lOMoAR jj ni jc jPSD|
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0591
TEST BANK FOR
j j j j
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
j
, lOMoAR jj ni jc jPSD|
j j 1170
0591
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practicej j j j j j j j j j
Chapter 1. Foundations of Psychiatric–Mental Health Nursing j j j j j j j j j j j j
Chapter 2. Neurobiologic Theories and Psychopharmacology
j j j j j j j j j j j j
Chapter 3. Psychosocial Theories and Therapy
jj j j j j j j j j j j
Chapter 4. Treatment Settings and Therapeutic j j j j j j j j j j
ProgramsUNIT 2 Building the Nurse–Client
jj j j j j j j j j j
Relationship Chapter 5. Therapeutic Relationships
jj j j j j j j
Chapter 6. Therapeutic Communication
jj j j j j j j
Chapter 7. Client’s Response to j j j j j j j j
Illness Chapter8.Assessment
j j jj j
UNIT 3 Current Social and Emotional Concerns
j j j j j j j j j j j j
Chapter9.LegalandEthicalIssues j j j
Chapter10.GriefandLoss
jj j
Chapter11.Anger,Hostility,and Aggression Chapter j j j ni jj
12. Abuse and Violence
j j j j j j j j
UNIT 4 Nursing Practice for Psychiatric
j j j j j j j j j j
Disorders Chapter 13. Trauma and Stressor-
j j j j j j j j j j j j
Related Disorders Chapter 14. Anxiety and j j jj j j j j j j
Anxiety Disorders
j j j j
Chapter 15. Obsessive–Compulsive and Related Disorders j j j j j j j j j j
Chapter16.Schizophrenia
jj j
Chapter17.Mood Disordersand Suicide ni j
Chapter 18. Personality Disorders
jj jj jj jj
Chapter19.Addiction
jj j
Chapter 20. Eating Disorders jj jj jj
Chapter21.SomaticSymptom Illnesses
jj j ni
Chapter22.NeurodevelopmentalDisorders j j
Chapter23.DisruptiveBehaviorDisorders
jj j
Chapter 24. Cognitive Disorders
jj j j j j j j
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. j j
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
j j ni ni ni ni j
individual'smentalhealth? jj
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B jj jj
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, j
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
jj j j
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
jj j j ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
jj j ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
jj ni ni ni
, lOMoAR jj ni jc jPSD|
j j 1170
0591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
jrelatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
j j
individual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
j j j j
jsocialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
j j
social/culturalfactorisaccesstoadequateresources.
jj
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Select allthat apply. ni ni j jj ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. j
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
j j ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. j j
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
j
Ans:A,D,E j j
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness j j
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
jj j j j
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
jj
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni j
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
jj ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni j ni ni j ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures. j j
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni j j ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni j j j ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
jj ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
j ni j j
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
jj jj
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
jthatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
j j j ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
jj j ni j j
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
jj ni j j
positiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
j j j j ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
jj j ni
thatmaycontributetomentalillness.
jj
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni j j
becausesheissosad.Thenurse'sbestresponsewouldbe,
j j j
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni j ni
experienced.î jj
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î j
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni j j j j
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni j j
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
jj ni j ni ni
, lOMoAR jj ni jc jPSD|
j j 1170
0591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental j ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
jj ni ni ni
5. ThenurseconsultstheDSMforwhichofthefollowingpurposes? j
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
jj jj
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
jj jj
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
jj j
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
jj ni
documentingthecodeinthemedicalrecordwouldbeinappropriate.
j ni ni ni ni ni j
6. Whichwouldbeareasonfora studentnurseto usetheDSM? ni j ni jj j
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni j
D j j
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni j j j ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
jj j j
j thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
j ni ni j ni ni j j ni
treatmentsarenotapartofthenursingprocess.
jj
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni j j
forthementallyill?
j j
A) Thewidespreaduseofcommunity-basedservices ni j
B) Theadvancementinpharmacotherapies ni j
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
jj jj
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni j ni ni ni j
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
jj j ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
jj j
care.
jj
8. Whichoneofthefollowingisaresult offederallegislation? ni ni j
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni j ni j
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni j
will. jj
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni jj
D) Improvedcareformentallyillpersons. ni
Ans: B
jj jj
Feedback:
j j 1170
0591
TEST BANK FOR
j j j j
Psychiatric–MentalHealthNursing9thEditionbySheilaL.
