TEST BANK
PSYCHIATRIC-MENTAL HEALTH NURSING 7TH EDITION
Videbeck, Sheila L & Cathy J. Miller
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7TH
EDITION BY VIDEBECK
Psychiatric Mental Health Nursing 7th EditionTest Bank
Chapter 1
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 needingothers for companionship
B) The ability to effectivelymanage stress
C) Afamily history of mental illness
D) Striving fortotal 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 bothneeded forgoodmental health, and therefore a
healthy person would need others for companionship. A family history of mental
illness couldrelate to the biologic makeup of an individual, whichmay 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 cancausesignificant distress, impaired functioning, or both.
B) Mentalillness 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) Individualssuffering from mental illness are usually able to cope effectively with
daily life.
E) Individualssuffering from mental illness may experiencedissatisfaction with
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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 sel
3. Which of the following are true regarding mentalhealth andmental 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 engagein 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 fantasiesmay be mentally healthy, but the inability to distinguishreality from fantasyis
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) ìYouare not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
death?î
D) ìTrynot 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
mentalillness. False reassurance or overanalysis does not accurately address the client's
concerns.
5. The nurseconsults the DSM forwhich of the following purposes?
A) Todevise a plan of care for a newly admitted client
B) Topredict the client's prognosis of treatment outcomes
C) Todocument the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment
Ans: D
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
Feedback:
The dDSM dprovides dstandard dnomenclature, dpresents ddefining dcharacteristics, dand
didentifies dunderlying dcauses dof dmental ddisorders. dIt ddoes dnot dprovide dcare dplans
dor dprognostic doutcomes dof dtreatment. dDiagnosis dof dmental dillness dis dnot dwithin
dthe dgeneralist dRN's dscope dof dpractice, dso ddocumenting dthe dcode din dthe dmedical
drecord dwouldbe dinappropriate.
6. Which dwould dbe da dreason dfor da dstudent dnurse dto duse dthe dDSM?
A) Identifying dthe dmedical ddiagnosis
B) Treatclients
C) Evaluate dtreatments
D) Understand dthe dreasonfor dthe dadmissionand dthe dnature dof
dpsychiatric dillnesses. dAns: dD
Feedback:
Although dstudent dnurses ddo dnot duse dthe dDSM dto ddiagnose dclients, dthey dwill
dfind dit da dhelpful dresource dto dunderstand dthe dreason dfor dthe dadmission dand dto
dbegin dbuilding dknowledgeabout dthe dnatureof dpsychiatric dillnesses. dIdentifying dthe
dmedical ddiagnosis, dtreating, dand devaluating dtreatments dare dnot da dpart dof dthe
dnursing dprocess.
7. The dlegislation denacted din d1963 dwaslargely dresponsibleforwhich dof dthe
dfollowing dshifts din dcare dfor dthe dmentally dill?
A) Thewidespreaduseof dcommunity-based dservices
B) The dadvancement din dpharmacotherapies
C) Increasedaccess dto dhospitalization
D) Improved drights dfor dclients din dlong-term dinstitutional
dcare dAns: dA
Feedback:
The dCommunitydMentaldHealth dCenters dConstruction dAct dof d1963 daccomplished dthe
drelease dof dindividuals dfrom dlong-term dstays din dstate dinstitutions, dthe ddecrease din
dadmissions dto dhospitals, dand dthe ddevelopment dof dcommunity-based dservices das dan
dalternative dto dhospital dcare.
8. Whichone dof dthe dfollowing dis da dresult dof dfederal dlegislation?
A) Making dit deasier dto dcommit dpeople dformental dhealth dtreatment dagainst dtheir dwill.
B) Making dit dmore ddifficult dto dcommitpeople dformental dhealth dtreatment
dagainst dtheir dwill.
C) State dmental dinstitutions dbeing dthe dprimary dsource dof dcare dformentally dill dpersons.
D) Improved dcare dfor dmentally dill
dpersons. dAns: dB
Feedback:
Commitment dlaws dchanged din dthe dearly d1970s, dmaking dit dmore ddifficult dto
dcommit dpeople dfor dmental dhealth dtreatment dagainst dtheir dwill.
dDeinstitutionalization daccomplished dthe drelease dof dindividuals dfrom dlong-term
dstays din dstate dinstitutions. dDeinstitutionalization dalso dhadnegative deffects din dthat
dsome dmentally dill dpersons dare dsubjected dto dthe drevolving ddoor deffect, dwhich dmay
dlimit dcareformentally dill dpersons.
