Psychiatric-MentalvHealthvNursingv8thveditionvbyvVidebeckvTestvBank
Chapterv1
1. Thevnursevisvassessingvthevfactorsvcontributingvtovthevwell-
beingvofvavnewlyvadmittedvclient.vWhichvofvthevfollowingvwouldvthevnursevidentifyvas
vhavingvavpositivevimpactvonvthevindividual'svmentalvhealth?
A) Notvneedingvothersvforvcompanionship
B) Thevabilityvtoveffectivelyvmanagevstress
C) Avfamilyvhistoryvofvmentalvillness
D) Strivingvforvtotalvself-
reliancevAns:v B
Feedback:
Individualvfactorsvinfluencingvmentalvhealthvincludevbiologicvmakeup,vautonomy,vinde
pendence,vself-
esteem,vcapacityvforvgrowth,vvitality,vabilityvtovfindvmeaningvinvlife,vemotionalvresilien
cevorvhardiness,vsensevofvbelonging,vrealityvorientation,vandvcopingvorvstressvmanageme
ntvabilities.vInterpersonalvfactorsvsuchvasvintimacyvandvavbalancevofvseparatenessvandvc
onnectednessvarevbothvneededvforvgoodvmentalvhealth,vandvthereforevavhealthyvpersonv
wouldvneedvothersvforvcompanionship.vAvfamilyvhistoryvofvmentalvillnessvcouldvrelatevt
ovthevbiologicvmakeupvofvanvindividual,vwhichvmayvhavevavnegativevimpactvonvanvindiv
idual'svmentalvhealth,vasvwellvasvavnegativevimpactvonvanvindividual'svinterpersonalvand
vsocialñculturalvfactorsvofvhealth.vTotalvself-
reliancevisvnotvpossible,vandvavpositivevsocial/culturalvfactorvisvaccessvtovadequatevresou
rces.
2. Whichvofvthevfollowingvstatementsvaboutvmentalvillnessvarevtrue?vSelectvallvthatvapply.
A) Mentalvillnessvcanvcausevsignificantvdistress,vimpairedvfunctioning,vorvboth.
B) Mentalvillnessvisvonlyvduevtovsocial/culturalvfactors.
C) Social/culturalvfactorsvthatvrelatevtovmentalvillnessvincludevexcessivevdependenc
yvonvorvwithdrawalvfromvrelationships.
D) Individualsvsufferingvfromvmentalvillnessvarevusuallyvablevtovcopeveffectivelyvwit
hvdailyvlife.
E) Individualsvsufferingvfromvmentalvillnessvmayvexperiencevdissatisfactionvwit
hvrelationshipsvandvself.
Ans:v A,vD,vE
Feedback:
Mentalvillnessvcanvcausevsignificantvdistress,vimpairedvfunctioning,vorvboth.vMentalvilln
essvmayvbevrelatedvtovindividual,vinterpersonal,vorvsocial/culturalvfactors.vExcessivevdep
endencyvonvorvwithdrawalvfromvrelationshipsvarevinterpersonalvfactorsvthatvrelatevtovme
ntalvillness.vIndividualsvsufferingvfromvmentalvillnessvcanvfeelvoverwhelmedvwithvdailyv
life.vIndividualsvsufferingvfromvmentalvillnessvmayvexperiencevdissatisfactionvwithvrelati
onshipsvandvself.
Pagev1
,3. Whichvofvthevfollowingvarevtruevregardingvmentalvhealthvandvmentalvillness?
A) Behaviorvthatvmayvbevviewedvasvacceptablevinvonevculturevisvalwaysvunacceptabl
evinvothervcultures.
B) Itvisveasyvtovdeterminevifvavpersonvisvmentallyvhealthyvorvmentallyvill.
C) Invmostvcases,vmentalvhealthvisvavstatevofvemotional,vpsychological,vandvsocialv
wellnessvevidencedvbyvsatisfyingvinterpersonalvrelationships,veffectivevbehavio
rvandvcoping,vpositivevself-concept,vandvemotionalvstability.
