A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389]
Psychiatric-Mental ,Health ,Nursing ,8th ,edition ,by ,Videbeck ,Test ,Bank
, Chapter ,1
Psychiatric-
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
Mental Health
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
Nursing
,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.
NINTH EDITION 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.
Sheila L. Videbeck
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.
Wolters Kluwer 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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,A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389] A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389]
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
3. Which ,of ,the ,following ,are ,true ,regarding ,mental ,health ,and ,mental ,illness? D) To ,serve ,as ,a ,guide ,for ,client
A) Behavior ,that ,may ,be ,viewed ,as ,acceptable ,in ,one ,culture ,is ,always ,assessment , Ans: ,D
,unacceptable , in ,other , cultures. Feedback:
B) It ,is ,easy ,to ,determine ,if ,a ,person ,is ,mentally ,healthy ,or ,mentally ,ill. The ,DSM ,provides ,standard ,nomenclature, ,presents ,defining ,characteristics, ,and
C) In ,most ,cases, ,mental ,health ,is ,a ,state ,of ,emotional, ,psychological, ,and , identifies ,underlying , causes ,of , mental ,disorders. ,It ,does ,not ,provide , care ,plans
,social , wellness ,evidenced ,by ,satisfying ,interpersonal ,relationships, ,or , prognostic , outcomes ,of ,treatment. ,Diagnosis ,of , mental ,illness ,is ,not , within
,effective ,behavior , and ,coping, , positive ,self-concept, , and ,emotional ,the , generalist ,RN's ,scope ,of ,practice, ,so ,documenting ,the ,code ,in ,the ,medical
,stability. ,record ,would , be ,inappropriate.
D) Persons ,who ,engage ,in ,fantasies ,are ,mentally
,ill. , Ans: ,C
Feedback: 6. Which ,would ,be , a ,reason ,for ,a ,student ,nurse ,to , use ,the ,DSM?
What ,one ,society ,may ,view ,as ,acceptable ,and ,appropriate ,behavior, ,another ,society A) Identifying ,the ,medical ,diagnosis
,may , see ,that ,as , maladaptive, , and ,inappropriate. ,Mental ,health ,and , mental ,illness B) Treat ,clients
,are , difficult , to ,define ,precisely. ,In ,most , cases, , mental ,health ,is ,a ,state ,of C) Evaluate ,treatments
,emotional, ,psychological, , and ,social , wellness ,evidenced ,by , satisfying D) Understand ,the ,reason ,for ,the ,admission ,and ,the ,nature ,of ,psychiatric
,interpersonal , relationships, ,effective , behavior ,and ,coping, ,positive ,self-concept, ,illnesses. , Ans: ,D
,and ,emotional ,stability. ,Persons , who ,engage , in ,fantasies ,may ,be ,mentally ,healthy, Feedback:
,but ,the ,inability ,to ,distinguish ,reality ,from ,fantasy , is , an ,individual ,factor ,that Although ,student ,nurses ,do ,not ,use ,the ,DSM ,to ,diagnose ,clients, ,they ,will ,find ,it
,may , contribute ,to , mental ,illness. ,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
4. A ,client ,grieving ,the ,recent ,loss ,of ,her ,husband ,asks ,if ,she ,is ,becoming ,nursing ,process.
,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 7. The ,legislation ,enacted ,in ,1963 ,was ,largely ,responsible , for ,which ,of ,the , following
B) ìYou ,are ,not ,mentally ,ill. ,This ,is ,an ,expected ,reaction ,to ,the ,loss ,you ,shifts , in ,care ,for ,the ,mentally ,ill?
,have , experienced.î A) The ,widespread ,use ,of ,community-based ,services
C) ìWere ,you ,generally ,dissatisfied ,with ,your ,relationship ,before ,your B) The ,advancement ,in ,pharmacotherapies
,husband's , death?î C) Increased ,access ,to ,hospitalization
D) ìTry ,not ,to ,worry ,about ,that ,right ,now. ,You ,never ,know ,what ,the ,future D) Improved ,rights ,for ,clients ,in ,long-term ,institutional
,brings.î , Ans: ,B ,care , Ans: ,A
Feedback: Feedback:
Mental ,illness ,includes ,general ,dissatisfaction ,with ,self, ,ineffective ,relationships, The ,Community ,Mental ,Health ,Centers ,Construction ,Act ,of ,1963 ,accomplished ,the
, ineffective , coping, ,and ,lack ,of ,personal , growth. ,Additionally ,the ,behavior ,must , release ,of ,individuals , from ,long-term ,stays , in ,state ,institutions, ,the ,decrease ,in
,not , be , culturally ,expected. , Acute , grief , reactions ,are ,expected ,and ,therefore ,not , admissions ,to ,hospitals, , and ,the , development ,of , community-based , services ,as ,an
,considered , mental ,illness. ,False ,reassurance ,or ,overanalysis ,does ,not ,accurately , alternative ,to , hospital ,care.
