Psychiatric-MentalmHealthmNursingm8thmeditionmbymVidebeckmTestmBank
Chapterm1
1. Themnursemismassessingmthemfactorsmcontributingmtomthemwell-
beingmofmamnewlymadmittedmclient.mWhichmofmthemfollowingmwouldmthemnursemidentifym
asmhavingmampositivemimpactmonmthemindividual'smmentalmhealth?
A) Notmneedingmothersmformcompanionship
B) Themabilitymtomeffectivelymmanagemstress
C) Amfamilymhistorymofmmentalmillness
D) Strivingmformtotalmself-
reliancemAns:m B
Feedback:
Individualmfactorsminfluencingmmentalmhealthmincludembiologicmmakeup,mautonomy,minde
pendence,mself-
esteem,mcapacitymformgrowth,mvitality,mabilitymtomfindmmeaningminmlife,memotionalmresilie
ncemormhardiness,msensemofmbelonging,mrealitymorientation,mandmcopingmormstressmmanage
mentmabilities.mInterpersonalmfactorsmsuchmasmintimacymandmambalancemofmseparatenessman
dmconnectednessmarembothmneededmformgoodmmentalmhealth,mandmthereforemamhealthympers
onmwouldmneedmothersmformcompanionship.mAmfamilymhistorymofmmentalmillnessmcouldmrel
atemtomthembiologicmmakeupmofmanmindividual,mwhichmmaymhavemamnegativemimpactmonmanm
individual'smmentalmhealth,masmwellmasmamnegativemimpactmonmanmindividual'sminterperson
almandmsocialñculturalmfactorsmofmhealth.mTotalmself-
reliancemismnotmpossible,mandmampositivemsocial/culturalmfactormismaccessmtomadequatemreso
urces.
2. Whichmofmthemfollowingmstatementsmaboutmmentalmillnessmaremtrue?mSelectmallmthatmapply.
A) Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.
B) Mentalmillnessmismonlymduemtomsocial/culturalmfactors.
C) Social/culturalmfactorsmthatmrelatemtommentalmillnessmincludemexcessivemdependen
cymonmormwithdrawalmfrommrelationships.
D) Individualsmsufferingmfrommmentalmillnessmaremusuallymablemtomcopemeffectivelymw
ithmdailymlife.
E) Individualsmsufferingmfrommmentalmillnessmmaymexperiencemdissatisfactionmwi
thmrelationshipsmandmself.
Ans:m A,mD,mE
Feedback:
Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.mMentalmill
nessmmaymbemrelatedmtomindividual,minterpersonal,mormsocial/culturalmfactors.mExcessivem
dependencymonmormwithdrawalmfrommrelationshipsmareminterpersonalmfactorsmthatmrelatemt
ommentalmillness.mIndividualsmsufferingmfrommmentalmillnessmcanmfeelmoverwhelmedmwith
mdailymlife.m Individualsmsufferingmfrommmentalmillnessmmaym experiencemdissatisfactionmw
ithmrelationshipsmandmself.
Pagem1
,3. Whichmofmthemfollowingmaremtruemregardingmmentalmhealthmandmmentalmillness?
A) Behaviormthatmmaymbemviewedmasmacceptableminmonemculturemismalwaysmunaccepta
bleminmothermcultures.
B) Itmismeasymtomdeterminemifmampersonmismmentallymhealthymormmentallymill.
C) Inmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsocia
lmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffectivembeha
viormandmcoping,mpositivemself-concept,mandmemotionalmstability.
D) Personsmwhomengageminmfantasiesmaremmentallymil
l.mAns:mC
Feedback:
Whatmonemsocietymmaymviewmasmacceptablemandmappropriatembehavior,manothermsocietymm
aymseemthatmasmmaladaptive,mandminappropriate.mMentalmhealthmandmmentalmillnessmaremdiff
icultmtomdefinemprecisely.mInmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsycholo
gical,mandmsocialmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffective
mbehaviormandmcoping,mpositivemself-
concept,mandmemotionalmstability.mPersonsmwhomengageminmfantasiesmmaymbemmentallymhea
lthy,mbutmtheminabilitymtomdistinguishmrealitymfrommfantasymismanmindividualmfactormthatmma
ymcontributemtommentalmillness.
4. Amclientmgrievingmthemrecentmlossmofmhermhusbandmasksmifmshemismbecomingmmentally
millm
becausemshemismsomsad.mThemnurse'smbestmresponsemwouldmbe,
A) ìYoummaymhavemamtemporarymmentalmillnessmbecausemyoumaremexperiencingmsommu
chmpain.î
B) ìYoumaremnotmmentallymill.mThismismanmexpectedmreactionmtomthemlossmyoumh
avemexperienced.î
C) ìWeremyoumgenerallymdissatisfiedmwithmyourmrelationshipmbeforemyourmhusban
d'smdeath?î
D) ìTrymnotmtomworrymaboutmthatmrightmnow.mYoumnevermknowmwhatmthemfuturembrin
gs.îmAns:m B
Feedback:
Mentalmillnessmincludesmgeneralmdissatisfactionmwithmself,mineffectivemrelationships,minef
fectivemcoping,mandmlackmofmpersonalmgrowth.mAdditionallymthembehaviormmustmnotmbemc
ulturallymexpected.mAcutemgriefmreactionsmaremexpectedmandmthereforemnotmconsideredmm
entalmillness.mFalsemreassurancemormoveranalysismdoesmnotmaccuratelymaddressmthemclient's
concerns.
m
Pagem2
,5. ThemnursemconsultsmthemDSMmformwhichmofmthemfollowingmpurposes?
A) Tomdevisemamplanmofmcaremformamnewlymadmittedmclient
B) Tompredictmthemclient'smprognosismofmtreatmentmoutcomes
C) Tomdocumentmthemappropriatemdiagnosticmcodeminmthemclient'smmedicalmrecord
D) Tomservemasmamguidemformclientmassessme
ntmAns:m D
Feedback:
ThemDSMmprovidesmstandardmnomenclature,mpresentsmdefiningmcharacteristics,mandmiden
tifiesmunderlyingmcausesmofmmentalmdisorders.mItmdoesmnotmprovidemcaremplansmormprogno
sticmoutcomesmofmtreatment.mDiagnosismofmmentalmillnessmismnotmwithinmthemgeneralistmR
N'smscopemofmpractice,msomdocumentingmthemcodeminmthemmedicalmrecordmwouldmbeminappr
opriate.
6. WhichmwouldmbemamreasonmformamstudentmnursemtomusemthemDSM?
A) Identifyingmthemmedicalmdiagnosis
B) Treatmclients
C) Evaluatemtreatments
D) Understandmthemreasonmformthemadmissionmandmthemnaturemofmpsychiatricmillness
es.mAns:m D
Feedback:
AlthoughmstudentmnursesmdomnotmusemthemDSMmtomdiagnosemclients,mtheymwillmfindmitmam
helpfulmresourcemtomunderstandmthemreasonmformthemadmissionmandmtombeginmbuildingmk
nowledgemaboutmthemnaturemofmpsychiatricmillnesses.mIdentifyingmthemmedicalmdiagnosis
,mtreating,mandmevaluatingmtreatmentsmaremnotmampartmofmthemnursingmprocess.
7. Themlegislationmenactedminm1963mwasmlargelymresponsiblemformwhichmofmthemfollowingmshi
ftsminmcaremformthemmentallymill?
A) Themwidespreadmusemofmcommunity-basedmservices
B) Themadvancementminmpharmacotherapies
C) Increasedmaccessmtomhospitalization
D) Improvedmrightsmformclientsminmlong-
termminstitutionalmcaremAns:m A
Feedback:
ThemCommunitymMentalmHealthmCentersmConstructionmActmofm1963maccomplishedmt
hemreleasemofmindividualsmfrommlong-
termmstaysminmstateminstitutions,mthemdecreaseminmadmissionsmtomhospitals,mandmthemde
velopmentmofmcommunity-basedmservicesmasmanmalternativemtomhospitalmcare.
Pagem3
, 8. Whichmonemofmthemfollowingmismamresultmofmfederalmlegislation?
A) Makingmitmeasiermtomcommitmpeoplemformmentalmhealthmtreatmentmagainstmtheirmwill.
B) Makingmitmmoremdifficultmtomcommitmpeoplemformmentalmhealthmtreatmentmagai
nstmtheirmwill.
C) Statemmentalminstitutionsmbeingmthemprimarymsourcemofmcaremformmentallymillmpersons.