D) Personsvwhovengagevinvfantasiesvarevmentallyvill
.vAns:v C
Feedback:
Whatvonevsocietyvmayvviewvasvacceptablevandvappropriatevbehavior,vanothervsocietyvma
yvseevthatvasvmaladaptive,vandvinappropriate.vMentalvhealthvandvmentalvillnessvarevdiffic
ultvtovdefinevprecisely.vInvmostvcases,vmentalvhealthvisvavstatevofvemotional,vpsychologic
al,vandvsocialvwellnessvevidencedvbyvsatisfyingvinterpersonalvrelationships,veffectivevbeh
aviorvandvcoping,vpositivevself-
concept,vandvemotionalvstability.vPersonsvwhovengagevinvfantasiesvmayvbevmentallyvheal
thy,vbutvthevinabilityvtovdistinguishvrealityvfromvfantasyvisvanvindividualvfactorvthatvmayv
contributevtovmentalvillness.
4. Avclientvgrievingvthevrecentvlossvofvhervhusbandvasksvifvshevisvbecomingvmentallyvi
llvbecausevshevisvsovsad.vThevnurse'svbestvresponsevwouldvbe,
A) ìYouvmayvhavevavtemporaryvmentalvillnessvbecausevyouvarevexperiencingvsovmuc
hvpain.î
B) ìYouvarevnotvmentallyvill.vThisvisvanvexpectedvreactionvtovthevlossvyouvhav
evexperienced.î
C) ìWerevyouvgenerallyvdissatisfiedvwithvyourvrelationshipvbeforevyourvhusband'
svdeath?î
D) ìTryvnotvtovworryvaboutvthatvrightvnow.vYouvnevervknowvwhatvthevfuturevbrings
.îvAns:v B
Feedback:
Mentalvillnessvincludesvgeneralvdissatisfactionvwithvself,vineffectivevrelationships,vineff
ectivevcoping,vandvlackvofvpersonalvgrowth.vAdditionallyvthevbehaviorvmustvnotvbevcult
urallyvexpected.vAcutevgriefvreactionsvarevexpectedvandvthereforevnotvconsideredvmenta
lvillness.vFalsevreassurancevorvoveranalysisvdoesvnotvaccuratelyvaddressvthevclient'svconc
erns.
Pagev2
,5. ThevnursevconsultsvthevDSMvforvwhichvofvthevfollowingvpurposes?
A) Tovdevisevavplanvofvcarevforvavnewlyvadmittedvclient
B) Tovpredictvthevclient'svprognosisvofvtreatmentvoutcomes
C) Tovdocumentvthevappropriatevdiagnosticvcodevinvthevclient'svmedicalvrecord
D) Tovservevasvavguidevforvclientvassessmen
tvAns:v D
Feedback:
ThevDSMvprovidesvstandardvnomenclature,vpresentsvdefiningvcharacteristics,vandvidenti
fiesvunderlyingvcausesvofvmentalvdisorders.vItvdoesvnotvprovidevcarevplansvorvprognosti
cvoutcomesvofvtreatment.vDiagnosisvofvmentalvillnessvisvnotvwithinvthevgeneralistvRN'sv
scopevofvpractice,vsovdocumentingvthevcodevinvthevmedicalvrecordvwouldvbevinappropria
te.
6. WhichvwouldvbevavreasonvforvavstudentvnursevtovusevthevDSM?
A) Identifyingvthevmedicalvdiagnosis
B) Treatvclients
C) Evaluatevtreatments
D) Understandvthevreasonvforvthevadmissionvandvthevnaturevofvpsychiatricvillnesse
s.vAns:v D
Feedback:
AlthoughvstudentvnursesvdovnotvusevthevDSMvtovdiagnosevclients,vtheyvwillvfindvitvavhel
pfulvresourcevtovunderstandvthevreasonvforvthevadmissionvandvtovbeginvbuildingvknowle
dgevaboutvthevnaturevofvpsychiatricvillnesses.vIdentifyingvthevmedicalvdiagnosis,vtreating
,vandvevaluatingvtreatmentsvarevnotvavpartvofvthevnursingvprocess.
