Psychiatric-Mental ,Health ,Nursing ,8th ,edition ,by ,Videbeck ,Test ,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 ,needing ,others ,for ,companionship
B) The ,ability ,to ,effectively ,manage ,stress
C) A ,family ,history ,of ,mental ,illness
D) Striving ,for ,total ,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 ,both ,needed ,for ,good , mental
,health, , and ,therefore ,a , healthy ,person ,would ,need ,others ,for ,companionship. ,A
,family , history ,of ,mental ,illness , could ,relate ,to ,the ,biologic , makeup ,of ,an
,individual, ,which ,may ,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 ,can ,cause ,significant ,distress, ,impaired ,functioning, ,or ,both.
B) Mental ,illness ,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) Individuals ,suffering ,from ,mental ,illness ,are ,usually ,able ,to ,cope ,effectively
,with , daily ,life.
E) Individuals ,suffering ,from ,mental ,illness ,may ,experience ,dissatisfaction
,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 ,from ,mental ,illness ,may
,experience ,dissatisfaction ,with , relationships ,and ,self.
3. Which ,of ,the ,following ,are ,true ,regarding ,mental ,health ,and ,mental ,illness?
F) Behavior ,that ,may ,be ,viewed ,as ,acceptable ,in ,one ,culture ,is ,always
,unacceptable , in ,other , cultures.
G) It ,is ,easy ,to ,determine ,if ,a ,person ,is ,mentally ,healthy ,or ,mentally ,ill.
H) 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.
I) Persons ,who ,engage ,in ,fantasies ,are ,mentally
,ill. , Ans: ,C
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3. Which ,of ,the ,following ,are ,true ,regarding ,mental ,health ,and ,mental ,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 ,engage ,in ,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 ,fantasies , may ,be ,mentally ,healthy,
,but ,the ,inability ,to ,distinguish , reality , from ,fantasy , is , 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) ìYou ,are ,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) ìTry ,not ,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 , mental ,illness. ,False ,reassurance ,or ,overanalysis ,does ,not ,accurately
,address ,the ,client's , concerns.
5. The ,nurse ,consults ,the ,DSM ,for ,which ,of ,the ,following ,purposes?
E) To ,devise ,a ,plan ,of ,care ,for ,a ,newly ,admitted ,client
F) To ,predict ,the ,client's ,prognosis ,of ,treatment ,outcomes
G) To ,document ,the ,appropriate ,diagnostic ,code ,in ,the ,client's ,medical ,record
H) 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
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5. The ,nurse , consults ,the ,DSM ,for , which ,of ,the ,following ,purposes?
A) To ,devise ,a ,plan ,of ,care ,for ,a ,newly ,admitted ,client
B) To ,predict ,the ,client's ,prognosis ,of ,treatment ,outcomes
C) To ,document ,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 ,would , be ,inappropriate.
6. Which ,would ,be ,a ,reason ,for ,a , student ,nurse ,to ,use ,the ,DSM?
A) Identifying ,the ,medical ,diagnosis
B) Treat ,clients
C) Evaluate ,treatments
D) Understand ,the ,reason ,for ,the ,admission ,and ,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 , knowledge ,about ,the ,nature ,of ,psychiatric ,illnesses. ,Identifying ,the
,medical ,diagnosis, , treating, ,and ,evaluating ,treatments ,are ,not , a ,part ,of ,the
,nursing , process.
7. The ,legislation ,enacted ,in ,1963 ,was ,largely ,responsible , for ,which ,of ,the , following
,shifts , in ,care ,for ,the ,mentally ,ill?
A) The ,widespread ,use ,of ,community-based ,services
B) The ,advancement ,in ,pharmacotherapies
C) Increased ,access ,to ,hospitalization
D) Improved ,rights ,for ,clients ,in ,long-term ,institutional
,care , Ans: ,A
Feedback:
The ,Community ,Mental ,Health ,Centers ,Construction ,Act ,of ,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.
8. Which ,one ,of ,the , following ,is , a , result ,of , federal ,legislation?
A) Making ,it ,easier ,to ,commit ,people ,for ,mental ,health ,treatment ,against ,their ,will.
B) Making ,it ,more ,difficult ,to ,commit ,people ,for ,mental ,health ,treatment
,against , their ,will.
C) State ,mental ,institutions ,being ,the ,primary ,source ,of ,care ,for ,mentally ,ill ,persons.
D) Improved ,care ,for ,mentally ,ill
,persons. , Ans: ,B
Feedback:
Commitment ,laws ,changed ,in ,the ,early ,1970s, ,making ,it ,more ,difficult ,to ,commit
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