Test Bank for Psychiatric-Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters (1-24)

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TestBank for v v




Psychiatric–MentalHealthNursing9thEditionbySheilaL. v v v v v v v Videbeck
AllChapters(1-24)
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Table Of Contents v v




UNIT 1 Current Theories and Practice
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Chapter 1. Foundations of Psychiatric–Mental Health Nursing
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Chapter 2. Neurobiologic Theories and Psychopharmacology
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Chapter 3. Psychosocial Theories and Therapy
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Chapter 4. Treatment Settings and Therapeutic Programs
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UNIT 2 Building the Nurse–Client Relationship Chapter
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5. Therapeutic Relationships
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Chapter 6. Therapeutic Communication v v v




Chapter 7. Client’s Response to Illness
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Chapter 8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical Issues Chapter
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10. Grief and Loss
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Chapter 11. Anger, Hostility, and Aggression
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Chapter 12. Abuse and Violence
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UNIT 4 Nursing Practice for Psychiatric Disorders Chapter
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13. Trauma and Stressor-Related Disorders Chapter 14.
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Anxiety and Anxiety Disorders
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Chapter 15. Obsessive–Compulsive and Related Disorders
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Chapter 16. Schizophrenia
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Chapter 17. Mood Disorders and Suicide
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Chapter 18. Personality Disorders
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Chapter 19. Addiction
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Chapter 20. Eating Disorders v v v




Chapter 21. Somatic Symptom Illnesses Chapter
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22. Neurodevelopmental Disorders Chapter 23.
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Disruptive Behavior Disorders Chapter 24.
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Cognitive Disorders
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Chapter 1 v




1. The nurse is assessing the factors contributing to the well-being of a newlyadmitted
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client. Which of the following would the nurse identify as having a positive impact on the
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individual's mental health?
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A) Not needing othersfor companionship v v v v




B) The abilityto effectively manage stress v v v v v




C) A familyhistory of mental illness v v v v v




D) Striving fortotalself-reliance v v v




Ans: B v v




Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
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emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress
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management abilities. Interpersonalfactors such as intimacy and abalance of separateness
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and connectedness are both needed for good mental health, andtherefore a
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healthy person would need others for companionship. A family history of mental illness
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could relate to thebiologic makeup of an individual, which may have a negative impact on an
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individual's mental health, as well as a negative impact onan individual's interpersonal and
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socialñcultural factors of health. Total self-reliance is not possible, and a positive
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social/cultural factor isaccess to adequate resources.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both. v v v v v v v v v




B) Mental illness is only due to social/cultural factors. v v v v v v v




C) Social/cultural factors that relate to mental illness include excessive dependency on v v v v v v v v v v




or withdrawalfromrelationships.
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D) Individuals suffering from mental illnessare usually able to cope effectively with v v v v v v v v v v v




daily life. v v




E) Individuals suffering from mental illness may experience dissatisfaction with v v v v v v v v




relationshipsandself. v v v




Ans: A, D, E v v v




Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
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may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals sufferingfrom mental illness can feel overwhelmed with daily life.
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Individuals suffering from mental illness may experience dissatisfaction with relationships
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andself.
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3. Which of thefollowing aretrue regarding mental health and mental illness?
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A) Behavior that maybeviewed as acceptable in oneculture isalways v v v v v v v v v v v




unacceptable inothercultures.
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B) It is easy to determine if a person is mentally healthy or mentallyill.
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C) In most cases, mental health isa state of emotional, psychological, and social
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wellness evidenced by satisfying interpersonal relationships, effective behavior
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and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. v v v v v v v




Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
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vsee that as maladaptive, and inappropriate. Mental health and mental illness are difficult
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vto define precisely. In most cases, mental health isa state of emotional, psychological, and
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social wellness evidenced bysatisfying interpersonal relationships, effective behavior and
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coping, positive self-concept, and emotional stability. Persons who engage in fantasies
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may be mentally healthy, but the inability to distinguish reality from fantasy is an individual
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factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so much v v v v v v v v v v v v




pain.î v




B) ìYou are not mentally ill. This is an expected reaction to the loss you have v v v v v v v v v v v v v v




experienced.î v




C) ìWere you generallydissatisfied with your relationship before your husband's v v v v v v v v v




death?î v




D) ìTry not to worryabout that right now. You never know what the future brings.î Ans:
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B
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Feedback:
Mental illness includesgeneraldissatisfaction withself, ineffective relationships, ineffective
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coping, and lack of personal growth. Additionally the behavior must not be
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culturally expected. Acute grief reactions are expected and therefore not considered mental
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illness. False reassurance or overanalysis does not accurately address the client's concerns.
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5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newlyadmitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessmentv v v v v v v




