lOMoAR R cPSD|
R 11700591
TEST BANK FOR R R
Psychiatric–Mental Health Nursing 9th Edition R R R R
by Sheila L. Videbeck
R R R R
All Chapters (1-24)
R R
Table Of Contents R R
UNIT 1 Current Theories and Practice
R R R R R
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
R R R R R R
Chapter 2. Neurobiologic Theories and Psychopharmacology
R R R R R R
Chapter 3. Psychosocial Theories and Therapy
R R R R R R
Chapter 4. Treatment Settings and Therapeutic
R R R R R
RPrograms UNIT 2 Building the Nurse–Client
R R R R R
RRelationship Chapter 5. Therapeutic Relationships R R R R
Chapter 6. Therapeutic Communication
R R R
Chapter 7. Client’s Response to Illness
R R R R R R
Chapter 8. Assessment
R R R
UNIT 3 Current Social and Emotional Concerns
R R R R R R
Chapter 9. Legal and Ethical Issues
R R R R R
RChapter 10. Grief and Loss
R R R R
Chapter 11. Anger, Hostility, and Aggression
R R R R R
RChapter 12. Abuse and Violence
R R R R
UNIT 4 Nursing Practice for Psychiatric Disorders
R R R R R R
Chapter 13. Trauma and Stressor-Related Disorders
R R R R R R
Chapter 14. Anxiety and Anxiety Disorders
R R R R R R
Chapter 15. Obsessive–Compulsive and Related Disorders
R R R R R
Chapter 16. Schizophrenia
R R R
Chapter 17. Mood Disorders and Suicide
R R R R R
RChapter 18. Personality Disorders
R R R
RChapter 19. AddictionR R
Chapter 20. Eating Disorders
R R R
Chapter 21. Somatic Symptom Illnesses
R R R R
RChapter 22. Neurodevelopmental Disorders
R R R
RChapter 23. Disruptive Behavior Disorders
R R R R
RChapter 24. Cognitive Disorders
R R R
, lOMoAR R cPSD|
R 11700591
Chapter 1 R
R Foundations of Psychiatric–Mental Health Nursing R R R R
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
R R R R R R R R R R R R R
Rclient. Which of the following would the nurse identify as having a positive impact on
R R R R R R R R R R R R R R
Rthe individual's mental health?
R R R
A) Not needing others for companionship
R R R R
B) The ability to effectively manage stress
R R R R R
C) A family history of mental illness
R R R R R
D) Striving for total self-reliance R R R
RAns: B R
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
R R R R R R R R
Rindependence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
R R R R R R R R R R R
Remotional resilience or hardiness, sense of belonging, reality orientation, and coping or
R R R R R R R R R R R
Rstress management abilities. Interpersonal factors such as intimacy and a balance of
R R R R R R R R R R R
Rseparateness and connectedness are both needed for good mental health, and therefore a
R R R R R R R R R R R R
, lOMoAR R cPSD|
R 11700591
healthy person would need others for companionship. A family history of mental illness
R R R R R R R R R R R R
could relate to the biologic makeup of an individual, which may have a negative impact
R R R R R R R R R R R R R R R
on an individual's mental health, as well as a negative impact on an individual's
R R R R R R R R R R R R R R
interpersonal and socialñcultural factors of health. Total self-reliance is not possible,
R R R R R R R R R R R
and a positive social/cultural factor is access to adequate resources.
R R R R R R R R R R
2. Which of the following statements about mental illness are true? Select all that apply.
R R R R R R R R R R R R R
A) Mental illness can cause significant distress, impaired functioning, or both.R R R R R R R R R
B) Mental illness is only due to social/cultural factors. R R R R R R R
C) Social/cultural factors that relate to mental illness include excessive dependency R R R R R R R R R
on or withdrawal from relationships.
R R R R R
D) Individuals suffering from mental illness are usually able to cope effectively with R R R R R R R R R R R
daily life. R R
E) Individuals suffering from mental illness may experience dissatisfaction with R R R R R R R R
relationships and self. R R R
Ans: A, D, E R R R
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
R R R R R R R R R R
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
R R R R R R R R R R R
dependency on or withdrawal from relationships are interpersonal factors that relate to
R R R R R R R R R R R R
mental illness. Individuals suffering from mental illness can feel overwhelmed with
R R R R R R R R R R R
daily life. Individuals suffering from mental illness may experience dissatisfaction with
R R R R R R R R R R R
relationships and self.
