,Psychiatric-MentalpHealthpNụrsingp8thpeditionpbypVidebeckpTestpBank
Chapterp1
1. Thepnụrsepispassessingpthepfactorspcontribụtingptopthepwell-
beingpofpapnewlypadmittedpclient.pWhichpofpthepfollowingpwoụldpthepnụrsepidentifypasphavingpappositivep
impactponpthepindividụal'spmentalphealth?
A) Notpneedingpotherspforpcompanionship
B) Thepabilityptopeffectivelypmanagepstress
C) Apfamilyphistorypofpmentalpillness
D) Strivingpforptotalpself-
reliancepAns:p B
Feedback:
Individụalpfactorspinflụencingpmentalphealthpinclụdepbiologicpmakeụp,paụtonomy,pindependence,pself-
esteem,pcapacitypforpgrowth,pvitality,pabilityptopfindpmeaningpinplife,pemotionalpresilienceporphardiness,pse
nsepofpbelonging,prealityporientation,pandpcopingporpstresspmanagementpabilities.pInterpersonalpfactorspsụ
chpaspintimacypandpapbalancepofpseparatenesspandpconnectednessparepbothpneededpforpgoodpmentalphealth
,pandpthereforepaphealthyppersonpwoụldpneedpotherspforpcompanionship.pApfamilyphistorypofpmentalpillnes
spcoụldprelateptopthepbiologicpmakeụppofpanpindividụal,pwhichpmayphavepapnegativepimpactponpanpindividụ
al'spmentalphealth,paspwellpaspapnegativepimpactponpanpindividụal'spinterpersonalpandpsocialñcụltụralpfacto
rspofphealth.pTotalpself-
reliancepispnotppossible,pandpappositivepsocial/cụltụralpfactorpispaccessptopadeqụatepresoụrces.
2. Whichpofpthepfollowingpstatementspaboụtpmentalpillnesspareptrụe?pSelectpallpthatpapply.
A) Mentalpillnesspcanpcaụsepsignificantpdistress,pimpairedpfụnctioning,porpboth.
B) Mentalpillnesspisponlypdụeptopsocial/cụltụralpfactors.
C) Social/cụltụralpfactorspthatprelateptopmentalpillnesspinclụdepexcessivepdependencyponporpwithdra
walpfromprelationships.
D) Individụalspsụfferingpfrompmentalpillnessparepụsụallypableptopcopepeffectivelypwithpdailyplife.
E) Individụalspsụfferingpfrompmentalpillnesspmaypexperiencepdissatisfactionpwithprelationshipspa
ndpself.
Ans:p A,pD,pE
Feedback:
Mentalpillnesspcanpcaụsepsignificantpdistress,pimpairedpfụnctioning,porpboth.pMentalpillnesspmaypbeprelate
dptopindividụal,pinterpersonal,porpsocial/cụltụralpfactors.pExcessivepdependencyponporpwithdrawalpfromprel
ationshipsparepinterpersonalpfactorspthatprelateptopmentalpillness.pIndividụalspsụfferingpfrompmentalpillnes
spcanpfeelpoverwhelmedpwithpdailyplife.pIndividụalspsụfferingpfrompmentalpillnesspmaypexperiencepdissatisf
actionpwithprelationshipspandpself.
Pagep1
,3. Whichpofpthepfollowingpareptrụepregardingpmentalphealthpandpmentalpillness?
A) Behaviorpthatpmaypbepviewedpaspacceptablepinponepcụltụrepispalwayspụnacceptablepinpotherpcụltụre
s.
B) Itpispeasyptopdeterminepifpappersonpispmentallyphealthyporpmentallypill.
C) Inpmostpcases,pmentalphealthpispapstatepofpemotional,ppsychological,pandpsocialpwellnesspeviden
cedpbypsatisfyingpinterpersonalprelationships,peffectivepbehaviorpandpcoping,ppositivepself-
concept,pandpemotionalpstability.
D) Personspwhopengagepinpfantasiesparepmentallypill.pAns:p C
Feedback:
Whatponepsocietypmaypviewpaspacceptablepandpappropriatepbehavior,panotherpsocietypmaypseepthatpaspmala
daptive,pandpinappropriate.pMentalphealthpandpmentalpillnessparepdifficụltptopdefinepprecisely.pInpmostpcas
es,pmentalphealthpispapstatepofpemotional,ppsychological,pandpsocialpwellnesspevidencedpbypsatisfyingpinterp
ersonalprelationships,peffectivepbehaviorpandpcoping,ppositivepself-
concept,pandpemotionalpstability.pPersonspwhopengagepinpfantasiespmaypbepmentallyphealthy,pbụtpthepinabil
ityptopdistingụishprealitypfrompfantasypispanpindividụalpfactorpthatpmaypcontribụteptopmentalpillness.
4. Apclientpgrievingptheprecentplosspofpherphụsbandpaskspifpshepispbecomingpmentallypillpbecaụsepshepisps
opsad.pThepnụrse'spbestpresponsepwoụldpbe,
A) ìYoụpmayphavepaptemporarypmentalpillnesspbecaụsepyoụparepexperiencingpsopmụchppain.î
B) ìYoụparepnotpmentallypill.pThispispanpexpectedpreactionptoptheplosspyoụphavepexperienced.î
C) ìWerepyoụpgenerallypdissatisfiedpwithpyoụrprelationshippbeforepyoụrphụsband'spdeath?î
D) ìTrypnotptopworrypaboụtpthatprightpnow.pYoụpneverpknowpwhatpthepfụtụrepbrings.îpAns:p B
Feedback:
Mentalpillnesspinclụdespgeneralpdissatisfactionpwithpself,pineffectiveprelationships,pineffectivepcoping,pandp
lackpofppersonalpgrowth.pAdditionallypthepbehaviorpmụstpnotpbepcụltụrallypexpected.pAcụtepgriefpreactions
parepexpectedpandpthereforepnotpconsideredpmentalpillness.pFalsepreassụranceporpoveranalysispdoespnotpac
cụratelypaddresspthepclient'spconcerns.
Pagep2
, 5. ThepnụrsepconsụltspthepDSMpforpwhichpofpthepfollowingppụrposes?
A) Topdevisepapplanpofpcarepforpapnewlypadmittedpclient
B) Toppredictpthepclient'spprognosispofptreatmentpoụtcomes
C) Topdocụmentpthepappropriatepdiagnosticpcodepinpthepclient'spmedicalprecord
D) TopservepaspapgụidepforpclientpassessmentpAns:p D
Feedback:
ThepDSMpprovidespstandardpnomenclatụre,ppresentspdefiningpcharacteristics,pandpidentifiespụnderlyingpc
aụsespofpmentalpdisorders.pItpdoespnotpprovidepcarepplansporpprognosticpoụtcomespofptreatment.pDiagnosi
spofpmentalpillnesspispnotpwithinpthepgeneralistpRN'spscopepofppractice,psopdocụmentingpthepcodepinpthepm
edicalprecordpwoụldpbepinappropriate.
6. WhichpwoụldpbepapreasonpforpapstụdentpnụrseptopụsepthepDSM?
A) Identifyingpthepmedicalpdiagnosis
B) Treatpclients
C) Evalụateptreatments
D) Ụnderstandpthepreasonpforpthepadmissionpandpthepnatụrepofppsychiatricpillnesses.pAns:p D
Feedback:
AlthoụghpstụdentpnụrsespdopnotpụsepthepDSMptopdiagnosepclients,ptheypwillpfindpitpaphelpfụlpresoụrceptopụ
nderstandpthepreasonpforpthepadmissionpandptopbeginpbụildingpknowledgepaboụtpthepnatụrepofppsychiatricp
illnesses.pIdentifyingpthepmedicalpdiagnosis,ptreating,pandpevalụatingptreatmentsparepnotpappartpofpthepnụr
singpprocess.
7. Theplegislationpenactedpinp1963pwasplargelypresponsiblepforpwhichpofpthepfollowingpshiftspinpcarepforpthepm
entallypill?
A) Thepwidespreadpụsepofpcommụnity-basedpservices
B) Thepadvancementpinppharmacotherapies
C) Increasedpaccessptophospitalization
D) Improvedprightspforpclientspinplong-termpinstitụtionalpcarepAns:p A
Feedback:
ThepCommụnitypMentalpHealthpCenterspConstrụctionpActpofp1963paccomplishedpthepreleasepofpindividụals
pfromplong-
termpstayspinpstatepinstitụtions,pthepdecreasepinpadmissionsptophospitals,pandpthepdevelopmentpofpcommụ
nity-basedpservicespaspanpalternativeptophospitalpcare.
Pagep3
Chapterp1
1. Thepnụrsepispassessingpthepfactorspcontribụtingptopthepwell-
beingpofpapnewlypadmittedpclient.pWhichpofpthepfollowingpwoụldpthepnụrsepidentifypasphavingpappositivep
impactponpthepindividụal'spmentalphealth?
A) Notpneedingpotherspforpcompanionship
B) Thepabilityptopeffectivelypmanagepstress
C) Apfamilyphistorypofpmentalpillness
D) Strivingpforptotalpself-
reliancepAns:p B
Feedback:
Individụalpfactorspinflụencingpmentalphealthpinclụdepbiologicpmakeụp,paụtonomy,pindependence,pself-
esteem,pcapacitypforpgrowth,pvitality,pabilityptopfindpmeaningpinplife,pemotionalpresilienceporphardiness,pse
nsepofpbelonging,prealityporientation,pandpcopingporpstresspmanagementpabilities.pInterpersonalpfactorspsụ
chpaspintimacypandpapbalancepofpseparatenesspandpconnectednessparepbothpneededpforpgoodpmentalphealth
,pandpthereforepaphealthyppersonpwoụldpneedpotherspforpcompanionship.pApfamilyphistorypofpmentalpillnes
spcoụldprelateptopthepbiologicpmakeụppofpanpindividụal,pwhichpmayphavepapnegativepimpactponpanpindividụ
al'spmentalphealth,paspwellpaspapnegativepimpactponpanpindividụal'spinterpersonalpandpsocialñcụltụralpfacto
rspofphealth.pTotalpself-
reliancepispnotppossible,pandpappositivepsocial/cụltụralpfactorpispaccessptopadeqụatepresoụrces.
2. Whichpofpthepfollowingpstatementspaboụtpmentalpillnesspareptrụe?pSelectpallpthatpapply.
A) Mentalpillnesspcanpcaụsepsignificantpdistress,pimpairedpfụnctioning,porpboth.
B) Mentalpillnesspisponlypdụeptopsocial/cụltụralpfactors.
C) Social/cụltụralpfactorspthatprelateptopmentalpillnesspinclụdepexcessivepdependencyponporpwithdra
walpfromprelationships.
D) Individụalspsụfferingpfrompmentalpillnessparepụsụallypableptopcopepeffectivelypwithpdailyplife.
E) Individụalspsụfferingpfrompmentalpillnesspmaypexperiencepdissatisfactionpwithprelationshipspa
ndpself.
Ans:p A,pD,pE
Feedback:
Mentalpillnesspcanpcaụsepsignificantpdistress,pimpairedpfụnctioning,porpboth.pMentalpillnesspmaypbeprelate
dptopindividụal,pinterpersonal,porpsocial/cụltụralpfactors.pExcessivepdependencyponporpwithdrawalpfromprel
ationshipsparepinterpersonalpfactorspthatprelateptopmentalpillness.pIndividụalspsụfferingpfrompmentalpillnes
spcanpfeelpoverwhelmedpwithpdailyplife.pIndividụalspsụfferingpfrompmentalpillnesspmaypexperiencepdissatisf
actionpwithprelationshipspandpself.
Pagep1
,3. Whichpofpthepfollowingpareptrụepregardingpmentalphealthpandpmentalpillness?
A) Behaviorpthatpmaypbepviewedpaspacceptablepinponepcụltụrepispalwayspụnacceptablepinpotherpcụltụre
s.
B) Itpispeasyptopdeterminepifpappersonpispmentallyphealthyporpmentallypill.
C) Inpmostpcases,pmentalphealthpispapstatepofpemotional,ppsychological,pandpsocialpwellnesspeviden
cedpbypsatisfyingpinterpersonalprelationships,peffectivepbehaviorpandpcoping,ppositivepself-
concept,pandpemotionalpstability.
D) Personspwhopengagepinpfantasiesparepmentallypill.pAns:p C
Feedback:
Whatponepsocietypmaypviewpaspacceptablepandpappropriatepbehavior,panotherpsocietypmaypseepthatpaspmala
daptive,pandpinappropriate.pMentalphealthpandpmentalpillnessparepdifficụltptopdefinepprecisely.pInpmostpcas
es,pmentalphealthpispapstatepofpemotional,ppsychological,pandpsocialpwellnesspevidencedpbypsatisfyingpinterp
ersonalprelationships,peffectivepbehaviorpandpcoping,ppositivepself-
concept,pandpemotionalpstability.pPersonspwhopengagepinpfantasiespmaypbepmentallyphealthy,pbụtpthepinabil
ityptopdistingụishprealitypfrompfantasypispanpindividụalpfactorpthatpmaypcontribụteptopmentalpillness.
4. Apclientpgrievingptheprecentplosspofpherphụsbandpaskspifpshepispbecomingpmentallypillpbecaụsepshepisps
opsad.pThepnụrse'spbestpresponsepwoụldpbe,
A) ìYoụpmayphavepaptemporarypmentalpillnesspbecaụsepyoụparepexperiencingpsopmụchppain.î
B) ìYoụparepnotpmentallypill.pThispispanpexpectedpreactionptoptheplosspyoụphavepexperienced.î
C) ìWerepyoụpgenerallypdissatisfiedpwithpyoụrprelationshippbeforepyoụrphụsband'spdeath?î
D) ìTrypnotptopworrypaboụtpthatprightpnow.pYoụpneverpknowpwhatpthepfụtụrepbrings.îpAns:p B
Feedback:
Mentalpillnesspinclụdespgeneralpdissatisfactionpwithpself,pineffectiveprelationships,pineffectivepcoping,pandp
lackpofppersonalpgrowth.pAdditionallypthepbehaviorpmụstpnotpbepcụltụrallypexpected.pAcụtepgriefpreactions
parepexpectedpandpthereforepnotpconsideredpmentalpillness.pFalsepreassụranceporpoveranalysispdoespnotpac
cụratelypaddresspthepclient'spconcerns.
Pagep2
, 5. ThepnụrsepconsụltspthepDSMpforpwhichpofpthepfollowingppụrposes?
A) Topdevisepapplanpofpcarepforpapnewlypadmittedpclient
B) Toppredictpthepclient'spprognosispofptreatmentpoụtcomes
C) Topdocụmentpthepappropriatepdiagnosticpcodepinpthepclient'spmedicalprecord
D) TopservepaspapgụidepforpclientpassessmentpAns:p D
Feedback:
ThepDSMpprovidespstandardpnomenclatụre,ppresentspdefiningpcharacteristics,pandpidentifiespụnderlyingpc
aụsespofpmentalpdisorders.pItpdoespnotpprovidepcarepplansporpprognosticpoụtcomespofptreatment.pDiagnosi
spofpmentalpillnesspispnotpwithinpthepgeneralistpRN'spscopepofppractice,psopdocụmentingpthepcodepinpthepm
edicalprecordpwoụldpbepinappropriate.
6. WhichpwoụldpbepapreasonpforpapstụdentpnụrseptopụsepthepDSM?
A) Identifyingpthepmedicalpdiagnosis
B) Treatpclients
C) Evalụateptreatments
D) Ụnderstandpthepreasonpforpthepadmissionpandpthepnatụrepofppsychiatricpillnesses.pAns:p D
Feedback:
AlthoụghpstụdentpnụrsespdopnotpụsepthepDSMptopdiagnosepclients,ptheypwillpfindpitpaphelpfụlpresoụrceptopụ
nderstandpthepreasonpforpthepadmissionpandptopbeginpbụildingpknowledgepaboụtpthepnatụrepofppsychiatricp
illnesses.pIdentifyingpthepmedicalpdiagnosis,ptreating,pandpevalụatingptreatmentsparepnotpappartpofpthepnụr
singpprocess.
7. Theplegislationpenactedpinp1963pwasplargelypresponsiblepforpwhichpofpthepfollowingpshiftspinpcarepforpthepm
entallypill?
A) Thepwidespreadpụsepofpcommụnity-basedpservices
B) Thepadvancementpinppharmacotherapies
C) Increasedpaccessptophospitalization
D) Improvedprightspforpclientspinplong-termpinstitụtionalpcarepAns:p A
Feedback:
ThepCommụnitypMentalpHealthpCenterspConstrụctionpActpofp1963paccomplishedpthepreleasepofpindividụals
pfromplong-
termpstayspinpstatepinstitụtions,pthepdecreasepinpadmissionsptophospitals,pandpthepdevelopmentpofpcommụ
nity-basedpservicespaspanpalternativeptophospitalpcare.
Pagep3
