Test Bank For Psychiatric Mental Health Nursing 9th Edition
26 26 26 26 26 26 26 26
Chapter261
1. The26nurse26is26assessing26the26factors26contributing26to26th
e26well-
26being26of26a26newly26admitted26client.26Which26of26the26fo
llowing26would26the26nurse26identify26as26having26a26positiv
e26impact26onthe26individual's26mental26health?
A) Not26needing26others26for26companionship
B) The26ability26to26effectively26manage26stress
C) A26family26history26of26mental26illness
D) Striving26for26total26self-
reliance26Ans:2 6 B
Feedback:
Individual26factors26influencing26mental26health26include26bi
ologic26makeup,26autonomy,26independence,26self-
esteem,26capacity26for26growth,26vitality,26ability26to26find26m
eaning26in26life,26emotional26resilience26or26hardiness,26sense
26of26belonging,26reality26orientation,26and26coping26or26stres
s26management26abilities.26Interpersonal26factors26such26as26
intimacy26and26a26balance26of26separateness26and26connected
ness26are26both26needed
for26good26mental26health,26and26therefore26ahealthy26person26would26need26others26for26
companionship.26A26family26history26of26mental26illnesscould26relate26to26the26biologic26
makeup26of26an26individual,26which26may26have26a26negative26impacton26an26individual's2
6mental26health,26as26well26as26a26negative26impact26on26an26individual's26interpersonal26a
nd26socialñcultural26factors26of26health.26Total26self-
reliance26is26not26possible,26and26a26positive26social/cultural26factor26is26access26to26adeq
uate26resources.
2. Which26of26the26following26statements26about26mental26illness26are26true?26Select26all26that26app
ly.
A) Mental26illness26can26cause26significant26distress,26impaired26functioning,26or26both.
B) Mental26illness26is26only26due26to26social/cultural26factors.
C) Social/cultural26factors26that26relate26to26mental26illness26include26excessive26depe
ndency26on26or26withdrawal26from26relationships.
D) Individuals26suffering26from26mental26illness26are26usually26able26to26cope26effectiv
ely26with26daily26life.
E) Individuals26suffering26from26mental26illness26may26experience26dissatisfaction
26with26relationships26and26self.
Ans:26A,26D,26E
Feedback:
Mental26illness26can26cause26significant26distress,26impaired26functioning,26or26both.26Me
ntal26illness26may26be26related26to26individual,26interpersonal,26or26social/cultural26factor
s.26Excessive26dependency26on26or26withdrawal26from26relationships26are26interpersonal2
6factors26that26relate26to26mental26illness.26Individuals26suffering26from26mental26illness26
can26feel26overwhelmed26with26daily26life.26Individuals26suffering26from26mental26illness2
6may26experience26dissatisfaction26with26relationships26and26self.
,3. Which26of26the26following26are26true26regarding26mental26health26and26mental26illness?
A) Behavior26that26may26be26viewed26as26acceptable26in26one26culture26is26always26una
cceptable26in26other26cultures.
B) It26is26easy26to26determine26if26a26person26is26mentally26healthy26or26mentally26ill.
C) In26most26cases,26mental26health26is26a26state26of26emotional,26psychological,26an
d26social26wellness26evidenced26by26satisfying26interpersonal26relationships,26effe
ctive26behavior26and26coping,26positive26self-
concept,26and26emotional26stability.
D) Persons26who26engage26in26fantasies26are26mentall
y26ill.26Ans:2 6 C
Feedback:
What26one26society26may26view26as26acceptable26and26appropriate26behavior,26another26soci
ety26may26see26that26as26maladaptive,26and26inappropriate.26Mental26health26and26mental26i
llness26are26difficult26to26define26precisely.26In26most26cases,26mental26health26is26a26state26
of26emotional,26psychological,26and26social26wellness26evidenced26by26satisfying26interper
sonal26relationships,26effective26behavior26and26coping,26positive26self-
concept,26and26emotional26stability.26Persons26who26engage26in26fantasies26may26be26ment
ally26healthy,26but26the26inability26to26distinguish26reality26from26fantasy26is26an26individua
l26factor26that26may26contribute26to26mental26illness.
4. A26client26grieving26the26recent26loss26of26her26husband26asks26if26she26is26becoming26
mentally26ill26because26she26is26so26sad.26The26nurse's26best26response26would26be,
A) ìYou26may26have26a26temporary26mental26illness26because26you26are26experiencing26
so26much26pain.î
B) ìYou26are26not26mentally26ill.26This26is26an26expected26reaction26to26the26loss2
6you26have26experienced.î
C) ìWere26you26generally26dissatisfied26with26your26relationship26before26your26hus
band's26death?î
D) ìTry26not26to26worry26about26that26right26now.26You26never26know26what26the26futu
re26brings.î26Ans:2 6 B
Feedback:
Mental26illness26includes26general26dissatisfaction26with26self,26ineffective26relationships,2
6ineffective26coping,26and26lack26of26personal26growth.26Additionally26the26behavior26mus
t26not26be26culturally26expected.26Acute26grief26reactions26are26expected26and26therefore26n
ot26considered26mental26illness.26False26reassurance26or26overanalysis26does26not26accurate
ly26address26the26client's26concerns.
,5. The26nurse26consults26the26DSM26for26which26of26the26following26purposes?2 6
A) To26devise26a26plan26of26care26for26a26newly26admitted26client
B) To26predict26the26client's26prognosis26of26treatment26outcomes
C) To26document26the26appropriate26diagnostic26code26in26the26client's26medical26record
D) 26To26serve26as26a26guide26for26client26assessment2 6
Ans:26D
Feedback:
The26DSM26provides26standard26nomenclature,26presents26defining26characteristics,26and
26identifies26underlying26causes26of26mental26disorders.26It26does26not26provide26care26pla
ns26or26prognostic26outcomes26of26treatment.26Diagnosis26of26mental26illness26is26not26wi
thin26the26generalist26RN's26scope26of26practice,26so26documenting26the26code26in26the26me
dical26record26would26be26inappropriate.
6. Which26would26be26a26reason26for26a26student26nurse26to26use26the26DSM?2 6
A) Identifying26the26medical26diagnosis
B) Treat26clients
C) Evaluate26treatments
D) 26Understand26the26reason26for26the26admission26and26the26nature26of26psychiatric26illnesse
s.2 6
Ans:26D
Feedback:
Although26student26nurses26do26not26use26the26DSM26to26diagnose26clients,26they26will26fin
d26it26a26helpful26resource26to26understand26the26reason26for26the26admission26and26to26begi
n26building26knowledge26about26the26nature26of26psychiatric26illnesses.26Identifying26the26
medical26diagnosis,26treating,26and26evaluating26treatments26are26not26a26part26of26the26nur
sing26process.
7. The26legislation26enacted26in26196326was26largely26responsible26for26which26of26the26follow
ing26shifts26in26care26for26the26mentally26ill?
A) The26widespread26use26of26community-based26services
B) The26advancement26in26pharmacotherapies
C) Increased26access26to26hospitalization
D) Improved26rights26for26clients26in26long-
term26institutional26care26Ans:2 6 A
Feedback:
The26Community26Mental26Health26Centers26Construction26Act26of26196326accomplished
26the26release26of26individuals26from26long-
term26stays26in26state26institutions,26the26decrease26in26admissions26to26hospitals,26and26th
e26development26of26community-based26services26as26an26alternative26to26hospital26care.
, 8. Which26one26of26the26following26is26a26result26of26federal26legislation?
A) Making26it26easier26to26commit26people26for26mental26health26treatment26against26their26w
ill.
B) Making26it26more26difficult26to26commit26people26for26mental26health26treatment
26against26their26will.
C) State26mental26institutions26being26the26primary26source26of26care26for26mentally26ill26pers
ons.
