Test Bank for Psychiatric-Mental Health Nursing 8th Edition by Sheila Videbeck - Complete, Elaborated & Latest Test Bank. ALL Chapters (1-47) Included & Updated

TESTBANK
n

,Psychiatric-MentalHealth Nursing 8theditionby Shelia Videbeck n n n n n n n




Table of contentsn n




UNIT 1 Current Theories and Practice
n n n n n




• 1. Foundations of Psychiatric–Mental Health Nursing
n n n n n




• 2. Neurobiologic Theories and Psychopharmacology
n n n n




• 3. Psychosocial Theories and Therapy
n n n n




• 4. Treatment Settings and Therapeutic Programs
n n n n n




UNIT 2 Building the Nurse–Client Relationship
n n n n n




• 5. Therapeutic Relationships
n n




• 6. Therapeutic Communication
n n




• 7. Client’s Response to Illness
n n n n




• 8. Assessment
n




UNIT 3 Current Social and Emotional Concerns
n n n n n n




• 9. Legal and Ethical Issues
n n n n




• 10. Grief and Lossn n n




• 11. Anger, Hostility, and Aggression
n n n n




• 12. Abuse and Violence
n n n




UNIT 4 Nursing Practice for Psychiatric Disorders
n n n n n n




• 13. Trauma and Stressor-Related Disorders
n n n n




• 14. Anxiety and Anxiety Disorders
n n n n




• 15. Obsessive–Compulsive and Related Disorders
n n n n




• 16. Schizophrenia n




• 17. Mood Disorders and Suicide
n n n n




• 18. Personality Disorders
n n




• 19. Addiction n




• 20. Eating Disorders
n n




• 21. Somatic Symptom Illnesses
n n n




• 22. Neurodevelopmental Disorders
n n




• 23 Disruptive Behavior Disorders
n n n




• 24 Cognitive Disorders
n n




Chapter 1 Foundations of Psychiatric–Mental Health Nursing
n n n n n n




1. The nurse is assessing the factors contributing to the well-being of a newly admitted
n n n n n n n n n n n n n




client. Which of the following would the nurse identify as having a positive impact on the
n n n n n n n n n n n n n n n n




individual's mental health?
n n n




A) Not needing others for companionship n n n n




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




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




D) Striving for total self-reliance n n n




Ans: B
n n




Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
n n n n n n n n




independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
n n n n n n n n n n n n




emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress
n n n n n n n n n n n n n




management abilities. Interpersonal factors such as intimacy and a balance of separateness
n n n n n n n n n n n n




and connectedness are both needed for good mental health, and therefore a
n n n n n n n n n n n n




Page 1 n

, healthy person would need others for companionship. A family history of mental illness
n n n n n n n n n n n n




could relate to the biologic makeup of an individual, which may have a negative impact on
n n n n n n n n n n n n n n n n




an individual's mental health, as well as a negative impact on an individual's interpersonal
n n n n n n n n n n n n n n




and socialñcultural factors of health. Total self-reliance is not possible, and a positive
n n n n n n n n n n n n n




social/cultural factor is access to adequate resources.
n n n n n n n




2. Which of the following statements about mental illness are true? Select all thatapply.
n n n n n n n n n n n n n




A) Mental illness can cause significant distress, impaired functioning, orboth. n n n n n n n n n




B) Mental illness is onlydue to social/cultural factors. n n n n n n n




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




or withdrawal from relationships.
n n n n




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




daily life. n n




E) Individuals suffering from mental illness mayexperience dissatisfaction with n n n n n n n n




relationships and self.
n n n




Ans: A, D, E n n n




Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
n n n n n n n n n n n




may be related to individual, interpersonal, or social/cultural factors. Excessive
n n n n n n n n n n




dependency on or withdrawal from relationships are interpersonal factors that relate to
n n n n n n n n n n n n




mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
n n n n n n n n n n n n




life. Individuals suffering from mental illness mayexperience dissatisfaction with
n n n n n n n n n n




relationships and self.
n n n




3. Which of the following are true regarding mental health and mental illness?
n n n n n n n n n n n




A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in n n n n n n n n n n n n n




other cultures. n n




B) It is easy to determine if a person is mentally healthy or mentally ill.
n n n n n n n n n n n n n




C) In most cases, mental health is a state of emotional, psychological, and social
n n n n n n n n n n n n




wellness evidenced by satisfying interpersonal relationships, effective behavior
n n n n n n n n




and coping, positive self-concept, and emotional stability.
n n n n n n n




D) Persons who engage in fantasies are mentally ill. n n n n n n n




Ans: C
n n




Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
n n n n n n n n n n n n n




that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
n n n n n n n n n n n n n




define precisely. In most cases, mental health is a state of emotional, psychological, and
n n n n n n n n n n n n n n




social wellness evidenced by satisfying interpersonal relationships, effective behavior and
n n n n n n n n n n




coping, positive self-concept, and emotional stability. Persons who engage in fantasies may
n n n n n n n n n n n n




be mentally healthy, but the inability to distinguish reality from fantasy is an individual
n n n n n n n n n n n n n n




factor that may contribute to mental illness.
n n n n n n n




4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
n n n n n n n n n n n n n n n




because she is so sad. The nurse's best response would be,
n n n n n n n n n n n




A) ìYou may have a temporary mental illness because you are experiencing so muchn n n n n n n n n n n n




pain.î n




B) ìYou are not mentally ill. This is an expected reaction to the loss you have n n n n n n n n n n n n n n




experienced.î n




Page 2 n

, C) ìWere you generally dissatisfied with your relationship before your husband's
n n n n n n n n n




death?î
n




D) ìTry not to worry about that right now. You never know what the future brings.î Ans:
n n n n n n n n n n n n n n n




B
n




Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
n n n n n n n n




ineffective coping, and lack of personal growth. Additionally the behavior must not be
n n n n n n n n n n n n n




culturally expected. Acute grief reactions are expected and therefore not considered mental
n n n n n n n n n n n n




illness. False reassurance or overanalysis does not accurately address the client's concerns.
n n n n n n n n n n n n




5. The nurse consults the DSM for which of the following purposes?
n n n n n n n n n n




A) To devise a plan of care for a newly admitted client
n n n n n n n n n n




B) To predict the client's prognosis of treatment outcomes
n n n n n n n




C) To document the appropriate diagnostic code in the client's medical record
n n n n n n n n n n




D) To serve as a guide forclient assessment
n n n n n n n




Ans: D
n n




Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
n n n n n n n n n




underlying causes of mental disorders. It does not provide care plans or prognostic
n n n n n n n n n n n n n




outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope
n n n n n n n n n n n n n n




of practice, so documenting the code in the medical record would be inappropriate.
n n n n n n n n n n n n n




6. Which would be a reason for a student nurse to use the DSM?
n n n n n n n n n n n n




A) Identifying the medical diagnosis n n n




B) Treat clients n




C) Evaluate treatments n




D) Understand the reason for the admission and the nature of psychiatric illnesses. n n n n n n n n n n n




Ans: D
n n




Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
n n n n n n n n n n n n n n n n




resource to understand the reason for the admission and to begin building knowledge about
n n n n n n n n n n n n n n




the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and
n n n n n n n n n n n




evaluating treatments are not a part of the nursing process.
n n n n n n n n n n




7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
n n n n n n n n n n n n n n




care for the mentally ill?
n n n n n




A) The widespread use of community-based servicesn n n n n




B) The advancement in pharmacotherapies n n n




C) Increased access to hospitalization n n n




D) Improved rights for clients in long-term institutional care n n n n n n n




Ans: A
n n




Feedback:
The CommunityMental Health Centers Construction Act of 1963 accomplished the release
n n n n n n n n n n n




of individuals from long-term stays in state institutions, the decrease in admissions to
n n n n n n n n n n n n n




hospitals, and the development of community-based services as an alternative to hospital
n n n n n n n n n n n n




care.
n




Page 3 n