COMPLETE SOLUTIONS FOR
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 8TH
EDITION BY SHEILA L.
VIDEBECK ISBN-13;978-
1975116378/ ALL CHAPTERS
COVERED/ SCORED A+
PsychiatricMentalHealthNursing 8thEditionTest 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 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 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 an individual, whichmay 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 cancausesignificant distress, impaired functioning, or both.
B) Mentalillness 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) Individualssuffering from mental illness areusually able to cope effectively
with daily life.
E) Individualssuffering from mental illness 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 from mental illness may experience dissatisfaction
with relationships and self.
Page 1
,3. 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) Persons who engagein 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 fantasiesmay be mentally healthy, but the inability to
distinguishreality from fantasyis 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) 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 reassurance or overanalysis does not accurately address the client's
concerns.
, 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
C) Evaluate treatments
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 medical
diagnosis, 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) 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.
TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 8TH
EDITION BY SHEILA L.
VIDEBECK ISBN-13;978-
1975116378/ ALL CHAPTERS
COVERED/ SCORED A+
PsychiatricMentalHealthNursing 8thEditionTest 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 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 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 an individual, whichmay 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 cancausesignificant distress, impaired functioning, or both.
B) Mentalillness 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) Individualssuffering from mental illness areusually able to cope effectively
with daily life.
E) Individualssuffering from mental illness 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 from mental illness may experience dissatisfaction
with relationships and self.
Page 1
,3. 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) Persons who engagein 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 fantasiesmay be mentally healthy, but the inability to
distinguishreality from fantasyis 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) 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 reassurance or overanalysis does not accurately address the client's
concerns.
, 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
C) Evaluate treatments
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 medical
diagnosis, 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) 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.