Videbeck
j
, lOMoAR jj ni jc jPSD|
j j 1170
0591
AllChapters(1-24)
TableOfContents
UNIT 1 Current Theories and Practicej j j j j j j j j j
Chapter 1. Foundations of Psychiatric–Mental Health Nursing j j j j j j j j j j j j
Chapter 2. Neurobiologic Theories and Psychopharmacology
j j j j j j j j j j j j
Chapter 3. Psychosocial Theories and Therapy
jj j j j j j j j j j j
Chapter 4. Treatment Settings and Therapeutic j j j j j j j j j j
ProgramsUNIT 2 Building the Nurse–Client
jj j j j j j j j j j
Relationship Chapter 5. Therapeutic Relationships
jj j j j j j j
Chapter 6. Therapeutic Communication
jj j j j j j j
Chapter 7. Client’s Response to j j j j j j j j
Illness Chapter8.Assessment
j j jj j
UNIT 3 Current Social and Emotional Concerns
j j j j j j j j j j j j
Chapter9.LegalandEthicalIssues j j j
Chapter10.GriefandLoss
jj j
Chapter11.Anger,Hostility,and Aggression Chapter j j j ni jj
12. Abuse and Violence
j j j j j j j j
UNIT 4 Nursing Practice for Psychiatric
j j j j j j j j j j
Disorders Chapter 13. Trauma and Stressor-
j j j j j j j j j j j j
Related Disorders Chapter 14. Anxiety and j j jj j j j j j j
Anxiety Disorders
j j j j
Chapter 15. Obsessive–Compulsive and Related Disorders j j j j j j j j j j
Chapter16.Schizophrenia
jj j
Chapter17.Mood Disordersand Suicide ni j
Chapter 18. Personality Disorders
jj jj jj jj
Chapter19.Addiction
jj j
Chapter 20. Eating Disorders jj jj jj
Chapter21.SomaticSymptom Illnesses
jj j ni
Chapter22.NeurodevelopmentalDisorders j j
Chapter23.DisruptiveBehaviorDisorders
jj j
Chapter 24. Cognitive Disorders
jj j j j j j j
Chapter1
1. Thenurseisassessingthefactorscontributingtothewell-beingofanewlyadmittedclient. j j
Whichofthefollowingwouldthenurseidentifyashaving apositiveimpactonthe
j j ni ni ni ni j
individual'smentalhealth? jj
A) Notneedingothersforcompanionship ni
B) Theabilitytoeffectivelymanagestress ni
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself- ni
reliance Ans: B jj jj
Feedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy, j
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaninginlife,
jj j j
emotionalresilienceorhardiness,senseofbelonging,realityorientation,and copingorstress
jj j j ni
managementabilities.Interpersonalfactors such as intimacyandabalanceofseparatenessand
jj j ni ni ni ni ni
connectednessarebothneededforgoodmentalhealth,andthereforea
jj ni ni ni
, lOMoAR jj ni jc jPSD|
j j 1170
0591
healthypersonwouldneedothersforcompanionship.Afamilyhistoryofmentalillnesscould
ni ni ni
jrelatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpactonan
j j
individual'smentalhealth,aswellasanegativeimpactonanindividual'sinterpersonaland
j j j j
jsocialñculturalfactorsofhealth.Totalself-relianceisnotpossible,andapositive
j j
social/culturalfactorisaccesstoadequateresources.
jj
2. Whichofthefollowingstatementsabout mentalillnessaretrue? Select allthat apply. ni ni j jj ni ni
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. ni
B) Mentalillnessisonlyduetosocial/cultural factors. j
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyon ni
orwithdrawalfromrelationships.
j j ni
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith daily ni ni
life. j j
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith ni ni ni
relationshipsandself.
j
Ans:A,D,E j j
Feedback:
Mentalillnesscancausesignificantdistress, impairedfunctioning,orboth.Mentalillness j j
mayberelatedtoindividual,interpersonal,orsocial/culturalfactors.Excessivedependency
jj j j j
onorwithdrawalfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.
jj
Individualssuffering frommentalillnesscanfeeloverwhelmed withdailylife.Individuals ni ni j
sufferingfrommentalillnessmayexperiencedissatisfactionwith relationshipsand self.
