofs1963saccomplishedsthesrele
asesofsindividualssfromslong-
termsstayssinsstatesinstitutions,sthesdecreasesinsadmissionsstoshospitals,sandsthesdevelop
mentsofscommunity-basedsservicessassansalternativestoshospitalscare.
Page 3
