lOM oA R c P S D| 11 70 059 1
TEST BANK FOR `!`r `!`r
Psychiatric–Mental Health Nursing 9th Edition by Sheila `!`r `!`r `!`r `!`r `!`r `!`r
L.Videbeck
`!`r `!r̀
All Chapters (1-24)
`!`r `!`r
Table Of Contents `!`r `!`r
, lOM oA R c P S D| 11 70 059 1
UNIT 1 Current Theories and Practice
` ! ` r ` ! ` r ` ! ` r ` ! ` r ` ! ` r
Chapter 1. Foundations of Psychiatric–Mental Health
`! ` r `!`r `!`r `!`r `!`r
Nursing Chapter 2.
`!`r Neurobiologic Theories and
`!`r `!`r ` ! ` r `!`r `!`r `!`r
Psychopharmacology Chapter 3. Psychosocial Theories
`!` r `!`r `!`r `!`r `!`r
and Therapy
`!`r `!`r
Chapter 4. Treatment Settings
`!`r and Therapeutic ` ! ` r `!`r ` ! ` r ` ! ` r
Programs UNIT
`!` r 2 Building the Nurse–
`!`r ` ! ` r ` ! ` r ` ! ` r ` ! ` r
Client Relationship Chapter 5. Therapeutic
` ! ` r `!`r `!`r `!`r
Relationships
`!`r
Chapter 6. Therapeutic Communication
`!`r `!`r `!`r
Chapter 7. Client’s Response to Illness
`!`r `!`r `!`r `!`r `!`r `!`r
Chapter 8. Assessment
`!`r `!`r `!`r
UNIT 3 Current Social
` ! ` r and Emotional Concerns
` ! ` r ` ! ` r ` ! ` r ` ! ` r ` ! ` r
Chapter 9. Legal and Ethical ` ! ` r ` ! ` r ` ! ` r ` ! ` r
IssuesChapter 10. Grief and Loss
` ! ` r `!r̀ `!`r `!`r `!`r `! `r
Chapter 11. Anger, Hostility, and
` ! ` r `!`r ` ! ` r `!`r
AggressionChapter 12. Abuse and
`!`r `!r̀ `!`r `!`r `!`r
Violence
` ! ` r
UNIT 4 Nursing Practice for Psychiatric
`!`r `!`r `!`r `!`r `!`r
DisordersChapter 13. Trauma and Stressor-Related
`!`r `!r̀ `!`r `!`r `!`r `!`r
Disorders Chapter 14. Anxiety and Anxiety
`!`r `!`r `!`r ` ! ` r `!`r ` ! ` r
Disorders
`! ` r
Chapter 15. Obsessive–Compulsive and Related Disorders
`!`r `!`r `!`r `!`r `!`r
Chapter 16. Schizophrenia
`!`r `!`r `!`r
Chapter 17. Mood Disorders and
`!`r `!`r `!`r `!`r
SuicideChapter
`!`r 18. Personality
`!r̀ ` ! ` r ` ! ` r
` Disorders Chapter 19. Addiction
! ` r `!`r `!`r `!`r
Chapter 20. Eating Disorders` ! ` r ` ! ` r ` ! ` r
Chapter 21. Somatic Symptom Illnesses
`!`r `!`r `!`r `!`r
Chapter 22. Neurodevelopmental
`!`r `!`r ` ! ` r
Disorders Chapter
`!`r 23. Disruptive `!`r ` ! ` r `!`r
Behavior Disorders Chapter 24. Cognitive
`!`r `!`r `!`r `!`r `!`r
Disorders
` ! ` r
Chapter 1 `!`r
1. The nurse is assessing the factors contributing to the well-being of a newly
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
admitted client. Which of the following would the nurse identify as having a
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
positive impact onthe individual's mental health?
`!`r `!`r `!`r `!r̀ `!`r `!`r `!`r
A) Not needing others for companionship `!`r `!`r `!`r `!`r
B) The ability to effectively manage stress `!`r `!`r `!`r `!`r `!`r
C) A family history of mental illness `!`r `!`r `!`r `!`r `!`r
D) Striving for total self- `!`r `!`r `!`r
relianceAns: B `!r̀ `!` r
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
independence, self-esteem, capacity for growth, vitality, ability to find meaning in
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
life, emotional resilience or hardiness, sense of belonging, reality orientation, and
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
coping or stress management abilities. Interpersonal factors such as intimacy and a
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
balance of separateness and connectedness are both needed for good mental health,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
and therefore a
`!`r `!`r `!`r
, lOM oA R c P S D| 11 70 059 1
healthy person would need others for companionship. A family history of mental
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
illnesscould relate to the biologic makeup of an individual, which may have a
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
negative impacton an individual's mental health, as well as a negative impact on
`!`r `!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
an individual's interpersonal and socialñcultural factors of health. Total self-
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
reliance is not possible, and a positive social/cultural factor is access to adequate
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
resources.