jj ni ni ni ni ni
3. Whichofthefollowingaretrueregardingmentalhealthand mentalillness?
ni j ni ni j ni
A) Behaviorthatmaybeviewedasacceptableinonecultureisalwaysunacceptablein ni ni ni
othercultures. j j
B) Itis easytodetermineifapersonismentallyhealthyormentallyill.
ni j j ni
C) Inmost cases,mentalhealthisastateofemotional,psychological,and social
ni j j j ni
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
jj ni ni ni ni
and coping,positiveself-concept,andemotionalstability.
j ni j j
D) Personswhoengageinfantasiesarementallyill. ni
Ans: C
jj jj
Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymaysee
jthatasmaladaptive,andinappropriate.Mentalhealth andmentalillnessaredifficulttodefine
j j j ni
precisely.In mostcases,mentalhealthisastateofemotional,psychological,andsocial
jj j ni j j
wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,
jj ni j j
positiveself-concept,andemotionalstability.Personswhoengagein fantasiesmaybe
j j j j ni
mentallyhealthy,buttheinabilitytodistinguish realityfromfantasyisanindividualfactor
jj j ni
thatmaycontributetomentalillness.
jj
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill ni j j
becausesheissosad.Thenurse'sbestresponsewouldbe,
j j j
A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuchpain.î ni ni
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyou have ni j ni
experienced.î jj
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's ni
death?î j
D) ìTrynottoworryabout that right now.Youneverknowwhat thefuturebrings.î Ans: B
ni ni ni ni ni j j j j
Feedback:
Mentalillnessincludesgeneraldissatisfactionwith self,ineffectiverelationships,ineffective ni j j
coping,andlackofpersonalgrowth.Additionallythebehaviormust notbe
jj ni j ni ni
, lOMoAR jj ni jc jPSD|
j j 1170
0591
culturallyexpected. Acutegriefreactionsareexpectedand thereforenotconsideredmental j ni
illness.Falsereassurance oroveranalysisdoesnotaccuratelyaddresstheclient's concerns.
jj ni ni ni
5. ThenurseconsultstheDSMforwhichofthefollowingpurposes? j
A) Todeviseaplanofcareforanewlyadmittedclient ni
B) Topredicttheclient'sprognosisof treatmentoutcomes ni ni
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) Toserveasaguideforclientassessment ni
Ans: D
jj jj
Feedback:
The DSMprovidesstandardnomenclature,presentsdefiningcharacteristics, andidentifies
jj jj
underlyingcausesofmentaldisorders. Itdoesnotprovidecareplansorprognosticoutcomes
jj j
oftreatment.DiagnosisofmentalillnessisnotwithinthegeneralistRN'sscopeofpractice,so
jj ni
documentingthecodeinthemedicalrecordwouldbeinappropriate.
j ni ni ni ni ni j
6. Whichwouldbeareasonfora studentnurseto usetheDSM? ni j ni jj j
A) Identifyingthemedicaldiagnosis ni
B) Treatclients ni
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.Ans: ni ni j
D j j
Feedback:
Althoughstudentnursesdonot usetheDSMtodiagnoseclients,theywillfind ita helpful ni j j j ni ni
resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledgeabout
jj j j
j thenatureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and evaluating
j ni ni j ni ni j j ni
treatmentsarenotapartofthenursingprocess.
jj
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin care ni ni ni ni j j
forthementallyill?
j j
A) Thewidespreaduseofcommunity-basedservices ni j
B) Theadvancementinpharmacotherapies ni j
C) Increasedaccesstohospitalization ni ni
D) Improvedrightsforclientsinlong-terminstitutionalcare ni ni
Ans: A
jj jj
Feedback:
TheCommunityMentalHealthCentersConstructionActof1963accomplishedtherelease
ni j ni ni ni j
ofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissionsto
jj j ni
hospitals,andthedevelopmentofcommunity-basedservicesasanalternativetohospital
jj j
care.
jj
8. Whichoneofthefollowingisaresult offederallegislation? ni ni j
A) Makingit easiertocommitpeopleformentalhealth treatmentagainsttheirwill.
ni ni j ni j
B) Makingitmoredifficulttocommit peopleformentalhealthtreatment againsttheir
ni ni ni ni ni ni j
will. jj
C) Statementalinstitutionsbeingtheprimarysource ofcareformentallyillpersons. ni jj
D) Improvedcareformentallyillpersons. ni
Ans: B
jj jj
Feedback:
