Test bank for psychiatric mental health nursing 7th edition by videbeck latest

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TEST BANK FOR PSYCHIATRIC
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MENTAL HEALTH NURSING 7TH n n n
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EDITION BY VIDEBECK LATEST n n n




PsychiatricMentalHealthNursing7thEditionTestBank
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Chaptern1
1. Thennursenisnassessingnthenfactorsncontributingntonthenwell-
beingnofnannewlynadmittednclient.nWhichnofnthenfollowingnwouldnthennursenidentifynasn
havingnanpositivenimpactnonnthenindividual'snmentalnhealth?
A) Notnneedingothersnforncompanionship
B) Thenabilityntoneffectivelymanagenstress
C) Afamilynhistorynofnmentalnillness
D) Strivingnfortotalnself-
reliancenAns:n B
Feedback:
Individualnfactorsninfluencingnmentalnhealthnincludenbiologicnmakeup,nautonomy,nin
dependence,nself-
esteem,ncapacitynforngrowth,nvitality,nabilityntonfindnmeaningninnlife,nemotionalresilience
ornhardiness,nsensenofnbelonging,nrealitynorientation,nandncopingnornstressnmanagementna
bilities.nInterpersonalnfactorsnsuchnasnintimacynandnanbalancenofnseparatenessnandnconn
ectednessnarenbothneedednforgoodmentalnhealth,nandnthereforenanhealthynpersonnwouldnn
eednothersnforncompanionship.nAnfamilynhistorynofnmentalnillnessncouldrelatentonthenbio
logicnmakeupnofnanindividual,nwhichmaynhavenannegativenimpactonnannindividual'snmen
talhealth,nasnwellnasnannegativenimpactnonnannindividual'sninterpersonalnandnsocialñcultur
alnfactorsnofnhealth.nTotalnself-
reliancenisnnotnpossible,nandnanpositivensocial/culturalnfactornisnaccessntonadequatenresour
ces.


2. Whichofnthenfollowingnstatementsaboutmentalillnessnarentrue?nSelectnallnthatnapply.
A) Mentalillnessncancausesignificantdistress,nimpairednfunctioning,nornboth.
B) Mentalillnessnisnonlynduentonsocial/culturalnfactors.
C) Social/culturalfactorsnthatnrelatentonmentalnillnessnincludenexcessivendependencyn
onnornwithdrawalnfromnrelationships.
D) Individualssufferingfrommentalnillnessnarenusuallynablentoncopeneffectivelynwithn
dailynlife.
E) Individualssufferingnfrommentalillnessnmaynexperiencedissatisfactionnwith
relationshipsnandnself.
Ans:nA,nD,nE
Feedback:
Mentalnillnessncanncausensignificantndistress,nimpairednfunctioning,nornboth.nMentalnilln
essnmaynbenrelatedntonindividual,ninterpersonal,nornsocial/culturalnfactors.nExcessivendepen
dencynonnornwithdrawalnfromnrelationshipsnareninterpersonalnfactorsnthatnrelatentonmentalnill
ness.nIndividualsnsufferingnfromnmentalnillnessncannfeelnoverwhelmednwithndailynlife.nInd
ividualsnsufferingnfrommentalnillnessnmaynexperiencendissatisfactionnwithnrelationshipsnan
dnself.


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3. Aclientngrievingnthenrecentnlossnofnhernhusbandnasksnifnshenisnbecomingnmentallynil
lnbecausenshenisnsonsad.nThennurse'snbestnresponsenwouldnbe,
A) ìYounmaynhavenantemporarynmentalnillnessnbecausenyounarenexperiencingnsonmuchnp
ain.î
B) ìYouarennotnmentallynill.nThisnisnannexpectednreactionntonthenlossnyounhavene
xperienced.î
C) ìWerenyoungenerallyndissatisfiednwithnyournrelationshipnbeforenyournhusband'snd
eath?î
D) ìTrynotntonworrynaboutnthatnrightnnow.nYounnevernknowwhatnthenfuturenbrings.în
Ans:n B
Feedback:
Mentalnillnessnincludesngeneralndissatisfactionnwithnself,nineffectivenrelationships,nineff
ectivencoping,nandnlacknofnpersonalngrowth.nAdditionallynthenbehaviornmustnnotnbenculturall
ynexpected.nAcutengriefnreactionsnarenexpectednandnthereforennotnconsiderednmentalillnes
s.nFalsenreassuranceornoveranalysisndoesnnotnaccuratelynaddressnthenclient'snconcerns.


4. Whichnofnthenfollowingnarentruenregardingnmentalhealthnandmentalnillness?
A) Behaviornthatnmaynbenviewednasnacceptableninnonenculturenisnalwaysnu
nacceptableninnotherncultures.
B) Itnisneasyntondeterminenifnanpersonnisnmentallynhealthynornmentallynill.
C) Innmostncases,nmentalnhealthnisnanstatenofnemotional,npsychological,nandnsocialn
wellnessnevidencednbynsatisfyingninterpersonalnrelationships,neffectivenbehaviorna
ndncoping,npositivenself-concept,nandnemotionalnstability.
D) Personswhonengageinnfantasiesnarenmentallyn
ill.nAns:n C
Feedback:
Whatnonensocietynmaynviewnasnacceptableandnappropriatenbehavior,nanothernsocietynmaynse
enthatnasnmaladaptive,nandninappropriate.nMentalnhealthnandnmentalnillnessnarendifficultntond
efinenprecisely.nInnmostncases,nmentalnhealthnisnanstatenofnemotional,npsychological,nandns
ocialnwellnessnevidencednbynsatisfyingninterpersonalnrelationships,neffectivenbehaviornan
dncoping,npositivenself-
concept,nandnemotionalnstability.nPersonsnwhonengageninnfantasiesmaynbenmentallynhealthy,
nbuttheninabilityntondistinguishrealitynfromnfantasyisn annindividualnfactornthatnmayncontribu

tentonmentalnillness.