D) Improved26care26for26mentally26ill26pers
ons.26Ans:2 6 B
Feedback:
Commitment26laws26changed26in26the26early261970s,26making26it26more26difficult26to26co
mmit26people26for26mental26health26treatment26against26their26will.26Deinstitutionalizatio
n26accomplished26the26release26of26individuals26from26long-
term26stays26in26state26institutions.26Deinstitutionalization26also26had26negative26effects26
in26that26some26mentally26ill26persons26are26subjected26to26the26revolving26door26effect,26
which26may26limit26care26for26mentally26ill26persons.
9. The26goal26of26the26196326Community26Mental26Health26Centers26Act26was26to
A) ensure26patients'26rights26for26the26mentally26ill.
B) deinstitutionalize26state26hospitals.
C) provide26funds26to26build26hospitals26with26psychiatric26units.
D) treat26people26with26mental26illness26in26a26humane26fa
shion.26Ans:2 6 B
Feedback:
The26196326Community26Mental26Health26Centers26Act26intimated26the26movement26tow
ard26treating26those26with26mental26illness26in26a26less26restrictive26environment.26This26l
egislation26resulted26in26the26shift26of26clients26with26mental26illness26from26large26state26i
nstitutions26to26care26based26in26the26community.26Answer26choices26A,26C,26and26D26were
26not26purposes26of26the26196326Community26Mental26Health26Centers26Act.
10. The26creation26of26asylums26during26the261800s26was26meant26to
A) improve26treatment26of26mental26disorders.
B) provide26food26and26shelter26for26the26mentally26ill.
C) punish26people26with26mental26illness26who26were26believed26to26be26possessed.
D) remove26dangerous26people26with26mental26illness26from26the26comm
unity.26Ans:2 6 B
Feedback:
The26asylum26was26meant26to26be26a26safe26haven26with26food,26shelter,26and26humane26treat
ment26for26the26mentally26ill.26Asylums26were26not26used26to26improve26treatment26of26men
tal26disorders26or26to26punish26mentally26ill26people26who26were26believed26to26be26possess
ed.26The26asylum26was26not26created26to26remove26the26dangerously26mentally26ill26from26t
he26community.
26 26 26 26 26 26 26 26
Chapter261
1. The26nurse26is26assessing26the26factors26contributing26to26th
e26well-
26being26of26a26newly26admitted26client.26Which26of26the26fo
llowing26would26the26nurse26identify26as26having26a26positiv
e26impact26onthe26individual's26mental26health?
A) Not26needing26others26for26companionship
B) The26ability26to26effectively26manage26stress
C) A26family26history26of26mental26illness
D) Striving26for26total26self-
reliance26Ans:2 6 B
Feedback:
Individual26factors26influencing26mental26health26include26bi
ologic26makeup,26autonomy,26independence,26self-
esteem,26capacity26for26growth,26vitality,26ability26to26find26m
eaning26in26life,26emotional26resilience26or26hardiness,26sense
26of26belonging,26reality26orientation,26and26coping26or26stres
s26management26abilities.26Interpersonal26factors26such26as26
intimacy26and26a26balance26of26separateness26and26connected
ness26are26both26needed
for26good26mental26health,26and26therefore26ahealthy26person26would26need26others26for26
companionship.26A26family26history26of26mental26illnesscould26relate26to26the26biologic26
makeup26of26an26individual,26which26may26have26a26negative26impacton26an26individual's2
6mental26health,26as26well26as26a26negative26impact26on26an26individual's26interpersonal26a
nd26socialñcultural26factors26of26health.26Total26self-
reliance26is26not26possible,26and26a26positive26social/cultural26factor26is26access26to26adeq
uate26resources.
2. Which26of26the26following26statements26about26mental26illness26are26true?26Select26all26that26app
ly.
A) Mental26illness26can26cause26significant26distress,26impaired26functioning,26or26both.
B) Mental26illness26is26only26due26to26social/cultural26factors.
C) Social/cultural26factors26that26relate26to26mental26illness26include26excessive26depe
ndency26on26or26withdrawal26from26relationships.
D) Individuals26suffering26from26mental26illness26are26usually26able26to26cope26effectiv
ely26with26daily26life.
E) Individuals26suffering26from26mental26illness26may26experience26dissatisfaction
26with26relationships26and26self.
Ans:26A,26D,26E
Feedback:
Mental26illness26can26cause26significant26distress,26impaired26functioning,26or26both.26Me
ntal26illness26may26be26related26to26individual,26interpersonal,26or26social/cultural26factor
s.26Excessive26dependency26on26or26withdrawal26from26relationships26are26interpersonal2
6factors26that26relate26to26mental26illness.26Individuals26suffering26from26mental26illness26
can26feel26overwhelmed26with26daily26life.26Individuals26suffering26from26mental26illness2
6may26experience26dissatisfaction26with26relationships26and26self.
,3. Which26of26the26following26are26true26regarding26mental26health26and26mental26illness?
A) Behavior26that26may26be26viewed26as26acceptable26in26one26culture26is26always26una
cceptable26in26other26cultures.
B) It26is26easy26to26determine26if26a26person26is26mentally26healthy26or26mentally26ill.
C) In26most26cases,26mental26health26is26a26state26of26emotional,26psychological,26an
d26social26wellness26evidenced26by26satisfying26interpersonal26relationships,26effe
ctive26behavior26and26coping,26positive26self-
concept,26and26emotional26stability.
D) Persons26who26engage26in26fantasies26are26mentall
y26ill.26Ans:2 6 C
Feedback:
What26one26society26may26view26as26acceptable26and26appropriate26behavior,26another26soci
ety26may26see26that26as26maladaptive,26and26inappropriate.26Mental26health26and26mental26i
llness26are26difficult26to26define26precisely.26In26most26cases,26mental26health26is26a26state26
of26emotional,26psychological,26and26social26wellness26evidenced26by26satisfying26interper
sonal26relationships,26effective26behavior26and26coping,26positive26self-
concept,26and26emotional26stability.26Persons26who26engage26in26fantasies26may26be26ment
ally26healthy,26but26the26inability26to26distinguish26reality26from26fantasy26is26an26individua
l26factor26that26may26contribute26to26mental26illness.
4. A26client26grieving26the26recent26loss26of26her26husband26asks26if26she26is26becoming26
mentally26ill26because26she26is26so26sad.26The26nurse's26best26response26would26be,
A) ìYou26may26have26a26temporary26mental26illness26because26you26are26experiencing26
so26much26pain.î
B) ìYou26are26not26mentally26ill.26This26is26an26expected26reaction26to26the26loss2
6you26have26experienced.î
C) ìWere26you26generally26dissatisfied26with26your26relationship26before26your26hus
band's26death?î
D) ìTry26not26to26worry26about26that26right26now.26You26never26know26what26the26futu
re26brings.î26Ans:2 6 B
Feedback:
Mental26illness26includes26general26dissatisfaction26with26self,26ineffective26relationships,2
6ineffective26coping,26and26lack26of26personal26growth.26Additionally26the26behavior26mus
t26not26be26culturally26expected.26Acute26grief26reactions26are26expected26and26therefore26n
ot26considered26mental26illness.26False26reassurance26or26overanalysis26does26not26accurate
ly26address26the26client's26concerns.
,5. The26nurse26consults26the26DSM26for26which26of26the26following26purposes?2 6
A) To26devise26a26plan26of26care26for26a26newly26admitted26client
B) To26predict26the26client's26prognosis26of26treatment26outcomes
C) To26document26the26appropriate26diagnostic26code26in26the26client's26medical26record
D) 26To26serve26as26a26guide26for26client26assessment2 6
Ans:26D
Feedback:
The26DSM26provides26standard26nomenclature,26presents26defining26characteristics,26and
26identifies26underlying26causes26of26mental26disorders.26It26does26not26provide26care26pla
ns26or26prognostic26outcomes26of26treatment.26Diagnosis26of26mental26illness26is26not26wi
thin26the26generalist26RN's26scope26of26practice,26so26documenting26the26code26in26the26me
dical26record26would26be26inappropriate.
6. Which26would26be26a26reason26for26a26student26nurse26to26use26the26DSM?2 6
A) Identifying26the26medical26diagnosis
B) Treat26clients
C) Evaluate26treatments
D) 26Understand26the26reason26for26the26admission26and26the26nature26of26psychiatric26illnesse
s.2 6
Ans:26D
Feedback:
Although26student26nurses26do26not26use26the26DSM26to26diagnose26clients,26they26will26fin
d26it26a26helpful26resource26to26understand26the26reason26for26the26admission26and26to26begi
n26building26knowledge26about26the26nature26of26psychiatric26illnesses.26Identifying26the26
medical26diagnosis,26treating,26and26evaluating26treatments26are26not26a26part26of26the26nur
sing26process.
7. The26legislation26enacted26in26196326was26largely26responsible26for26which26of26the26follow
ing26shifts26in26care26for26the26mentally26ill?
A) The26widespread26use26of26community-based26services
B) The26advancement26in26pharmacotherapies
C) Increased26access26to26hospitalization
D) Improved26rights26for26clients26in26long-
term26institutional26care26Ans:2 6 A
Feedback:
The26Community26Mental26Health26Centers26Construction26Act26of26196326accomplished
26the26release26of26individuals26from26long-
term26stays26in26state26institutions,26the26decrease26in26admissions26to26hospitals,26and26th
e26development26of26community-based26services26as26an26alternative26to26hospital26care.
, 8. Which26one26of26the26following26is26a26result26of26federal26legislation?
A) Making26it26easier26to26commit26people26for26mental26health26treatment26against26their26w
ill.
B) Making26it26more26difficult26to26commit26people26for26mental26health26treatment
26against26their26will.
C) State26mental26institutions26being26the26primary26source26of26care26for26mentally26ill26pers
ons.
D) Improved26care26for26mentally26ill26pers
ons.26Ans:2 6 B
Feedback:
Commitment26laws26changed26in26the26early261970s,26making26it26more26difficult26to26co
mmit26people26for26mental26health26treatment26against26their26will.26Deinstitutionalizatio
n26accomplished26the26release26of26individuals26from26long-
term26stays26in26state26institutions.26Deinstitutionalization26also26had26negative26effects26
in26that26some26mentally26ill26persons26are26subjected26to26the26revolving26door26effect,26
which26may26limit26care26for26mentally26ill26persons.
9. The26goal26of26the26196326Community26Mental26Health26Centers26Act26was26to
A) ensure26patients'26rights26for26the26mentally26ill.
B) deinstitutionalize26state26hospitals.
C) provide26funds26to26build26hospitals26with26psychiatric26units.
D) treat26people26with26mental26illness26in26a26humane26fa
shion.26Ans:2 6 B
Feedback:
The26196326Community26Mental26Health26Centers26Act26intimated26the26movement26tow
ard26treating26those26with26mental26illness26in26a26less26restrictive26environment.26This26l
egislation26resulted26in26the26shift26of26clients26with26mental26illness26from26large26state26i
nstitutions26to26care26based26in26the26community.26Answer26choices26A,26C,26and26D26were
26not26purposes26of26the26196326Community26Mental26Health26Centers26Act.
10. The26creation26of26asylums26during26the261800s26was26meant26to
A) improve26treatment26of26mental26disorders.
B) provide26food26and26shelter26for26the26mentally26ill.
C) punish26people26with26mental26illness26who26were26believed26to26be26possessed.
D) remove26dangerous26people26with26mental26illness26from26the26comm
unity.26Ans:2 6 B
Feedback:
The26asylum26was26meant26to26be26a26safe26haven26with26food,26shelter,26and26humane26treat
ment26for26the26mentally26ill.26Asylums26were26not26used26to26improve26treatment26of26men
tal26disorders26or26to26punish26mentally26ill26people26who26were26believed26to26be26possess
ed.26The26asylum26was26not26created26to26remove26the26dangerously26mentally26ill26from26t
he26community.
