Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
Page 1
,Chapter 1
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 onthe individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-
relianceAns: B
Feedback:
Individual factors influencing mental health include biologic makeup,
autonomy, independence, self-esteem, capacity for growth, vitality,
ability to find meaning in 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 ahealthy person would need others for
companionship. A family history of mental illnesscould 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.
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 dependencyon or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope
effectively withdaily life.
E) Individuals suffering from mental illness may experience
dissatisfaction withrelationships 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 withrelationships and self.
Page 2
,3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is
always unacceptablein other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) 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.
D) Persons who engage in fantasies are
mentally ill.Ans: C
Feedback:
What one society may view as acceptable and appropriate behavior,
another society maysee that as maladaptive, and inappropriate. Mental
health and mental illness are difficult to define precisely. 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. Persons who
engagein fantasies may be mentally healthy, but the inability to
distinguish reality from fantasyis an individual factor that may contribute
to mental illness.
4. A client grieving the recent loss of her husband asks if she is
becoming mentally illbecause she is so sad. The nurse's best
response would be,
A) ìYou may have a temporary mental illness because you are
experiencing so muchpain.î
B) ìYou are not mentally ill. This is an expected reaction to the
loss you haveexperienced.î
C) ìWere you generally dissatisfied with your relationship before
your husband'sdeath?î
D) ìTry not to worry about that right now. You never know what the
future brings.îAns: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective
relationships, ineffective coping, and lack of personal growth.
Additionally the behavior must not be culturally expected. Acute grief
reactions are expected and therefore not considered mental illness.
False reassurance or overanalysis does not accurately address the
client'sconcerns.
Page 3
, 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
D) To serve as a guide for client
assessmentAns: D
Feedback:
The DSM provides standard nomenclature, presents defining
characteristics, and identifies underlying causes of mental disorders. It
does not provide care plans or prognostic outcomes of treatment.
Diagnosis of mental illness is not within the generalist RN's scope of
practice, so documenting the code in the medical record would be
inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of
psychiatric illnesses.Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they
will find it 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 nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the
following shiftsin care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term
institutional careAns: A
Feedback:
The Community Mental Health Centers Construction Act of 1963
accomplished therelease of individuals from long-term stays in state
institutions, the decrease in admissions to hospitals, and the
development of community-based services as an alternative to
hospital care.
Page 4
Page 1
,Chapter 1
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 onthe individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-
relianceAns: B
Feedback:
Individual factors influencing mental health include biologic makeup,
autonomy, independence, self-esteem, capacity for growth, vitality,
ability to find meaning in 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 ahealthy person would need others for
companionship. A family history of mental illnesscould 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.
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 dependencyon or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope
effectively withdaily life.
E) Individuals suffering from mental illness may experience
dissatisfaction withrelationships 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 withrelationships and self.
Page 2
,3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is
always unacceptablein other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) 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.
D) Persons who engage in fantasies are
mentally ill.Ans: C
Feedback:
What one society may view as acceptable and appropriate behavior,
another society maysee that as maladaptive, and inappropriate. Mental
health and mental illness are difficult to define precisely. 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. Persons who
engagein fantasies may be mentally healthy, but the inability to
distinguish reality from fantasyis an individual factor that may contribute
to mental illness.
4. A client grieving the recent loss of her husband asks if she is
becoming mentally illbecause she is so sad. The nurse's best
response would be,
A) ìYou may have a temporary mental illness because you are
experiencing so muchpain.î
B) ìYou are not mentally ill. This is an expected reaction to the
loss you haveexperienced.î
C) ìWere you generally dissatisfied with your relationship before
your husband'sdeath?î
D) ìTry not to worry about that right now. You never know what the
future brings.îAns: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective
relationships, ineffective coping, and lack of personal growth.
Additionally the behavior must not be culturally expected. Acute grief
reactions are expected and therefore not considered mental illness.
False reassurance or overanalysis does not accurately address the
client'sconcerns.
Page 3
, 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
D) To serve as a guide for client
assessmentAns: D
Feedback:
The DSM provides standard nomenclature, presents defining
characteristics, and identifies underlying causes of mental disorders. It
does not provide care plans or prognostic outcomes of treatment.
Diagnosis of mental illness is not within the generalist RN's scope of
practice, so documenting the code in the medical record would be
inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of
psychiatric illnesses.Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they
will find it 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 nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the
following shiftsin care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term
institutional careAns: A
Feedback:
The Community Mental Health Centers Construction Act of 1963
accomplished therelease of individuals from long-term stays in state
institutions, the decrease in admissions to hospitals, and the
development of community-based services as an alternative to
hospital care.
Page 4