D) Improvedmcaremformmentallymillmperson
s.mAns:m B
Feedback:
Commitmentmlawsmchangedminmthemearlym1970s,mmakingmitmmoremdifficultmtomcommit
mpeoplemformmentalmhealthmtreatmentmagainstmtheirmwill.mDeinstitutionalizationmaccom
plishedmthemreleasemofmindividualsmfrommlong-
termmstaysminmstateminstitutions.mDeinstitutionalizationmalsomhadmnegativemeffectsminmt
hatmsomemmentallymillmpersonsmaremsubjectedmtomthemrevolvingmdoormeffect,mwhichmma
ymlimitmcaremformmentallymillmpersons.
9. Themgoalmofmthem1963mCommunitymMentalmHealthmCentersmActmwasmto
A) ensurempatients'mrightsmformthemmentallymill.
B) deinstitutionalizemstatemhospitals.
C) providemfundsmtombuildmhospitalsmwithmpsychiatricmunits.
D) treatmpeoplemwithmmentalmillnessminmamhumanemfashio
n.mAns:m B
Feedback:
Them1963mCommunitymMentalmHealthmCentersmActmintimatedmthemmovementmtowardm
treatingmthosemwithmmentalmillnessminmamlessmrestrictivemenvironment.mThismlegislation
mresultedminmthemshiftmofmclientsmwithmmentalmillnessmfrommlargemstateminstitutionsmtomc
arembasedminmthemcommunity.mAnswermchoicesmA,mC,mandmDmweremnotmpurposesmofmth
em1963mCommunitymMentalmHealthmCentersmAct.
10. Themcreationmofmasylumsmduringmthem1800smwasmmeantmto
A) improvemtreatmentmofmmentalmdisorders.
B) providemfoodmandmsheltermformthemmentallymill.
C) punishmpeoplemwithmmentalmillnessmwhomwerembelievedmtombempossessed.
D) removemdangerousmpeoplemwithmmentalmillnessmfrommthemcommunit
y.mAns:m B
Feedback:
Themasylummwasmmeantmtombemamsafemhavenmwithmfood,mshelter,mandmhumanemtreatmentm
formthemmentallymill.mAsylumsmweremnotmusedmtomimprovemtreatmentmofmmentalmdisorders
mormtompunishmmentallymillmpeoplemwhomwerembelievedmtombempossessed.mThemasylummwa
smnotmcreatedmtomremovemthemdangerouslymmentallymillmfrommthemcommunity.
Pagem4
Chapterm1
1. Themnursemismassessingmthemfactorsmcontributingmtomthemwell-
beingmofmamnewlymadmittedmclient.mWhichmofmthemfollowingmwouldmthemnursemidentifym
asmhavingmampositivemimpactmonmthemindividual'smmentalmhealth?
A) Notmneedingmothersmformcompanionship
B) Themabilitymtomeffectivelymmanagemstress
C) Amfamilymhistorymofmmentalmillness
D) Strivingmformtotalmself-
reliancemAns:m B
Feedback:
Individualmfactorsminfluencingmmentalmhealthmincludembiologicmmakeup,mautonomy,minde
pendence,mself-
esteem,mcapacitymformgrowth,mvitality,mabilitymtomfindmmeaningminmlife,memotionalmresilie
ncemormhardiness,msensemofmbelonging,mrealitymorientation,mandmcopingmormstressmmanage
mentmabilities.mInterpersonalmfactorsmsuchmasmintimacymandmambalancemofmseparatenessman
dmconnectednessmarembothmneededmformgoodmmentalmhealth,mandmthereforemamhealthympers
onmwouldmneedmothersmformcompanionship.mAmfamilymhistorymofmmentalmillnessmcouldmrel
atemtomthembiologicmmakeupmofmanmindividual,mwhichmmaymhavemamnegativemimpactmonmanm
individual'smmentalmhealth,masmwellmasmamnegativemimpactmonmanmindividual'sminterperson
almandmsocialñculturalmfactorsmofmhealth.mTotalmself-
reliancemismnotmpossible,mandmampositivemsocial/culturalmfactormismaccessmtomadequatemreso
urces.
2. Whichmofmthemfollowingmstatementsmaboutmmentalmillnessmaremtrue?mSelectmallmthatmapply.
A) Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.
B) Mentalmillnessmismonlymduemtomsocial/culturalmfactors.
C) Social/culturalmfactorsmthatmrelatemtommentalmillnessmincludemexcessivemdependen
cymonmormwithdrawalmfrommrelationships.
D) Individualsmsufferingmfrommmentalmillnessmaremusuallymablemtomcopemeffectivelymw
ithmdailymlife.