`!`r
2. Which of the following statements about mental illness are true? Select all that apply.
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
A) Mental illness can cause significant distress, impaired functioning, or both. `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
B) Mental illness is only due to social/cultural factors. `!`r `!`r `!`r `!`r `!`r `!`r `!`r
C) Social/cultural factors that relate to mental illness include excessive `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
dependencyon or withdrawal from relationships.
`!`r `!r̀ `!`r `!`r `!`r `!`r
D) Individuals suffering from mental illness are usually able to cope effectively `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
withdaily life. `!`r `!r̀ `!`r
E) Individuals suffering from mental illness may experience dissatisfaction `!`r `!`r `!`r `!`r `!`r `!`r `!`r
withrelationships and self.
`!`r `!r̀ `!`r `!`r
Ans: A, D, E `!`r `!`r `!`r
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
illness may be related to individual, interpersonal, or social/cultural factors.
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
Excessive dependency on or withdrawal from relationships are interpersonal
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
factors that relate to mental illness. Individuals suffering from mental illness can
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
feel overwhelmed with daily life. Individuals suffering from mental illness may
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
experience dissatisfaction withrelationships and self.
`!`r `!`r `!`r `!r̀ `!`r `!`r
3. Which of the following are true regarding mental health and mental illness?
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
A) Behavior that may be viewed as acceptable in one culture is always `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
unacceptablein other cultures.
`!`r `!r̀ `!`r `!`r
B) It is easy to determine if a person is mentally healthy or mentally ill.
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
C) In most cases, mental health is a state of emotional, psychological, and
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
social wellness evidenced by satisfying interpersonal relationships,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r
effective behaviorand coping, positive self-concept, and emotional stability.
`!`r `!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r
D) Persons who engage in fantasies are mentally `!`r `!`r `!`r `!`r `!`r `!`r
ill.Ans: C
`!`r `!r̀ `!` r
Feedback:
What one society may view as acceptable and appropriate behavior, another society
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
maysee that as maladaptive, and inappropriate. Mental health and mental illness are
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
difficult to define precisely. In most cases, mental health is a state of emotional,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
psychological, and social wellness evidenced by satisfying interpersonal
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
relationships, effective behavior and coping, positive self-concept, and emotional
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
stability. Persons who engagein fantasies may be mentally healthy, but the inability
`!`r `!`r `!`r `!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
to distinguish reality from fantasy is an individual factor that may contribute to
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
mental illness.
`!`r `!`r
4. A client grieving the recent loss of her husband asks if she is becoming
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
mentally illbecause she is so sad. The nurse's best response would be,
`!`r `!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
A) ìYou may have a temporary mental illness because you are experiencing so `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
muchpain.î `!`r `!r̀
B) ìYou are not mentally ill. This is an expected reaction to the loss you `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
haveexperienced.î `!`r `!r̀
C) ìWere you generally dissatisfied with your relationship before your `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
husband'sdeath?î `!`r `!r̀
D) ìTry not to worry about that right now. You never know what the future `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
brings.îAns: B
`!`r `!r̀ ` !`r
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
ineffective coping, and lack of personal growth. Additionally the behavior must not be
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
, lOM oA R c P S D| 11 70 059 1
culturally expected. Acute grief reactions are expected and therefore not considered
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
mental illness. False reassurance or overanalysis does not accurately address the
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
client'sconcerns.
`!`r `!r̀
5. The nurse consults the DSM for which of the following purposes?
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
A) To devise a plan of care for a newly admitted client `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
B) To predict the client's prognosis of treatment outcomes `!`r `!`r `!`r `!`r `!`r `!`r `!`r
C) To document the appropriate diagnostic code in the client's medical record
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
D) To serve as a guide for client `!`r `!`r `!`r `!`r `!`r `!`r
assessmentAns: D
`!`r `!r̀ `! `r
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
identifies underlying causes of mental disorders. It does not provide care plans or
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
generalist RN's scope of practice, so documenting the code in the medical record
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
wouldbe inappropriate.
`!`r `!r̀ `!`r
6. Which would be a reason for a student nurse to use the DSM?
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
A) Identifying the medical diagnosis `!`r `!`r `!`r
B) Treat clients `!`r
C) Evaluate treatments `!`r
D) Understand the reason for the admission and the nature of psychiatric `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
illnesses.Ans: D
`!`r `!r̀ `!`r
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
a helpful resource to understand the reason for the admission and to begin
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
building knowledge about the nature of psychiatric illnesses. Identifying the medical
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
diagnosis,treating, and evaluating treatments are not a part of the nursing process.
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
7. The legislation enacted in 1963 was largely responsible for which of the following
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
shiftsin care for the mentally ill?
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r
A) The widespread use of community-based services `!`r `!`r `!`r `!`r `!`r
B) The advancement in pharmacotherapies `!`r `!`r `!`r
C) Increased access to hospitalization `!`r `!`r `!`r
D) Improved rights for clients in long-term institutional `!`r `!`r `!`r `!`r `!`r `!`r
careAns: A
`!`r `!r̀ `! `r
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
therelease of individuals from long-term stays in state institutions, the decrease
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
in admissions to hospitals, and the development of community-based services
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
as an alternative to hospital care.
`!`r `!`r `!`r `!`r `!`r `!`r
8. Which one of the following is a result of federal legislation?
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
A) Making it easier to commit people for mental health treatment against their will. `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
B) Making it more difficult to commit people for mental health treatment `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
againsttheir will. `!`r `!r̀ `!`r
C) State mental institutions being the primary source of care for mentally ill persons.
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
D) Improved care for mentally ill `!`r `!`r `!`r `!r̀
persons.Ans: B
`!`r `!r̀ `! `r
Feedback:
TEST BANK FOR `!`r `!`r
Psychiatric–Mental Health Nursing 9th Edition by Sheila `!`r `!`r `!`r `!`r `!`r `!`r
L.Videbeck
`!`r `!r̀
All Chapters (1-24)
`!`r `!`r
Table Of Contents `!`r `!`r
, lOM oA R c P S D| 11 70 059 1
UNIT 1 Current Theories and Practice
` ! ` r ` ! ` r ` ! ` r ` ! ` r ` ! ` r
Chapter 1. Foundations of Psychiatric–Mental Health
`! ` r `!`r `!`r `!`r `!`r
Nursing Chapter 2.
`!`r Neurobiologic Theories and
`!`r `!`r ` ! ` r `!`r `!`r `!`r
Psychopharmacology Chapter 3. Psychosocial Theories
`!` r `!`r `!`r `!`r `!`r
and Therapy
`!`r `!`r
Chapter 4. Treatment Settings
`!`r and Therapeutic ` ! ` r `!`r ` ! ` r ` ! ` r
Programs UNIT
`!` r 2 Building the Nurse–
`!`r ` ! ` r ` ! ` r ` ! ` r ` ! ` r
Client Relationship Chapter 5. Therapeutic
` ! ` r `!`r `!`r `!`r
Relationships
`!`r
Chapter 6. Therapeutic Communication
`!`r `!`r `!`r
Chapter 7. Client’s Response to Illness
`!`r `!`r `!`r `!`r `!`r `!`r
Chapter 8. Assessment
`!`r `!`r `!`r
UNIT 3 Current Social
` ! ` r and Emotional Concerns
` ! ` r ` ! ` r ` ! ` r ` ! ` r ` ! ` r
Chapter 9. Legal and Ethical ` ! ` r ` ! ` r ` ! ` r ` ! ` r
IssuesChapter 10. Grief and Loss
` ! ` r `!r̀ `!`r `!`r `!`r `! `r
Chapter 11. Anger, Hostility, and
` ! ` r `!`r ` ! ` r `!`r
AggressionChapter 12. Abuse and
`!`r `!r̀ `!`r `!`r `!`r
Violence
` ! ` r
UNIT 4 Nursing Practice for Psychiatric
`!`r `!`r `!`r `!`r `!`r
DisordersChapter 13. Trauma and Stressor-Related
`!`r `!r̀ `!`r `!`r `!`r `!`r
Disorders Chapter 14. Anxiety and Anxiety
`!`r `!`r `!`r ` ! ` r `!`r ` ! ` r
Disorders
`! ` r
Chapter 15. Obsessive–Compulsive and Related Disorders
`!`r `!`r `!`r `!`r `!`r
Chapter 16. Schizophrenia
`!`r `!`r `!`r
Chapter 17. Mood Disorders and
`!`r `!`r `!`r `!`r
SuicideChapter
`!`r 18. Personality
`!r̀ ` ! ` r ` ! ` r
` Disorders Chapter 19. Addiction
! ` r `!`r `!`r `!`r
Chapter 20. Eating Disorders` ! ` r ` ! ` r ` ! ` r
Chapter 21. Somatic Symptom Illnesses
`!`r `!`r `!`r `!`r
Chapter 22. Neurodevelopmental
`!`r `!`r ` ! ` r
Disorders Chapter
`!`r 23. Disruptive `!`r ` ! ` r `!`r
Behavior Disorders Chapter 24. Cognitive
`!`r `!`r `!`r `!`r `!`r
Disorders
` ! ` r
Chapter 1 `!`r
1. The nurse is assessing the factors contributing to the well-being of a newly
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
admitted client. Which of the following would the nurse identify as having a
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
positive impact onthe individual's mental health?
