PSYCHIATRIC-MENTAL HEALTH NURSING 9TH EDITION BY VIDEBECK TEST BANK. LATEST UPDATE | WITH COMPLETE QUESTIONS AND SOLUTIONS

PSYCHIATRIC-MENTAL HEALTH NURSING 9TH EDITION BY
VIDEBECK TEST BANK. LATEST UPDATE | WITH COMPLETE
QUESTIONS AND SOLUTIONS




Psychiatric-MentalHealthNursing8theditionbyVidebeckTestBankChapter1 w
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1. The nurse is assessing the factors contributing to the well- wq wq wq wq wq wq wq wq wq




being of a newly admitted client. Which of the following would the nurse identi
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fy as having a positive impact on the individual's mental health?
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A) Not needing others for companionship wq wq wq wq




B) The ability to effectively manage stress wq wq wq wq wq




C) Afamily history of mental illness
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D) Strivingfor totalself- wq wq wq




relianceAns: B Feedback: w
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Individual factors influencing mental health include biologic makeup, autonomy,i wq wq wq wq wq wq wq wq wq




ndependence,self- wq




esteem,capacity forgrowth,vitality,ability to find meaning in life, emotional resilie
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nce or hardiness, sense of belonging,
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reality orientation, and coping or stress management abilities. Interpersonal
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factors such as intimacy and a balance of separateness and connectedness are both ne
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eded for good mental health, and therefore a healthy person would need others for com
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panionship. A family history of mental illness wq wq wq wq wq wq




could relate to the biologic makeup of an individual, which may have a negative impac
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t on an individual's mental health, as well as a negative impact on an individual's inter
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personal and socialñcultural factors of health. Total self- wq wq wq wq wq wq wq




reliance is not possible, and apositive social/cultural factor is access to adequate reso
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urces.


2. Which of the following statements about mental illness are true? Select all t wq wq wq wq wq wq wq wq wq wq wq wq




hat apply.wq

,A) Mental illness can cause significant distress, impaired functioning,or bot wq wq wq wq wq wq wq wq wq




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




C) Social/cultural factors that relateto mental illness include excessive dep wq wq wq wq wq wq wq wq wq




endency on or withdrawal from relationships. wq wq wq wq wq




D) Individuals suffering from mental illness are usually able to cope effe wq wq wq wq wq wq wq wq wq wq




ctively with daily life. wq wq wq




E) Individuals sufferingfrom mental illness may experiencedissatisfaction wit wq wq wq wq wq wq wq wq




h relationships and self.
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Ans:A, D, E w
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Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
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lness 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 t
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o mental illness. Individuals suffering from
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mental illness can feel overwhelmed with daily life. Individuals suffering from ment
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al illness may experience dissatisfaction with relationships and self.
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3. Which of the following are true regarding mental health and mental illne
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ss?
A) Behavior that may be viewed as acceptable in one culture is always unac wq wq wq wq wq wq wq wq wq wq wq wq




ceptable in other cultures. wq wq wq




B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and soci
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al wellness evidenced by satisfying interpersonal relationships, effective behavi
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or and coping, positive self-concept, and emotional stability.
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D) Persons who engagein fantasies are mentally ill. Ans: C Fee wq wq wq wq wq wq wq wq wq wq




dback:
What one society may view as acceptable and appropriate behavior, anothers
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ociety may see that as maladaptive, andinappropriate. Mental health and men
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tal illness are difficult to define precisely. In most cases,
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,mental health is a state of emotional, psychological, and social wellness evidenc
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ed by satisfying interpersonal relationships, effective behavior and coping, pos
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itive self- wq




concept, and emotional stability. Persons who engage in fantasies may bement
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ally 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. Aclient grieving the recent loss of her husband asks if she is becoming ment
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ally ill because she is so sad. The nurse's best response would be,
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A) ìYou mayhave atemporarymental illnessbecause you are experiencing so m wq wq wq wq wq wq wq wq wq wq wq wq




uch pain.î wq




B) ìYou are not mentally ill.This is an expected reaction to theloss you have experi wq wq wq wq w
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enced.î




C) ìWereyougenerallydissatisfied withyourrelationship before your hus wq w
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band's death?î wq




D) ìTrynot to worry aboutthat right now.You neverknow whatthefuture brings wq wq wq wq wq wq wq w
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.î Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective
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relationships,ineffective coping, and lack of personal growth.Additionally the b w
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ehavior must not be culturally expected. Acute grief reactions are expected and t
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herefore not considered mental illness. False reassurance or overanalysis does n
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ot 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 aplan of care for a newly admitted client
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B) Topredict the client's prognosisof treatment outcomes
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C) To document the appropriatediagnostic code in the client'smedical reco
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rd
D) Toserveasa guide forclient assessmentAns: D
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, Feedback:
TheDSMprovidesstandardnomenclature,presents defining
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characteristics, and identifies underlying causes of mental disorders. It does no wq wq wq wq wq wq wq wq wq wq




t provide care plans orprognostic outcomes of treatment. Diagnosis of mental ill
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ness is not within the generalist RN's scope of practice, so documenting the code
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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? wq wq wq wq wq wq wq wq wq wq wq wq




A) Identifying the medical diagnosis wq wq wq




B) Treatclients w
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C) Evaluate treatments wq




D) Understand the reason for the admission and the nature of psychiatric illne wq wq wq wq wq wq wq wq wq wq wq




sses. Ans: D wq wq




Feedback:
Although student nurses do not use the DSM to diagnose clients, they will wq wq wq wq wq wq wq wq wq wq wq wq




find it a helpful resource to understand the reason forthe admission and to begin
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building knowledge about the nature of psychiatric illnesses.wq wq wq wq wq wq wq




Identifying the medical diagnosis, treating, and evaluating treatmentsare not a wq wq wq wq wq wq wq wq wq wq wq




part of the nursing process. wq wq wq wq




7. The legislation enacted in 1963 was largely responsible for which of the follo
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wing shifts in care for the mentally ill?
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A) The widespread useof community-based services
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B) The advancement in pharmacotherapies
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C) Increased access to hospitalization wq wq wq




D) Improved rights for clients in long- wq wq wq wq wq




term institutional care Ans:A Feedback:
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The Community Mental Health Centers Construction Act of 1963 accomplishe
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d the release of individuals from long-termstays in state
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