TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING, 9TH
EDITION BY SHEILA L. VIDEBECK
ALL CHAPTERS 1-24 LATEST
T
Chapter 1
1. The nurse is assessing1the factors contributing1to the well-
being of a newly admitted client. Which of the following would the nurse identify as
having a positive impact onthe 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-
relianceAns: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indep
endence, self-
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilienc
e or1hardiness, sense of belonging, reality orientation, and coping1or1stress management
abilities. Interpersonal factors such as intimacy and a balance of separateness and conn
ectedness are both needed for good mental health, and therefore ahealthy person would
need others for companionship. A family history of mental illnesscould relate to the bio
logic makeup of an individual, which may have a negative impacton an individual's me
ntal health, as well as a negative impact on an individual's interpersonal and socialñcult
ural factors of health. Total self-
reliance is not possible, and a positive social/cultural factor is access to adequate resour
ces.
2. Whichtyoftythetyfollowing1statementstyabouttymentaltyillnesstyaretytrue?tySelecttyalltythattyapply.
A) Mentaltyillnesstycantycausetysignificanttydistress,tyimpairedtyfunctioning,tyortyboth.
B) Mentaltyillnesstyistyonlytyduetytotysocial/culturaltyfactors.
C) Social/culturaltyfactorstythattyrelatetytotymentaltyillnesstyincludetyexcessivetydependenc
ytyontyor1withdrawaltyfromtyrelationships.
D) Individualstysufferingtyfromtymentaltyillnesstyaretyusuallytyabletytotycopetyeffectivelytywit
htydailytylife.
Paget y 1
,E) Individualstysufferingtyfromtymentaltyillnesstymaytyexperiencetydissatisfactiontywit
htyrelationshipstyandtyself.
Ans:tyA,tyD,tyE
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Mentaltyillnesstycantycausetysignificanttydistress,tyimpairedtyfunctioning,tyortyboth.tyMentaltyill
ntyesstymaytybetyrelatedtytotyindividual,tyinterpersonal,tyortysocial/culturaltyfactors.tyExcessivety
deptyendencytyontyortywithdrawaltyfromtyrelationshipstyaretyinterpersonaltyfactorstythattyrelatety
totymetyntaltyillness.tyIndividualstysufferingtyfromtymentaltyillnesstycantyfeeltyoverwhelmedtywit
htydailytyltyife.tyIndividualstysufferingtyfromtymentaltyillnesstymaytyexperiencetydissatisfactionty
withrelatiotynshipstyandtyself.
Paget y 2
,3. Whichtyoftythetyfollowing1aretytruetyregardingtymentaltyhealthtyandtymentaltyillness?
A) Behaviortythattymaytybetyviewedtyastyacceptabletyintyonetyculture1istyalwaystyunacceptab
letyintyothertycultures.
B) Ittyistyeasytytotydeterminetyiftyatypersontyistymentallytyhealthytyortymentallytyill.
C) Intymosttycases,tymentaltyhealthtyistyatystatetyoftyemotional,typsychological,tyandtysocia
ltywellnesstyevidencedtybytysatisfyingtyinterpersonaltyrelationships,tyeffectivetybehavi
ortyandtycoping,typositivetyself-concept,tyandtyemotionaltystability.
D) Personstywhotyengagetyintyfantasiestyaretymentallytyill
.tyAns:tyC
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Whattyonetysocietytymaytyviewtyastyacceptabletyandtyappropriatetybehavior,tyanothertysocietytym
aytysee1thattyastymaladaptive,tyandtyinappropriate.tyMentaltyhealthtyandtymentaltyillnesstyaretydif
ficulttytotydefine1precisely.tyIntymosttycases,tymentaltyhealthtyistyatystatetyoftyemotional,typsychol
ogical,tyatyndtysocialtywellnesstyevidencedtybytysatisfyingtyinterpersonaltyrelationships,tyeffecti
vetybehaviotyr1and1coping,typositivetyself-
concept,tyandtyemotionaltystability.tyPersonstywhotyengageintyfantasiestymaytybetymentallytyhea
lttyhy,tybuttythetyinabilitytytotydistinguishtyrealitytyfromtyfantasyistyantyindividualtyfactortythattyma
ytycotyntributetytotymentaltyillness.
4. Atyclienttygrievingtythetyrecenttylosstyoftyhertyhusbandtyaskstyiftyshetyistybecomingtymentallyty
illtybecausetyshetyistysotysad.tyThetynurse'stybesttyresponsetywouldtybe,
A) ìYoutymaytyhavetyatytemporarytymentaltyillnesstybecausetyyoutyaretyexperiencingtysotymu
chtypain.î
B) ìYoutyaretynottymentallytyill.tyThistyistyantyexpectedtyreactiontytotythetylosstyyoutyha
vetyexperienced.î
C) ìWeretyyoutygenerallytydissatisfiedtywithtyyourtyrelationshiptybeforetyyourtyhusband'
stydeath?î
D) ìTrytynottytotyworrytyabouttythattyrighttynow.tyYoutynevertyknowtywhattythetyfuturetybring
s.îtyAns:tyB
Feedback:
Mentaltyillnesstyincludestygeneraltydissatisfactiontywithtyself,tyineffectivetyrelationships,tyineff
etyctivetycoping,tyandtylacktyoftypersonaltygrowth.tyAdditionallytythe1behaviortymusttynottybetycu
lturtyallytyexpected.tyAcutetygrieftyreactionstyaretyexpectedtyandtythereforetynottyconsideredtyme
ntaltyilltyness.tyFalsetyreassurancetyor1overanalysistydoestynottyaccuratelytyaddresstythetyclient's
concerns.
Paget y 3
, 5. ThetynursetyconsultstythetyDSMtyfortywhichtyoftythetyfollowingtypurposes?
A) Totydevisetyatyplantyoftycaretyfortyatynewlytyadmittedtyclient
B) Totypredicttythetyclient'styprognosistyoftytreatmenttyoutcomes
C) Totydocumenttythetyappropriatetydiagnostictycodetyintythetyclient'stymedicaltyrecord
D) Totyservetyastyatyguidetyfortyclienttyassessmen
ttyAns:tyD
Feedback:
ThetyDSMtyprovidestystandardtynomenclature,typresentstydefining1characteristics,tyandtyidenti
ftyiestyunderlyingtycausestyoftymentaltydisorders.tyIttydoestynottyprovidetycaretyplanstyor1prognost
ictyotyutcomestyoftytreatment.tyDiagnosistyoftymentaltyillnesstyistynottywithintythetygeneralisttyRN
'styscoptyetyoftypractice,tysotydocumentingtythetycodetyintythetymedicaltyrecordtywouldbetyinappro
priate.
6. Whichtywouldtybetyatyreasontyfortyatystudenttynursetytotyusetythe1DSM?
A) Identifyingtythetymedicaltydiagnosis
B) Treattyclients
C) Evaluatetytreatments
D) Understandtythetyreasontyfortythetyadmissiontyandtythetynaturetyoftypsychiatrictyillnesse
s.tyAns:tyD
Feedback:
AlthoughtystudenttynursestydotynottyusetythetyDSMtytotydiagnosetyclients,tytheytywilltyfindtyittyatyh
eltypfultyresourcetytotyunderstandtythetyreasontyfortythetyadmissiontyandtytotybegintybuildingtykn
owletydgetyabouttythetynaturetyoftypsychiatrictyillnesses.tyIdentifying1thetymedicaltydiagnosis,
treatintyg,tyandtyevaluating1treatmentstyaretynottyatyparttyoftythetynursingtyprocess.
7. Thetylegislationtyenactedtyinty1963tywastylargelytyresponsibletyfortywhichtyoftythetyfollowingtyshif
tstyintycaretyfortythetymentallytyill?
A) Thetywidespreadtyusetyoftycommunity-basedtyservices
B) Thetyadvancementtyintypharmacotherapies
C) Increasedtyaccesstytotyhospitalization
D) Improvedtyrightstyfortyclientstyintylong
-tytermtyinstitutionaltycareAns:tyA
Feedback:
ThetyCommunitytyMentaltyHealthtyCenterstyConstructiontyActtyofty1963tyaccomplishedtythetyr
eleasetyoftyindividualstyfromtylong-
termtystaystyintystatetyinstitutions,tythetydecreasetyintyadmissionstytotyhospitals,tyandtythetydevetyl
opmenttyoftycommunity-basedtyservicestyastyantyalternativetytotyhospitaltycare.
Paget y 4
MENTAL HEALTH NURSING, 9TH
EDITION BY SHEILA L. VIDEBECK
ALL CHAPTERS 1-24 LATEST
T
Chapter 1
1. The nurse is assessing1the factors contributing1to the well-
being of a newly admitted client. Which of the following would the nurse identify as
having a positive impact onthe 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-
relianceAns: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indep
endence, self-
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilienc
e or1hardiness, sense of belonging, reality orientation, and coping1or1stress management
abilities. Interpersonal factors such as intimacy and a balance of separateness and conn
ectedness are both needed for good mental health, and therefore ahealthy person would
need others for companionship. A family history of mental illnesscould relate to the bio
logic makeup of an individual, which may have a negative impacton an individual's me
ntal health, as well as a negative impact on an individual's interpersonal and socialñcult
ural factors of health. Total self-
reliance is not possible, and a positive social/cultural factor is access to adequate resour
ces.
2. Whichtyoftythetyfollowing1statementstyabouttymentaltyillnesstyaretytrue?tySelecttyalltythattyapply.
A) Mentaltyillnesstycantycausetysignificanttydistress,tyimpairedtyfunctioning,tyortyboth.
B) Mentaltyillnesstyistyonlytyduetytotysocial/culturaltyfactors.
C) Social/culturaltyfactorstythattyrelatetytotymentaltyillnesstyincludetyexcessivetydependenc
ytyontyor1withdrawaltyfromtyrelationships.
D) Individualstysufferingtyfromtymentaltyillnesstyaretyusuallytyabletytotycopetyeffectivelytywit
htydailytylife.
Paget y 1
,E) Individualstysufferingtyfromtymentaltyillnesstymaytyexperiencetydissatisfactiontywit
htyrelationshipstyandtyself.
Ans:tyA,tyD,tyE
Feedback:
Mentaltyillnesstycantycausetysignificanttydistress,tyimpairedtyfunctioning,tyortyboth.tyMentaltyill
ntyesstymaytybetyrelatedtytotyindividual,tyinterpersonal,tyortysocial/culturaltyfactors.tyExcessivety
deptyendencytyontyortywithdrawaltyfromtyrelationshipstyaretyinterpersonaltyfactorstythattyrelatety
totymetyntaltyillness.tyIndividualstysufferingtyfromtymentaltyillnesstycantyfeeltyoverwhelmedtywit
htydailytyltyife.tyIndividualstysufferingtyfromtymentaltyillnesstymaytyexperiencetydissatisfactionty
withrelatiotynshipstyandtyself.
Paget y 2
,3. Whichtyoftythetyfollowing1aretytruetyregardingtymentaltyhealthtyandtymentaltyillness?
A) Behaviortythattymaytybetyviewedtyastyacceptabletyintyonetyculture1istyalwaystyunacceptab
letyintyothertycultures.
B) Ittyistyeasytytotydeterminetyiftyatypersontyistymentallytyhealthytyortymentallytyill.
C) Intymosttycases,tymentaltyhealthtyistyatystatetyoftyemotional,typsychological,tyandtysocia
ltywellnesstyevidencedtybytysatisfyingtyinterpersonaltyrelationships,tyeffectivetybehavi
ortyandtycoping,typositivetyself-concept,tyandtyemotionaltystability.
D) Personstywhotyengagetyintyfantasiestyaretymentallytyill
.tyAns:tyC
Feedback:
Whattyonetysocietytymaytyviewtyastyacceptabletyandtyappropriatetybehavior,tyanothertysocietytym
aytysee1thattyastymaladaptive,tyandtyinappropriate.tyMentaltyhealthtyandtymentaltyillnesstyaretydif
ficulttytotydefine1precisely.tyIntymosttycases,tymentaltyhealthtyistyatystatetyoftyemotional,typsychol
ogical,tyatyndtysocialtywellnesstyevidencedtybytysatisfyingtyinterpersonaltyrelationships,tyeffecti
vetybehaviotyr1and1coping,typositivetyself-
concept,tyandtyemotionaltystability.tyPersonstywhotyengageintyfantasiestymaytybetymentallytyhea
lttyhy,tybuttythetyinabilitytytotydistinguishtyrealitytyfromtyfantasyistyantyindividualtyfactortythattyma
ytycotyntributetytotymentaltyillness.