5. ThennurseconsultsnthenDSMnforwhichnofnthenfollowingnpurposes?
A) Todevisenanplannofncarenfornannewlynadmittednclient
B) Topredictnthenclient'snprognosisnofntreatmentnoutcomes
C) Todocumentnthenappropriatendiagnosticncodeninnthenclient'snmedicalnrecord
D) Tonservenasnanguidenfornclientnassessmentn
Ans:n D
Feedback:
ThenDSMnprovidesnstandardnnomenclature,npresentsndefiningncharacteristics,nandnidenti
fiesnunderlyingncausesnofnmentalndisorders.nItndoesnnotnprovidencarenplansnornprognosticn
outcomesnofntreatment.nDiagnosisnofnmentalnillnessnisnnotnwithinnthengeneralistnRN'snsco
penofnpractice,nsondocumentingnthencodeninnthenmedicalnrecordnwouldbeninappropriate.

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6. WhichnwouldnbenanreasonnfornanstudentnnursentonusenthenDSM?
A) Identifyingnthenmedicalndiagnosis
B) Treatclients
C) Evaluatetreatments
D) Understandnthenreasonfornthenadmissionandnthennaturenofnpsychiatricni
llnesses.nAns:nD
Feedback:
AlthoughnstudentnnursesndonnotnusenthenDSMntondiagnosenclients,ntheynwillnfindnitnanh
elpfulnresourcentonunderstandnthenreasonnfornthenadmissionnandntonbeginnbuildingnkno
wledgeaboutnthennatureofnpsychiatricnillnesses.nIdentifyingnthenmedicaldiagnosis,ntreati
ng,nandnevaluatingntreatmentsnarennotnanpartnofnthennursingnprocess.


7. Thenlegislationnenactedninn1963nwaslargelynresponsibleforwhichnofnthenfollowingns
hiftsninncarenfornthenmentallynill?
A) Thewidespreaduseofncommunity-basednservices
B) Thenadvancementninnpharmacotherapies
C) Increasedaccessntonhospitalization
D) Improvedrightsforclientsninnlong-
terminstitutionalncarenAns:n A
Feedback:
ThenCommunitynMentalHealthnCentersnConstructionnActofn1963naccomplishednthenr
eleasenofnindividualsnfromnlong-
termnstaysninnstateninstitutions,nthendecreaseninnadmissionsntonhospitals,nandnthende
velopmentnofncommunity-basednservicesnasnannalternativenton hospitalncare.




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8. Whichonenofnthenfollowingnisnanresultnofnfederalnlegislation?
A) Makingnitneasierntoncommitpeoplenformentalhealthtreatmentagainstntheirnwill.
B) Makingnitnmorendifficultntoncommitpeoplenformentalnhealthntreatmentnagainstnt
heirnwill.
C) Statenmentalninstitutionsnbeingnthenprimarynsourcenofncarenformentallynillnpersons.
D) Improvedcarenformentallynillnpersons.n
Ans:n B
Feedback:
Commitmentnlawsnchangedninnthenearlyn1970s,nmakingnitnmorendifficultntoncommitnpeop
lenfornmentalnhealthntreatmentnagainstntheirnwill.nDeinstitutionalizationnaccomplished
nthenreleasenofnindividualsnfromnlong-

termnstaysninnstateninstitutions.nDeinstitutionalizationalsonhadnegativeneffectsninnthatnso
menmentallynillnpersonsnarensubjectedntonthenrevolvingndoorneffect,nwhichnmaynlimitncaref
ormentallynillnpersons.


9. Thengoalnofnthen1963nCommunitynMentalnHealthnCentersnActnwasnto
A) ensurepatients'nrightsnfornthenmentallynill.
B) deinstitutionalizestatenhospitals.
C) providenfundsntonbuildnhospitalsnwithnpsychiatricnunits.
D) treatnpeoplewithmentalillnessninnanhumanenfashion.n
Ans:n B
Feedback:
Then1963nCommunitynMentalnHealthnCentersnActnintimatednthenmovementntowardntreati
ngnthosenwithnmentalnillnessninnanlessnrestrictivenenvironment.nThisnlegislationnresultedni
nnthenshiftnofnclientsnwithnmentalillnessnfromnlargenstateninstitutionsntoncarebasedninnthencom
munity.nAnswernchoicesnA,nC,nandnDnwerennotnpurposesnofnthen1963nCommunitynMental
nHealthnCentersAct.




10. Thencreationnofnasylumsduringnthen1800swasmeantnto
A) improvetreatmentofnmentalndisorders.
B) providefoodnandnshelternfornthenmentallynill.
C) punishpeoplewithmentalillnessnwhonwerenbelievedntonbenpossessed.
D) removendangerouspeoplenwithnmentalillnessnfromnthencommunity.n
Ans:n B
Feedback:
Thenasylumnwasnmeantntonbenansafehavennwithnfood,nshelter,nandnhumanentreatmentnfornthen
mentallynill.nAsylumsnwerennotnusedntonimproventreatmentnofnmentalndisordersnorntopunishn
mentallynillnpeoplenwhonwerenbelievedntonbenpossessed.nThenasylumnwasnnotncreatedntonr
emoventhendangerouslynmentallynillnfromnthencommunity.




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