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