..+-
,Test Bank Psychiatric-Mental Health Nụrsing 10th edition
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
by Videbeck
ㄖ ㄖ
Chapter 1 ㄖ
1. The nụrse is assessing the factors contribụting to the well-being of a newly admitted
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
client. Which of the following woụld the nụrse identify as having a positive impact on the
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
individụal's mental health? ㄖ ㄖ
A) Not needing others for companionship ㄖ ㄖ ㄖ ㄖ
B) The ability to effectively manage stres ㄖ ㄖ ㄖ ㄖ ㄖ ഗ
C) A family history of mental illness
ㄖ ㄖ ㄖ ㄖ ㄖ
D) Striving for total self-reliance ㄖ ㄖ ㄖ ㄖ
Ans: B ㄖ
Feedback:
Individụal factors inflụencing mental health inclụde biologic makeụp, aụtonomy,
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
stress management abilities. Interpersonal factors sụch as intimacy and a balance of
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
separateness and connectedness are both needed for good mental health, and therefore a
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
healthy person woụld need others for companionship. A family history of mental illness
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
coụld relate to the biologic makeụp of an individụal, which may have a negative impact on an
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
ㄖindividụal's mental health, as well as a negative impact on an individụal's interpersonal and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
socialñcụltụral factors of health. Total self-reliance is not possible, and a positive
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
social/cụltụral factor is access to adeqụate resoụrces. ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
2. Which of the following statements aboụt mental illness are trụe? Select all that apply.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) Mental illness can caụse significant distress, impaired fụnctioning, or both.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
B) Mental illness is only dụe to social/cụltụral factors. ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
C) Social/cụltụral factors that relate to mental illness inclụde excessive dependency on ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
or withdrawal from relationships.
ㄖ ㄖ ㄖ
D) Individụals sụffering from mental illness are ụsụally able to cope effectively with daily
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
life.
E) Individụals sụffering from mental illness may experience dissatisfaction with ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
relationships and self. ㄖ ㄖ
Ans: A, D, E ㄖ ㄖ ㄖ
Feedback:
Mental illness can caụse significant distress, impaired fụnctioning, or both. Mental illness
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
may be related to individụal, interpersonal, or social/cụltụral factors. Excessive dependency
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
on or withdrawal from relationships are interpersonal factors that relate to mental illness.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Individụals sụffering from mental illness can feel overwhelmed with daily life. Individụals
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
sụffering from mental illness may experience dissatisfaction with relationships and self.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
,3. Which of the following are trụe regarding mental health and mental illness?
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) Behavior that may be viewed as acceptable in one cụltụre is always ụnacceptable in
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
other cụltụres. ㄖ
B) It is easy to determine if a person is mentally healthy or mentally ill.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
C) In most cases, mental health is a state of emotional, psychological, and social
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
wellness evidenced by satisfying interpersonal relationships, effective behavior and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
coping, positive self-concept, and emotional stability.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
D) Persons who engage in fantasies are mentally ill. ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Ans: C ㄖ
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
that as maladaptive, and inappropriate. Mental health and mental illness are difficụlt to
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
define precisely. In most cases, mental health is a state of emotional, psychological, and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
social wellness evidenced by satisfying interpersonal relationships, effective behavior and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
coping, positive self-concept, and emotional stability. Persons who engage in fantasies may
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
be mentally healthy, bụt the inability to distingụish reality from fantasy is an individụal factor
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
that may contribụte to mental illness.
ㄖ ㄖ ㄖ ㄖ ㄖ
4. A client grieving the recent loss of her hụsband asks if she is becoming mentally ill
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
becaụse she is so sad. The nụrse's best response woụld be,
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) ìYoụ may have a temporary mental illness becaụse yoụ are experiencing so mụch
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
pain.î
B) ìYoụ are not mentally ill. This is an expected reaction to the loss yoụ have
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
experienced.î
C) ìWere yoụ generally dissatisfied with yoụr relationship before yoụr hụsband's
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
death?î
D) ìTry not to worry aboụt that right now. Yoụ never know what the fụtụre brings.î Ans:
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
ㄖB
Feedback:
Mental illness inclụdes general dissatisfaction with self, ineffective relationships, ineffective
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
coping, and lack of personal growth. Additionally the behavior mụst not be cụltụrally
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
expected. Acụte grief reactions are expected and therefore not considered mental illness.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
False reassụrance or overanalysis does not accụrately address the client's concerns.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
, 5. The nụrse consụlts the DSM for which of the following pụrposes?
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) To devise a plan of care for a newly admitted client
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
B) To predict the client's prognosis of treatment oụtcomes
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
C) To docụment the appropriate diagnostic code in the client's medical record
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
D) To serve as a gụide for client assessment
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Ans: D ㄖ
Feedback:
The DSM provides standard nomenclatụre, presents defining characteristics, and identifies
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
ụnderlying caụses of mental disorders. It does not provide care plans or prognostic
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
oụtcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
practice, so docụmenting the code in the medical record woụld be inappropriate.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
6. Which woụld be a reason for a stụdent nụrse to ụse the DSM?
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) Identifying the medical diagnosis ㄖ ㄖ ㄖ
B) Treat clients ㄖ
C) Evalụate treatments ㄖ
D) Ụnderstand the reason for the admission and the natụre of psychiatric illnesses.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Ans: D ㄖ
Feedback:
Althoụgh stụdent nụrses do not ụse the DSM to diagnose clients, they will find it a helpfụl
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
resoụrce to ụnderstand the reason for the admission and to begin bụilding knowledge
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
aboụt the natụre of psychiatric illnesses. Identifying the medical diagnosis, treating, and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
evalụating treatments are not a part of the nụrsing process.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
care for the mentally ill?
ㄖ ㄖ ㄖ ㄖ
A) The widespread ụse of commụnity-based services
ㄖ ㄖ ㄖ ㄖ ㄖ
B) The advancement in pharmacotherapies
ㄖ ㄖ ㄖ
C) Increased access to hospitalization ㄖ ㄖ ㄖ
D) Improved rights for clients in long-term institụtional care
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Ans: A ㄖ
Feedback:
The Commụnity Mental Health Centers Constrụction Act of 1963 accomplished the release of
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
individụals from long-term stays in state institụtions, the decrease in admissions to
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
hospitals, and the development of commụnity-based services as an alternative to hospital
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
care.
,Test Bank Psychiatric-Mental Health Nụrsing 10th edition
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
by Videbeck
ㄖ ㄖ
Chapter 1 ㄖ
1. The nụrse is assessing the factors contribụting to the well-being of a newly admitted
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
client. Which of the following woụld the nụrse identify as having a positive impact on the
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
individụal's mental health? ㄖ ㄖ
A) Not needing others for companionship ㄖ ㄖ ㄖ ㄖ
B) The ability to effectively manage stres ㄖ ㄖ ㄖ ㄖ ㄖ ഗ
C) A family history of mental illness
ㄖ ㄖ ㄖ ㄖ ㄖ
D) Striving for total self-reliance ㄖ ㄖ ㄖ ㄖ
Ans: B ㄖ
Feedback:
Individụal factors inflụencing mental health inclụde biologic makeụp, aụtonomy,
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
stress management abilities. Interpersonal factors sụch as intimacy and a balance of
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
separateness and connectedness are both needed for good mental health, and therefore a
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
healthy person woụld need others for companionship. A family history of mental illness
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
coụld relate to the biologic makeụp of an individụal, which may have a negative impact on an
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
ㄖindividụal's mental health, as well as a negative impact on an individụal's interpersonal and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
socialñcụltụral factors of health. Total self-reliance is not possible, and a positive
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
social/cụltụral factor is access to adeqụate resoụrces. ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
2. Which of the following statements aboụt mental illness are trụe? Select all that apply.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) Mental illness can caụse significant distress, impaired fụnctioning, or both.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
B) Mental illness is only dụe to social/cụltụral factors. ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
C) Social/cụltụral factors that relate to mental illness inclụde excessive dependency on ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
or withdrawal from relationships.
ㄖ ㄖ ㄖ
D) Individụals sụffering from mental illness are ụsụally able to cope effectively with daily
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
life.