,address ,the ,client's , concerns.
8. Which ,one ,of ,the , following ,is , a ,result ,of , federal ,legislation?
5. The ,nurse ,consults ,the ,DSM ,for ,which ,of ,the ,following ,purposes? A) Making ,it ,easier ,to ,commit ,people ,for ,mental ,health ,treatment ,against ,their ,will.
E) To ,devise ,a ,plan ,of ,care ,for ,a ,newly ,admitted ,client B) Making ,it ,more ,difficult ,to ,commit ,people ,for ,mental ,health ,treatment
F) To ,predict ,the ,client's ,prognosis ,of ,treatment ,outcomes ,against , their ,will.
G) To ,document ,the ,appropriate ,diagnostic ,code ,in ,the ,client's ,medical ,record C) State ,mental ,institutions ,being ,the ,primary ,source ,of ,care ,for ,mentally ,ill ,persons.
H) To ,serve ,as ,a ,guide ,for ,client D) Improved ,care ,for ,mentally ,ill
,assessment , Ans: ,D ,persons. , Ans: ,B
Feedback: Feedback:
The ,DSM ,provides ,standard ,nomenclature, ,presents ,defining ,characteristics, ,and Commitment ,laws ,changed ,in ,the ,early ,1970s, ,making ,it ,more ,difficult ,to ,commit
, identifies ,underlying , causes ,of ,mental ,disorders. ,It ,does , not , provide ,care ,plans ,or
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,A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389] A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389]
8. Which ,one ,of ,the ,following ,is ,a ,result ,of ,federal ,legislation? 11. The ,major ,problems ,with ,large ,state ,institutions ,are: ,Select ,all ,that ,apply.
A) Making ,it ,easier ,to ,commit ,people ,for ,mental ,health ,treatment ,against ,their ,will. A) attendants ,were ,accused ,of ,abusing ,the ,residents.
B) Making ,it ,more ,difficult ,to ,commit ,people ,for ,mental ,health ,treatment B) stigma ,associated ,with ,residence ,in ,an ,insane ,asylum.
,against , their ,will. C) clients ,were ,geographically ,isolated ,from ,family ,and ,community.
C) State ,mental ,institutions ,being ,the ,primary ,source ,of ,care ,for ,mentally ,ill ,persons. D) increasing ,financial ,costs ,to ,individual
D) Improved ,care ,for ,mentally ,ill ,residents. , Ans: , A, ,C
,persons. , Ans: ,B Feedback:
Feedback: Clients ,were ,often ,far ,removed ,from ,the ,local ,community, ,family, ,and ,friends
Commitment ,laws ,changed ,in ,the ,early ,1970s, ,making ,it ,more ,difficult ,to ,commit ,because , state ,institutions , were , usually ,in ,rural ,or ,remote ,settings. ,Choices , B , and
, people ,for ,mental ,health ,treatment ,against ,their ,will. ,Deinstitutionalization ,D ,were ,not , major ,problems , associated , with ,large , state ,instructions.
, accomplished , the ,release , of ,individuals , from ,long-term ,stays ,in ,state ,institutions.
, Deinstitutionalization , also ,had ,negative ,effects , in ,that ,some , mentally ,ill ,persons
,are , subjected ,to ,the ,revolving ,door ,effect, , which ,may ,limit ,care ,for , mentally ,ill 12. A ,significant ,change ,in ,the ,treatment ,of ,people ,with ,mental ,illness ,occurred ,in ,the
,persons. ,1950s , when
A) community ,support ,services ,were ,established.
B) legislation ,dramatically ,changed ,civil ,commitment ,procedures.
9. The ,goal ,of ,the ,1963 ,Community ,Mental ,Health ,Centers , Act ,was ,to C) the ,Patient's ,Bill ,of ,Rights ,was ,enacted.
A) ensure ,patients' ,rights ,for ,the ,mentally ,ill. D) psychotropic ,drugs ,became ,available ,for
B) deinstitutionalize ,state ,hospitals. ,use. , Ans: ,D
C) provide ,funds ,to ,build ,hospitals ,with ,psychiatric ,units. Feedback:
D) treat ,people ,with ,mental ,illness ,in ,a ,humane The ,development ,of ,psychotropic ,drugs, ,or ,drugs ,used ,to ,treat ,mental ,illness, ,began
,fashion. , Ans: ,B ,in , the ,1950s. , Answer , choices , A, ,B, ,and ,C ,did , not , occur ,in ,the ,1950s.
Feedback:
The ,1963 ,Community ,Mental ,Health ,Centers ,Act ,intimated ,the ,movement ,toward
, treating ,those , with ,mental ,illness ,in ,a ,less , restrictive ,environment. ,This 13. Before ,the ,period ,of ,the ,enlightenment, ,treatment ,of ,the ,mentally ,ill ,included
,legislation , resulted ,in ,the ,shift , of ,clients , with , mental ,illness ,from ,large , state A) creating ,large ,institutions ,to ,provide ,custodial ,care.
