Psychiatric-Mental Health Nursing 8th edition
p p p p
by Videbeck Test Bank
p p p
, Psychiatric-MentalpHealthpNursingp8thpeditionpbypVidebeckpTestpBank
Chapterp1
1. Thepnursepispassessingpthepfactorspcontributingptopthepwell-
beingpofpapnewlypadmittedpclient.pWhichpofpthepfollowingpwouldpthepnursepidentifypaspha
vingpappositivepimpactponpthepindividual'spmentalphealth?
A) Notpneedingpotherspforpcompanionship
B) Thepabilityptopeffectivelypmanagepstress
C) Apfamilyphistorypofpmentalpillness
D) Strivingpforptotalpself-
reliancepAns:p B
Feedback:
Individualpfactorspinfluencingpmentalphealthpincludepbiologicpmakeup,pautonomy,pindepe
ndence,pself-
esteem,pcapacitypforpgrowth,pvitality,pabilityptopfindpmeaningpinplife,pemotionalpresiliencep
orphardiness,psensepofpbelonging,prealityporientation,pandpcopingporpstresspmanagementpab
ilities.pInterpersonalpfactorspsuchpaspintimacypandpapbalancepofpseparatenesspandpconnecte
dnessparepbothpneededpforpgoodpmentalphealth,pandpthereforepaphealthyppersonpwouldpneedp
otherspforpcompanionship.pApfamilyphistorypofpmentalpillnesspcouldprelateptopthepbiologicp
makeuppofpanpindividual,pwhichpmayphavepapnegativepimpactponpanpindividual'spmentalphe
alth,paspwellpaspapnegativepimpactponpanpindividual'spinterpersonalpandpsocialñculturalpfact
orspofphealth.pTotalpself-
reliancepispnotppossible,pandpappositivepsocial/culturalpfactorpispaccessptopadequatepresourc
es.
2. Whichpofpthepfollowingpstatementspaboutpmentalpillnesspareptrue?pSelectpallpthatpapply.
A) Mentalpillnesspcanpcausepsignificantpdistress,pimpairedpfunctioning,porpboth.
B) Mentalpillnesspisponlypdueptopsocial/culturalpfactors.
C) Social/culturalpfactorspthatprelateptopmentalpillnesspincludepexcessivepdependencyp
onporpwithdrawalpfromprelationships.
D) Individualspsufferingpfrompmentalpillnessparepusuallypableptopcopepeffectivelypwithpd
ailyplife.
E) Individualspsufferingpfrompmentalpillnesspmaypexperiencepdissatisfactionpwithpr
elationshipspandpself.
Ans:pA,pD,pE
Feedback:
Mentalpillnesspcanpcausepsignificantpdistress,pimpairedpfunctioning,porpboth.pMentalpillnes
spmaypbeprelatedptopindividual,pinterpersonal,porpsocial/culturalpfactors.pExcessivepdepend
encyponporpwithdrawalpfromprelationshipsparepinterpersonalpfactorspthatprelateptopmentalpil
lness.pIndividualspsufferingpfrompmentalpillnesspcanpfeelpoverwhelmedpwithpdailyplife.pIn
dividualspsufferingpfrompmentalpillnesspmaypexperiencepdissatisfactionpwithprelationshipsp
andpself.
VE Pagep1
, 3. Whichpofpthepfollowingpareptruepregardingpmentalphealthpandpmentalpillness?
A) Behaviorpthatpmaypbepviewedpaspacceptablepinponepculturepispalwayspunacceptablepi
npotherpcultures.
B) Itpispeasyptopdeterminepifpappersonpispmentallyphealthyporpmentallypill.
C) Inpmostpcases,pmentalphealthpispapstatepofpemotional,ppsychological,pandpsocialpw
ellnesspevidencedpbypsatisfyingpinterpersonalprelationships,peffectivepbehaviorpan
dpcoping,ppositivepself-concept,pandpemotionalpstability.
