DSM5 Diagnostic and Statistical Manual of Mental
b b b b b bb
Disorders 5th Edition Test Bank
b b b b b
TEST BANK b
1
,DSM5bDiagnosticbandbStatisticalbManualbofbMentalbDisordersb5thbEditionbTestbBank
Chapterb 01:b Psychiatricb Nursing:b Theory,b Principles,b andb Trends
1. Whichbunderstandingbisbthebbasisbforbthebnursingbactionsbfocusedbonbminimizingb
mentalbhealthbpromotion bofbfamilies bwithbchronically bmentallybillbmembers?
a. Familyb membersb areb atb anb increasedb riskb forb mentalb illness.
b. Theb mentalb healthb careb systemb isb notb preparedb tob dealb withb familyb crises.
c. Familyb membersb areb seldomb preparedb tob copeb withb ab chronicallyb illb individual.
d. Theb chronicallyb mentallyb illb receiveb careb bestb whenb deliveredb inb ab formalb setting.
ANS:b A
Whenb familiesb liveb withb ab dominantb memberb whob hasb ab persistentb andb severeb mentalbd
isorderbtheboutcomesbareboftenbexpressedbasbfamilybmembersbwhobarebatbincreasedbriskbfor
b physical b and b mental billnesses.b The b remaining b options b areb notb necessarily b true.
DIF: Cognitiveb Level:b Application REF:b b Pageb 3
2. Whichb nursingb activityb showsb theb nurseb activelyb engagedb inb theb primaryb preventionb ofb
mentalbdisorders?
a. Providingb ab patient, b whoseb depressionb isb wellb managed,b withb medication b onb time
b. Makingb regularb follow-upbvisitsb tob abnewb motherb atb riskb forb post-
partumbdepression
c. Providingbtheb familyb ofb abpatient, b diagnosedbwithb depression, b information b onbsuici
debprevention
d. Assistingb ab patientb whob hasb obsessiveb compulsive b tendenciesb prepareb andbpractic
ebforbabjobbinterview
ANS:b B
Primaryb preventionb helpsb tob reduceb theb occurrence b ofb mentalb disordersb byb stayingbinvolve
db withb ab patient.b Providingb medicationb andb information b onb existingb illnessesb arebexamples
b of b secondary b prevention b which b helps b tob reduce b the b prevalence b of b mental bdisorders. b Assis
tingb abmentallybillb patientb withb preparationb forbabjobbinterviewbisb tertiarybpreventionbsincebitbi
nvolvesbrehabilitation.
DIF: Cognitiveb Level:b Application REF:b b Pageb 4
3. Whichbintervention breflectsb attentionb beingb focusedb onbthebpatient‘sb intentions br
egardingbhisbdiagnosis bofbseverebdepression?
a. Beingbplacedbonbsuicidebprecautions
b. Encouragingb visitsb byb hisb familyb members
c. Receivingb ab combination b ofb medications b tob addressb hisb emotionalb needs
d. Beingb askedb tob decideb whereb heb willb attendb hisb prescribedb therapyb sessions
ANS:b D
Ab primaryb factorb inb patientb treatmentbincludesb consideration b ofb theb patient‘sb intentionsbre
gardingb hisb orb herb ownb care.b Patientsb areb centralb tob theb processb thatb determines b theirbcar
eb asb theirb abilitiesb allow.b Underb theb guidanceb ofb PMHb nursesb andb otherb mentalb healthbpers
onnel,b patientsb areb encouraged b tob makeb decisionsb andb tob activelyb engageb inb theirbownb tre
atmentb plansb tob meetb theirb needs.b Theb remainingb optionsb areb focusedb onb specificsbofbthebd
eterminedbplanbofbcare.