,institutions ,to ,care , based ,in ,the ,community. ,Answer ,choices ,A, ,C, ,and ,D ,were B) focusing ,on ,religious ,education ,to ,improve ,their ,souls.
,not ,purposes ,of ,the ,1963 , Community ,Mental , Health ,Centers ,Act. C) placing ,the ,mentally ,ill ,on ,display ,for ,the ,public's ,amusement.
D) providing ,a ,safe ,refuge ,or ,haven ,offering
,protection. , Ans: ,C
10. The ,creation ,of ,asylums ,during ,the ,1800s ,was ,meant ,to Feedback:
A) improve ,treatment ,of ,mental ,disorders. In ,1775, ,visitors ,at ,St. ,Mary's ,of ,Bethlehem ,were ,charged ,a ,fee ,for ,viewing ,and
B) provide ,food ,and ,shelter ,for ,the ,mentally ,ill. , ridiculing , the ,mentally ,ill, ,who ,were ,seen ,as ,animals, ,less ,than ,human. ,Custodial
C) punish ,people ,with ,mental ,illness ,who ,were ,believed ,to ,be ,possessed. ,care , was ,not ,often , provided ,as , persons , who ,were ,considered ,harmless , were
D) remove ,dangerous ,people ,with ,mental ,illness ,from ,the ,allowed ,to , wander ,in , the ,countryside ,or ,live ,in ,rural , communities, , and ,more
,community. , Ans: ,B ,dangerous ,lunatics , were ,imprisoned, ,chained, , and ,starved. ,In ,early , Christian
Feedback: ,times, ,primitive ,beliefs , and , superstitions ,were , strong. ,The ,mentally ,ill ,were
The ,asylum ,was ,meant ,to ,be ,a ,safe ,haven ,with ,food, ,shelter, ,and ,humane ,treatment ,viewed ,as ,evil , or ,possessed. ,Priests , performed ,exorcisms ,to ,rid ,evil ,spirits, ,and
,for , the ,mentally ,ill. , Asylums ,were ,not ,used ,to ,improve ,treatment ,of ,mental ,in ,the ,colonies, ,witch ,hunts ,were ,conducted , with , offenders ,burned , at ,the ,stake.
,disorders ,or ,to , punish , mentally ,ill ,people ,who ,were ,believed ,to ,be , possessed. ,It ,was ,not ,until ,the ,period ,of ,enlightenment , when , persons , who , were , mentally
,The , asylum ,was ,not , created ,to , remove ,the ,dangerously ,mentally ,ill ,from ,the ,ill ,were ,offered ,asylum , as ,a ,safe ,refuge , or ,haven , offering , protection , at
,community. ,institutions.
11. The ,major ,problems ,with ,large ,state ,institutions ,are: ,Select ,all ,that ,apply.
A) attendants ,were ,accused ,of ,abusing ,the ,residents. 14. The ,first ,training ,of ,nurses ,to ,work ,with ,persons ,with ,mental ,illness ,was ,in ,1882
B) stigma ,associated ,with ,residence ,in ,an ,insane ,asylum. in , which
C) clients ,were ,geographically ,isolated ,from ,family ,and ,community. ,state? E) California
D) increasing ,financial ,costs ,to ,individual F) Illinois
,residents. , Ans: , A, ,C G) Massachusetts
Feedback: H) New ,York
Clients ,were ,often ,far ,removed ,from ,the ,local ,community, ,family, ,and ,friends , Ans: ,C
,because , state ,institutions , were , usually ,in ,rural ,or ,remote ,settings. ,Choices , B ,and , Feedback:
,D , were , not The ,first ,training ,for ,nurses ,to ,work ,with ,persons ,with ,mental ,illness ,was ,in ,1882 ,at
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, A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389] A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389]
14. The ,first ,training ,of ,nurses ,to ,work ,with ,persons ,with ,mental ,illness ,was ,in 16. Which ,of ,the ,following ,statements ,is ,true ,of ,treatment ,of ,people ,with ,mental
,1882 ,in , which ,state? ,illness ,in , the ,United ,States , today?
A) California A) Substance ,abuse ,is ,effectively ,treated ,with ,brief ,hospitalization.
B) Illinois B) Financial ,resources ,are ,reallocated ,from ,state ,hospitals ,to ,community
C) Massachusetts ,programs , and ,support.
D) New ,York C) Only ,25% ,of ,people ,needing ,mental ,health ,services ,are ,receiving ,those ,services.
, Ans: ,C D) Emergency ,department ,visits ,by ,persons ,who ,are ,acutely ,disturbed ,are
, Feedback: ,declining. , Ans: ,C
The ,first ,training ,for ,nurses ,to ,work ,with ,persons ,with ,mental ,illness ,was ,in ,1882 Feedback:
,at , McLean , Hospital ,in ,Belmont, ,Massachusetts. Only ,one ,in ,four ,(25%) ,adults ,needing ,mental ,health ,care ,receives ,the ,needed
,services. , Substance ,abuse ,issues ,cannot ,be ,dealt ,with ,in ,the ,3 ,to ,5 ,days ,typical
,for ,admissions ,in , the ,current , managed ,care ,environment. ,Money ,saved ,by ,states
15. What ,is ,meant ,by ,the ,term ,ìrevolving ,door ,effectî ,in ,mental ,health ,care? ,when ,state ,hospitals ,were , closed ,has ,not ,been ,transferred ,to , community , programs
A) An ,overall ,reduction ,in ,incidence ,of ,severe ,mental ,illness ,and ,support. , Although ,people , with ,severe ,and ,persistent ,mental ,illness ,have
B) Shorter ,and ,more ,frequent ,hospital ,stays ,for ,persons ,with ,severe ,and ,shorter ,hospital ,stays, ,they ,are ,admitted ,to , hospitals ,more ,frequently. ,In ,some
,persistent , mental ,illness ,cities, ,emergency ,department ,visits ,for , acutely , disturbed ,persons ,have ,increased
C) Flexible ,treatment ,settings ,for ,mentally ,ill ,by ,400% ,to ,500%.
D) Most ,effective ,and ,least ,expensive ,treatment
,settings , Ans: ,B
Feedback: 17. Which ,of ,the ,following ,is ,the ,priority ,of ,the ,Healthy ,People ,2020 ,objectives ,for
The ,revolving ,door ,effect ,refers ,to ,shorter, ,but ,more ,frequent, ,hospital ,stays. ,Clients ,mental , health?
,are , quickly , discharged ,into ,the ,community , where , services ,are ,not ,adequate; A) Improved ,inpatient ,care
,without , adequate ,community ,services, , clients , become ,acutely ,ill ,and ,require B) Primary ,prevention ,of ,emotional ,problems
,rehospitalization. , The , revolving ,door ,effect , does ,not ,refer ,to , flexible ,treatment C) Stress ,reduction ,and ,management
,settings , for , mentally ,ill. , Even ,though ,hospitalization ,is ,more ,expensive ,than D) Treatment ,of ,mental
,outpatient ,treatment, ,if ,utilized , appropriately ,could ,result ,in ,stabilization ,and ,less ,illness , Ans: ,D
,need ,for ,emergency ,department ,visits , and/or ,rehospitalization. ,The , revolving ,door Feedback:
,effect , does ,not ,relate ,to ,the ,incidence ,of , severe ,mental ,illness. The ,objectives , are ,to ,increase ,the ,number ,of ,people ,who ,are ,identified, ,diagnosed,
, treated, ,and ,helped ,to ,live , healthier ,lives. ,The ,objectives ,also ,strive ,to ,decrease
16. Which ,of ,the ,following ,statements ,is ,true ,of ,treatment ,of ,people ,with ,mental ,rates ,of , suicide ,and ,homelessness, , to ,increase ,employment , among ,those , with
,illness ,in , the ,United ,States , today? ,serious , mental , illness, , and ,to ,provide ,more ,services , both ,for ,juveniles ,and ,for
A) Substance ,abuse ,is ,effectively ,treated ,with ,brief ,hospitalization. ,adults ,who , are , incarcerated , and ,have ,mental ,health ,problems. , Answer , choices
B) Financial ,resources ,are ,reallocated ,from ,state ,hospitals ,to ,community ,A, ,B, ,and ,C ,are , not , priorities , of ,Healthy ,People ,2020.
,programs , and ,support.
C) Only ,25% ,of ,people ,needing ,mental ,health ,services ,are ,receiving ,those ,services.
D) Emergency ,department ,visits ,by ,persons ,who ,are ,acutely ,disturbed ,are 18. Which ,is ,a ,positive ,aspect ,of ,treating ,clients ,with ,mental ,illness ,in ,a ,community-
,declining. , Ans: ,C based , care?
Feedback: A) ìYou ,will ,not ,be ,allowed ,to ,go ,out ,with ,your ,friends ,while ,in ,the ,program.î
B) ìYou ,will ,have ,to ,have ,supervision ,when ,you ,want ,to ,go ,anywhere ,else
,in ,the , community.î
C) ìYou ,will ,be ,able ,to ,live ,in ,your ,own ,home ,while ,you ,still ,see ,a
,therapist , regularly.î
D) ìYou ,will ,have ,someone ,in ,your ,home ,at ,all ,times ,to ,ask ,questions ,if ,you
,have ,any , concerns.î
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Psychiatric-Mental ,Health ,Nursing ,8th ,edition ,by ,Videbeck ,Test ,Bank
, Chapter ,1
Psychiatric-
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
Mental Health
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
Nursing
,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.
NINTH EDITION 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.
Sheila L. Videbeck
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.
Wolters Kluwer 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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,A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389] A+ Psychiatric mental health nursing 9th edition by videbeck test bank[ 1389]
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
3. Which ,of ,the ,following ,are ,true ,regarding ,mental ,health ,and ,mental ,illness? D) To ,serve ,as ,a ,guide ,for ,client
A) Behavior ,that ,may ,be ,viewed ,as ,acceptable ,in ,one ,culture ,is ,always ,assessment , Ans: ,D
,unacceptable , in ,other , cultures. Feedback:
B) It ,is ,easy ,to ,determine ,if ,a ,person ,is ,mentally ,healthy ,or ,mentally ,ill. The ,DSM ,provides ,standard ,nomenclature, ,presents ,defining ,characteristics, ,and
C) In ,most ,cases, ,mental ,health ,is ,a ,state ,of ,emotional, ,psychological, ,and , identifies ,underlying , causes ,of , mental ,disorders. ,It ,does ,not ,provide , care ,plans
,social , wellness ,evidenced ,by ,satisfying ,interpersonal ,relationships, ,or , prognostic , outcomes ,of ,treatment. ,Diagnosis ,of , mental ,illness ,is ,not , within
,effective ,behavior , and ,coping, , positive ,self-concept, , and ,emotional ,the , generalist ,RN's ,scope ,of ,practice, ,so ,documenting ,the ,code ,in ,the ,medical
,stability. ,record ,would , be ,inappropriate.
D) Persons ,who ,engage ,in ,fantasies ,are ,mentally
,ill. , Ans: ,C
Feedback: 6. Which ,would ,be , a ,reason ,for ,a ,student ,nurse ,to , use ,the ,DSM?
What ,one ,society ,may ,view ,as ,acceptable ,and ,appropriate ,behavior, ,another ,society A) Identifying ,the ,medical ,diagnosis
,may , see ,that ,as , maladaptive, , and ,inappropriate. ,Mental ,health ,and , mental ,illness B) Treat ,clients
,are , difficult , to ,define ,precisely. ,In ,most , cases, , mental ,health ,is ,a ,state ,of C) Evaluate ,treatments
,emotional, ,psychological, , and ,social , wellness ,evidenced ,by , satisfying D) Understand ,the ,reason ,for ,the ,admission ,and ,the ,nature ,of ,psychiatric
,interpersonal , relationships, ,effective , behavior ,and ,coping, ,positive ,self-concept, ,illnesses. , Ans: ,D
,and ,emotional ,stability. ,Persons , who ,engage , in ,fantasies ,may ,be ,mentally ,healthy, Feedback:
,but ,the ,inability ,to ,distinguish ,reality ,from ,fantasy , is , an ,individual ,factor ,that Although ,student ,nurses ,do ,not ,use ,the ,DSM ,to ,diagnose ,clients, ,they ,will ,find ,it
,may , contribute ,to , mental ,illness. ,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
4. A ,client ,grieving ,the ,recent ,loss ,of ,her ,husband ,asks ,if ,she ,is ,becoming ,nursing ,process.
,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 7. The ,legislation ,enacted ,in ,1963 ,was ,largely ,responsible , for ,which ,of ,the , following
B) ìYou ,are ,not ,mentally ,ill. ,This ,is ,an ,expected ,reaction ,to ,the ,loss ,you ,shifts , in ,care ,for ,the ,mentally ,ill?
,have , experienced.î A) The ,widespread ,use ,of ,community-based ,services
C) ìWere ,you ,generally ,dissatisfied ,with ,your ,relationship ,before ,your B) The ,advancement ,in ,pharmacotherapies
,husband's , death?î C) Increased ,access ,to ,hospitalization
D) ìTry ,not ,to ,worry ,about ,that ,right ,now. ,You ,never ,know ,what ,the ,future D) Improved ,rights ,for ,clients ,in ,long-term ,institutional
,brings.î , Ans: ,B ,care , Ans: ,A
Feedback: Feedback:
Mental ,illness ,includes ,general ,dissatisfaction ,with ,self, ,ineffective ,relationships, The ,Community ,Mental ,Health ,Centers ,Construction ,Act ,of ,1963 ,accomplished ,the
, ineffective , coping, ,and ,lack ,of ,personal , growth. ,Additionally ,the ,behavior ,must , release ,of ,individuals , from ,long-term ,stays , in ,state ,institutions, ,the ,decrease ,in
,not , be , culturally ,expected. , Acute , grief , reactions ,are ,expected ,and ,therefore ,not , admissions ,to ,hospitals, , and ,the , development ,of , community-based , services ,as ,an
,considered , mental ,illness. ,False ,reassurance ,or ,overanalysis ,does ,not ,accurately , alternative ,to , hospital ,care.
,address ,the ,client's , concerns.
8. Which ,one ,of ,the , following ,is , a ,result ,of , federal ,legislation?
5. The ,nurse ,consults ,the ,DSM ,for ,which ,of ,the ,following ,purposes? A) Making ,it ,easier ,to ,commit ,people ,for ,mental ,health ,treatment ,against ,their ,will.
E) To ,devise ,a ,plan ,of ,care ,for ,a ,newly ,admitted ,client B) Making ,it ,more ,difficult ,to ,commit ,people ,for ,mental ,health ,treatment
F) To ,predict ,the ,client's ,prognosis ,of ,treatment ,outcomes ,against , their ,will.
G) To ,document ,the ,appropriate ,diagnostic ,code ,in ,the ,client's ,medical ,record C) State ,mental ,institutions ,being ,the ,primary ,source ,of ,care ,for ,mentally ,ill ,persons.
H) To ,serve ,as ,a ,guide ,for ,client D) Improved ,care ,for ,mentally ,ill
,assessment , Ans: ,D ,persons. , Ans: ,B
Feedback: Feedback:
The ,DSM ,provides ,standard ,nomenclature, ,presents ,defining ,characteristics, ,and Commitment ,laws ,changed ,in ,the ,early ,1970s, ,making ,it ,more ,difficult ,to ,commit
, identifies ,underlying , causes ,of ,mental ,disorders. ,It ,does , not , provide ,care ,plans ,or
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8. Which ,one ,of ,the ,following ,is ,a ,result ,of ,federal ,legislation? 11. The ,major ,problems ,with ,large ,state ,institutions ,are: ,Select ,all ,that ,apply.
A) Making ,it ,easier ,to ,commit ,people ,for ,mental ,health ,treatment ,against ,their ,will. A) attendants ,were ,accused ,of ,abusing ,the ,residents.
B) Making ,it ,more ,difficult ,to ,commit ,people ,for ,mental ,health ,treatment B) stigma ,associated ,with ,residence ,in ,an ,insane ,asylum.
,against , their ,will. C) clients ,were ,geographically ,isolated ,from ,family ,and ,community.
C) State ,mental ,institutions ,being ,the ,primary ,source ,of ,care ,for ,mentally ,ill ,persons. D) increasing ,financial ,costs ,to ,individual
D) Improved ,care ,for ,mentally ,ill ,residents. , Ans: , A, ,C
,persons. , Ans: ,B Feedback:
Feedback: Clients ,were ,often ,far ,removed ,from ,the ,local ,community, ,family, ,and ,friends
Commitment ,laws ,changed ,in ,the ,early ,1970s, ,making ,it ,more ,difficult ,to ,commit ,because , state ,institutions , were , usually ,in ,rural ,or ,remote ,settings. ,Choices , B , and
, people ,for ,mental ,health ,treatment ,against ,their ,will. ,Deinstitutionalization ,D ,were ,not , major ,problems , associated , with ,large , state ,instructions.
, accomplished , the ,release , of ,individuals , from ,long-term ,stays ,in ,state ,institutions.
, Deinstitutionalization , also ,had ,negative ,effects , in ,that ,some , mentally ,ill ,persons
,are , subjected ,to ,the ,revolving ,door ,effect, , which ,may ,limit ,care ,for , mentally ,ill 12. A ,significant ,change ,in ,the ,treatment ,of ,people ,with ,mental ,illness ,occurred ,in ,the
,persons. ,1950s , when
A) community ,support ,services ,were ,established.
B) legislation ,dramatically ,changed ,civil ,commitment ,procedures.
9. The ,goal ,of ,the ,1963 ,Community ,Mental ,Health ,Centers , Act ,was ,to C) the ,Patient's ,Bill ,of ,Rights ,was ,enacted.
A) ensure ,patients' ,rights ,for ,the ,mentally ,ill. D) psychotropic ,drugs ,became ,available ,for
B) deinstitutionalize ,state ,hospitals. ,use. , Ans: ,D
C) provide ,funds ,to ,build ,hospitals ,with ,psychiatric ,units. Feedback:
D) treat ,people ,with ,mental ,illness ,in ,a ,humane The ,development ,of ,psychotropic ,drugs, ,or ,drugs ,used ,to ,treat ,mental ,illness, ,began
,fashion. , Ans: ,B ,in , the ,1950s. , Answer , choices , A, ,B, ,and ,C ,did , not , occur ,in ,the ,1950s.
Feedback:
The ,1963 ,Community ,Mental ,Health ,Centers ,Act ,intimated ,the ,movement ,toward
, treating ,those , with ,mental ,illness ,in ,a ,less , restrictive ,environment. ,This 13. Before ,the ,period ,of ,the ,enlightenment, ,treatment ,of ,the ,mentally ,ill ,included
,legislation , resulted ,in ,the ,shift , of ,clients , with , mental ,illness ,from ,large , state A) creating ,large ,institutions ,to ,provide ,custodial ,care.
,institutions ,to ,care , based ,in ,the ,community. ,Answer ,choices ,A, ,C, ,and ,D ,were B) focusing ,on ,religious ,education ,to ,improve ,their ,souls.
,not ,purposes ,of ,the ,1963 , Community ,Mental , Health ,Centers ,Act. C) placing ,the ,mentally ,ill ,on ,display ,for ,the ,public's ,amusement.
D) providing ,a ,safe ,refuge ,or ,haven ,offering
,protection. , Ans: ,C
10. The ,creation ,of ,asylums ,during ,the ,1800s ,was ,meant ,to Feedback:
A) improve ,treatment ,of ,mental ,disorders. In ,1775, ,visitors ,at ,St. ,Mary's ,of ,Bethlehem ,were ,charged ,a ,fee ,for ,viewing ,and
B) provide ,food ,and ,shelter ,for ,the ,mentally ,ill. , ridiculing , the ,mentally ,ill, ,who ,were ,seen ,as ,animals, ,less ,than ,human. ,Custodial
C) punish ,people ,with ,mental ,illness ,who ,were ,believed ,to ,be ,possessed. ,care , was ,not ,often , provided ,as , persons , who ,were ,considered ,harmless , were
D) remove ,dangerous ,people ,with ,mental ,illness ,from ,the ,allowed ,to , wander ,in , the ,countryside ,or ,live ,in ,rural , communities, , and ,more
,community. , Ans: ,B ,dangerous ,lunatics , were ,imprisoned, ,chained, , and ,starved. ,In ,early , Christian
Feedback: ,times, ,primitive ,beliefs , and , superstitions ,were , strong. ,The ,mentally ,ill ,were
The ,asylum ,was ,meant ,to ,be ,a ,safe ,haven ,with ,food, ,shelter, ,and ,humane ,treatment ,viewed ,as ,evil , or ,possessed. ,Priests , performed ,exorcisms ,to ,rid ,evil ,spirits, ,and
,for , the ,mentally ,ill. , Asylums ,were ,not ,used ,to ,improve ,treatment ,of ,mental ,in ,the ,colonies, ,witch ,hunts ,were ,conducted , with , offenders ,burned , at ,the ,stake.
,disorders ,or ,to , punish , mentally ,ill ,people ,who ,were ,believed ,to ,be , possessed. ,It ,was ,not ,until ,the ,period ,of ,enlightenment , when , persons , who , were , mentally
,The , asylum ,was ,not , created ,to , remove ,the ,dangerously ,mentally ,ill ,from ,the ,ill ,were ,offered ,asylum , as ,a ,safe ,refuge , or ,haven , offering , protection , at
,community. ,institutions.
11. The ,major ,problems ,with ,large ,state ,institutions ,are: ,Select ,all ,that ,apply.
A) attendants ,were ,accused ,of ,abusing ,the ,residents. 14. The ,first ,training ,of ,nurses ,to ,work ,with ,persons ,with ,mental ,illness ,was ,in ,1882
B) stigma ,associated ,with ,residence ,in ,an ,insane ,asylum. in , which
C) clients ,were ,geographically ,isolated ,from ,family ,and ,community. ,state? E) California
D) increasing ,financial ,costs ,to ,individual F) Illinois
,residents. , Ans: , A, ,C G) Massachusetts
Feedback: H) New ,York
Clients ,were ,often ,far ,removed ,from ,the ,local ,community, ,family, ,and ,friends , Ans: ,C
,because , state ,institutions , were , usually ,in ,rural ,or ,remote ,settings. ,Choices , B ,and , Feedback:
,D , were , not The ,first ,training ,for ,nurses ,to ,work ,with ,persons ,with ,mental ,illness ,was ,in ,1882 ,at
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14. The ,first ,training ,of ,nurses ,to ,work ,with ,persons ,with ,mental ,illness ,was ,in 16. Which ,of ,the ,following ,statements ,is ,true ,of ,treatment ,of ,people ,with ,mental
,1882 ,in , which ,state? ,illness ,in , the ,United ,States , today?
A) California A) Substance ,abuse ,is ,effectively ,treated ,with ,brief ,hospitalization.
B) Illinois B) Financial ,resources ,are ,reallocated ,from ,state ,hospitals ,to ,community
C) Massachusetts ,programs , and ,support.
D) New ,York C) Only ,25% ,of ,people ,needing ,mental ,health ,services ,are ,receiving ,those ,services.
, Ans: ,C D) Emergency ,department ,visits ,by ,persons ,who ,are ,acutely ,disturbed ,are
, Feedback: ,declining. , Ans: ,C
The ,first ,training ,for ,nurses ,to ,work ,with ,persons ,with ,mental ,illness ,was ,in ,1882 Feedback:
,at , McLean , Hospital ,in ,Belmont, ,Massachusetts. Only ,one ,in ,four ,(25%) ,adults ,needing ,mental ,health ,care ,receives ,the ,needed
,services. , Substance ,abuse ,issues ,cannot ,be ,dealt ,with ,in ,the ,3 ,to ,5 ,days ,typical
,for ,admissions ,in , the ,current , managed ,care ,environment. ,Money ,saved ,by ,states
15. What ,is ,meant ,by ,the ,term ,ìrevolving ,door ,effectî ,in ,mental ,health ,care? ,when ,state ,hospitals ,were , closed ,has ,not ,been ,transferred ,to , community , programs
A) An ,overall ,reduction ,in ,incidence ,of ,severe ,mental ,illness ,and ,support. , Although ,people , with ,severe ,and ,persistent ,mental ,illness ,have
B) Shorter ,and ,more ,frequent ,hospital ,stays ,for ,persons ,with ,severe ,and ,shorter ,hospital ,stays, ,they ,are ,admitted ,to , hospitals ,more ,frequently. ,In ,some
,persistent , mental ,illness ,cities, ,emergency ,department ,visits ,for , acutely , disturbed ,persons ,have ,increased
C) Flexible ,treatment ,settings ,for ,mentally ,ill ,by ,400% ,to ,500%.
D) Most ,effective ,and ,least ,expensive ,treatment
,settings , Ans: ,B
Feedback: 17. Which ,of ,the ,following ,is ,the ,priority ,of ,the ,Healthy ,People ,2020 ,objectives ,for
The ,revolving ,door ,effect ,refers ,to ,shorter, ,but ,more ,frequent, ,hospital ,stays. ,Clients ,mental , health?
,are , quickly , discharged ,into ,the ,community , where , services ,are ,not ,adequate; A) Improved ,inpatient ,care
,without , adequate ,community ,services, , clients , become ,acutely ,ill ,and ,require B) Primary ,prevention ,of ,emotional ,problems
,rehospitalization. , The , revolving ,door ,effect , does ,not ,refer ,to , flexible ,treatment C) Stress ,reduction ,and ,management
,settings , for , mentally ,ill. , Even ,though ,hospitalization ,is ,more ,expensive ,than D) Treatment ,of ,mental
,outpatient ,treatment, ,if ,utilized , appropriately ,could ,result ,in ,stabilization ,and ,less ,illness , Ans: ,D
,need ,for ,emergency ,department ,visits , and/or ,rehospitalization. ,The , revolving ,door Feedback:
,effect , does ,not ,relate ,to ,the ,incidence ,of , severe ,mental ,illness. The ,objectives , are ,to ,increase ,the ,number ,of ,people ,who ,are ,identified, ,diagnosed,
, treated, ,and ,helped ,to ,live , healthier ,lives. ,The ,objectives ,also ,strive ,to ,decrease
16. Which ,of ,the ,following ,statements ,is ,true ,of ,treatment ,of ,people ,with ,mental ,rates ,of , suicide ,and ,homelessness, , to ,increase ,employment , among ,those , with
,illness ,in , the ,United ,States , today? ,serious , mental , illness, , and ,to ,provide ,more ,services , both ,for ,juveniles ,and ,for
A) Substance ,abuse ,is ,effectively ,treated ,with ,brief ,hospitalization. ,adults ,who , are , incarcerated , and ,have ,mental ,health ,problems. , Answer , choices
B) Financial ,resources ,are ,reallocated ,from ,state ,hospitals ,to ,community ,A, ,B, ,and ,C ,are , not , priorities , of ,Healthy ,People ,2020.
,programs , and ,support.
C) Only ,25% ,of ,people ,needing ,mental ,health ,services ,are ,receiving ,those ,services.
D) Emergency ,department ,visits ,by ,persons ,who ,are ,acutely ,disturbed ,are 18. Which ,is ,a ,positive ,aspect ,of ,treating ,clients ,with ,mental ,illness ,in ,a ,community-
,declining. , Ans: ,C based , care?
Feedback: A) ìYou ,will ,not ,be ,allowed ,to ,go ,out ,with ,your ,friends ,while ,in ,the ,program.î
B) ìYou ,will ,have ,to ,have ,supervision ,when ,you ,want ,to ,go ,anywhere ,else
,in ,the , community.î
C) ìYou ,will ,be ,able ,to ,live ,in ,your ,own ,home ,while ,you ,still ,see ,a
,therapist , regularly.î
D) ìYou ,will ,have ,someone ,in ,your ,home ,at ,all ,times ,to ,ask ,questions ,if ,you
,have ,any , concerns.î
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