TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7 TH
EDITION BY VIDEBECK LATEST Psychiatri c
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 selfreliance 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, emotionalresilienceor 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 anindividual,
whichmay have a negative impacton an individual's mentalhealth, 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. Whichof the following statementsaboutmentalillness are true? Select all that
apply. A) Mentalillness cancausesignificantdistress, impaired functioning, or
both.
B) Mentalillness is only due to social/cultural factors.
C) Social/culturalfactors that relate to mental illness include excessive
dependency on or withdrawal from relationships.
D) Individualssufferingfrommental illness are usually able to cope effectively
with daily life.
E) Individualssuffering frommentalillness may experiencedissatisfaction with
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 frommental illness may experience dissatisfaction with
relationships and self.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
3. Aclient 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 knowwhat 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 reassuranceor overanalysis does not accurately address the
client's concerns.
4. 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) Personswho
engagein fantasies are mentally ill. Ans: C Feedback:
What one society may view as acceptableand 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, butthe inability to distinguishreality
from fantasyis an individual factor that may contribute to mental illness.
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 Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
generalist RN's scope of practice, so documenting the code in the medical record
wouldbe inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treatclients
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
C) Evaluatetreatments
D) Understand the reasonfor the admissionand the nature of psychiatric illnesses.
Ans: D Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
helpful resource to understand the reason for the admission and to begin building
knowledgeabout the natureof psychiatric illnesses. Identifying the
medicaldiagnosis, treating, and evaluating treatments are not a part of the nursing
process.
7. The legislation enacted in 1963 waslargely responsibleforwhich of the following
shifts in care for the mentally ill? A) Thewidespreaduseof community-
based services
B) The advancement in pharmacotherapies
C) Increasedaccess to hospitalization
D) Improvedrightsforclients in long-terminstitutional care Ans: A Feedback:
The Community MentalHealth Centers Construction Actof 1963 accomplished
the release of individuals from long-term stays in state institutions, the
decrease in admissions to hospitals, and the development of community-based
services as an alternative to hospital care.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
8. Whichone of the following is a result of federal legislation?
A) Making it easier to commitpeople formentalhealthtreatmentagainst their will.
B) Making it more difficult to commitpeople formental health treatment against
their will.
C) State mental institutions being the primary source of care formentally ill
persons. D) Improvedcare formentally ill
persons. Ans: B Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
people for mental health treatment against their will. Deinstitutionalization
accomplished the release of individuals from long-term stays in state institutions.
Deinstitutionalizationalso hadnegative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit careformentally ill persons.
9. The goal of the 1963 Community Mental Health Centers Act was to A)
ensurepatients' rights for the mentally ill.
B) deinstitutionalizestate hospitals.
C) provide funds to build hospitals with psychiatric units. D) treat
peoplewithmentalillness in a humane fashion. Ans: B Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mentalillness from large state institutions to
carebased in the community. Answer choices A, C, and D were not purposes of the
1963 Community Mental Health CentersAct.
10. The creation of asylumsduring the 1800swasmeant to A)
improvetreatmentof mental disorders.
B) providefood and shelter for the mentally ill.
C) punishpeoplewithmentalillness who were believed to be possessed. D)
remove dangerouspeople with mentalillness from the community. Ans: B
Feedback:
The asylum was meant to be a safehaven with food, shelter, and humane treatment
for the mentally ill. Asylums were not used to improve treatment of mental disorders
or topunish mentally ill people who were believed to be possessed. The asylum was
not created to remove the dangerously mentally ill from the community.
11. The majorproblemswith large state institutions are: Select all that apply. A)
attendantswere accused ofabusing the residents.
B) stigmaassociated with residencein an insane asylum.
C) clientsweregeographicallyisolated from family and community. D)
increasingfinancialcosts to individualresidents. Ans: A, C
Feedback:
Clients were often far removed from the local community, family, and friends
because state institutions were usually in rural or remote settings. Choices B and D
were not major problems associated with large state instructions.
12. Asignificant change in the treatment of peoplewith mental illness occurred in
the 1950s when
A) communitysupportservices were established.
B) legislationdramaticallychanged civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 7 TH
EDITION BY VIDEBECK LATEST Psychiatri c
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 selfreliance 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, emotionalresilienceor 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 anindividual,
whichmay have a negative impacton an individual's mentalhealth, 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. Whichof the following statementsaboutmentalillness are true? Select all that
apply. A) Mentalillness cancausesignificantdistress, impaired functioning, or
both.
B) Mentalillness is only due to social/cultural factors.
C) Social/culturalfactors that relate to mental illness include excessive
dependency on or withdrawal from relationships.
D) Individualssufferingfrommental illness are usually able to cope effectively
with daily life.
E) Individualssuffering frommentalillness may experiencedissatisfaction with
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 frommental illness may experience dissatisfaction with
relationships and self.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
3. Aclient 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 knowwhat 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 reassuranceor overanalysis does not accurately address the
client's concerns.
4. 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) Personswho
engagein fantasies are mentally ill. Ans: C Feedback:
What one society may view as acceptableand 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, butthe inability to distinguishreality
from fantasyis an individual factor that may contribute to mental illness.
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 Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
generalist RN's scope of practice, so documenting the code in the medical record
wouldbe inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treatclients
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
C) Evaluatetreatments
D) Understand the reasonfor the admissionand the nature of psychiatric illnesses.
Ans: D Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
helpful resource to understand the reason for the admission and to begin building
knowledgeabout the natureof psychiatric illnesses. Identifying the
medicaldiagnosis, treating, and evaluating treatments are not a part of the nursing
process.
7. The legislation enacted in 1963 waslargely responsibleforwhich of the following
shifts in care for the mentally ill? A) Thewidespreaduseof community-
based services
B) The advancement in pharmacotherapies
C) Increasedaccess to hospitalization
D) Improvedrightsforclients in long-terminstitutional care Ans: A Feedback:
The Community MentalHealth Centers Construction Actof 1963 accomplished
the release of individuals from long-term stays in state institutions, the
decrease in admissions to hospitals, and the development of community-based
services as an alternative to hospital care.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
, TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
8. Whichone of the following is a result of federal legislation?
A) Making it easier to commitpeople formentalhealthtreatmentagainst their will.
B) Making it more difficult to commitpeople formental health treatment against
their will.
C) State mental institutions being the primary source of care formentally ill
persons. D) Improvedcare formentally ill
persons. Ans: B Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
people for mental health treatment against their will. Deinstitutionalization
accomplished the release of individuals from long-term stays in state institutions.
Deinstitutionalizationalso hadnegative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit careformentally ill persons.
9. The goal of the 1963 Community Mental Health Centers Act was to A)
ensurepatients' rights for the mentally ill.
B) deinstitutionalizestate hospitals.
C) provide funds to build hospitals with psychiatric units. D) treat
peoplewithmentalillness in a humane fashion. Ans: B Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mentalillness from large state institutions to
carebased in the community. Answer choices A, C, and D were not purposes of the
1963 Community Mental Health CentersAct.
10. The creation of asylumsduring the 1800swasmeant to A)
improvetreatmentof mental disorders.
B) providefood and shelter for the mentally ill.
C) punishpeoplewithmentalillness who were believed to be possessed. D)
remove dangerouspeople with mentalillness from the community. Ans: B
Feedback:
The asylum was meant to be a safehaven with food, shelter, and humane treatment
for the mentally ill. Asylums were not used to improve treatment of mental disorders
or topunish mentally ill people who were believed to be possessed. The asylum was
not created to remove the dangerously mentally ill from the community.
11. The majorproblemswith large state institutions are: Select all that apply. A)
attendantswere accused ofabusing the residents.
B) stigmaassociated with residencein an insane asylum.
C) clientsweregeographicallyisolated from family and community. D)
increasingfinancialcosts to individualresidents. Ans: A, C
Feedback:
Clients were often far removed from the local community, family, and friends
because state institutions were usually in rural or remote settings. Choices B and D
were not major problems associated with large state instructions.
12. Asignificant change in the treatment of peoplewith mental illness occurred in
the 1950s when
A) communitysupportservices were established.
B) legislationdramaticallychanged civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 7TH EDITION BY VIDEBECK