Ans: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
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underlying causes of mental disorders. It does not provide care plans or prognostic
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outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of
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practice, so documenting the code in the medical record would be inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medicaldiagnosis v v v




B) Treat clients v




C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses. v v v v v v v v v v v




Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
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resource to understand the reason for the admission and to begin building knowledge about
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the nature ofpsychiatricillnesses. Identifying the medical diagnosis, treating, and evaluating
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treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largelyresponsible for which of the following shifts in
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careforthe mentallyill?
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A) The widespread use of community-based services v v v v v




B) The advancement in pharmacotherapies v v v




C) Increased access to hospitalization v v v




D) Improved rights for clients in long-term institutional care v v v v v v v




Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the release of
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individuals from long-term stays in state institutions, the decrease in admissions to hospitals,
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and the development of community-based services as an alternative to hospital care.
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8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will. v v v v v v v v v v v v




B) Making it moredifficult to commit peoplefor mental health treatment against v v v v v v v v v v v




their will. v v




C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved carefor mentallyillpersons. v v v v v




Ans: B
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Commitment laws changed in the early 1970s, making it more difficult to commit v v v v v v v v v v v v




peoplefor mental healthtreatment against their will. Deinstitutionalization accomplished the
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release of individualsfrom long-term stays instate institutions. Deinstitutionalization also
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had negative effects in that some mentally ill persons are subjected to the revolving door
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effect, which may limit care for mentally ill persons.
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9. The goal of the 1963 Community Mental Health Centers Act was to
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A) ensure patients' rights for the mentally ill. v v v v v v




B) deinstitutionalize state hospitals. v v




C) provide funds to build hospitals with psychiatric units. v v v v v v v




D) treat people with mental illness in a humane fashion. v v v v v v v v




Ans: B
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Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward treating
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those with mental illness in a less restrictive environment. This legislation resulted in the shift
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of clients with mental illness from large state institutions to care based in the community.
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Answer choices A, C, and D were not purposes of the 1963 Community MentalHealth
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Centers Act.
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10. The creation of asylums during the 1800s was meant to
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A) improvetreatment of mentaldisorders. v v v v




B) provide food and shelter for the mentally ill. v v v v v v v




C) punish people with mental illness who were believed to be possessed. v v v v v v v v v v




D) remove dangerous people with mental illness from the community. v v v v v v v v




Ans: B
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Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for the
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mentally ill. Asylums were not used to improve treatment of mental disorders or to punish
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mentally ill people who were believed to be possessed. The asylum was not created to
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remove the dangerously mentally ill from the community.
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11. The major problems with large state institutions are: Select all that apply.
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A) attendants were accused of abusing the residents. v v v v v v




B) stigma associated with residence in an insaneasylum. v v v v v v v




C) clients were geographicallyisolated from family and community. v v v v v v v




D) increasing financial costs to individual residents. v v v v v




Ans: A, C
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Feedback:
Clients wereoftenfar removed fromthe local community, family, and friendsbecause state
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institutions were usually in rural or remote settings. Choices B and D were not major
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problems associated with large state instructions.
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12. A significant change inthetreatment of people with mental illness occurred inthe 1950s when
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A) communitysupport services were established. v v v v




B) legislation dramatically changed civil commitment procedures. v v v v v




C) the Patient's Bill of Rights was enacted. v v v v v v




D) psychotropicdrugs became availablefor use. v v v v v




Ans: D
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Feedback:
The development of psychotropic drugs, or drugs used to treat mental illness, began in the
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1950s. Answer choices A, B, and C did not occur in the 1950s.
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13. Beforethe period of the enlightenment, treatment of the mentallyill included
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