DIF: Cognitiveb Level:b Application REF:b b Pageb 5
2
,4. Whenb ab patient‘sb familyb asksb whyb theirbchronicallyb mentallyb illb adultb childbisb beingb
dischargedb tob ab community-basedb livingb facility, b theb nurseb responds:
a. ―Itb isb ab wayb tob meetb theb needb forb socialb support.‖
b. ―Itb isb toob expensive b tob keepb stabilizedb patientsb inb acuteb careb settings.‖
c. ―Thisb typeb ofb facilityb willb provideb theb specialized b careb thatb isb needed.‖
d. ―Beingb outb inb theb communityb willb helpb provideb hopeb andb purposeb forb living.‖
ANS: D
Hospitalization b mayb beb necessaryb forb acuteb care,b but,b whenb patientsb areb stabilized, b theybm
oveb intob community-based, b patient-
centeredb settingsb orb areb dischargedb homeb withbcontinuedb outpatientb treatmentb inb theb co
mmunity.b Concentrated b effortsb areb madeb tobreduceb theb patient‘sb sickb roleb byb providingb op
portunitiesb forb theb developmentb ofb a
purposefulblifeb andb instillingb hopeb forb eachb patient‘s b future.b Althoughb socialb supportb isbi
mportant,b suchb ab livingb arrangementb isb notb theb onlyb wayb tob achieveb it.b Althoughb acutebc
areb isb expensive,b itb isb notb theb majorb concernb whenb determiningblong-
termb careb options.bCommunity-
basedb facilitiesb areb notb theb onlyb optionb forb specialized b care.
DIF: Cognitiveb Level:b Application REF:b b Pageb 5
5. Whatbisb theb bestb explanation btobofferb whenbtheb motherb ofbabchronicallyb illb teenagebp
atientb asks,b ―Underb whatb circumstances b wouldb heb beb consideredb incompetent?‖
a. ―Whenb youb canb provideb theb courtb withb enoughb evidenceb tob showb thatb heb isb notba
blebtobcarebforbhimselfbsafely.‖
b. ―Itbisb notblikelybthatb someoneb hisb ageb wouldbbeb determined btob bebincompetentbreg
ardlessbofbhisbmentalbcondition.‖
c. ―Heb wouldb haveb tob engageb inb behaviorb thatb wouldb resultb inb harmb tob himselfb orb tob
someonebelse;blikebyouborbhisbsiblings.‖
d. ―Ifb theb illnessb becomesb sobsevereb thatb hisb judgmentb isb impairedb tob theb pointb wheb re
thebdecisionsbhebmakesbarebharmfulbtobhimselfborbtobothers.‖
ANS: D
Whenb ab personb isb unableb tob cognitivelyb processb informationb orb tob makeb decisionsb aboutbhi
sb orb herb ownb welfare, b theb personb mayb beb determined b tob beb mentallyb incompetent.
Providingb self-
careb isb notb theb onlyb criteriab considered. b Agebisb notb ab factorb considered. b Thebdecisionbisb oft
enb basedb onbtheb potentialb forbsuchb behavior.
DIF: Cognitiveb Level:b Application REF:b b Pageb 6
6. Whichb psychiatricb nursingb interventionb showsb anb understandingb ofbintegratedb care?
a. Ab chronicallyb abusedb womanb isb assessedb forb anxiety.
b. Ab manicb patientb isb takenb tob theb gymb tob useb theb exerciseb equipment.
c. Theb olderb adultb diagnosed b withb depressionb isb monitoredb forb suicidalb ideations.
d. Ab teenagerb whob refusesb tob obeyb theb unit‘sb rulesb isb notb allowb tob playb videob game s.
ANS: A
Theb majorityb ofb healthb disciplinesb nowb recognizeb thatb mentalb disordersb andb physical
illnessesb areb closelyb linked. b Theb presenceb ofb ab mentalb disorderb increasesb theb riskb forb theb
developmentb ofb physicalb illnessesb andb viceb versa.b Assessingb ab chronicallyb abusedbindividua
lb forb anxietyb callb shouldb attentionb tob theb psychiatric b disorderb thatb couldb developbfromb the
b abuse. b The b remaining b options b show b interventionsb that b are b appropriate b for b the bmental bdis
order.
