Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
l l l l l l l l
Pagel1
,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
l l l l l l l l
Psychiatric-MentallHealthlNursingl8thleditionl
Chapterl1
1. Thelnurselislassessinglthelfactorslcontributingltolthelwell-
beingloflalnewlyladmittedlclient.lWhichloflthelfollowinglwouldlthelnurselidentifylaslhavin
glalpositivelimpactlonlthelindividual'slmentallhealth?
A) Notlneedinglotherslforlcompanionship
B) Thelabilityltoleffectivelylmanagelstress
C) Alfamilylhistoryloflmentallillness
D) Strivinglforltotallself-
reliancelAns:l B
Feedback:
Individuallfactorslinfluencinglmentallhealthlincludelbiologiclmakeup,lautonomy,lindepend
ence,lself-
esteem,lcapacitylforlgrowth,lvitality,labilityltolfindlmeaninglinllife,lemotionallresiliencelorlh
ardiness,lsenseloflbelonging,lrealitylorientation,landlcopinglorlstresslmanagementlabilities.l
Interpersonallfactorslsuchlaslintimacylandlalbalanceloflseparatenesslandlconnectednesslarel
bothlneededlforlgoodlmentallhealth,landlthereforelalhealthylpersonlwouldlneedlotherslforlco
mpanionship.lAlfamilylhistoryloflmentallillnesslcouldlrelateltolthelbiologiclmakeuploflanlind
ividual,lwhichlmaylhavelalnegativelimpactlonlanlindividual'slmentallhealth,laslwelllaslalnega
tivelimpactlonlanlindividual'slinterpersonallandlsocialñculturallfactorsloflhealth.lTotallself-
reliancelislnotlpossible,landlalpositivelsocial/culturallfactorlislaccessltoladequatelresources.
2. Whichloflthelfollowinglstatementslaboutlmentallillnesslareltrue?lSelectlalllthatlapply.
A) Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.
B) Mentallillnesslislonlyldueltolsocial/culturallfactors.
C) Social/culturallfactorslthatlrelateltolmentallillnesslincludelexcessiveldependencylonl
orlwithdrawallfromlrelationships.
D) Individualslsufferinglfromlmentallillnesslarelusuallylableltolcopeleffectivelylwithldai
lyllife.
E) Individualslsufferinglfromlmentallillnesslmaylexperienceldissatisfactionlwithlrel
ationshipslandlself.
Ans:l A,lD,lE
Feedback:
Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.lMentallillnessl
maylbelrelatedltolindividual,linterpersonal,lorlsocial/culturallfactors.lExcessiveldependenc
ylonlorlwithdrawallfromlrelationshipslarelinterpersonallfactorslthatlrelateltolmentallillness.lI
ndividualslsufferinglfromlmentallillnesslcanlfeelloverwhelmedlwithldailyllife.lIndividualsls
ufferinglfromlmentallillnesslmaylexperienceldissatisfactionlwithlrelationshipslandlself.
Pagel2
,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
l l l l l l l l
3. Whichloflthelfollowinglareltruelregardinglmentallhealthlandlmentallillness?
A) Behaviorlthatlmaylbelviewedlaslacceptablelinlonelculturelislalwayslunacceptablelinlo
therlcultures.
B) Itlisleasyltoldetermineliflalpersonlislmentallylhealthylorlmentallylill.
C) Inlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,landlsociallwelln
esslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorlandlcop
ing,lpositivelself-concept,landlemotionallstability.
D) Personslwholengagelinlfantasieslarelmentallylill.lA
ns:l C
Feedback:
Whatlonelsocietylmaylviewlaslacceptablelandlappropriatelbehavior,lanotherlsocietylmaylseelt
hatlaslmaladaptive,landlinappropriate.lMentallhealthlandlmentallillnesslareldifficultltoldefine
lprecisely.lInlmostlcases,l mentallhealthlislalstateloflemotional,lpsychological,landlsociallwell
nesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorlandlcoping,lposi
tivelself-
concept,landlemotionallstability.lPersonslwholengagelinlfantasieslmaylbelmentallylhealthy,lb
utlthelinabilityltoldistinguishlrealitylfromlfantasylislanlindividuallfactorlthatlmaylcontributelt
olmentallillness.
4. Alclientlgrievinglthelrecentllossloflherlhusbandlasksliflshelislbecominglmentallylilllbeca
uselshelislsolsad.lThelnurse'slbestlresponselwouldlbe,
A) ìYoulmaylhavelaltemporarylmentallillnesslbecauselyoularelexperiencinglsolmuchlpai
n.î
B) ìYoularelnotlmentallylill.lThislislanlexpectedlreactionltolthellosslyoulhavelexpe
rienced.î
C) ìWerelyoulgenerallyldissatisfiedlwithlyourlrelationshiplbeforelyourlhusband'slde
ath?î
D) ìTrylnotltolworrylaboutlthatlrightlnow.lYoulneverlknowlwhatlthelfuturelbrings.îlAns:
lB
Feedback:
Mentallillnesslincludeslgeneralldissatisfactionlwithlself,lineffectivelrelationships,lineffecti
velcoping,landllackloflpersonallgrowth.lAdditionallylthelbehaviorlmustlnotlbelculturallylexp
ected.lAcutelgrieflreactionslarelexpectedlandlthereforelnotlconsideredlmentallillness.lFalselr
eassurancelorloveranalysisldoeslnotlaccuratelyladdresslthelclient'slconcerns.
Pagel3
, Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
l l l l l l l l
5. ThelnurselconsultslthelDSMlforlwhichloflthelfollowinglpurposes?
A) Toldeviselalplanloflcarelforlalnewlyladmittedlclient
B) Tolpredictlthelclient'slprognosislofltreatmentloutcomes
C) Toldocumentlthelappropriateldiagnosticlcodelinlthelclient'slmedicallrecord
D) TolservelaslalguidelforlclientlassessmentlA
ns:l D
Feedback:
ThelDSMlprovideslstandardlnomenclature,lpresentsldefininglcharacteristics,landlidentifies
lunderlyinglcausesloflmentalldisorders.lItldoeslnotlprovidelcarelplanslorlprognosticloutcome
slofltreatment.lDiagnosisloflmentallillnesslislnotlwithinlthelgeneralistlRN'slscopeloflpractice
,lsoldocumentinglthelcodelinlthelmedicallrecordlwouldlbelinappropriate.
6. WhichlwouldlbelalreasonlforlalstudentlnurseltoluselthelDSM?
A) Identifyinglthelmedicalldiagnosis
B) Treatlclients
C) Evaluateltreatments
D) Understandlthelreasonlforltheladmissionlandlthelnatureloflpsychiatriclillnesses.lAn
s:l D
Feedback:
AlthoughlstudentlnursesldolnotluselthelDSMltoldiagnoselclients,ltheylwilllfindlitlalhelpfullr
esourceltolunderstandlthelreasonlforltheladmissionlandltolbeginlbuildinglknowledgelaboutl
thelnatureloflpsychiatriclillnesses.lIdentifyinglthelmedicalldiagnosis,ltreating,landlevaluati
ngltreatmentslarelnotlalpartloflthelnursinglprocess.
7. Thellegislationlenactedlinl1963lwasllargelylresponsiblelforlwhichloflthelfollowinglshiftslinlc
arelforlthelmentallylill?
A) Thelwidespreadluseloflcommunity-basedlservices
B) Theladvancementlinlpharmacotherapies
C) Increasedlaccessltolhospitalization
D) Improvedlrightslforlclientslinllong-
termlinstitutionallcarelAns:l A
Feedback:
ThelCommunitylMentallHealthlCenterslConstructionlActlofl1963laccomplishedlthelrel
easeloflindividualslfromllong-
termlstayslinlstatelinstitutions,ltheldecreaselinladmissionsltolhospitals,landltheldevelop
mentloflcommunity-basedlserviceslaslanlalternativeltolhospitallcare.
Pagel4
l l l l l l l l
Pagel1
,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
l l l l l l l l
Psychiatric-MentallHealthlNursingl8thleditionl
Chapterl1
1. Thelnurselislassessinglthelfactorslcontributingltolthelwell-
beingloflalnewlyladmittedlclient.lWhichloflthelfollowinglwouldlthelnurselidentifylaslhavin
glalpositivelimpactlonlthelindividual'slmentallhealth?
A) Notlneedinglotherslforlcompanionship
B) Thelabilityltoleffectivelylmanagelstress
C) Alfamilylhistoryloflmentallillness
D) Strivinglforltotallself-
reliancelAns:l B
Feedback:
Individuallfactorslinfluencinglmentallhealthlincludelbiologiclmakeup,lautonomy,lindepend
ence,lself-
esteem,lcapacitylforlgrowth,lvitality,labilityltolfindlmeaninglinllife,lemotionallresiliencelorlh
ardiness,lsenseloflbelonging,lrealitylorientation,landlcopinglorlstresslmanagementlabilities.l
Interpersonallfactorslsuchlaslintimacylandlalbalanceloflseparatenesslandlconnectednesslarel
bothlneededlforlgoodlmentallhealth,landlthereforelalhealthylpersonlwouldlneedlotherslforlco
mpanionship.lAlfamilylhistoryloflmentallillnesslcouldlrelateltolthelbiologiclmakeuploflanlind
ividual,lwhichlmaylhavelalnegativelimpactlonlanlindividual'slmentallhealth,laslwelllaslalnega
tivelimpactlonlanlindividual'slinterpersonallandlsocialñculturallfactorsloflhealth.lTotallself-
reliancelislnotlpossible,landlalpositivelsocial/culturallfactorlislaccessltoladequatelresources.
2. Whichloflthelfollowinglstatementslaboutlmentallillnesslareltrue?lSelectlalllthatlapply.
A) Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.
B) Mentallillnesslislonlyldueltolsocial/culturallfactors.
C) Social/culturallfactorslthatlrelateltolmentallillnesslincludelexcessiveldependencylonl
orlwithdrawallfromlrelationships.
D) Individualslsufferinglfromlmentallillnesslarelusuallylableltolcopeleffectivelylwithldai
lyllife.
E) Individualslsufferinglfromlmentallillnesslmaylexperienceldissatisfactionlwithlrel
ationshipslandlself.
Ans:l A,lD,lE
Feedback:
Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.lMentallillnessl
maylbelrelatedltolindividual,linterpersonal,lorlsocial/culturallfactors.lExcessiveldependenc
ylonlorlwithdrawallfromlrelationshipslarelinterpersonallfactorslthatlrelateltolmentallillness.lI
ndividualslsufferinglfromlmentallillnesslcanlfeelloverwhelmedlwithldailyllife.lIndividualsls
ufferinglfromlmentallillnesslmaylexperienceldissatisfactionlwithlrelationshipslandlself.
Pagel2
,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
l l l l l l l l
3. Whichloflthelfollowinglareltruelregardinglmentallhealthlandlmentallillness?
A) Behaviorlthatlmaylbelviewedlaslacceptablelinlonelculturelislalwayslunacceptablelinlo
therlcultures.
B) Itlisleasyltoldetermineliflalpersonlislmentallylhealthylorlmentallylill.
C) Inlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,landlsociallwelln
esslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorlandlcop
ing,lpositivelself-concept,landlemotionallstability.
D) Personslwholengagelinlfantasieslarelmentallylill.lA
ns:l C
Feedback:
Whatlonelsocietylmaylviewlaslacceptablelandlappropriatelbehavior,lanotherlsocietylmaylseelt
hatlaslmaladaptive,landlinappropriate.lMentallhealthlandlmentallillnesslareldifficultltoldefine
lprecisely.lInlmostlcases,l mentallhealthlislalstateloflemotional,lpsychological,landlsociallwell
nesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorlandlcoping,lposi
tivelself-
concept,landlemotionallstability.lPersonslwholengagelinlfantasieslmaylbelmentallylhealthy,lb
utlthelinabilityltoldistinguishlrealitylfromlfantasylislanlindividuallfactorlthatlmaylcontributelt
olmentallillness.
4. Alclientlgrievinglthelrecentllossloflherlhusbandlasksliflshelislbecominglmentallylilllbeca
uselshelislsolsad.lThelnurse'slbestlresponselwouldlbe,
A) ìYoulmaylhavelaltemporarylmentallillnesslbecauselyoularelexperiencinglsolmuchlpai
n.î
B) ìYoularelnotlmentallylill.lThislislanlexpectedlreactionltolthellosslyoulhavelexpe
rienced.î
C) ìWerelyoulgenerallyldissatisfiedlwithlyourlrelationshiplbeforelyourlhusband'slde
ath?î
D) ìTrylnotltolworrylaboutlthatlrightlnow.lYoulneverlknowlwhatlthelfuturelbrings.îlAns:
lB
Feedback:
Mentallillnesslincludeslgeneralldissatisfactionlwithlself,lineffectivelrelationships,lineffecti
velcoping,landllackloflpersonallgrowth.lAdditionallylthelbehaviorlmustlnotlbelculturallylexp
ected.lAcutelgrieflreactionslarelexpectedlandlthereforelnotlconsideredlmentallillness.lFalselr
eassurancelorloveranalysisldoeslnotlaccuratelyladdresslthelclient'slconcerns.
Pagel3
, Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
l l l l l l l l
5. ThelnurselconsultslthelDSMlforlwhichloflthelfollowinglpurposes?
A) Toldeviselalplanloflcarelforlalnewlyladmittedlclient
B) Tolpredictlthelclient'slprognosislofltreatmentloutcomes
C) Toldocumentlthelappropriateldiagnosticlcodelinlthelclient'slmedicallrecord
D) TolservelaslalguidelforlclientlassessmentlA
ns:l D
Feedback:
ThelDSMlprovideslstandardlnomenclature,lpresentsldefininglcharacteristics,landlidentifies
lunderlyinglcausesloflmentalldisorders.lItldoeslnotlprovidelcarelplanslorlprognosticloutcome
slofltreatment.lDiagnosisloflmentallillnesslislnotlwithinlthelgeneralistlRN'slscopeloflpractice
,lsoldocumentinglthelcodelinlthelmedicallrecordlwouldlbelinappropriate.
6. WhichlwouldlbelalreasonlforlalstudentlnurseltoluselthelDSM?
A) Identifyinglthelmedicalldiagnosis
B) Treatlclients
C) Evaluateltreatments
D) Understandlthelreasonlforltheladmissionlandlthelnatureloflpsychiatriclillnesses.lAn
s:l D
Feedback:
AlthoughlstudentlnursesldolnotluselthelDSMltoldiagnoselclients,ltheylwilllfindlitlalhelpfullr
esourceltolunderstandlthelreasonlforltheladmissionlandltolbeginlbuildinglknowledgelaboutl
thelnatureloflpsychiatriclillnesses.lIdentifyinglthelmedicalldiagnosis,ltreating,landlevaluati
ngltreatmentslarelnotlalpartloflthelnursinglprocess.
7. Thellegislationlenactedlinl1963lwasllargelylresponsiblelforlwhichloflthelfollowinglshiftslinlc
arelforlthelmentallylill?
A) Thelwidespreadluseloflcommunity-basedlservices
B) Theladvancementlinlpharmacotherapies
C) Increasedlaccessltolhospitalization
D) Improvedlrightslforlclientslinllong-
termlinstitutionallcarelAns:l A
Feedback:
ThelCommunitylMentallHealthlCenterslConstructionlActlofl1963laccomplishedlthelrel
easeloflindividualslfromllong-
termlstayslinlstatelinstitutions,ltheldecreaselinladmissionsltolhospitals,landltheldevelop
mentloflcommunity-basedlserviceslaslanlalternativeltolhospitallcare.
Pagel4