R R R
3. Which of the following are true regarding mental health and mental illness?
R R R R R R R R R R R
A) Behavior that may be viewed as acceptable in one culture is always unacceptable R R R R R R R R R R R R
in other cultures. R R R
B) It is easy to determine if a person is mentally healthy or mentally ill.
R R R R R R R R R R R R R
C) In most cases, mental health is a state of emotional, psychological, and social
R R R R R R R R R R R R
wellness evidenced by satisfying interpersonal relationships, effective behavior
R R R R R R R R
and coping, positive self-concept, and emotional stability.
R R R R R R R
D) Persons who engage in fantasies are mentally ill. R R R R R R R
Ans: C
R R
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
R R R R R R R R R R R R
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
R R R R R R R R R R R R R
to define precisely. In most cases, mental health is a state of emotional, psychological,
R R R R R R R R R R R R R R
and social wellness evidenced by satisfying interpersonal relationships, effective
R R R R R R R R R
behavior and coping, positive self-concept, and emotional stability. Persons who engage
R R R R R R R R R R R
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
R R R R R R R R R R R R R R
is an individual factor that may contribute to mental illness.
R R R R R R R R R R
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
R R R R R R R R R R R R R R R
because she is so sad. The nurse's best response would be,
R R R R R R R R R R R
A) ìYou may have a temporary mental illness because you are experiencing so much
R R R R R R R R R R R R
pain.î R
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
R R R R R R R R R R R R R R
experienced.î R
C) ìWere you generally dissatisfied with your relationship before your husband's
R R R R R R R R R
death?î R
D) ìTry not to worry about that right now. You never know what the future brings.î
R R R R R R R R R R R R R R
Ans: B
R R
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
R R R R R R R R
ineffective coping, and lack of personal growth. Additionally the behavior must not be
R R R R R R R R R R R R R
, lOMoAR R cPSD|
R 11700591
culturally expected. Acute grief reactions are expected and therefore not considered
R R R R R R R R R R
mental illness. False reassurance or overanalysis does not accurately address the client's
R R R R R R R R R R R R
concerns.
R
5. The nurse consults the DSM for which of the following purposes?
R R R R R R R R R R
A) To devise a plan of care for a newly admitted 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) To document the appropriate diagnostic code in the client's medical record
R R R R R R R R R R
D) To serve as a guide for client assessment
R R R R R R R
Ans: D
R R
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
R R R R R R R R
identifies underlying causes of mental disorders. It does not provide care plans or
R R R R R R R R R R R R R
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
R R R R R R R R R R R R
generalist RN's scope of practice, so documenting the code in the medical record would
R R R R R R R R R R R R R R
be inappropriate.
R R
6. Which would be a reason for a student nurse to use the DSM?
R R R R R R R R R R R R
A) Identifying the medical diagnosis R R R
B) Treat clients R
C) Evaluate treatments R
D) Understand the reason for the admission and the nature of psychiatric illnesses. R R R R R R R R R R R
Ans: D
R R
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
R R R R R R R R R R R R R R R
helpful resource to understand the reason for the admission and to begin building
R R R R R R R R R R R R R
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
R R R R R R R R R R R
treating, and evaluating treatments are not a part of the nursing process.
R R R R R R R R R R R R
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
R R R R R R R R R R R R R
in care for the mentally ill?
R R R R R R
A) The widespread use of community-based services
R R R R R
B) The advancement in pharmacotherapies R R R
C) Increased access to hospitalization R R R
D) Improved rights for clients in long-term institutional care R R R R R R R
Ans: A
R R
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
R R R R R R R R R R
release of individuals from long-term stays in state institutions, the decrease in
R R R R R R R R R R R R
admissions to hospitals, and the development of community-based services as an
R R R R R R R R R R R
alternative to hospital care.
R R R R
8. Which one of the following is a result of federal legislation?
R R R R R R R R R R
A) Making it easier to commit people for mental health treatment against their will.
R R R R R R R R R R R R
B) Making it more difficult to commit people for mental health treatment against
R R R R R R R R R R R
their will.R R
C) State mental institutions being the primary source of care for mentally ill persons.