DIF: Cognitiveb Level:b Application REF:b b Pageb 6
3
, 7. Whatb reasonb doesb theb nurseb giveb theb patientb forb theb emphasisb andb attention b being
4
b b b b b bb
Disorders 5th Edition Test Bank
b b b b b
TEST BANK b
1
,DSM5bDiagnosticbandbStatisticalbManualbofbMentalbDisordersb5thbEditionbTestbBank
Chapterb 01:b Psychiatricb Nursing:b Theory,b Principles,b andb Trends
1. Whichbunderstandingbisbthebbasisbforbthebnursingbactionsbfocusedbonbminimizingb
mentalbhealthbpromotion bofbfamilies bwithbchronically bmentallybillbmembers?
a. Familyb membersb areb atb anb increasedb riskb forb mentalb illness.
b. Theb mentalb healthb careb systemb isb notb preparedb tob dealb withb familyb crises.
c. Familyb membersb areb seldomb preparedb tob copeb withb ab chronicallyb illb individual.
d. Theb chronicallyb mentallyb illb receiveb careb bestb whenb deliveredb inb ab formalb setting.
ANS:b A
Whenb familiesb liveb withb ab dominantb memberb whob hasb ab persistentb andb severeb mentalbd
isorderbtheboutcomesbareboftenbexpressedbasbfamilybmembersbwhobarebatbincreasedbriskbfor
b physical b and b mental billnesses.b The b remaining b options b areb notb necessarily b true.
DIF: Cognitiveb Level:b Application REF:b b Pageb 3
2. Whichb nursingb activityb showsb theb nurseb activelyb engagedb inb theb primaryb preventionb ofb
mentalbdisorders?
a. Providingb ab patient, b whoseb depressionb isb wellb managed,b withb medication b onb time
b. Makingb regularb follow-upbvisitsb tob abnewb motherb atb riskb forb post-
partumbdepression
c. Providingbtheb familyb ofb abpatient, b diagnosedbwithb depression, b information b onbsuici
debprevention
d. Assistingb ab patientb whob hasb obsessiveb compulsive b tendenciesb prepareb andbpractic
ebforbabjobbinterview
ANS:b B
Primaryb preventionb helpsb tob reduceb theb occurrence b ofb mentalb disordersb byb stayingbinvolve
db withb ab patient.b Providingb medicationb andb information b onb existingb illnessesb arebexamples
b of b secondary b prevention b which b helps b tob reduce b the b prevalence b of b mental bdisorders. b Assis
tingb abmentallybillb patientb withb preparationb forbabjobbinterviewbisb tertiarybpreventionbsincebitbi
nvolvesbrehabilitation.
DIF: Cognitiveb Level:b Application REF:b b Pageb 4
3. Whichbintervention breflectsb attentionb beingb focusedb onbthebpatient‘sb intentions br
egardingbhisbdiagnosis bofbseverebdepression?
a. Beingbplacedbonbsuicidebprecautions
b. Encouragingb visitsb byb hisb familyb members
c. Receivingb ab combination b ofb medications b tob addressb hisb emotionalb needs
d. Beingb askedb tob decideb whereb heb willb attendb hisb prescribedb therapyb sessions
ANS:b D
Ab primaryb factorb inb patientb treatmentbincludesb consideration b ofb theb patient‘sb intentionsbre
gardingb hisb orb herb ownb care.b Patientsb areb centralb tob theb processb thatb determines b theirbcar
eb asb theirb abilitiesb allow.b Underb theb guidanceb ofb PMHb nursesb andb otherb mentalb healthbpers
onnel,b patientsb areb encouraged b tob makeb decisionsb andb tob activelyb engageb inb theirbownb tre
atmentb plansb tob meetb theirb needs.b Theb remainingb optionsb areb focusedb onb specificsbofbthebd
eterminedbplanbofbcare.
