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 fDSM fprovides fstandard fnomenclature, fpresents fdefining fcharacteristics, fand
fidentifies funderlying fcauses fof fmental fdisorders. fIt fdoes fnot fprovide fcare fplans for
fprognostic foutcomes fof ftreatment. fDiagnosis fof fmental fillness fis fnot fwithin fthe
fgeneralist fRN's fscope fof fpractice, fso fdocumenting fthe fcode fin fthe fmedical frecord
fwouldbe finappropriate.
6. Which fwould fbe fa freason ffor fa fstudent fnurse fto fuse fthe fDSM?
A) Identifying fthe fmedical fdiagnosis
B) Treatclients
C) Evaluate ftreatments
D) Understand fthe freasonfor fthe fadmissionand fthe fnature fof
fpsychiatric fillnesses. fAns: fD
Feedback:
Although fstudent fnurses fdo fnot fuse fthe fDSM fto fdiagnose fclients, fthey fwill ffind fit
fa fhelpful fresource fto funderstand fthe freason ffor fthe fadmission fand fto fbegin
fbuilding fknowledgeabout fthe fnatureof fpsychiatric fillnesses. fIdentifying fthe fmedical
fdiagnosis, ftreating, fand fevaluating ftreatments fare fnot fa fpart fof fthe fnursing fprocess.
7. The flegislation fenacted fin f1963 fwaslargely fresponsibleforwhich fof fthe
ffollowing fshifts fin fcare ffor fthe fmentally fill?
A) Thewidespreaduseof fcommunity-based fservices
B) The fadvancement fin fpharmacotherapies
C) Increasedaccess fto fhospitalization
D) Improved frights ffor fclients fin flong-term finstitutional
fcare fAns: fA
Feedback:
The fCommunityfMentalfHealthfCenters fConstruction fAct fof f1963 faccomplished fthe
frelease fof findividuals ffrom flong-term fstays fin fstate finstitutions, fthe fdecrease fin
fadmissions fto fhospitals, fand fthe fdevelopment fof fcommunity-based fservices fas fan
falternative fto fhospital fcare.
8. Whichone fof fthe ffollowing fis fa fresult fof ffederal flegislation?
A) Making fit feasier fto fcommit fpeople fformental fhealth ftreatment fagainst ftheir fwill.
B) Making fit fmore fdifficult fto fcommitpeople fformental fhealth ftreatment
fagainst ftheir fwill.
C) State fmental finstitutions fbeing fthe fprimary fsource fof fcare fformentally fill fpersons.
D) Improved fcare ffor fmentally fill
fpersons. fAns: fB
Feedback:
Commitment flaws fchanged fin fthe fearly f1970s, fmaking fit fmore fdifficult fto fcommit
fpeople ffor fmental fhealth ftreatment fagainst ftheir fwill. fDeinstitutionalization
faccomplished fthe frelease fof findividuals ffrom flong-term fstays fin fstate finstitutions.
fDeinstitutionalization falso fhadnegative feffects fin fthat fsome fmentally fill fpersons fare
fsubjected fto fthe frevolving fdoor feffect, fwhich fmay flimit fcareformentally fill fpersons.
9. The fgoal fof fthe f1963 fCommunity fMental fHealth fCenters fAct fwas fto
A) ensurepatients' frights ffor fthe fmentally fill.
B) deinstitutionalize fstate fhospitals.
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 fDSM fprovides fstandard fnomenclature, fpresents fdefining fcharacteristics, fand
fidentifies funderlying fcauses fof fmental fdisorders. fIt fdoes fnot fprovide fcare fplans for
fprognostic foutcomes fof ftreatment. fDiagnosis fof fmental fillness fis fnot fwithin fthe
fgeneralist fRN's fscope fof fpractice, fso fdocumenting fthe fcode fin fthe fmedical frecord
fwouldbe finappropriate.
6. Which fwould fbe fa freason ffor fa fstudent fnurse fto fuse fthe fDSM?
A) Identifying fthe fmedical fdiagnosis
B) Treatclients
C) Evaluate ftreatments
D) Understand fthe freasonfor fthe fadmissionand fthe fnature fof
fpsychiatric fillnesses. fAns: fD
Feedback:
Although fstudent fnurses fdo fnot fuse fthe fDSM fto fdiagnose fclients, fthey fwill ffind fit
fa fhelpful fresource fto funderstand fthe freason ffor fthe fadmission fand fto fbegin
fbuilding fknowledgeabout fthe fnatureof fpsychiatric fillnesses. fIdentifying fthe fmedical
fdiagnosis, ftreating, fand fevaluating ftreatments fare fnot fa fpart fof fthe fnursing fprocess.
7. The flegislation fenacted fin f1963 fwaslargely fresponsibleforwhich fof fthe
ffollowing fshifts fin fcare ffor fthe fmentally fill?
A) Thewidespreaduseof fcommunity-based fservices
B) The fadvancement fin fpharmacotherapies
C) Increasedaccess fto fhospitalization
D) Improved frights ffor fclients fin flong-term finstitutional
fcare fAns: fA
Feedback:
The fCommunityfMentalfHealthfCenters fConstruction fAct fof f1963 faccomplished fthe
frelease fof findividuals ffrom flong-term fstays fin fstate finstitutions, fthe fdecrease fin
fadmissions fto fhospitals, fand fthe fdevelopment fof fcommunity-based fservices fas fan
falternative fto fhospital fcare.
8. Whichone fof fthe ffollowing fis fa fresult fof ffederal flegislation?
A) Making fit feasier fto fcommit fpeople fformental fhealth ftreatment fagainst ftheir fwill.
B) Making fit fmore fdifficult fto fcommitpeople fformental fhealth ftreatment
fagainst ftheir fwill.
C) State fmental finstitutions fbeing fthe fprimary fsource fof fcare fformentally fill fpersons.
D) Improved fcare ffor fmentally fill
fpersons. fAns: fB
Feedback:
Commitment flaws fchanged fin fthe fearly f1970s, fmaking fit fmore fdifficult fto fcommit
fpeople ffor fmental fhealth ftreatment fagainst ftheir fwill. fDeinstitutionalization
faccomplished fthe frelease fof findividuals ffrom flong-term fstays fin fstate finstitutions.
fDeinstitutionalization falso fhadnegative feffects fin fthat fsome fmentally fill fpersons fare
fsubjected fto fthe frevolving fdoor feffect, fwhich fmay flimit fcareformentally fill fpersons.
9. The fgoal fof fthe f1963 fCommunity fMental fHealth fCenters fAct fwas fto
A) ensurepatients' frights ffor fthe fmentally fill.
B) deinstitutionalize fstate fhospitals.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