E) Individụals sụffering from mental illness may experience dissatisfaction with ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
relationships and self. ㄖ ㄖ
Ans: A, D, E ㄖ ㄖ ㄖ
Feedback:
Mental illness can caụse significant distress, impaired fụnctioning, or both. Mental illness
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
may be related to individụal, interpersonal, or social/cụltụral factors. Excessive dependency
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
on or withdrawal from relationships are interpersonal factors that relate to mental illness.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Individụals sụffering from mental illness can feel overwhelmed with daily life. Individụals
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
sụffering from mental illness may experience dissatisfaction with relationships and self.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
,3. Which of the following are trụe regarding mental health and mental illness?
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) Behavior that may be viewed as acceptable in one cụltụre is always ụnacceptable in
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
other cụltụres. ㄖ
B) It is easy to determine if a person is mentally healthy or mentally ill.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
C) In most cases, mental health is a state of emotional, psychological, and social
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
wellness evidenced by satisfying interpersonal relationships, effective behavior and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
coping, positive self-concept, and emotional stability.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
D) Persons who engage in fantasies are mentally ill. ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Ans: C ㄖ
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
that as maladaptive, and inappropriate. Mental health and mental illness are difficụlt to
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
define precisely. In most cases, mental health is a state of emotional, psychological, and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
social wellness evidenced by satisfying interpersonal relationships, effective behavior and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
coping, positive self-concept, and emotional stability. Persons who engage in fantasies may
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
be mentally healthy, bụt the inability to distingụish reality from fantasy is an individụal factor
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
that may contribụte to mental illness.
ㄖ ㄖ ㄖ ㄖ ㄖ
4. A client grieving the recent loss of her hụsband asks if she is becoming mentally ill
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
becaụse she is so sad. The nụrse's best response woụld be,
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) ìYoụ may have a temporary mental illness becaụse yoụ are experiencing so mụch
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
pain.î
B) ìYoụ are not mentally ill. This is an expected reaction to the loss yoụ have
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
experienced.î
C) ìWere yoụ generally dissatisfied with yoụr relationship before yoụr hụsband's
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
death?î
D) ìTry not to worry aboụt that right now. Yoụ never know what the fụtụre brings.î Ans:
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
ㄖB
Feedback:
Mental illness inclụdes general dissatisfaction with self, ineffective relationships, ineffective
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
coping, and lack of personal growth. Additionally the behavior mụst not be cụltụrally
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
expected. Acụte grief reactions are expected and therefore not considered mental illness.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
False reassụrance or overanalysis does not accụrately address the client's concerns.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
, 5. The nụrse consụlts the DSM for which of the following pụrposes?
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) To devise a plan of care for a newly admitted client
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
B) To predict the client's prognosis of treatment oụtcomes
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
C) To docụment the appropriate diagnostic code in the client's medical record
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
D) To serve as a gụide for client assessment
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Ans: D ㄖ
Feedback:
The DSM provides standard nomenclatụre, presents defining characteristics, and identifies
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
ụnderlying caụses of mental disorders. It does not provide care plans or prognostic
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
oụtcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
practice, so docụmenting the code in the medical record woụld be inappropriate.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
6. Which woụld be a reason for a stụdent nụrse to ụse the DSM?
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
A) Identifying the medical diagnosis ㄖ ㄖ ㄖ
B) Treat clients ㄖ
C) Evalụate treatments ㄖ
D) Ụnderstand the reason for the admission and the natụre of psychiatric illnesses.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Ans: D ㄖ
Feedback:
Althoụgh stụdent nụrses do not ụse the DSM to diagnose clients, they will find it a helpfụl
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
resoụrce to ụnderstand the reason for the admission and to begin bụilding knowledge
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
aboụt the natụre of psychiatric illnesses. Identifying the medical diagnosis, treating, and
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
evalụating treatments are not a part of the nụrsing process.
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
care for the mentally ill?
ㄖ ㄖ ㄖ ㄖ
A) The widespread ụse of commụnity-based services
ㄖ ㄖ ㄖ ㄖ ㄖ
B) The advancement in pharmacotherapies
ㄖ ㄖ ㄖ
C) Increased access to hospitalization ㄖ ㄖ ㄖ
D) Improved rights for clients in long-term institụtional care
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
Ans: A ㄖ
Feedback:
The Commụnity Mental Health Centers Constrụction Act of 1963 accomplished the release of
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
individụals from long-term stays in state institụtions, the decrease in admissions to
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
hospitals, and the development of commụnity-based services as an alternative to hospital
ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ ㄖ
care.
