EIGHTH EDITION BY VIDEBECK TEST BANK
ACTUAL EXAM PAPER 2026 ALL
CHAPTERS WITH RATIONALES QUESTIONS
AND ANSWERS GRADED A+
⩥ What does the term 'Least Restrictive Environment' mean in
psychiatric care? Answer: Patients should be placed in the safest, least
restrictive setting possible, such as outpatient services instead of
inpatient.
⩥ What manual is used for diagnosing mental health disorders? Answer:
The DSM (Diagnostic and Statistical Manual of Mental Disorders).
⩥ What are the criteria for voluntary admission in psychiatric care?
Answer: Patient requests admission, feels unsafe, requires medical
clearance, and can leave if deemed safe.
⩥ What is the definition of involuntary admission in mental health care?
Answer: Admission occurs without patient consent if the patient is a
danger to self, others, or is psychotic.
⩥ What is 'Meds Over Objection'? Answer: A court order that allows
forced medication if a patient is a danger to self or others.
,⩥ What is the purpose of the 1964 Hospitalization of the Mentally Ill
Act? Answer: To establish the right to psychiatric treatment in public
hospitals.
⩥ What does 'Against Medical Advice' (AMA) mean? Answer: When a
patient leaves without medical advice, resulting in no further services,
support, or prescriptions.
⩥ What is the Mandate to Warn in mental health care? Answer: The duty
to warn a spouse/partner if a patient tests positive for HIV or other
STDs.
⩥ What landmark case established the Duty to Warn for
psychotherapists? Answer: Tarasoff v. Regents of the University of
California (1974).
⩥ What are the phases of a therapeutic relationship in psychiatric
nursing? Answer: 1. Pre-orientation Phase, 2. Orientation Phase, 3.
Working Phase, 4. Termination Phase.
⩥ What is the main focus of therapeutic relationships compared to social
relationships? Answer: Therapeutic relationships are professional with
clear boundaries, focusing on patient needs.
,⩥ What is transference in the context of therapeutic relationships?
Answer: When a patient projects intense feelings onto the therapist.
⩥ What is countertransference? Answer: When the therapist projects
their own feelings onto the patient.
⩥ What is the role of empathy in therapeutic communication? Answer:
Understanding others' feelings without feeling them, maintaining
objectivity.
⩥ What is the difference between empathy and sympathy? Answer:
Empathy maintains objectivity, while sympathy involves feeling others'
feelings and can lose objectivity.
⩥ What is the purpose of clinical interviews in psychiatric nursing?
Answer: To understand the patient, enhance security, and ease
communication.
⩥ What are the key therapeutic behaviors in psychiatric nursing?
Answer: Maintaining boundaries, promoting independence, encouraging
adaptive coping, and active listening.
⩥ What is the significance of documentation in psychiatric treatment?
Answer: Documentation is crucial for justifying the need for
psychotropic drugs and tracking patient progress.
, ⩥ What is the role of the nurse in promoting patient independence?
Answer: Helping patients make good decisions and develop coping
skills.
⩥ What is the importance of pacing in patient interactions? Answer: If a
patient paces, staff should engage them in conversation to de-escalate
potential aggression.
⩥ What does 'implied consent' mean in psychiatric treatment? Answer:
When a patient takes offered medication, it demonstrates their consent to
treatment.
⩥ What is the purpose of seclusion in psychiatric care? Answer: To calm
down a patient and prevent self-harm.
⩥ What is the historical context of restraints in psychiatric care?
Answer: Restraints were used extensively before the 1950s but have
since been restricted by legislation.
⩥ What is the significance of the 'Right to Refuse Treatment' in mental
health care? Answer: Patients can withhold or retract consent at any
time, ensuring autonomy.