Test bank
psychiatric-mental health nursing
9th edition by sheila l. Videbeck
Page 1
,Psychiatric-mental health nursing9thedition
Chapter 1
1. The nurse is assessing the factors contributing to the well-
Being of a newly admitted client. Which of the following would thejnursejidentify
as hav ing a positive impact onthe 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- relianceANS: b
Feedback:
Individual factors influencingjmental healthjinclude biologic makeup, autonomy,
indepen dence, 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 abiliti es. Interpersonal factors such as intimacy and a balance
of separateness and connectedness are both needed for good mental health, and
therefore ahealthy person would needjothers f or companionship. A family
history of mental illnesscould relate to the biologic makeup of an individual,
which may haveja negative impacton an individual's mental health, asjwell 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 tojadequate
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
dependencyo n or withdrawal from relationships.
D) Individuals suffering from mental illness arejusually able to cope
effectively withda ily life.
E) Individuals sufferingjfrom mental illness may
experiencejdissatisfaction withr elationships and self.
ANS: a, d, e
Feedback:
Mental illness can cause significant distress, impaired functioning, or both.
Mental illness may be relatedjto individual, interpersonal, or social/cultural
factors. Excessivejdependen cy on or withdrawal fromjrelationships are
interpersonal factorsjthatjrelate to mental illnes
S. Individuals suffering from mental illness can feel overwhelmed withjdaily life.
Individu als suffering from mental illness may experience dissatisfaction
Page 2
, withrelationships and sel f.
3. Which of the following are truejregarding mental health andjmental illness?
A) Behavior that may be viewed as acceptable in one culture is always
unacceptablein other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In mostjcases, mental health isja state of emotional, psychological,
andjsocial wel lness evidenced by satisfying interpersonal relationships,
effective behaviorandjc oping, positive self-concept, and emotional
stability.
D) Personsjwho engage in fantasies are
mentally ill. ANS: c
Feedback:
What onejsociety may view as acceptable and appropriatejbehavior, another
society mayse e that as maladaptive, and inappropriate. Mental healthjand mental
illness are difficult tojde fine precisely. In most cases, mental health is a statejof
emotional, psychological, and socia l wellness evidenced by satisfying
interpersonal relationships, effective behavior and copin g, positive self-
Concept, and emotional stability. Personsjwho engagein fantasies may be
mentally healthy, but the inability to distinguish reality from fantasyis an
individual factor that may contribut ejto mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming
mentally illbe cause shejis so sad. Thejnurse's bestjresponsejwould be,
A) Ìyou may have a temporary mental illness because you arejexperiencingjso
muchpa in.î
B) Ìyou are not mentally ill. This is an expected reaction to thejloss you
havejex perienced.î
C) Ìwerejyou generally dissatisfied with your relationship before your
husband'sd eath?î
D) Ìtry not to worry aboutjthat right now. You never know what thejfuture
brings.îan s: b
Feedback:
Mental illness includes general dissatisfactionjwith self, ineffective relationships,
ineffect ive coping, and lack of personal growth. Additionally the behavior must
not be culturally e xpected. Acute grief reactions arejexpected and thereforejnot
considered mental illness. Fa lsejreassurance or overanalysis does notjaccurately
address the client'sconcerns.
Page 3
, 5. The nursejconsults thejdsm for whichjof the following purposes?
A) Tojdevise a plan of care for a newly admitted client
B) Tojpredict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) Tojserve as a guidejfor client
assessmentj ANS: d
Feedback:
The dsm provides standard nomenclature, presents defining characteristics, and
identifie s underlying causes of mental disorders. It does not provide carejplans
or prognosticjoutco mes of treatment. Diagnosis of mental illness is not within the
generalist rn's scopejof pra ctice, so documenting thejcode injthe medical record
wouldbe 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 admissionjand the nature of psychiatric
illnesses.a ns: d
Feedback:
Although student nurses do not use thejdsm to diagnose clients, they will find it
a helpfu l resource to understand thejreason for the admission and tojbegin
building knowledge ab out the nature of psychiatric illnesses. Identifyingjthe
medical diagnosis,treating, and ev aluating treatments are not a part of the
nursing process.
7. The legislation enacted inj1963 was largely responsible for which of the
followingjshiftsin care for thejmentally 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 careANS: a
feedback:
The community mental health centers constructionjact of 1963
accomplishedjthere lease of individuals fromjlong-
Term stays in state institutions, the decreasejin admissions to hospitals, and the
develop ment of community-based services as an alternativejto hospital care.
Page 4
psychiatric-mental health nursing
9th edition by sheila l. Videbeck
Page 1
,Psychiatric-mental health nursing9thedition
Chapter 1
1. The nurse is assessing the factors contributing to the well-
Being of a newly admitted client. Which of the following would thejnursejidentify
as hav ing a positive impact onthe 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- relianceANS: b
Feedback:
Individual factors influencingjmental healthjinclude biologic makeup, autonomy,
indepen dence, 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 abiliti es. Interpersonal factors such as intimacy and a balance
of separateness and connectedness are both needed for good mental health, and
therefore ahealthy person would needjothers f or companionship. A family
history of mental illnesscould relate to the biologic makeup of an individual,
which may haveja negative impacton an individual's mental health, asjwell 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 tojadequate
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
dependencyo n or withdrawal from relationships.
D) Individuals suffering from mental illness arejusually able to cope
effectively withda ily life.
E) Individuals sufferingjfrom mental illness may
experiencejdissatisfaction withr elationships and self.
ANS: a, d, e
Feedback:
Mental illness can cause significant distress, impaired functioning, or both.
Mental illness may be relatedjto individual, interpersonal, or social/cultural
factors. Excessivejdependen cy on or withdrawal fromjrelationships are
interpersonal factorsjthatjrelate to mental illnes
S. Individuals suffering from mental illness can feel overwhelmed withjdaily life.
Individu als suffering from mental illness may experience dissatisfaction
Page 2
, withrelationships and sel f.
3. Which of the following are truejregarding mental health andjmental illness?
A) Behavior that may be viewed as acceptable in one culture is always
unacceptablein other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In mostjcases, mental health isja state of emotional, psychological,
andjsocial wel lness evidenced by satisfying interpersonal relationships,
effective behaviorandjc oping, positive self-concept, and emotional
stability.
D) Personsjwho engage in fantasies are
mentally ill. ANS: c
Feedback:
What onejsociety may view as acceptable and appropriatejbehavior, another
society mayse e that as maladaptive, and inappropriate. Mental healthjand mental
illness are difficult tojde fine precisely. In most cases, mental health is a statejof
emotional, psychological, and socia l wellness evidenced by satisfying
interpersonal relationships, effective behavior and copin g, positive self-
Concept, and emotional stability. Personsjwho engagein fantasies may be
mentally healthy, but the inability to distinguish reality from fantasyis an
individual factor that may contribut ejto mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming
mentally illbe cause shejis so sad. Thejnurse's bestjresponsejwould be,
A) Ìyou may have a temporary mental illness because you arejexperiencingjso
muchpa in.î
B) Ìyou are not mentally ill. This is an expected reaction to thejloss you
havejex perienced.î
C) Ìwerejyou generally dissatisfied with your relationship before your
husband'sd eath?î
D) Ìtry not to worry aboutjthat right now. You never know what thejfuture
brings.îan s: b
Feedback:
Mental illness includes general dissatisfactionjwith self, ineffective relationships,
ineffect ive coping, and lack of personal growth. Additionally the behavior must
not be culturally e xpected. Acute grief reactions arejexpected and thereforejnot
considered mental illness. Fa lsejreassurance or overanalysis does notjaccurately
address the client'sconcerns.
Page 3
, 5. The nursejconsults thejdsm for whichjof the following purposes?
A) Tojdevise a plan of care for a newly admitted client
B) Tojpredict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) Tojserve as a guidejfor client
assessmentj ANS: d
Feedback:
The dsm provides standard nomenclature, presents defining characteristics, and
identifie s underlying causes of mental disorders. It does not provide carejplans
or prognosticjoutco mes of treatment. Diagnosis of mental illness is not within the
generalist rn's scopejof pra ctice, so documenting thejcode injthe medical record
wouldbe 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 admissionjand the nature of psychiatric
illnesses.a ns: d
Feedback:
Although student nurses do not use thejdsm to diagnose clients, they will find it
a helpfu l resource to understand thejreason for the admission and tojbegin
building knowledge ab out the nature of psychiatric illnesses. Identifyingjthe
medical diagnosis,treating, and ev aluating treatments are not a part of the
nursing process.
7. The legislation enacted inj1963 was largely responsible for which of the
followingjshiftsin care for thejmentally 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 careANS: a
feedback:
The community mental health centers constructionjact of 1963
accomplishedjthere lease of individuals fromjlong-
Term stays in state institutions, the decreasejin admissions to hospitals, and the
develop ment of community-based services as an alternativejto hospital care.
Page 4