E) Individualsmsufferingmfrommmentalmillnessmmaymexperiencemdissatisfactionmwi
thmrelationshipsmandmself.
Ans:m A,mD,mE
Feedback:
Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.mMentalmill
nessmmaymbemrelatedmtomindividual,minterpersonal,mormsocial/culturalmfactors.mExcessivem
dependencymonmormwithdrawalmfrommrelationshipsmareminterpersonalmfactorsmthatmrelatemt
ommentalmillness.mIndividualsmsufferingmfrommmentalmillnessmcanmfeelmoverwhelmedmwith
mdailymlife.m Individualsmsufferingmfrommmentalmillnessmmaym experiencemdissatisfactionmw
ithmrelationshipsmandmself.
Pagem1
,3. Whichmofmthemfollowingmaremtruemregardingmmentalmhealthmandmmentalmillness?
A) Behaviormthatmmaymbemviewedmasmacceptableminmonemculturemismalwaysmunaccepta
bleminmothermcultures.
B) Itmismeasymtomdeterminemifmampersonmismmentallymhealthymormmentallymill.
C) Inmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsocia
lmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffectivembeha
viormandmcoping,mpositivemself-concept,mandmemotionalmstability.
D) Personsmwhomengageminmfantasiesmaremmentallymil
l.mAns:mC
Feedback:
Whatmonemsocietymmaymviewmasmacceptablemandmappropriatembehavior,manothermsocietymm
aymseemthatmasmmaladaptive,mandminappropriate.mMentalmhealthmandmmentalmillnessmaremdiff
icultmtomdefinemprecisely.mInmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsycholo
gical,mandmsocialmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffective
mbehaviormandmcoping,mpositivemself-
concept,mandmemotionalmstability.mPersonsmwhomengageminmfantasiesmmaymbemmentallymhea
lthy,mbutmtheminabilitymtomdistinguishmrealitymfrommfantasymismanmindividualmfactormthatmma
ymcontributemtommentalmillness.
4. Amclientmgrievingmthemrecentmlossmofmhermhusbandmasksmifmshemismbecomingmmentally
millm
becausemshemismsomsad.mThemnurse'smbestmresponsemwouldmbe,
A) ìYoummaymhavemamtemporarymmentalmillnessmbecausemyoumaremexperiencingmsommu
chmpain.î
B) ìYoumaremnotmmentallymill.mThismismanmexpectedmreactionmtomthemlossmyoumh
avemexperienced.î
C) ìWeremyoumgenerallymdissatisfiedmwithmyourmrelationshipmbeforemyourmhusban
d'smdeath?î
D) ìTrymnotmtomworrymaboutmthatmrightmnow.mYoumnevermknowmwhatmthemfuturembrin
gs.îmAns:m B
Feedback:
Mentalmillnessmincludesmgeneralmdissatisfactionmwithmself,mineffectivemrelationships,minef
fectivemcoping,mandmlackmofmpersonalmgrowth.mAdditionallymthembehaviormmustmnotmbemc
ulturallymexpected.mAcutemgriefmreactionsmaremexpectedmandmthereforemnotmconsideredmm
entalmillness.mFalsemreassurancemormoveranalysismdoesmnotmaccuratelymaddressmthemclient's
concerns.
m
Pagem2
,5. ThemnursemconsultsmthemDSMmformwhichmofmthemfollowingmpurposes?
A) Tomdevisemamplanmofmcaremformamnewlymadmittedmclient
B) Tompredictmthemclient'smprognosismofmtreatmentmoutcomes
C) Tomdocumentmthemappropriatemdiagnosticmcodeminmthemclient'smmedicalmrecord
D) Tomservemasmamguidemformclientmassessme
ntmAns:m D
Feedback:
ThemDSMmprovidesmstandardmnomenclature,mpresentsmdefiningmcharacteristics,mandmiden
tifiesmunderlyingmcausesmofmmentalmdisorders.mItmdoesmnotmprovidemcaremplansmormprogno
sticmoutcomesmofmtreatment.mDiagnosismofmmentalmillnessmismnotmwithinmthemgeneralistmR
N'smscopemofmpractice,msomdocumentingmthemcodeminmthemmedicalmrecordmwouldmbeminappr
opriate.
6. WhichmwouldmbemamreasonmformamstudentmnursemtomusemthemDSM?
A) Identifyingmthemmedicalmdiagnosis
B) Treatmclients
C) Evaluatemtreatments
D) Understandmthemreasonmformthemadmissionmandmthemnaturemofmpsychiatricmillness
es.mAns:m D
Feedback:
AlthoughmstudentmnursesmdomnotmusemthemDSMmtomdiagnosemclients,mtheymwillmfindmitmam
helpfulmresourcemtomunderstandmthemreasonmformthemadmissionmandmtombeginmbuildingmk
nowledgemaboutmthemnaturemofmpsychiatricmillnesses.mIdentifyingmthemmedicalmdiagnosis
,mtreating,mandmevaluatingmtreatmentsmaremnotmampartmofmthemnursingmprocess.
7. Themlegislationmenactedminm1963mwasmlargelymresponsiblemformwhichmofmthemfollowingmshi
ftsminmcaremformthemmentallymill?
A) Themwidespreadmusemofmcommunity-basedmservices
B) Themadvancementminmpharmacotherapies
C) Increasedmaccessmtomhospitalization
D) Improvedmrightsmformclientsminmlong-
termminstitutionalmcaremAns:m A
Feedback:
ThemCommunitymMentalmHealthmCentersmConstructionmActmofm1963maccomplishedmt
hemreleasemofmindividualsmfrommlong-
termmstaysminmstateminstitutions,mthemdecreaseminmadmissionsmtomhospitals,mandmthemde
velopmentmofmcommunity-basedmservicesmasmanmalternativemtomhospitalmcare.
Pagem3
, 8. Whichmonemofmthemfollowingmismamresultmofmfederalmlegislation?
A) Makingmitmeasiermtomcommitmpeoplemformmentalmhealthmtreatmentmagainstmtheirmwill.
B) Makingmitmmoremdifficultmtomcommitmpeoplemformmentalmhealthmtreatmentmagai
nstmtheirmwill.
C) Statemmentalminstitutionsmbeingmthemprimarymsourcemofmcaremformmentallymillmpersons.
D) Improvedmcaremformmentallymillmperson
s.mAns:m B
Feedback:
Commitmentmlawsmchangedminmthemearlym1970s,mmakingmitmmoremdifficultmtomcommit
mpeoplemformmentalmhealthmtreatmentmagainstmtheirmwill.mDeinstitutionalizationmaccom
plishedmthemreleasemofmindividualsmfrommlong-
termmstaysminmstateminstitutions.mDeinstitutionalizationmalsomhadmnegativemeffectsminmt
hatmsomemmentallymillmpersonsmaremsubjectedmtomthemrevolvingmdoormeffect,mwhichmma
ymlimitmcaremformmentallymillmpersons.
9. Themgoalmofmthem1963mCommunitymMentalmHealthmCentersmActmwasmto
A) ensurempatients'mrightsmformthemmentallymill.
B) deinstitutionalizemstatemhospitals.
C) providemfundsmtombuildmhospitalsmwithmpsychiatricmunits.
D) treatmpeoplemwithmmentalmillnessminmamhumanemfashio
n.mAns:m B
Feedback:
Them1963mCommunitymMentalmHealthmCentersmActmintimatedmthemmovementmtowardm
treatingmthosemwithmmentalmillnessminmamlessmrestrictivemenvironment.mThismlegislation
mresultedminmthemshiftmofmclientsmwithmmentalmillnessmfrommlargemstateminstitutionsmtomc
arembasedminmthemcommunity.mAnswermchoicesmA,mC,mandmDmweremnotmpurposesmofmth
em1963mCommunitymMentalmHealthmCentersmAct.
10. Themcreationmofmasylumsmduringmthem1800smwasmmeantmto
A) improvemtreatmentmofmmentalmdisorders.
B) providemfoodmandmsheltermformthemmentallymill.
C) punishmpeoplemwithmmentalmillnessmwhomwerembelievedmtombempossessed.
D) removemdangerousmpeoplemwithmmentalmillnessmfrommthemcommunit
y.mAns:m B
Feedback:
Themasylummwasmmeantmtombemamsafemhavenmwithmfood,mshelter,mandmhumanemtreatmentm
formthemmentallymill.mAsylumsmweremnotmusedmtomimprovemtreatmentmofmmentalmdisorders
mormtompunishmmentallymillmpeoplemwhomwerembelievedmtombempossessed.mThemasylummwa
smnotmcreatedmtomremovemthemdangerouslymmentallymillmfrommthemcommunity.
Pagem4