7. Thevlegislationvenactedvinv1963vwasvlargelyvresponsiblevforvwhichvofvthevfollowingvshift
svinvcarevforvthevmentallyvill?
A) Thevwidespreadvusevofvcommunity-basedvservices
B) Thevadvancementvinvpharmacotherapies
C) Increasedvaccessvtovhospitalization
D) Improvedvrightsvforvclientsvinvlong-
termvinstitutionalvcarevAns:v A
Feedback:
ThevCommunityvMentalvHealthvCentersvConstructionvActvofv1963vaccomplishedvthevrel
easevofvindividualsvfromvlong-
termvstaysvinvstatevinstitutions,vthevdecreasevinvadmissionsvtovhospitals,vandvthevdevelo
pmentvofvcommunity-basedvservicesvasvanvalternativevtovhospitalvcare.
Pagev3
, 8. Whichvonevofvthevfollowingvisvavresultvofvfederalvlegislation?
A) Makingvitveasiervtovcommitvpeoplevforvmentalvhealthvtreatmentvagainstvtheirvwill.
B) Makingvitvmorevdifficultvtovcommitvpeoplevforvmentalvhealthvtreatmentvagains
tvtheirvwill.
C) Statevmentalvinstitutionsvbeingvthevprimaryvsourcevofvcarevforvmentallyvillvpersons.
D) Improvedvcarevforvmentallyvillvpersons
.vAns:v B
Feedback:
Commitmentvlawsvchangedvinvthevearlyv1970s,vmakingvitvmorevdifficultvtovcommitv
peoplevforvmentalvhealthvtreatmentvagainstvtheirvwill.vDeinstitutionalizationvaccomp
lishedvthevreleasevofvindividualsvfromvlong-
termvstaysvinvstatevinstitutions.vDeinstitutionalizationvalsovhadvnegativeveffectsvinvth
atvsomevmentallyvillvpersonsvarevsubjectedvtovthevrevolvingvdoorveffect,vwhichvmayv
limitvcarevforvmentallyvillvpersons.
9. Thevgoalvofvthev1963vCommunityvMentalvHealthvCentersvActvwasvto
A) ensurevpatients'vrightsvforvthevmentallyvill.
B) deinstitutionalizevstatevhospitals.
C) providevfundsvtovbuildvhospitalsvwithvpsychiatricvunits.
D) treatvpeoplevwithvmentalvillnessvinvavhumanevfashion
.vAns:v B
Feedback:
Thev1963vCommunityvMentalvHealthvCentersvActvintimatedvthevmovementvtowardvtrea
tingvthosevwithvmentalvillnessvinvavlessvrestrictivevenvironment.vThisvlegislationvresulte
dvinvthevshiftvofvclientsvwithvmentalvillnessvfromvlargevstatevinstitutionsvtovcarevbasedvin
vthevcommunity.vAnswervchoicesvA,vC,vandvDvwerevnotvpurposesvofvthev1963vCommun
ityvMentalvHealthvCentersvAct.
10. Thevcreationvofvasylumsvduringvthev1800svwasvmeantvto
A) improvevtreatmentvofvmentalvdisorders.
B) providevfoodvandvsheltervforvthevmentallyvill.
C) punishvpeoplevwithvmentalvillnessvwhovwerevbelievedvtovbevpossessed.
D) removevdangerousvpeoplevwithvmentalvillnessvfromvthevcommunity
.vAns:v B
Feedback:
Thevasylumvwasvmeantvtovbevavsafevhavenvwithvfood,vshelter,vandvhumanevtreatmentvfor
vthevmentallyvill.vAsylumsvwerevnotvusedvtovimprovevtreatmentvofvmentalvdisordersvorvt
ovpunishvmentallyvillvpeoplevwhovwerevbelievedvtovbevpossessed.vThevasylumvwasvnotv
createdvtovremovevthevdangerouslyvmentallyvillvfromvthevcommunity.
Pagev4
Chapterv1
1. Thevnursevisvassessingvthevfactorsvcontributingvtovthevwell-
beingvofvavnewlyvadmittedvclient.vWhichvofvthevfollowingvwouldvthevnursevidentifyvas
vhavingvavpositivevimpactvonvthevindividual'svmentalvhealth?
A) Notvneedingvothersvforvcompanionship
B) Thevabilityvtoveffectivelyvmanagevstress
C) Avfamilyvhistoryvofvmentalvillness
D) Strivingvforvtotalvself-
reliancevAns:v B
Feedback:
Individualvfactorsvinfluencingvmentalvhealthvincludevbiologicvmakeup,vautonomy,vinde
pendence,vself-
esteem,vcapacityvforvgrowth,vvitality,vabilityvtovfindvmeaningvinvlife,vemotionalvresilien
cevorvhardiness,vsensevofvbelonging,vrealityvorientation,vandvcopingvorvstressvmanageme
ntvabilities.vInterpersonalvfactorsvsuchvasvintimacyvandvavbalancevofvseparatenessvandvc
onnectednessvarevbothvneededvforvgoodvmentalvhealth,vandvthereforevavhealthyvpersonv
wouldvneedvothersvforvcompanionship.vAvfamilyvhistoryvofvmentalvillnessvcouldvrelatevt
ovthevbiologicvmakeupvofvanvindividual,vwhichvmayvhavevavnegativevimpactvonvanvindiv
idual'svmentalvhealth,vasvwellvasvavnegativevimpactvonvanvindividual'svinterpersonalvand
vsocialñculturalvfactorsvofvhealth.vTotalvself-
reliancevisvnotvpossible,vandvavpositivevsocial/culturalvfactorvisvaccessvtovadequatevresou
rces.
2. Whichvofvthevfollowingvstatementsvaboutvmentalvillnessvarevtrue?vSelectvallvthatvapply.
A) Mentalvillnessvcanvcausevsignificantvdistress,vimpairedvfunctioning,vorvboth.
B) Mentalvillnessvisvonlyvduevtovsocial/culturalvfactors.
C) Social/culturalvfactorsvthatvrelatevtovmentalvillnessvincludevexcessivevdependenc
yvonvorvwithdrawalvfromvrelationships.
D) Individualsvsufferingvfromvmentalvillnessvarevusuallyvablevtovcopeveffectivelyvwit
hvdailyvlife.
E) Individualsvsufferingvfromvmentalvillnessvmayvexperiencevdissatisfactionvwit
hvrelationshipsvandvself.
Ans:v A,vD,vE
Feedback:
Mentalvillnessvcanvcausevsignificantvdistress,vimpairedvfunctioning,vorvboth.vMentalvilln
essvmayvbevrelatedvtovindividual,vinterpersonal,vorvsocial/culturalvfactors.vExcessivevdep
endencyvonvorvwithdrawalvfromvrelationshipsvarevinterpersonalvfactorsvthatvrelatevtovme
ntalvillness.vIndividualsvsufferingvfromvmentalvillnessvcanvfeelvoverwhelmedvwithvdailyv
life.vIndividualsvsufferingvfromvmentalvillnessvmayvexperiencevdissatisfactionvwithvrelati
onshipsvandvself.
Pagev1
,3. Whichvofvthevfollowingvarevtruevregardingvmentalvhealthvandvmentalvillness?
A) Behaviorvthatvmayvbevviewedvasvacceptablevinvonevculturevisvalwaysvunacceptabl
evinvothervcultures.
B) Itvisveasyvtovdeterminevifvavpersonvisvmentallyvhealthyvorvmentallyvill.
C) Invmostvcases,vmentalvhealthvisvavstatevofvemotional,vpsychological,vandvsocialv
wellnessvevidencedvbyvsatisfyingvinterpersonalvrelationships,veffectivevbehavio
rvandvcoping,vpositivevself-concept,vandvemotionalvstability.
