TEST BANK Psychiatric-Mental Health Nursing 8th edition by VIDEBECK

Psychiatric – Mental Health Nursing 8th edition by Videbeck Test Bank
Chapter 1 th




1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following would the nurse identify as ha ving
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a positive impact onvthe individual's mental health?
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A) Not needing others for companionship th th th th



B) The ability to effectively manage stress th th th th th



C) A family history of mental illness th th th th th



D) Striving for total self- th th th



reliance Ans: B
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Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indepe nd th th th th th th th th th th



ence, self- th



esteem, capacity for growth, vitality, ability to findvmeaning in life, emotional resilience o
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r hardiness, sense of belonging, reality orientation, and coping or stress management ab iliti
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es. Interpersonal factors such as intimacy and a balance of separateness and connecte dness
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are both needed for good mental health, and therefore ahealthy person would need others f
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or companionship. A family history of mental illnesscould relate to thevbiologic makeup o
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f an individual, which may have a negative impacton an individual's mental hea lth, as well as
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a negative impact on an individual's interpersonal and socialñcultural facto rs of health. Tot
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al self- th



reliance is not possible, and a positive social/cultural factor is access to adequate resourc es.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significantvdistress, impaired functioning, or both. th th th th th th th th



B) Mental illness is only due to social/cultural factors. th th th th th th th



C) Social/cultural factors that relate to mental illness include excessive dependency on th th th th th th th th th th



or withdrawal from relationships. th th th th



D) Individuals suffering from mental illness are usually able to cope effectively with da th th th th th th th th th th th th



ily life. th



E) Individuals suffering from mental illness may experience dissatisfaction withr el th th th th th th th th th



ationships and self. th th



Ans: A, D, E th th th



Feedback:
Mental illness canvcausevsignificant distress, impaired functioning, or both. Mental illnes s
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may be related to individual, interpersonal, or social/cultural factors. Excessive depend enc
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y on or withdrawal from relationships are interpersonal factors that relate to mental il lness.
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Individuals suffering from mental illness can feel overwhelmed with daily life. In dividual th th th th th th th th th th th th



s suffering from mental illness may experience dissatisfaction withrelationships and self.
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3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always unacceptablevi n o th th th th th th th th th th th th th th



ther cultures. th



B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and social w ell
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ness evidenced by satisfying interpersonal relationships, effective behavioran d co
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ping, positive self-concept, and emotional stability. th th th th th



D) Persons who engage in fantasies arevmentally ill. th th th th th th th



Ans: C th



Feedback:
What one society may view as acceptable and appropriate behavior, another society mays ee t
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hat as maladaptive, and inappropriate. Mental health and mental illness are difficult to define
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precisely. In most cases, mental health is a state of emotional, psychological, and s ocial well
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ness evidenced by satisfying interpersonal relationships, effective behavior and coping, pos
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itive self- th



concept, and emotional stability. Persons who engagevin fantasies may be mentally health y,
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but the inability to distinguish reality from fantasyis an individual factor that may contr ibute
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to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally illb eca
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use shevis so sad. The nurse's best response would be,
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A) ìYou may haveva temporary mental illness because you are experiencing so muchvp ai
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n.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you havee xpe
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rienced.î
C) ìWere you generally dissatisfied withvyour relationship before your husband's d
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eath?î
D) ìTry not to worry about that right now. You never know what the future brings.î An
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s: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffec ti
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ve coping, and lack of personal growth. Additionally the behavior must not be culturall y ex
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pected. Acute grief reactions arevexpected and therefore not considered mental illnes
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s. False reassurance or overanalysis does not accurately address the client'sconcerns.
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5. The nurse consults the DSM for which of thevfollowing purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document thevappropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessment Ath th th th th th th th



ns: D th



Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifi es
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underlying causes of mental disorders. It does not provide care plans or prognostic out come
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s of treatment. Diagnosis of mental illness is not within the generalist RN's scope of practice,
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so documenting the code in the medical record wouldvbe inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis th th th



B) Treat clients th



C) Evaluate treatments th



D) Understandvthe reason for the admission and the nature of psychiatric illnesses. A th th th th th th th th th th th



ns: D th



Feedback:
Although student nurses do not use the DSM to diagnose clients, they will findvit a help ful r
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esource to understand the reason for the admission and to begin building knowledg evabout
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the nature of psychiatric illnesses. Identifying the medical diagnosis,treating, a nd evalua
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ting treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following shiftsi n c
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arevfor the mentally ill? th th th



A) The widespread use of community-based services th th th th th



B) The advancement in pharmacotherapies th th th



C) Increased access to hospitalization th th th



D) Improved rights for clients in long- th th th th th



term institutional carevAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished ther elease
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of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the devel opment
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of community-based services as an alternative to hospital care.
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8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit peoplevfor mental health treatment against their will. th th th th th th th th th th th



B) Making it more difficult to commit people for mental health treatment againstt hei th th th th th th th th th th th th



r will. th



C) State mental institutions being the primary source of carevfor mentally ill persons.
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D) Improved care for mentally ill persons. th th th th th th



Ans: B th



Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit pe opl th th th th th th th th th th th th th th



e for mental health treatment against their will. Deinstitutionalization accomplish edvth
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e release of individuals from long-
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term stays in state institutions. Deinstitutionalization also had negative effects in that som
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evmentally ill persons aresubjected to the revolvingvdoor effect, which may limit care for
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mentally ill persons.
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9. The goal of thev1963 Community Mental Health Centers Act was to
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A) ensurevpatients' rights for the mentally ill. th th th th th



B) deinstitutionalize state hospitals. th th



C) provide funds to build hospitals with psychiatric units. th th th th th th th



D) treatvpeople with mental illness in a humane fashion. A th th th th th th th th



ns: B th



Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward tre ati
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ng those with mental illness in a less restrictive environment. This legislation result edvin t
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hevshift of clients with mental illness from large state institutions to carebased i n the com
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munity. Answer choices A, C, and D were not purposes of the 1963Commu nity Mental
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Health Centers Act. th th




10. The creation of asylums during the 1800s was meantvto
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A) improve treatment of mental disorders. th th th th



B) provide food and shelter for the mentally ill. th th th th th th th



C) punish people with mental illness who werevbelieved to be possessed. th th th th th th th th th



D) remove dangerous people with mental illness from the community. A th th th th th th th th th



ns: B th



Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment fort he
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mentally ill. Asylums were not used to improve treatment of mental disorders or top unish
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mentally ill people who werevbelieved to bevpossessed. Thevasylum was not create d to rem
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ovevthe dangerously mentally ill from the community.
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