R R R R R R R R R R R R
D) Improved care for mentally ill persons. R R R R R
Ans: B
R R
Feedback:
R 11700591
TEST BANK FOR R R
Psychiatric–Mental Health Nursing 9th Edition R R R R
by Sheila L. Videbeck
R R R R
All Chapters (1-24)
R R
Table Of Contents R R
UNIT 1 Current Theories and Practice
R R R R R
Chapter 1. Foundations of Psychiatric–Mental Health Nursing
R R R R R R
Chapter 2. Neurobiologic Theories and Psychopharmacology
R R R R R R
Chapter 3. Psychosocial Theories and Therapy
R R R R R R
Chapter 4. Treatment Settings and Therapeutic
R R R R R
RPrograms UNIT 2 Building the Nurse–Client
R R R R R
RRelationship Chapter 5. Therapeutic Relationships R R R R
Chapter 6. Therapeutic Communication
R R R
Chapter 7. Client’s Response to Illness
R R R R R R
Chapter 8. Assessment
R R R
UNIT 3 Current Social and Emotional Concerns
R R R R R R
Chapter 9. Legal and Ethical Issues
R R R R R
RChapter 10. Grief and Loss
R R R R
Chapter 11. Anger, Hostility, and Aggression
R R R R R
RChapter 12. Abuse and Violence
R R R R
UNIT 4 Nursing Practice for Psychiatric Disorders
R R R R R R
Chapter 13. Trauma and Stressor-Related Disorders
R R R R R R
Chapter 14. Anxiety and Anxiety Disorders
R R R R R R
Chapter 15. Obsessive–Compulsive and Related Disorders
R R R R R
Chapter 16. Schizophrenia
R R R
Chapter 17. Mood Disorders and Suicide
R R R R R
RChapter 18. Personality Disorders
R R R
RChapter 19. AddictionR R
Chapter 20. Eating Disorders
R R R
Chapter 21. Somatic Symptom Illnesses
R R R R
RChapter 22. Neurodevelopmental Disorders
R R R
RChapter 23. Disruptive Behavior Disorders
R R R R
RChapter 24. Cognitive Disorders
R R R
, lOMoAR R cPSD|
R 11700591
Chapter 1 R
R Foundations of Psychiatric–Mental Health Nursing R R R R
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
R R R R R R R R R R R R R
Rclient. Which of the following would the nurse identify as having a positive impact on
R R R R R R R R R R R R R R
Rthe individual's mental health?
R R R
A) Not needing others for companionship
R R R R
B) The ability to effectively manage stress
R R R R R
C) A family history of mental illness
R R R R R
D) Striving for total self-reliance R R R
RAns: B R
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
R R R R R R R R
Rindependence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
R R R R R R R R R R R
Remotional resilience or hardiness, sense of belonging, reality orientation, and coping or
R R R R R R R R R R R
Rstress management abilities. Interpersonal factors such as intimacy and a balance of
R R R R R R R R R R R
Rseparateness and connectedness are both needed for good mental health, and therefore a
R R R R R R R R R R R R
, lOMoAR R cPSD|
R 11700591
healthy person would need others for companionship. A family history of mental illness
R R R R R R R R R R R R
could relate to the biologic makeup of an individual, which may have a negative impact
R R R R R R R R R R R R R R R
on an individual's mental health, as well as a negative impact on an individual's
R R R R R R R R R R R R R R
interpersonal and socialñcultural factors of health. Total self-reliance is not possible,
R R R R R R R R R R R
and a positive social/cultural factor is access to adequate resources.
R R R R R R R R R R
2. Which of the following statements about mental illness are true? Select all that apply.
R R R R R R R R R R R R R
A) Mental illness can cause significant distress, impaired functioning, or both.R R R R R R R R R
B) Mental illness is only due to social/cultural factors. R R R R R R R
C) Social/cultural factors that relate to mental illness include excessive dependency R R R R R R R R R
on or withdrawal from relationships.
R R R R R
D) Individuals suffering from mental illness are usually able to cope effectively with R R R R R R R R R R R
daily life. R R
E) Individuals suffering from mental illness may experience dissatisfaction with R R R R R R R R
relationships and self. R R R
Ans: A, D, E R R R
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
R R R R R R R R R R
illness may be related to individual, interpersonal, or social/cultural factors. Excessive
R R R R R R R R R R R
dependency on or withdrawal from relationships are interpersonal factors that relate to
R R R R R R R R R R R R
mental illness. Individuals suffering from mental illness can feel overwhelmed with
R R R R R R R R R R R
daily life. Individuals suffering from mental illness may experience dissatisfaction with
R R R R R R R R R R R
relationships and self.
