TESTBANK
b
,Psychiatric-MentalHealth Nursing 8theditionby Shelia Videbeck b b b b b b b
Table of contentsb b
UNIT 1 Current Theories and Practice
b b b b b
• 1. Foundations of Psychiatric–Mental Health Nursing
b b b b b
• 2. Neurobiologic Theories and Psychopharmacology
b b b b
• 3. Psychosocial Theories and Therapy
b b b b
• 4. Treatment Settings and Therapeutic Programs
b b b b b
UNIT 2 Building the Nurse–Client Relationship
b b b b b
• 5. Therapeutic Relationships
b b
• 6. Therapeutic Communication
b b
• 7. Client’s Response to Illness
b b b b
• 8. Assessment
b
UNIT 3 Current Social and Emotional Concerns
b b b b b b
• 9. Legal and Ethical Issues
b b b b
• 10. Grief and Lossb b b
• 11. Anger, Hostility, and Aggression
b b b b
• 12. Abuse and Violence
b b b
UNIT 4 Nursing Practice for Psychiatric Disorders
b b b b b b
• 13. Trauma and Stressor-Related Disorders
b b b b
• 14. Anxiety and Anxiety Disorders
b b b b
• 15. Obsessive–Compulsive and Related Disorders
b b b b
• 16. Schizophrenia b
• 17. Mood Disorders and Suicide
b b b b
• 18. Personality Disorders
b b
• 19. Addiction b
• 20. Eating Disorders
b b
• 21. Somatic Symptom Illnesses
b b b
• 22. Neurodevelopmental Disorders
b b
• 23 Disruptive Behavior Disorders
b b b
• 24 Cognitive Disorders
b b
Chapter 1 Foundations of Psychiatric–Mental Health Nursing
b b b b b b
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
b b b b b b b b b b b b b
client. Which of the following would the nurse identify as having a positive impact on the
b b b b b b b b b b b b b b b b
individual's mental health?
b b b
A) Not needing others for companionship b b b b
B) The ability to effectively manage stress b b b b b
C) A family history of mental illness b b b b b
D) Striving for total self-reliance b b b
Ans: B
b b
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
b b b b b b b b
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
b b b b b b b b b b b b
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress
b b b b b b b b b b b b b
management abilities. Interpersonal factors such as intimacy and a balance of separateness
b b b b b b b b b b b b
and connectedness are both needed for good mental health, and therefore a
b b b b b b b b b b b b
Page 1 b
, healthy person would need others for companionship. A family history of mental illness
b b b b b b b b b b b b
could relate to the biologic makeup of an individual, which may have a negative impact on
b b b b b b b b b b b b b b b b
an individual's mental health, as well as a negative impact on an individual's interpersonal
b b b b b b b b b b b b b b
and socialñcultural factors of health. Total self-reliance is not possible, and a positive
b b b b b b b b b b b b b
social/cultural factor is access to adequate resources.
b b b b b b b
2. Which of the following statements about mental illness are true? Select all thatapply.
b b b b b b b b b b b b b
A) Mental illness can cause significant distress, impaired functioning, orboth. b b b b b b b b b
B) Mental illness is onlydue to social/cultural factors. b b b b b b b
C) Social/cultural factors that relate to mental illness include excessive dependency on b b b b b b b b b b
or withdrawal from relationships.
b b b b
D) Individuals suffering from mental illness are usually able to cope effectively with b b b b b b b b b b b
daily life. b b
E) Individuals suffering from mental illness mayexperience dissatisfaction with b b b b b b b b
relationships and self.
b b b
Ans: A, D, E b b b
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
b b b b b b b b b b b
may be related to individual, interpersonal, or social/cultural factors. Excessive
b b b b b b b b b b
dependency on or withdrawal from relationships are interpersonal factors that relate to
b b b b b b b b b b b b
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
b b b b b b b b b b b b
life. Individuals suffering from mental illness mayexperience dissatisfaction with
b b b b b b b b b b
relationships and self.