D) Personsvwhovengagevinvfantasiesvarevmentallyvill
.vAns:v C
Feedback:
Whatvonevsocietyvmayvviewvasvacceptablevandvappropriatevbehavior,vanothervsocietyvma
yvseevthatvasvmaladaptive,vandvinappropriate.vMentalvhealthvandvmentalvillnessvarevdiffic
ultvtovdefinevprecisely.vInvmostvcases,vmentalvhealthvisvavstatevofvemotional,vpsychologic
al,vandvsocialvwellnessvevidencedvbyvsatisfyingvinterpersonalvrelationships,veffectivevbeh
aviorvandvcoping,vpositivevself-
concept,vandvemotionalvstability.vPersonsvwhovengagevinvfantasiesvmayvbevmentallyvheal
thy,vbutvthevinabilityvtovdistinguishvrealityvfromvfantasyvisvanvindividualvfactorvthatvmayv
contributevtovmentalvillness.
4. Avclientvgrievingvthevrecentvlossvofvhervhusbandvasksvifvshevisvbecomingvmentallyvi
llvbecausevshevisvsovsad.vThevnurse'svbestvresponsevwouldvbe,
A) ìYouvmayvhavevavtemporaryvmentalvillnessvbecausevyouvarevexperiencingvsovmuc
hvpain.î
B) ìYouvarevnotvmentallyvill.vThisvisvanvexpectedvreactionvtovthevlossvyouvhav
evexperienced.î
C) ìWerevyouvgenerallyvdissatisfiedvwithvyourvrelationshipvbeforevyourvhusband'
svdeath?î
D) ìTryvnotvtovworryvaboutvthatvrightvnow.vYouvnevervknowvwhatvthevfuturevbrings
.îvAns:v B
Feedback:
Mentalvillnessvincludesvgeneralvdissatisfactionvwithvself,vineffectivevrelationships,vineff
ectivevcoping,vandvlackvofvpersonalvgrowth.vAdditionallyvthevbehaviorvmustvnotvbevcult
urallyvexpected.vAcutevgriefvreactionsvarevexpectedvandvthereforevnotvconsideredvmenta
lvillness.vFalsevreassurancevorvoveranalysisvdoesvnotvaccuratelyvaddressvthevclient'svconc
erns.
Pagev2
,5. ThevnursevconsultsvthevDSMvforvwhichvofvthevfollowingvpurposes?
A) Tovdevisevavplanvofvcarevforvavnewlyvadmittedvclient
B) Tovpredictvthevclient'svprognosisvofvtreatmentvoutcomes
C) Tovdocumentvthevappropriatevdiagnosticvcodevinvthevclient'svmedicalvrecord
D) Tovservevasvavguidevforvclientvassessmen
tvAns:v D
Feedback:
ThevDSMvprovidesvstandardvnomenclature,vpresentsvdefiningvcharacteristics,vandvidenti
fiesvunderlyingvcausesvofvmentalvdisorders.vItvdoesvnotvprovidevcarevplansvorvprognosti
cvoutcomesvofvtreatment.vDiagnosisvofvmentalvillnessvisvnotvwithinvthevgeneralistvRN'sv
scopevofvpractice,vsovdocumentingvthevcodevinvthevmedicalvrecordvwouldvbevinappropria
te.
6. WhichvwouldvbevavreasonvforvavstudentvnursevtovusevthevDSM?
A) Identifyingvthevmedicalvdiagnosis
B) Treatvclients
C) Evaluatevtreatments
D) Understandvthevreasonvforvthevadmissionvandvthevnaturevofvpsychiatricvillnesse
s.vAns:v D
Feedback:
AlthoughvstudentvnursesvdovnotvusevthevDSMvtovdiagnosevclients,vtheyvwillvfindvitvavhel
pfulvresourcevtovunderstandvthevreasonvforvthevadmissionvandvtovbeginvbuildingvknowle
dgevaboutvthevnaturevofvpsychiatricvillnesses.vIdentifyingvthevmedicalvdiagnosis,vtreating
,vandvevaluatingvtreatmentsvarevnotvavpartvofvthevnursingvprocess.
