Updated Comprehensive Psychiatric Mental Health Nursing 8th Edition by Videbeck Test Bank Complete Exam Questions and Answers with Detailed Rationales, Mental Health Assessment Frameworks, Psychiatric Disorders Analysis, Therapeutic Communication Techniqu

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Videbeck Test Bank. LATEST UPDATE 2022 F F F F F




Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank Chapter F F F F F F F F F F




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1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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client. Which ofthe following would the nurse identify as having a positive impact on the
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individual's mental health? F F




A) Not needing others for companionship F F F F




B) The abilityto effectively manage stress F F F F F




C) A family history of mental illness F F F F F




D) Striving fortotalself-reliance F F F F




Ans: B F




Feedback:
Individual factors influencing mental health include biologic makeup autonomyF F F F F F F F , F




independence self-esteem capacity for growth vitality ability to find meaning in life
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emotional resilience or hardiness sense of belonging reality orientation and coping or
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stress management abilities. Interpersonal factors such as intimacy and a balance of
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separateness and connectedness are both needed for good mentalhealth and therefore a F F F F F F F F F F, F F F




healthy person would need others for companionship. A family history of mental illness
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could relate to the biologic makeup of an individual which may have a negative impact on
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an individual's mental health as well as a negative impact on an individual's interpersonal
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and socialñcultural factors of health. Total self-reliance is not possible and a positive social
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cultural factor is access to adequate resources. F F F F F F




2. Which ofthe following statements about mental illness are true?Select allthat apply.
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A) Mentalillness can cause significant distress impaired functioning or both. F F F F F F, F F, F




B) Mentalillness is onlydue to social cultural factors. F F F F F F F F




C) Social cultural factors that relate to mental illness include excessive dependency on F F F F F F F F F F F F




or withdrawal from relationships. F F F




D) Individuals suffering from mental illness are usually able to cope effectively with F F F F F F F F F F F F




daily life. F




E) Individuals suffering from mental illness may experience dissatisfaction with F F F F F F F F F




relationships and self. F F




Ans: A D E F F, F ,




Feedback:
Mental illness can cause significant distress impaired functioning or both. Mental illness
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may be related to individual interpersonal or social cultural factors. Excessive dependency
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on or withdrawal from relationships are interpersonal factors that relate to mental illness.
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Individuals suffering from mental illness can feel overwhelmed with daily life. Individuals
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suffering from mental illness mayexperience dissatisfaction with relationships and self.
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3. Which ofthe following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always unacceptable in F F F F F F F F F F F F F F




other cultures. F




B) It is easy to determine if a person is mentally healthyor mentally ill.
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C) In most cases mental health is a state of emotional psychological and social
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wellness evidenced bysatisfying interpersonalrelationships effective behavior F F F F F F , F F




and coping positive self-concept and emotional stability.
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D) Persons who engage in fantasies are mentally ill. F F F F F F F F




Ans: C F




Feedback:
What one society may view as acceptable and appropriate behavior another society may see
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that as maladaptive and inappropriate. Mental health and mental illness are difficult to
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define precisely. In most cases mental health is a state of emotional psychological and
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social wellness evidenced by satisfying interpersonal relationships effective behavior and
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coping positive self-concept and emotional stability. Persons who engage in fantasies may
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be mentally 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. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so much
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pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î
C) ìWere you generallydissatisfied with your relationship before your husband's F F F F F F F F F F




death?î
D) ìTry not to worryabout that right now. You never know what the future brings.î
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Ans: B F




Feedback:
Mental illness includes general dissatisfaction with self ineffective relationships ineffective
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coping and lack of personal growth. Additionally the behavior must not be culturally
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expected. Acute grief reactions are expected and therefore not considered mental illness.
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False reassurance or overanalysis does not accurately address the client's concerns.
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5. The nurse consults the DSM for which ofthe following purposes?
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A) To devise a plan ofcare for a newly admitted client
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B) To predict the client's prognosis oftreatment outcomes
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C) To document the appropriate diagnostic code in the client's medicalrecord
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D) To serve as a guide for client assessment
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Ans: D F




Feedback:
The DSM provides standard nomenclature presents defining characteristics and identifies
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underlying causes of mental disorders. It does not provide care plans or prognostic
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outcomes of treatment. Diagnosis of mental illness is not within the generalist RN's scope
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ofpractice so documenting the code in the medicalrecord would be inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis F F F




B) Treat clients F




C) Evaluate treatments F




D) Understand the reason for the admission and the natureofpsychiatric illnesses. F F F F F F F F F F F F




Ans: D F




Feedback:
Although student nurses do not use the DSM to diagnose clients they will find it a helpful
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resource to understand the reason for the admission and to begin building knowledge about
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the nature ofpsychiatric illnesses. Identifying the medicaldiagnosis treating and evaluating
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treatments are not a part of the nursing process. F F F F F F F F




7. The legislation enacted in 1963 was largely responsible for which ofthe following shifts in
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care for the mentally ill?
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A) The widespread use ofcommunity-based services F F F F F




B) The advancement in pharmacotherapies F F F




C) Increased access to hospitalization F F F




D) Improved rights for clients in long-term institutional care F F F F F F F F




Ans: A F




Feedback:
The Community MentalHealth Centers Construction Act of1963 accomplished the release
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of individuals from long-term stays in state institutions the decrease in admissions to
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hospitals and the development of community-based services as an alternative to hospital
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care.




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