DIF: Cognitiveb Level:b Application REF:b b Pageb 5
2
,4. Whenb ab patient‘sb familyb asksb whyb theirbchronicallyb mentallyb illb adultb childbisb beingb
dischargedb tob ab community-basedb livingb facility, b theb nurseb responds:
a. ―Itb isb ab wayb tob meetb theb needb forb socialb support.‖
b. ―Itb isb toob expensive b tob keepb stabilizedb patientsb inb acuteb careb settings.‖
c. ―Thisb typeb ofb facilityb willb provideb theb specialized b careb thatb isb needed.‖
d. ―Beingb outb inb theb communityb willb helpb provideb hopeb andb purposeb forb living.‖
ANS: D
Hospitalization b mayb beb necessaryb forb acuteb care,b but,b whenb patientsb areb stabilized, b theybm
oveb intob community-based, b patient-
centeredb settingsb orb areb dischargedb homeb withbcontinuedb outpatientb treatmentb inb theb co
mmunity.b Concentrated b effortsb areb madeb tobreduceb theb patient‘sb sickb roleb byb providingb op
portunitiesb forb theb developmentb ofb a
purposefulblifeb andb instillingb hopeb forb eachb patient‘s b future.b Althoughb socialb supportb isbi
mportant,b suchb ab livingb arrangementb isb notb theb onlyb wayb tob achieveb it.b Althoughb acutebc
areb isb expensive,b itb isb notb theb majorb concernb whenb determiningblong-
termb careb options.bCommunity-
basedb facilitiesb areb notb theb onlyb optionb forb specialized b care.
DIF: Cognitiveb Level:b Application REF:b b Pageb 5
5. Whatbisb theb bestb explanation btobofferb whenbtheb motherb ofbabchronicallyb illb teenagebp
atientb asks,b ―Underb whatb circumstances b wouldb heb beb consideredb incompetent?‖
a. ―Whenb youb canb provideb theb courtb withb enoughb evidenceb tob showb thatb heb isb notba
blebtobcarebforbhimselfbsafely.‖
b. ―Itbisb notblikelybthatb someoneb hisb ageb wouldbbeb determined btob bebincompetentbreg
ardlessbofbhisbmentalbcondition.‖
c. ―Heb wouldb haveb tob engageb inb behaviorb thatb wouldb resultb inb harmb tob himselfb orb tob
someonebelse;blikebyouborbhisbsiblings.‖
d. ―Ifb theb illnessb becomesb sobsevereb thatb hisb judgmentb isb impairedb tob theb pointb wheb re
thebdecisionsbhebmakesbarebharmfulbtobhimselfborbtobothers.‖
ANS: D
Whenb ab personb isb unableb tob cognitivelyb processb informationb orb tob makeb decisionsb aboutbhi
sb orb herb ownb welfare, b theb personb mayb beb determined b tob beb mentallyb incompetent.
Providingb self-
careb isb notb theb onlyb criteriab considered. b Agebisb notb ab factorb considered. b Thebdecisionbisb oft
enb basedb onbtheb potentialb forbsuchb behavior.
DIF: Cognitiveb Level:b Application REF:b b Pageb 6
6. Whichb psychiatricb nursingb interventionb showsb anb understandingb ofbintegratedb care?
a. Ab chronicallyb abusedb womanb isb assessedb forb anxiety.
b. Ab manicb patientb isb takenb tob theb gymb tob useb theb exerciseb equipment.
c. Theb olderb adultb diagnosed b withb depressionb isb monitoredb forb suicidalb ideations.
d. Ab teenagerb whob refusesb tob obeyb theb unit‘sb rulesb isb notb allowb tob playb videob game s.
ANS: A
Theb majorityb ofb healthb disciplinesb nowb recognizeb thatb mentalb disordersb andb physical
illnessesb areb closelyb linked. b Theb presenceb ofb ab mentalb disorderb increasesb theb riskb forb theb
developmentb ofb physicalb illnessesb andb viceb versa.b Assessingb ab chronicallyb abusedbindividua
lb forb anxietyb callb shouldb attentionb tob theb psychiatric b disorderb thatb couldb developbfromb the
b abuse. b The b remaining b options b show b interventionsb that b are b appropriate b for b the bmental bdis
order.
DIF: Cognitiveb Level:b Application REF:b b Pageb 6
3
, 7. Whatb reasonb doesb theb nurseb giveb theb patientb forb theb emphasisb andb attention b being
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