,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9TH EDITION BY SHEILA L.
VIDEBECK
Chapter 1- Foundation of Psychiatric
1. The nurse is assessing a newly admitted client with cholecystitis. When performing the admission
assessment, which statement by the client is an indicatorof optimal mental health?
A. I don’t need anyone in my life, I manage well on my own.
B. I practice yoga regularly since it helps manage any stress I am feeling.
C. My family has several people with mental health problems.
D. I had a history of alcohol use disorder and have been sober for 2 months.
Answer: B
Rationale: Individual factors influencing mental health include 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 a healthy person would need others for companionship. A family
history of mental illness could relate to the biologic makeup of an individual, which may have a negative
impact on an individual’s mental health. A recent history of the useof maladaptive coping mechanisms
such as alcohol does not indicate that the clientis mentally healthy.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health NursingCognitive Level:
Apply
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness,
2. The nurse is performing an admission assessment for a client admitted to the behavioral health unit.
Which social/cultural category will the nurse document that
,may be contributing to the client’s degree of mental illness? Select all that apply.
A. The client is unable to find work and does not have enough money for housing.
B. The client states that they are discriminated against due to their country oforigin.
C. The client attributes life’s problems to being without family support.
D. The client reports being unable to find anything meaningful within their life.
E. The client reports not belonging anywhere and is without family support.
Answer: A, B
Rationale: Social or cultural categories relate to a lack of resources, poverty, negative view of the
world, and discrimination and may result in isolation andviolent or criminal behavior. The client
that attributes life’s problems to being
without family support is not able to find meaning in life. Being without support is interpersonal
determinant of mental illness.
Question format: Multiple Select
Chapter 1: Foundations of Psychiatric–Mental Health NursingCognitive Level:
Analyze
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Learning Objective: 1 Reference: p. 2,
Mental Illness
3. A client grieving the recent loss of a spouse, asks, ‘Am I becoming mentally ill? Ifeel so sad’ Which is
the nurse’s best response?
A. You may have a temporary mental illness because you are experiencing somuch pain.
B. You are not mentally ill. This is an expected reaction to the loss you haveexperienced.
C. Were you generally dissatisfied with your relationship before your husband’sdeath?
D. Try not to worry about that right now. You never know what the future brings.
, lOMoARcPSD|125 042 45
Answer: B
Rationale: Acute grief reactions are expected and therefore not considered mentalillness. Downplaying the
client’s grief does not appropriately address the client’s concerns. The quality of the relationship does not
determine the presence of absence of mental illness.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health NursingCognitive Level:
Apply
Client Needs: Psychosocial Integrity
Integrated Process: Communication and DocumentationLearning Objective: 1
Reference: p. 2, Mental Health and Mental Illness
4. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with bipolar I disorder.
Which information will the nurse obtain to assist with the use ofthis resource?
A. Devise a plan of care for a newly admitted client
B. Predict the client’s prognosis of treatment outcomes
C. Document the appropriate diagnostic code in the client’s medical record
D. Use as a guide for client assessment
Answer: D
Rationale: The DSM-5-TR provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does notprovide care plans or prognostic outcomes of
treatment. The DSM-5-TR does notprovide coding for record-keeping or billing purposes.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health NursingCognitive Level:
Apply
Client Needs: Safe and Effective Care Environment: Management of Care
VIDEBECK
Chapter 1- Foundation of Psychiatric
1. The nurse is assessing a newly admitted client with cholecystitis. When performing the admission
assessment, which statement by the client is an indicatorof optimal mental health?
A. I don’t need anyone in my life, I manage well on my own.
B. I practice yoga regularly since it helps manage any stress I am feeling.
C. My family has several people with mental health problems.
D. I had a history of alcohol use disorder and have been sober for 2 months.
Answer: B
Rationale: Individual factors influencing mental health include 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 a healthy person would need others for companionship. A family
history of mental illness could relate to the biologic makeup of an individual, which may have a negative
impact on an individual’s mental health. A recent history of the useof maladaptive coping mechanisms
such as alcohol does not indicate that the clientis mentally healthy.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health NursingCognitive Level:
Apply
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness,
2. The nurse is performing an admission assessment for a client admitted to the behavioral health unit.
Which social/cultural category will the nurse document that
,may be contributing to the client’s degree of mental illness? Select all that apply.
A. The client is unable to find work and does not have enough money for housing.
B. The client states that they are discriminated against due to their country oforigin.
C. The client attributes life’s problems to being without family support.
D. The client reports being unable to find anything meaningful within their life.
E. The client reports not belonging anywhere and is without family support.
Answer: A, B
Rationale: Social or cultural categories relate to a lack of resources, poverty, negative view of the
world, and discrimination and may result in isolation andviolent or criminal behavior. The client
that attributes life’s problems to being
without family support is not able to find meaning in life. Being without support is interpersonal
determinant of mental illness.
Question format: Multiple Select
Chapter 1: Foundations of Psychiatric–Mental Health NursingCognitive Level:
Analyze
Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process:
Nursing Process
Learning Objective: 1 Reference: p. 2,
Mental Illness
3. A client grieving the recent loss of a spouse, asks, ‘Am I becoming mentally ill? Ifeel so sad’ Which is
the nurse’s best response?
A. You may have a temporary mental illness because you are experiencing somuch pain.
B. You are not mentally ill. This is an expected reaction to the loss you haveexperienced.
C. Were you generally dissatisfied with your relationship before your husband’sdeath?
D. Try not to worry about that right now. You never know what the future brings.
, lOMoARcPSD|125 042 45
Answer: B
Rationale: Acute grief reactions are expected and therefore not considered mentalillness. Downplaying the
client’s grief does not appropriately address the client’s concerns. The quality of the relationship does not
determine the presence of absence of mental illness.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health NursingCognitive Level:
Apply
Client Needs: Psychosocial Integrity
Integrated Process: Communication and DocumentationLearning Objective: 1
Reference: p. 2, Mental Health and Mental Illness
4. The nurse is using the DSM-5-TR for a newly admitted client diagnosed with bipolar I disorder.
Which information will the nurse obtain to assist with the use ofthis resource?
A. Devise a plan of care for a newly admitted client
B. Predict the client’s prognosis of treatment outcomes
C. Document the appropriate diagnostic code in the client’s medical record
D. Use as a guide for client assessment
Answer: D
Rationale: The DSM-5-TR provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does notprovide care plans or prognostic outcomes of
treatment. The DSM-5-TR does notprovide coding for record-keeping or billing purposes.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health NursingCognitive Level:
Apply
Client Needs: Safe and Effective Care Environment: Management of Care