R R R
3. Which of the following are true regarding mental health and mental illness?
R R R R R R R R R R R
A) Behavior that may be viewed as acceptable in one culture is always unacceptable R R R R R R R R R R R R
in other cultures. R R R
B) It is easy to determine if a person is mentally healthy or mentally ill.
R R R R R R R R R R R R R
C) In most cases, mental health is a state of emotional, psychological, and social
R R R R R R R R R R R R
wellness evidenced by satisfying interpersonal relationships, effective behavior
R R R R R R R R
and coping, positive self-concept, and emotional stability.
R R R R R R R
D) Persons who engage in fantasies are mentally ill. R R R R R R R
Ans: C
R R
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
R R R R R R R R R R R R
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
R R R R R R R R R R R R R
to define precisely. In most cases, mental health is a state of emotional, psychological,
R R R R R R R R R R R R R R
and social wellness evidenced by satisfying interpersonal relationships, effective
R R R R R R R R R
behavior and coping, positive self-concept, and emotional stability. Persons who engage
R R R R R R R R R R R
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
R R R R R R R R R R R R R R
is an individual factor that may contribute to mental illness.
R R R R R R R R R R
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
R R R R R R R R R R R R R R R
because she is so sad. The nurse's best response would be,
R R R R R R R R R R R
A) ìYou may have a temporary mental illness because you are experiencing so much
R R R R R R R R R R R R
pain.î R
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
R R R R R R R R R R R R R R
experienced.î R
C) ìWere you generally dissatisfied with your relationship before your husband's
R R R R R R R R R
death?î R
D) ìTry not to worry about that right now. You never know what the future brings.î
R R R R R R R R R R R R R R
Ans: B
R R
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
R R R R R R R R
ineffective coping, and lack of personal growth. Additionally the behavior must not be
R R R R R R R R R R R R R
, lOMoAR R cPSD|
R 11700591
culturally expected. Acute grief reactions are expected and therefore not considered
R R R R R R R R R R
mental illness. False reassurance or overanalysis does not accurately address the client's
R R R R R R R R R R R R
concerns.
R
5. The nurse consults the DSM for which of the following purposes?
R R R R R R R R R R
A) To devise a plan of care for a newly admitted 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) To document the appropriate diagnostic code in the client's medical record
R R R R R R R R R R
D) To serve as a guide for client assessment
R R R R R R R
Ans: D
R R
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
R R R R R R R R
identifies underlying causes of mental disorders. It does not provide care plans or
R R R R R R R R R R R R R
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
R R R R R R R R R R R R
generalist RN's scope of practice, so documenting the code in the medical record would
R R R R R R R R R R R R R R
be inappropriate.
R R
6. Which would be a reason for a student nurse to use the DSM?
R R R R R R R R R R R R
A) Identifying the medical diagnosis R R R
B) Treat clients R
C) Evaluate treatments R
D) Understand the reason for the admission and the nature of psychiatric illnesses. R R R R R R R R R R R
Ans: D
R R
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
R R R R R R R R R R R R R R R
helpful resource to understand the reason for the admission and to begin building
R R R R R R R R R R R R R
knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
R R R R R R R R R R R
treating, and evaluating treatments are not a part of the nursing process.
R R R R R R R R R R R R
7. The legislation enacted in 1963 was largely responsible for which of the following shifts
R R R R R R R R R R R R R
in care for the mentally ill?
R R R R R R
A) The widespread use of community-based services
R R R R R
B) The advancement in pharmacotherapies R R R
C) Increased access to hospitalization R R R
D) Improved rights for clients in long-term institutional care R R R R R R R
Ans: A
R R
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
R R R R R R R R R R
release of individuals from long-term stays in state institutions, the decrease in
R R R R R R R R R R R R
admissions to hospitals, and the development of community-based services as an
R R R R R R R R R R R
alternative to hospital care.
R R R R
8. Which one of the following is a result of federal legislation?
R R R R R R R R R R
A) Making it easier to commit people for mental health treatment against their will.
R R R R R R R R R R R R
B) Making it more difficult to commit people for mental health treatment against
R R R R R R R R R R R
their will.R R
C) State mental institutions being the primary source of care for mentally ill persons.
R R R R R R R R R R R R
D) Improved care for mentally ill persons. R R R R R
Ans: B
R R
Feedback:
