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