b b b
3. Which of the following are true regarding mental health and mental illness?
b b b b b b b b b b b
A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in b b b b b b b b b b b b b
other cultures. b b
B) It is easy to determine if a person is mentally healthy or mentally ill.
b b b b b b b b b b b b b
C) In most cases, mental health is a state of emotional, psychological, and social
b b b b b b b b b b b b
wellness evidenced by satisfying interpersonal relationships, effective behavior
b b b b b b b b
and coping, positive self-concept, and emotional stability.
b b b b b b b
D) Persons who engage in fantasies are mentally ill. b b b b b b b
Ans: C
b b
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
b b b b b b b b b b b b b
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
b b b b b b b b b b b b b
define precisely. In most cases, mental health is a state of emotional, psychological, and
b b b b b b b b b b b b b b
social wellness evidenced by satisfying interpersonal relationships, effective behavior and
b b b b b b b b b b
coping, positive self-concept, and emotional stability. Persons who engage in fantasies may
b b b b b b b b b b b b
be mentally healthy, but the inability to distinguish reality from fantasy is an individual
b b b b b b b b b b b b b b
factor that may contribute to mental illness.
b b b b b b b
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
b b b b b b b b b b b b b b b
because she is so sad. The nurse's best response would be,
b b b b b b b b b b b
A) ìYou may have a temporary mental illness because you are experiencing so muchb b b b b b b b b b b b
pain.î b
B) ìYou are not mentally ill. This is an expected reaction to the loss you have b b b b b b b b b b b b b b
experienced.î b
Page 2 b
, C) ìWere you generally dissatisfied with your relationship before your husband's
b b b b b b b b b
death?î
b
D) ìTry not to worry about that right now. You never know what the future brings.î Ans:
b b b b b b b b b b b b b b b
B
b
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
b b b b b b b b
ineffective coping, and lack of personal growth. Additionally the behavior must not be
b b b b b b b b b b b b b
culturally expected. Acute grief reactions are expected and therefore not considered mental
b b b b b b b b b b b b
illness. False reassurance or overanalysis does not accurately address the client's concerns.
b b b b b b b b b b b b
5. The nurse consults the DSM for which of the following purposes?
b b b b b b b b b b
A) To devise a plan of care for a newly admitted client
b b b b b b b b b b
B) To predict the client's prognosis of treatment outcomes
b b b b b b b
C) To document the appropriate diagnostic code in the client's medical record
b b b b b b b b b b
D) To serve as a guide forclient assessment
b b b b b b b
Ans: D
b b
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
b b b b b b b b b
underlying causes of mental disorders. It does not provide care plans or prognostic
b b b b b b b b b b b b b
outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope
b b b b b b b b b b b b b b
of practice, so documenting the code in the medical record would be inappropriate.
b b b b b b b b b b b b b
6. Which would be a reason for a student nurse to use the DSM?
b b b b b b b b b b b b
A) Identifying the medical diagnosis b b b
B) Treat clients b
C) Evaluate treatments b
D) Understand the reason for the admission and the nature of psychiatric illnesses. b b b b b b b b b b b
Ans: D
b b
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
b b b b b b b b b b b b b b b b
resource to understand the reason for the admission and to begin building knowledge about
b b b b b b b b b b b b b b
the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and
b b b b b b b b b b b
evaluating treatments are not a part of the nursing process.
b b b b b b b b b b
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
b b b b b b b b b b b b b b
care for the mentally ill?
b b b b b
A) The widespread use of community-based servicesb b b b b
B) The advancement in pharmacotherapies b b b
C) Increased access to hospitalization b b b
D) Improved rights for clients in long-term institutional care b b b b b b b
Ans: A
b b
Feedback:
The CommunityMental Health Centers Construction Act of 1963 accomplished the release
b b b b b b b b b b b
of individuals from long-term stays in state institutions, the decrease in admissions to
b b b b b b b b b b b b b
hospitals, and the development of community-based services as an alternative to hospital
b b b b b b b b b b b b
care.
b
Page 3 b
b
,Psychiatric-MentalHealth Nursing 8theditionby Shelia Videbeck b b b b b b b
Table of contentsb b
UNIT 1 Current Theories and Practice
b b b b b
• 1. Foundations of Psychiatric–Mental Health Nursing
b b b b b
• 2. Neurobiologic Theories and Psychopharmacology
b b b b
• 3. Psychosocial Theories and Therapy
b b b b
• 4. Treatment Settings and Therapeutic Programs
b b b b b
UNIT 2 Building the Nurse–Client Relationship
b b b b b
• 5. Therapeutic Relationships
b b
• 6. Therapeutic Communication
b b
• 7. Client’s Response to Illness
b b b b
• 8. Assessment
b
UNIT 3 Current Social and Emotional Concerns
b b b b b b
• 9. Legal and Ethical Issues
b b b b
• 10. Grief and Lossb b b
• 11. Anger, Hostility, and Aggression
b b b b
• 12. Abuse and Violence
b b b
UNIT 4 Nursing Practice for Psychiatric Disorders
b b b b b b
• 13. Trauma and Stressor-Related Disorders
b b b b
• 14. Anxiety and Anxiety Disorders
b b b b
• 15. Obsessive–Compulsive and Related Disorders
b b b b
• 16. Schizophrenia b
• 17. Mood Disorders and Suicide
b b b b
• 18. Personality Disorders
b b
• 19. Addiction b
• 20. Eating Disorders
b b
• 21. Somatic Symptom Illnesses
b b b
• 22. Neurodevelopmental Disorders
b b
• 23 Disruptive Behavior Disorders
b b b
• 24 Cognitive Disorders
b b
Chapter 1 Foundations of Psychiatric–Mental Health Nursing
b b b b b b
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
b b b b b b b b b b b b b
client. Which of the following would the nurse identify as having a positive impact on the
b b b b b b b b b b b b b b b b
individual's mental health?
b b b
A) Not needing others for companionship b b b b
B) The ability to effectively manage stress b b b b b
C) A family history of mental illness b b b b b
D) Striving for total self-reliance b b b
Ans: B
b b
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
b b b b b b b b
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
b b b b b b b b b b b b
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress
b b b b b b b b b b b b b
management abilities. Interpersonal factors such as intimacy and a balance of separateness
b b b b b b b b b b b b
and connectedness are both needed for good mental health, and therefore a
b b b b b b b b b b b b
Page 1 b
, healthy person would need others for companionship. A family history of mental illness
b b b b b b b b b b b b
could relate to the biologic makeup of an individual, which may have a negative impact on
b b b b b b b b b b b b b b b b
an individual's mental health, as well as a negative impact on an individual's interpersonal
b b b b b b b b b b b b b b
and socialñcultural factors of health. Total self-reliance is not possible, and a positive
b b b b b b b b b b b b b
social/cultural factor is access to adequate resources.
b b b b b b b
2. Which of the following statements about mental illness are true? Select all thatapply.
b b b b b b b b b b b b b
A) Mental illness can cause significant distress, impaired functioning, orboth. b b b b b b b b b
B) Mental illness is onlydue to social/cultural factors. b b b b b b b
C) Social/cultural factors that relate to mental illness include excessive dependency on b b b b b b b b b b
or withdrawal from relationships.
b b b b
D) Individuals suffering from mental illness are usually able to cope effectively with b b b b b b b b b b b
daily life. b b
E) Individuals suffering from mental illness mayexperience dissatisfaction with b b b b b b b b
relationships and self.
b b b
Ans: A, D, E b b b
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
b b b b b b b b b b b
may be related to individual, interpersonal, or social/cultural factors. Excessive
b b b b b b b b b b
dependency on or withdrawal from relationships are interpersonal factors that relate to
b b b b b b b b b b b b
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
b b b b b b b b b b b b
life. Individuals suffering from mental illness mayexperience dissatisfaction with
b b b b b b b b b b
relationships and self.
b b b
3. Which of the following are true regarding mental health and mental illness?
b b b b b b b b b b b
A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in b b b b b b b b b b b b b
other cultures. b b
B) It is easy to determine if a person is mentally healthy or mentally ill.
b b b b b b b b b b b b b
C) In most cases, mental health is a state of emotional, psychological, and social
b b b b b b b b b b b b
wellness evidenced by satisfying interpersonal relationships, effective behavior
b b b b b b b b
and coping, positive self-concept, and emotional stability.
b b b b b b b
D) Persons who engage in fantasies are mentally ill. b b b b b b b
Ans: C
b b
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
b b b b b b b b b b b b b
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
b b b b b b b b b b b b b
define precisely. In most cases, mental health is a state of emotional, psychological, and
b b b b b b b b b b b b b b
social wellness evidenced by satisfying interpersonal relationships, effective behavior and
b b b b b b b b b b
coping, positive self-concept, and emotional stability. Persons who engage in fantasies may
b b b b b b b b b b b b
be mentally healthy, but the inability to distinguish reality from fantasy is an individual
b b b b b b b b b b b b b b
factor that may contribute to mental illness.
b b b b b b b
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
b b b b b b b b b b b b b b b
because she is so sad. The nurse's best response would be,
b b b b b b b b b b b
A) ìYou may have a temporary mental illness because you are experiencing so muchb b b b b b b b b b b b
pain.î b
B) ìYou are not mentally ill. This is an expected reaction to the loss you have b b b b b b b b b b b b b b
experienced.î b
Page 2 b
, C) ìWere you generally dissatisfied with your relationship before your husband's
b b b b b b b b b
death?î
b
D) ìTry not to worry about that right now. You never know what the future brings.î Ans:
b b b b b b b b b b b b b b b
B
b
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
b b b b b b b b
ineffective coping, and lack of personal growth. Additionally the behavior must not be
b b b b b b b b b b b b b
culturally expected. Acute grief reactions are expected and therefore not considered mental
b b b b b b b b b b b b
illness. False reassurance or overanalysis does not accurately address the client's concerns.
b b b b b b b b b b b b
5. The nurse consults the DSM for which of the following purposes?
b b b b b b b b b b
A) To devise a plan of care for a newly admitted client
b b b b b b b b b b
B) To predict the client's prognosis of treatment outcomes
b b b b b b b
C) To document the appropriate diagnostic code in the client's medical record
b b b b b b b b b b
D) To serve as a guide forclient assessment
b b b b b b b
Ans: D
b b
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
b b b b b b b b b
underlying causes of mental disorders. It does not provide care plans or prognostic
b b b b b b b b b b b b b
outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope
b b b b b b b b b b b b b b
of practice, so documenting the code in the medical record would be inappropriate.
b b b b b b b b b b b b b
6. Which would be a reason for a student nurse to use the DSM?
b b b b b b b b b b b b
A) Identifying the medical diagnosis b b b
B) Treat clients b
C) Evaluate treatments b
D) Understand the reason for the admission and the nature of psychiatric illnesses. b b b b b b b b b b b
Ans: D
b b
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
b b b b b b b b b b b b b b b b
resource to understand the reason for the admission and to begin building knowledge about
b b b b b b b b b b b b b b
the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and
b b b b b b b b b b b
evaluating treatments are not a part of the nursing process.
b b b b b b b b b b
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
b b b b b b b b b b b b b b
care for the mentally ill?
b b b b b
A) The widespread use of community-based servicesb b b b b
B) The advancement in pharmacotherapies b b b
C) Increased access to hospitalization b b b
D) Improved rights for clients in long-term institutional care b b b b b b b
Ans: A
b b
Feedback:
The CommunityMental Health Centers Construction Act of 1963 accomplished the release
b b b b b b b b b b b
of individuals from long-term stays in state institutions, the decrease in admissions to
b b b b b b b b b b b b b
hospitals, and the development of community-based services as an alternative to hospital
b b b b b b b b b b b b
care.
b
Page 3 b