4. Atyclienttygrievingtythetyrecenttylosstyoftyhertyhusbandtyaskstyiftyshetyistybecomingtymentallyty
illtybecausetyshetyistysotysad.tyThetynurse'stybesttyresponsetywouldtybe,
A) ìYoutymaytyhavetyatytemporarytymentaltyillnesstybecausetyyoutyaretyexperiencingtysotymu
chtypain.î
B) ìYoutyaretynottymentallytyill.tyThistyistyantyexpectedtyreactiontytotythetylosstyyoutyha
vetyexperienced.î
C) ìWeretyyoutygenerallytydissatisfiedtywithtyyourtyrelationshiptybeforetyyourtyhusband'
stydeath?î
D) ìTrytynottytotyworrytyabouttythattyrighttynow.tyYoutynevertyknowtywhattythetyfuturetybring
s.îtyAns:tyB
Feedback:
Mentaltyillnesstyincludestygeneraltydissatisfactiontywithtyself,tyineffectivetyrelationships,tyineff
etyctivetycoping,tyandtylacktyoftypersonaltygrowth.tyAdditionallytythe1behaviortymusttynottybetycu
lturtyallytyexpected.tyAcutetygrieftyreactionstyaretyexpectedtyandtythereforetynottyconsideredtyme
ntaltyilltyness.tyFalsetyreassurancetyor1overanalysistydoestynottyaccuratelytyaddresstythetyclient's
concerns.
Paget y 3
, 5. ThetynursetyconsultstythetyDSMtyfortywhichtyoftythetyfollowingtypurposes?
A) Totydevisetyatyplantyoftycaretyfortyatynewlytyadmittedtyclient
B) Totypredicttythetyclient'styprognosistyoftytreatmenttyoutcomes
C) Totydocumenttythetyappropriatetydiagnostictycodetyintythetyclient'stymedicaltyrecord
D) Totyservetyastyatyguidetyfortyclienttyassessmen
ttyAns:tyD
Feedback:
ThetyDSMtyprovidestystandardtynomenclature,typresentstydefining1characteristics,tyandtyidenti
ftyiestyunderlyingtycausestyoftymentaltydisorders.tyIttydoestynottyprovidetycaretyplanstyor1prognost
ictyotyutcomestyoftytreatment.tyDiagnosistyoftymentaltyillnesstyistynottywithintythetygeneralisttyRN
'styscoptyetyoftypractice,tysotydocumentingtythetycodetyintythetymedicaltyrecordtywouldbetyinappro
priate.
6. Whichtywouldtybetyatyreasontyfortyatystudenttynursetytotyusetythe1DSM?
A) Identifyingtythetymedicaltydiagnosis
B) Treattyclients
C) Evaluatetytreatments
D) Understandtythetyreasontyfortythetyadmissiontyandtythetynaturetyoftypsychiatrictyillnesse
s.tyAns:tyD
Feedback:
AlthoughtystudenttynursestydotynottyusetythetyDSMtytotydiagnosetyclients,tytheytywilltyfindtyittyatyh
eltypfultyresourcetytotyunderstandtythetyreasontyfortythetyadmissiontyandtytotybegintybuildingtykn
owletydgetyabouttythetynaturetyoftypsychiatrictyillnesses.tyIdentifying1thetymedicaltydiagnosis,
treatintyg,tyandtyevaluating1treatmentstyaretynottyatyparttyoftythetynursingtyprocess.
7. Thetylegislationtyenactedtyinty1963tywastylargelytyresponsibletyfortywhichtyoftythetyfollowingtyshif
tstyintycaretyfortythetymentallytyill?
A) Thetywidespreadtyusetyoftycommunity-basedtyservices
B) Thetyadvancementtyintypharmacotherapies
C) Increasedtyaccesstytotyhospitalization
D) Improvedtyrightstyfortyclientstyintylong
-tytermtyinstitutionaltycareAns:tyA
Feedback:
ThetyCommunitytyMentaltyHealthtyCenterstyConstructiontyActtyofty1963tyaccomplishedtythetyr
eleasetyoftyindividualstyfromtylong-
termtystaystyintystatetyinstitutions,tythetydecreasetyintyadmissionstytotyhospitals,tyandtythetydevetyl
opmenttyoftycommunity-basedtyservicestyastyantyalternativetytotyhospitaltycare.
Paget y 4