9. The dgoal dof dthe d1963 dCommunity dMental dHealth dCenters dAct dwas dto
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
PSYCHIATRIC-MENTAL HEALTH NURSING 7TH EDITION
Videbeck, Sheila L & Cathy J. Miller
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7TH
EDITION BY VIDEBECK
Psychiatric Mental Health Nursing 7th EditionTest Bank
Chapter 1
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 needingothers for companionship
B) The ability to effectivelymanage stress
C) Afamily history of mental illness
D) Striving fortotal 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 bothneeded forgoodmental health, and therefore a
healthy person would need others for companionship. A family history of mental
illness couldrelate to the biologic makeup of an individual, whichmay 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 cancausesignificant distress, impaired functioning, or both.
B) Mentalillness 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) Individualssuffering from mental illness are usually able to cope effectively with
daily life.
E) Individualssuffering from mental illness may experiencedissatisfaction with
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
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 sel
3. Which of the following are true regarding mentalhealth andmental 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 engagein 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 fantasiesmay be mentally healthy, but the inability to distinguishreality from fantasyis
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) ìYouare not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
death?î
D) ìTrynot 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
mentalillness. False reassurance or overanalysis does not accurately address the client's
concerns.
5. The nurseconsults the DSM forwhich of the following purposes?
A) Todevise a plan of care for a newly admitted client
B) Topredict the client's prognosis of treatment outcomes
C) Todocument the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessment
Ans: D
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
Feedback:
The dDSM dprovides dstandard dnomenclature, dpresents ddefining dcharacteristics, dand
didentifies dunderlying dcauses dof dmental ddisorders. dIt ddoes dnot dprovide dcare dplans
dor dprognostic doutcomes dof dtreatment. dDiagnosis dof dmental dillness dis dnot dwithin
dthe dgeneralist dRN's dscope dof dpractice, dso ddocumenting dthe dcode din dthe dmedical
drecord dwouldbe dinappropriate.
6. Which dwould dbe da dreason dfor da dstudent dnurse dto duse dthe dDSM?
A) Identifying dthe dmedical ddiagnosis
B) Treatclients
C) Evaluate dtreatments
D) Understand dthe dreasonfor dthe dadmissionand dthe dnature dof
dpsychiatric dillnesses. dAns: dD
Feedback:
Although dstudent dnurses ddo dnot duse dthe dDSM dto ddiagnose dclients, dthey dwill
dfind dit da dhelpful dresource dto dunderstand dthe dreason dfor dthe dadmission dand dto
dbegin dbuilding dknowledgeabout dthe dnatureof dpsychiatric dillnesses. dIdentifying dthe
dmedical ddiagnosis, dtreating, dand devaluating dtreatments dare dnot da dpart dof dthe
dnursing dprocess.
7. The dlegislation denacted din d1963 dwaslargely dresponsibleforwhich dof dthe
dfollowing dshifts din dcare dfor dthe dmentally dill?
A) Thewidespreaduseof dcommunity-based dservices
B) The dadvancement din dpharmacotherapies
C) Increasedaccess dto dhospitalization
D) Improved drights dfor dclients din dlong-term dinstitutional
dcare dAns: dA
Feedback:
The dCommunitydMentaldHealth dCenters dConstruction dAct dof d1963 daccomplished dthe
drelease dof dindividuals dfrom dlong-term dstays din dstate dinstitutions, dthe ddecrease din
dadmissions dto dhospitals, dand dthe ddevelopment dof dcommunity-based dservices das dan
dalternative dto dhospital dcare.
8. Whichone dof dthe dfollowing dis da dresult dof dfederal dlegislation?
A) Making dit deasier dto dcommit dpeople dformental dhealth dtreatment dagainst dtheir dwill.
B) Making dit dmore ddifficult dto dcommitpeople dformental dhealth dtreatment
dagainst dtheir dwill.
C) State dmental dinstitutions dbeing dthe dprimary dsource dof dcare dformentally dill dpersons.
D) Improved dcare dfor dmentally dill
dpersons. dAns: dB
Feedback:
Commitment dlaws dchanged din dthe dearly d1970s, dmaking dit dmore ddifficult dto
dcommit dpeople dfor dmental dhealth dtreatment dagainst dtheir dwill.
dDeinstitutionalization daccomplished dthe drelease dof dindividuals dfrom dlong-term
dstays din dstate dinstitutions. dDeinstitutionalization dalso dhadnegative deffects din dthat
dsome dmentally dill dpersons dare dsubjected dto dthe drevolving ddoor deffect, dwhich dmay
dlimit dcareformentally dill dpersons.
9. The dgoal dof dthe d1963 dCommunity dMental dHealth dCenters dAct dwas dto
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