D) Personspwhopengagepinpfantasiesparepmentallypill.p
Ans:pC
Feedback:
Whatponepsocietypmaypviewpaspacceptablepandpappropriatepbehavior,panotherpsocietypmayps
eepthatpaspmaladaptive,pandpinappropriate.pMentalphealthpandpmentalpillnessparepdifficultptop
definepprecisely.pInpmostpcases,pmentalphealthpispapstatepofpemotional,ppsychological,pandps
ocialpwellnesspevidencedpbypsatisfyingpinterpersonalprelationships,peffectivepbehaviorpandp
coping,ppositivepself-
concept,pandpemotionalpstability.pPersonspwhopengagepinpfantasiespmaypbepmentallyphealth
y,pbutpthepinabilityptopdistinguishprealitypfrompfantasypispanpindividualpfactorpthatpmaypcontr
ibuteptopmentalpillness.
4. Apclientpgrievingptheprecentplosspofpherphusbandpaskspifpshepispbecomingpmentallypillpb
ecausepshepispsopsad.pThepnurse'spbestpresponsepwouldpbe,
A) ìYoupmayphavepaptemporarypmentalpillnesspbecausepyouparepexperiencingpsopmuchpp
ain.î
B) ìYouparepnotpmentallypill.pThispispanpexpectedpreactionptoptheplosspyouphavepe
xperienced.î
C) ìWerepyoupgenerallypdissatisfiedpwithpyourprelationshippbeforepyourphusband'sp
death?î
D) ìTrypnotptopworrypaboutpthatprightpnow.pYoupneverpknowpwhatpthepfuturepbrings.îp
Ans:pB
Feedback:
Mentalpillnesspincludespgeneralpdissatisfactionpwithpself,pineffectiveprelationships,pineffec
tivepcoping,pandplackpofppersonalpgrowth.pAdditionallypthepbehaviorpmustpnotpbepculturall
ypexpected.pAcutepgriefpreactionsparepexpectedpandpthereforepnotpconsideredpmentalpillnes
s.pFalsepreassuranceporpoveranalysispdoespnotpaccuratelypaddresspthepclient'spconcerns.
VE Pagep2
, 5. ThepnursepconsultspthepDSMpforpwhichpofpthepfollowingppurposes?
A) Topdevisepapplanpofpcarepforpapnewlypadmittedpclient
B) Toppredictpthepclient'spprognosispofptreatmentpoutcomes
C) Topdocumentpthepappropriatepdiagnosticpcodepinpthepclient'spmedicalprecord
D) Topservepaspapguidepforpclientpassessmentp
Ans:pD
Feedback:
ThepDSMpprovidespstandardpnomenclature,ppresentspdefiningpcharacteristics,pandpidentifi
espunderlyingpcausespofpmentalpdisorders.pItpdoespnotpprovidepcarepplansporpprognosticpout
comespofptreatment.pDiagnosispofpmentalpillnesspispnotpwithinpthepgeneralistpRN'spscopepo
fppractice,psopdocumentingpthepcodepinpthepmedicalprecordpwouldpbepinappropriate.
6. WhichpwouldpbepapreasonpforpapstudentpnurseptopusepthepDSM?
A) Identifyingpthepmedicalpdiagnosis
B) Treatpclients
C) Evaluateptreatments
D) Understandpthepreasonpforpthepadmissionpandpthepnaturepofppsychiatricpillnesses.p
Ans:pD
Feedback:
AlthoughpstudentpnursespdopnotpusepthepDSMptopdiagnosepclients,ptheypwillpfindpitpaphelp
fulpresourceptopunderstandpthepreasonpforpthepadmissionpandptopbeginpbuildingpknowledg
epaboutpthepnaturepofppsychiatricpillnesses.pIdentifyingpthepmedicalpdiagnosis,ptreating,pa
ndpevaluatingptreatmentsparepnotpappartpofpthepnursingpprocess.
7. Theplegislationpenactedpinp1963pwasplargelypresponsiblepforpwhichpofpthepfollowingpshiftspi
npcarepforpthepmentallypill?
A) Thepwidespreadpusepofpcommunity-basedpservices
B) Thepadvancementpinppharmacotherapies
C) Increasedpaccessptophospitalization
D) Improvedprightspforpclientspinplong-
termpinstitutionalpcarepAns:pA
Feedback:
ThepCommunitypMentalpHealthpCenterspConstructionpActpofp1963paccomplishedpthepr
eleasepofpindividualspfromplong-
termpstayspinpstatepinstitutions,pthepdecreasepinpadmissionsptophospitals,pandpthepdevel
opmentpofpcommunity-basedpservicespaspanpalternativeptophospitalpcare.
VE Pagep3
p p p p
by Videbeck Test Bank
p p p
, Psychiatric-MentalpHealthpNursingp8thpeditionpbypVidebeckpTestpBank
Chapterp1
1. Thepnursepispassessingpthepfactorspcontributingptopthepwell-
beingpofpapnewlypadmittedpclient.pWhichpofpthepfollowingpwouldpthepnursepidentifypaspha
vingpappositivepimpactponpthepindividual'spmentalphealth?
A) Notpneedingpotherspforpcompanionship
B) Thepabilityptopeffectivelypmanagepstress
C) Apfamilyphistorypofpmentalpillness
D) Strivingpforptotalpself-
reliancepAns:p B
Feedback:
Individualpfactorspinfluencingpmentalphealthpincludepbiologicpmakeup,pautonomy,pindepe
ndence,pself-
esteem,pcapacitypforpgrowth,pvitality,pabilityptopfindpmeaningpinplife,pemotionalpresiliencep
orphardiness,psensepofpbelonging,prealityporientation,pandpcopingporpstresspmanagementpab
ilities.pInterpersonalpfactorspsuchpaspintimacypandpapbalancepofpseparatenesspandpconnecte
dnessparepbothpneededpforpgoodpmentalphealth,pandpthereforepaphealthyppersonpwouldpneedp
otherspforpcompanionship.pApfamilyphistorypofpmentalpillnesspcouldprelateptopthepbiologicp
makeuppofpanpindividual,pwhichpmayphavepapnegativepimpactponpanpindividual'spmentalphe
alth,paspwellpaspapnegativepimpactponpanpindividual'spinterpersonalpandpsocialñculturalpfact
orspofphealth.pTotalpself-
reliancepispnotppossible,pandpappositivepsocial/culturalpfactorpispaccessptopadequatepresourc
es.
2. Whichpofpthepfollowingpstatementspaboutpmentalpillnesspareptrue?pSelectpallpthatpapply.
A) Mentalpillnesspcanpcausepsignificantpdistress,pimpairedpfunctioning,porpboth.
B) Mentalpillnesspisponlypdueptopsocial/culturalpfactors.
C) Social/culturalpfactorspthatprelateptopmentalpillnesspincludepexcessivepdependencyp
onporpwithdrawalpfromprelationships.
D) Individualspsufferingpfrompmentalpillnessparepusuallypableptopcopepeffectivelypwithpd
ailyplife.
E) Individualspsufferingpfrompmentalpillnesspmaypexperiencepdissatisfactionpwithpr
elationshipspandpself.
Ans:pA,pD,pE
Feedback:
Mentalpillnesspcanpcausepsignificantpdistress,pimpairedpfunctioning,porpboth.pMentalpillnes
spmaypbeprelatedptopindividual,pinterpersonal,porpsocial/culturalpfactors.pExcessivepdepend
encyponporpwithdrawalpfromprelationshipsparepinterpersonalpfactorspthatprelateptopmentalpil
lness.pIndividualspsufferingpfrompmentalpillnesspcanpfeelpoverwhelmedpwithpdailyplife.pIn
dividualspsufferingpfrompmentalpillnesspmaypexperiencepdissatisfactionpwithprelationshipsp
andpself.
VE Pagep1
, 3. Whichpofpthepfollowingpareptruepregardingpmentalphealthpandpmentalpillness?
A) Behaviorpthatpmaypbepviewedpaspacceptablepinponepculturepispalwayspunacceptablepi
npotherpcultures.
B) Itpispeasyptopdeterminepifpappersonpispmentallyphealthyporpmentallypill.
C) Inpmostpcases,pmentalphealthpispapstatepofpemotional,ppsychological,pandpsocialpw
ellnesspevidencedpbypsatisfyingpinterpersonalprelationships,peffectivepbehaviorpan
dpcoping,ppositivepself-concept,pandpemotionalpstability.
D) Personspwhopengagepinpfantasiesparepmentallypill.p
Ans:pC
Feedback:
Whatponepsocietypmaypviewpaspacceptablepandpappropriatepbehavior,panotherpsocietypmayps
eepthatpaspmaladaptive,pandpinappropriate.pMentalphealthpandpmentalpillnessparepdifficultptop
definepprecisely.pInpmostpcases,pmentalphealthpispapstatepofpemotional,ppsychological,pandps
ocialpwellnesspevidencedpbypsatisfyingpinterpersonalprelationships,peffectivepbehaviorpandp
coping,ppositivepself-
concept,pandpemotionalpstability.pPersonspwhopengagepinpfantasiespmaypbepmentallyphealth
y,pbutpthepinabilityptopdistinguishprealitypfrompfantasypispanpindividualpfactorpthatpmaypcontr
ibuteptopmentalpillness.
4. Apclientpgrievingptheprecentplosspofpherphusbandpaskspifpshepispbecomingpmentallypillpb
ecausepshepispsopsad.pThepnurse'spbestpresponsepwouldpbe,
A) ìYoupmayphavepaptemporarypmentalpillnesspbecausepyouparepexperiencingpsopmuchpp
ain.î
B) ìYouparepnotpmentallypill.pThispispanpexpectedpreactionptoptheplosspyouphavepe
xperienced.î
C) ìWerepyoupgenerallypdissatisfiedpwithpyourprelationshippbeforepyourphusband'sp
death?î
D) ìTrypnotptopworrypaboutpthatprightpnow.pYoupneverpknowpwhatpthepfuturepbrings.îp
Ans:pB
Feedback:
Mentalpillnesspincludespgeneralpdissatisfactionpwithpself,pineffectiveprelationships,pineffec
tivepcoping,pandplackpofppersonalpgrowth.pAdditionallypthepbehaviorpmustpnotpbepculturall
ypexpected.pAcutepgriefpreactionsparepexpectedpandpthereforepnotpconsideredpmentalpillnes
s.pFalsepreassuranceporpoveranalysispdoespnotpaccuratelypaddresspthepclient'spconcerns.
VE Pagep2
, 5. ThepnursepconsultspthepDSMpforpwhichpofpthepfollowingppurposes?
A) Topdevisepapplanpofpcarepforpapnewlypadmittedpclient
B) Toppredictpthepclient'spprognosispofptreatmentpoutcomes
C) Topdocumentpthepappropriatepdiagnosticpcodepinpthepclient'spmedicalprecord
D) Topservepaspapguidepforpclientpassessmentp
Ans:pD
Feedback:
ThepDSMpprovidespstandardpnomenclature,ppresentspdefiningpcharacteristics,pandpidentifi
espunderlyingpcausespofpmentalpdisorders.pItpdoespnotpprovidepcarepplansporpprognosticpout
comespofptreatment.pDiagnosispofpmentalpillnesspispnotpwithinpthepgeneralistpRN'spscopepo
fppractice,psopdocumentingpthepcodepinpthepmedicalprecordpwouldpbepinappropriate.
6. WhichpwouldpbepapreasonpforpapstudentpnurseptopusepthepDSM?
A) Identifyingpthepmedicalpdiagnosis
B) Treatpclients
C) Evaluateptreatments
D) Understandpthepreasonpforpthepadmissionpandpthepnaturepofppsychiatricpillnesses.p
Ans:pD
Feedback:
AlthoughpstudentpnursespdopnotpusepthepDSMptopdiagnosepclients,ptheypwillpfindpitpaphelp
fulpresourceptopunderstandpthepreasonpforpthepadmissionpandptopbeginpbuildingpknowledg
epaboutpthepnaturepofppsychiatricpillnesses.pIdentifyingpthepmedicalpdiagnosis,ptreating,pa
ndpevaluatingptreatmentsparepnotpappartpofpthepnursingpprocess.
7. Theplegislationpenactedpinp1963pwasplargelypresponsiblepforpwhichpofpthepfollowingpshiftspi
npcarepforpthepmentallypill?
A) Thepwidespreadpusepofpcommunity-basedpservices
B) Thepadvancementpinppharmacotherapies
C) Increasedpaccessptophospitalization
D) Improvedprightspforpclientspinplong-
termpinstitutionalpcarepAns:pA
Feedback:
ThepCommunitypMentalpHealthpCenterspConstructionpActpofp1963paccomplishedpthepr
eleasepofpindividualspfromplong-
termpstayspinpstatepinstitutions,pthepdecreasepinpadmissionsptophospitals,pandpthepdevel
opmentpofpcommunity-basedpservicespaspanpalternativeptophospitalpcare.
VE Pagep3