7. Thevlegislationvenactedvinv1963vwasvlargelyvresponsiblevforvwhichvofvthevfollowingvshift
svinvcarevforvthevmentallyvill?
A) Thevwidespreadvusevofvcommunity-basedvservices
B) Thevadvancementvinvpharmacotherapies
C) Increasedvaccessvtovhospitalization
D) Improvedvrightsvforvclientsvinvlong-
termvinstitutionalvcarevAns:v A
Feedback:
ThevCommunityvMentalvHealthvCentersvConstructionvActvofv1963vaccomplishedvthevrel
easevofvindividualsvfromvlong-
termvstaysvinvstatevinstitutions,vthevdecreasevinvadmissionsvtovhospitals,vandvthevdevelo
pmentvofvcommunity-basedvservicesvasvanvalternativevtovhospitalvcare.
Pagev3
, 8. Whichvonevofvthevfollowingvisvavresultvofvfederalvlegislation?
A) Makingvitveasiervtovcommitvpeoplevforvmentalvhealthvtreatmentvagainstvtheirvwill.
B) Makingvitvmorevdifficultvtovcommitvpeoplevforvmentalvhealthvtreatmentvagains
tvtheirvwill.
C) Statevmentalvinstitutionsvbeingvthevprimaryvsourcevofvcarevforvmentallyvillvpersons.
D) Improvedvcarevforvmentallyvillvpersons
.vAns:v B
Feedback:
Commitmentvlawsvchangedvinvthevearlyv1970s,vmakingvitvmorevdifficultvtovcommitv
peoplevforvmentalvhealthvtreatmentvagainstvtheirvwill.vDeinstitutionalizationvaccomp
lishedvthevreleasevofvindividualsvfromvlong-
termvstaysvinvstatevinstitutions.vDeinstitutionalizationvalsovhadvnegativeveffectsvinvth
atvsomevmentallyvillvpersonsvarevsubjectedvtovthevrevolvingvdoorveffect,vwhichvmayv
limitvcarevforvmentallyvillvpersons.
9. Thevgoalvofvthev1963vCommunityvMentalvHealthvCentersvActvwasvto
A) ensurevpatients'vrightsvforvthevmentallyvill.
B) deinstitutionalizevstatevhospitals.
C) providevfundsvtovbuildvhospitalsvwithvpsychiatricvunits.
D) treatvpeoplevwithvmentalvillnessvinvavhumanevfashion
.vAns:v B
Feedback:
Thev1963vCommunityvMentalvHealthvCentersvActvintimatedvthevmovementvtowardvtrea
tingvthosevwithvmentalvillnessvinvavlessvrestrictivevenvironment.vThisvlegislationvresulte
dvinvthevshiftvofvclientsvwithvmentalvillnessvfromvlargevstatevinstitutionsvtovcarevbasedvin
vthevcommunity.vAnswervchoicesvA,vC,vandvDvwerevnotvpurposesvofvthev1963vCommun
ityvMentalvHealthvCentersvAct.
10. Thevcreationvofvasylumsvduringvthev1800svwasvmeantvto
A) improvevtreatmentvofvmentalvdisorders.
B) providevfoodvandvsheltervforvthevmentallyvill.
C) punishvpeoplevwithvmentalvillnessvwhovwerevbelievedvtovbevpossessed.
D) removevdangerousvpeoplevwithvmentalvillnessvfromvthevcommunity
.vAns:v B
Feedback:
Thevasylumvwasvmeantvtovbevavsafevhavenvwithvfood,vshelter,vandvhumanevtreatmentvfor
vthevmentallyvill.vAsylumsvwerevnotvusedvtovimprovevtreatmentvofvmentalvdisordersvorvt
ovpunishvmentallyvillvpeoplevwhovwerevbelievedvtovbevpossessed.vThevasylumvwasvnotv
createdvtovremovevthevdangerouslyvmentallyvillvfromvthevcommunity.
Pagev4