`!`r `!`r `!`r `!r̀ `!`r `!`r `!`r
A) Not needing others for companionship `!`r `!`r `!`r `!`r
B) The ability to effectively manage stress `!`r `!`r `!`r `!`r `!`r
C) A family history of mental illness `!`r `!`r `!`r `!`r `!`r
D) Striving for total self- `!`r `!`r `!`r
relianceAns: B `!r̀ `!` r
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
independence, self-esteem, capacity for growth, vitality, ability to find meaning in
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
life, emotional resilience or hardiness, sense of belonging, reality orientation, and
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
coping or stress management abilities. Interpersonal factors such as intimacy and a
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
balance of separateness and connectedness are both needed for good mental health,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
and therefore a
`!`r `!`r `!`r
, lOM oA R c P S D| 11 70 059 1
healthy person would need others for companionship. A family history of mental
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
illnesscould relate to the biologic makeup of an individual, which may have a
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
negative impacton an individual's mental health, as well as a negative impact on
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an individual's interpersonal and socialñcultural factors of health. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate
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resources.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both. `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
B) Mental illness is only due to social/cultural factors. `!`r `!`r `!`r `!`r `!`r `!`r `!`r
C) Social/cultural factors that relate to mental illness include excessive `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
dependencyon or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
withdaily life. `!`r `!r̀ `!`r
E) Individuals suffering from mental illness may experience dissatisfaction `!`r `!`r `!`r `!`r `!`r `!`r `!`r
withrelationships and self.
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Ans: A, D, E `!`r `!`r `!`r
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors.
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Excessive dependency on or withdrawal from relationships are interpersonal
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factors that relate to mental illness. Individuals suffering from mental illness can
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feel overwhelmed with daily life. Individuals suffering from mental illness may
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experience dissatisfaction withrelationships and self.
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3. Which of the 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 `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
unacceptablein other cultures.
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B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and
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social wellness evidenced by satisfying interpersonal relationships,
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effective behaviorand coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally `!`r `!`r `!`r `!`r `!`r `!`r
ill.Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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maysee that as maladaptive, and inappropriate. Mental health and mental illness are
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difficult to define precisely. In most cases, mental health is a state of emotional,
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psychological, and social wellness evidenced by satisfying interpersonal
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relationships, effective behavior and coping, positive self-concept, and emotional
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stability. Persons who engagein fantasies may be mentally healthy, but the inability
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to distinguish reality from fantasy is an individual factor that may contribute to
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mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming
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mentally illbecause 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 `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
muchpain.î `!`r `!r̀
B) ìYou are not mentally ill. This is an expected reaction to the loss you `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
haveexperienced.î `!`r `!r̀
C) ìWere you generally dissatisfied with your relationship before your `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
husband'sdeath?î `!`r `!r̀
D) ìTry not to worry about that right now. You never know what the future `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
brings.îAns: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must not be
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, lOM oA R c P S D| 11 70 059 1
culturally expected. Acute grief reactions are expected and therefore not considered
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mental illness. False reassurance or overanalysis does not accurately address the
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client'sconcerns.
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5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
B) To predict the client's prognosis of treatment outcomes `!`r `!`r `!`r `!`r `!`r `!`r `!`r
C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client `!`r `!`r `!`r `!`r `!`r `!`r
assessmentAns: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the
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generalist RN's scope of practice, so documenting the code in the medical record
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wouldbe 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 `!`r `!`r `!`r
B) Treat clients `!`r
C) Evaluate treatments `!`r
D) Understand the reason for the admission and the nature of psychiatric `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
illnesses.Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it
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a helpful resource to understand the reason for the admission and to begin
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building knowledge about the nature of psychiatric illnesses. Identifying the medical
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diagnosis,treating, and evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following
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shiftsin care for the mentally ill?
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A) The widespread use of community-based services `!`r `!`r `!`r `!`r `!`r
B) The advancement in pharmacotherapies `!`r `!`r `!`r
C) Increased access to hospitalization `!`r `!`r `!`r
D) Improved rights for clients in long-term institutional `!`r `!`r `!`r `!`r `!`r `!`r
careAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
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therelease of individuals from long-term stays in state institutions, the decrease
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in admissions to hospitals, and the development of community-based services
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as an alternative to hospital care.
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8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will. `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
B) Making it more difficult to commit people for mental health treatment `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r
againsttheir will. `!`r `!r̀ `!`r
C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentally ill `!`r `!`r `!`r `!r̀
persons.Ans: B
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Feedback:
