Test Bank For Psychiatric Mental Health Nursin
f f f f f f
g 9th Edition By Videbeck
f f f f
Psychiatric-MentalfHealthfNursingf9thfeditionfbyfVidebeckfTestfBank
Chapterf1fFe
edback:
Individualffactorsfinfluencingfmentalfhealthfincludefbiologicfmakeup,fautonomy,findepen
dence,fself-
esteem,fcapacityfforfgrowth,fvitality,fabilityftoffindfmeaningfinflife,femotionalfresilienceforf
hardiness,fsensefoffbelonging,frealityforientation,fandfcopingforfstressfmanagementfabilitie
s.fInterpersonalffactorsfsuchfasfintimacyfandfafbalancefoffseparatenessfandfconnectednessfa
refbothfneededfforfgoodfmentalfhealth,fandfthereforefafhealthyfpersonfwouldfneedfothersfforf
companionship.fAffamilyfhistoryfoffmentalfillnessfcouldfrelateftofthefbiologicfmakeupfoffanf
individual,fwhichfmayfhavefafnegativefimpactfonfanfindividual'sfmentalfhealth,fasfwellfasfaf
negativefimpactfonfanfindividual'sfinterpersonalfandfsocialñculturalffactorsfoffhealth.fTotal
fself-
reliancefisfnotfpossible,fandfafpositivefsocial/culturalffactorfisfaccessftofadequatefresources.
2. Whichfofftheffollowingfstatementsfaboutfmentalfillnessfareftrue?fSelectfallfthatfapply.
A) Mentalfillnessfcanfcausefsignificantfdistress,fimpairedffunctioning,forfboth.
B) Mentalfillnessfisfonlyfdueftofsocial/culturalffactors.
C) Social/culturalffactorsfthatfrelateftofmentalfillnessfincludefexcessivefdependencyfon
forfwithdrawal ffromfrelationships.
D) Individualsfsufferingffromfmentalfillnessfarefusuallyfableftofcopefeffectivelyfwithfdai
lyflife.
E) Individualsfsufferingffromfmentalfillnessfmayfexperiencefdissatisfactionfwithfre
lationshipsfandfself.
Ans:f A,fD,fE
Feedback:
Mentalfillnessfcanfcausefsignificantfdistress,fimpairedffunctioning,forfboth.fMentalfillnessf
mayfbefrelatedftofindividual,finterpersonal,forfsocial/culturalffactors.fExcessivefdependenc
yfonforfwithdrawalffromfrelationshipsfarefinterpersonalffactorsfthatfrelateftofmentalfillness.f
Individualsfsufferingffromfmentalfillnessfcanffeelfoverwhelmedfwithfdailyflife.fIndividualsf
sufferingffromfmentalfillnessfmayfexperiencefdissatisfactionfwithfrelationshipsfandfself.
Pagef1
,3. Whichfofftheffollowingfareftruefregardingfmentalfhealthfandfmentalfillness?
A) Behaviorfthatfmayfbefviewedfasfacceptablefinfonefculturefisfalwaysfunacceptablefinf
otherfcultures.
B) Itfisfeasyftofdeterminefiffafpersonfisfmentallyfhealthyforfmentallyfill.
C) Infmostfcases,fmentalfhealthfisfafstatefoffemotional,fpsychological,fandfsocialfwell
nessfevidencedfbyfsatisfyingfinterpersonalfrelationships,feffectivefbehaviorfandfco
ping,fpositivefself-concept,fandfemotionalfstability.
D) Personsfwhofengagefinffantasiesfarefmentallyfill.fA
ns:f C
Feedback:
Whatfonefsocietyfmayfviewfasfacceptablefandfappropriatefbehavior,fanotherfsocietyfmayfseef
thatfasfmaladaptive,fandfinappropriate.fMentalfhealthfandfmentalfillnessfarefdifficultftofdefin
efprecisely.fInfmostfcases,fmentalfhealthfisfafstatefoffemotional,fpsychological,fandfsocialfwe
llnessfevidencedfbyfsatisfyingfinterpersonalfrelationships,feffectivefbehaviorfandfcoping,fp
ositivefself-
concept,fandfemotionalfstability.fPersonsfwhofengagefinffantasiesfmayfbefmentallyfhealthy,f
butfthefinabilityftofdistinguishfrealityffromffantasyfisfanfindividualffactorfthatfmayfcontribut
eftofmentalfillness.
4. Afclientfgrievingfthefrecentflossfoffherfhusbandfasksfiffshefisfbecomingfmentallyfillfbec
ausefshefisfsofsad.fThefnurse'sfbestfresponsefwouldfbe,
A) ìYoufmayfhavefaftemporaryfmentalfillnessfbecausefyoufarefexperiencingfsofmuchfpai
n.î
B) ìYoufarefnotfmentallyfill.fThisfisfanfexpectedfreactionftoftheflossfyoufhavefexp
erienced.î
C) ìWerefyoufgenerallyfdissatisfiedfwithfyourfrelationshipfbeforefyourfhusband'sfde
ath?î
D) ìTryfnotftofworryfaboutfthatfrightfnow.fYoufneverfknowfwhatftheffuturefbrings.îfAns
:f B
Feedback:
Mentalfillnessfincludesfgeneralfdissatisfactionfwithfself,fineffectivefrelationships,fineffecti
vefcoping,fandflackfoffpersonalfgrowth.fAdditionallyfthefbehaviorfmustfnotfbefculturallyfex
pected.fAcutefgrieffreactionsfarefexpectedfandfthereforefnotfconsideredfmentalfillness.fFals
efreassuranceforfoveranalysisfdoesfnotfaccuratelyfaddressfthefclient'sfconcerns.
,5. ThefnursefconsultsfthefDSMfforfwhichfofftheffollowingfpurposes?
A) Tofdevisefafplanfoffcarefforfafnewlyfadmittedfclient
B) Tofpredictfthefclient'sfprognosisfofftreatmentfoutcomes
C) Tofdocumentfthefappropriatefdiagnosticfcodefinfthefclient'sfmedicalfrecord
D) TofservefasfafguidefforfclientfassessmentfA
ns:f D
Feedback:
ThefDSMfprovidesfstandardfnomenclature,fpresentsfdefiningfcharacteristics,fandfidentifie
sfunderlyingfcausesfoffmentalfdisorders.fItfdoesfnotfprovidefcarefplansforfprognosticfoutco
mesfofftreatment.fDiagnosisfoffmentalfillnessfisfnotfwithinfthefgeneralistfRN'sfscopefoffprac
tice,fsofdocumentingfthefcodefinfthefmedicalfrecordfwouldfbefinappropriate.
6. WhichfwouldfbefafreasonfforfafstudentfnurseftofusefthefDSM?
A) Identifyingfthefmedicalfdiagnosis
B) Treatfclients
C) Evaluateftreatments
D) Understandfthefreasonfforfthefadmissionfandfthefnaturefoffpsychiatricfillnesses.fAn
s:f D
Feedback:
AlthoughfstudentfnursesfdofnotfusefthefDSMftofdiagnosefclients,ftheyfwillffindfitfafhelpfulfr
esourceftofunderstandfthefreasonfforfthefadmissionfandftofbeginfbuildingfknowledgefaboutft
hefnaturefoffpsychiatricfillnesses.fIdentifyingfthefmedicalfdiagnosis,ftreating,fandfevaluatin
gftreatmentsfarefnotfafpartfoffthefnursingfprocess.
7. Theflegislationfenactedfinf1963fwasflargelyfresponsiblefforfwhichfofftheffollowingfshiftsfinfc
arefforfthefmentallyfill?
A) Thefwidespreadfusefoffcommunity-basedfservices
B) Thefadvancementfinfpharmacotherapies
C) Increasedfaccessftofhospitalization
D) Improvedfrightsfforfclientsfinflong-
termfinstitutionalfcarefAns:f A
Feedback:
ThefCommunityfMentalfHealthfCentersfConstructionfActfoff1963faccomplishedfthefrelease
foffindividualsffromflong-
termfstaysfinfstatefinstitutions,fthefdecreasefinfadmissionsftofhospitals,fandfthefdevelopmen
tfoffcommunity-basedfservicesfasfanfalternativeftofhospitalfcare.
Pagef3
, 8. Whichfonefofftheffollowingfisfafresultfofffederalflegislation?
A) Makingfitfeasierftofcommitfpeoplefforfmentalfhealthftreatmentfagainstftheirfwill.
B) Makingfitfmorefdifficultftofcommitfpeoplefforfmentalfhealthftreatmentfagainstfthe
irfwill.
C) Statefmentalfinstitutionsfbeingfthefprimaryfsourcefoffcarefforfmentallyfillfpersons.
D) Improvedfcarefforfmentallyfillfpersons.f
Ans:f B
Feedback:
Commitmentflawsfchangedfinfthefearlyf1970s,fmakingfitfmorefdifficultftofcommitfpeopleff
orfmentalfhealthftreatmentfagainstftheirfwill.fDeinstitutionalizationfaccomplishedfthefrelea
sefoffindividualsffromflong-
termfstaysfinfstatefinstitutions.fDeinstitutionalizationfalsofhadfnegativefeffectsfinfthatfsomef
mentallyfillfpersonsfarefsubjectedftofthefrevolvingfdoorfeffect,fwhichfmayflimitfcarefforfmen
tallyfillfpersons.
9. Thefgoalfoffthef1963fCommunityfMentalfHealthfCentersfActfwasfto
A) ensurefpatients'frightsfforfthefmentallyfill.
B) deinstitutionalizefstatefhospitals.
C) provideffundsftofbuildfhospitalsfwithfpsychiatricfunits.
D) treatfpeoplefwithfmentalfillnessfinfafhumaneffashion.fA
ns:f B
Feedback:
Thef1963fCommunityfMentalfHealthfCentersfActfintimatedfthefmovementftowardftreatingf
thosefwithfmentalfillnessfinfaflessfrestrictivefenvironment.fThisflegislationfresultedfinfthefs
hiftfoffclientsfwithfmentalfillnessffromflargefstatefinstitutionsftofcarefbasedfinfthefcommunit
y.fAnswerfchoicesfA,fC,fandfDfwerefnotfpurposesfoffthef1963fCommunityfMentalfHealthfC
entersfAct.
10. Thefcreationfoffasylumsfduringfthef1800sfwasfmeantfto
A) improveftreatmentfoffmentalfdisorders.
B) provideffoodfandfshelterfforfthefmentallyfill.
C) punishfpeoplefwithfmentalfillnessfwhofwerefbelievedftofbefpossessed.
D) removefdangerousfpeoplefwithfmentalfillnessffromfthefcommunity.fA
ns:f B
Feedback:
Thefasylumfwasfmeantftofbefafsafefhavenfwithffood,fshelter,fandfhumaneftreatmentfforfthefm
entallyfill.fAsylumsfwerefnotfusedftofimproveftreatmentfoffmentalfdisordersforftofpunishfme
ntallyfillfpeoplefwhofwerefbelievedftofbefpossessed.fThefasylumfwasfnotfcreatedftofremovef
thefdangerouslyfmentallyfillffromfthefcommunity.
Pagef4
f f f f f f
g 9th Edition By Videbeck
f f f f
Psychiatric-MentalfHealthfNursingf9thfeditionfbyfVidebeckfTestfBank
Chapterf1fFe
edback:
Individualffactorsfinfluencingfmentalfhealthfincludefbiologicfmakeup,fautonomy,findepen
dence,fself-
esteem,fcapacityfforfgrowth,fvitality,fabilityftoffindfmeaningfinflife,femotionalfresilienceforf
hardiness,fsensefoffbelonging,frealityforientation,fandfcopingforfstressfmanagementfabilitie
s.fInterpersonalffactorsfsuchfasfintimacyfandfafbalancefoffseparatenessfandfconnectednessfa
refbothfneededfforfgoodfmentalfhealth,fandfthereforefafhealthyfpersonfwouldfneedfothersfforf
companionship.fAffamilyfhistoryfoffmentalfillnessfcouldfrelateftofthefbiologicfmakeupfoffanf
individual,fwhichfmayfhavefafnegativefimpactfonfanfindividual'sfmentalfhealth,fasfwellfasfaf
negativefimpactfonfanfindividual'sfinterpersonalfandfsocialñculturalffactorsfoffhealth.fTotal
fself-
reliancefisfnotfpossible,fandfafpositivefsocial/culturalffactorfisfaccessftofadequatefresources.
2. Whichfofftheffollowingfstatementsfaboutfmentalfillnessfareftrue?fSelectfallfthatfapply.
A) Mentalfillnessfcanfcausefsignificantfdistress,fimpairedffunctioning,forfboth.
B) Mentalfillnessfisfonlyfdueftofsocial/culturalffactors.
C) Social/culturalffactorsfthatfrelateftofmentalfillnessfincludefexcessivefdependencyfon
forfwithdrawal ffromfrelationships.
D) Individualsfsufferingffromfmentalfillnessfarefusuallyfableftofcopefeffectivelyfwithfdai
lyflife.
E) Individualsfsufferingffromfmentalfillnessfmayfexperiencefdissatisfactionfwithfre
lationshipsfandfself.
Ans:f A,fD,fE
Feedback:
Mentalfillnessfcanfcausefsignificantfdistress,fimpairedffunctioning,forfboth.fMentalfillnessf
mayfbefrelatedftofindividual,finterpersonal,forfsocial/culturalffactors.fExcessivefdependenc
yfonforfwithdrawalffromfrelationshipsfarefinterpersonalffactorsfthatfrelateftofmentalfillness.f
Individualsfsufferingffromfmentalfillnessfcanffeelfoverwhelmedfwithfdailyflife.fIndividualsf
sufferingffromfmentalfillnessfmayfexperiencefdissatisfactionfwithfrelationshipsfandfself.
Pagef1
,3. Whichfofftheffollowingfareftruefregardingfmentalfhealthfandfmentalfillness?
A) Behaviorfthatfmayfbefviewedfasfacceptablefinfonefculturefisfalwaysfunacceptablefinf
otherfcultures.
B) Itfisfeasyftofdeterminefiffafpersonfisfmentallyfhealthyforfmentallyfill.
C) Infmostfcases,fmentalfhealthfisfafstatefoffemotional,fpsychological,fandfsocialfwell
nessfevidencedfbyfsatisfyingfinterpersonalfrelationships,feffectivefbehaviorfandfco
ping,fpositivefself-concept,fandfemotionalfstability.
D) Personsfwhofengagefinffantasiesfarefmentallyfill.fA
ns:f C
Feedback:
Whatfonefsocietyfmayfviewfasfacceptablefandfappropriatefbehavior,fanotherfsocietyfmayfseef
thatfasfmaladaptive,fandfinappropriate.fMentalfhealthfandfmentalfillnessfarefdifficultftofdefin
efprecisely.fInfmostfcases,fmentalfhealthfisfafstatefoffemotional,fpsychological,fandfsocialfwe
llnessfevidencedfbyfsatisfyingfinterpersonalfrelationships,feffectivefbehaviorfandfcoping,fp
ositivefself-
concept,fandfemotionalfstability.fPersonsfwhofengagefinffantasiesfmayfbefmentallyfhealthy,f
butfthefinabilityftofdistinguishfrealityffromffantasyfisfanfindividualffactorfthatfmayfcontribut
eftofmentalfillness.
4. Afclientfgrievingfthefrecentflossfoffherfhusbandfasksfiffshefisfbecomingfmentallyfillfbec
ausefshefisfsofsad.fThefnurse'sfbestfresponsefwouldfbe,
A) ìYoufmayfhavefaftemporaryfmentalfillnessfbecausefyoufarefexperiencingfsofmuchfpai
n.î
B) ìYoufarefnotfmentallyfill.fThisfisfanfexpectedfreactionftoftheflossfyoufhavefexp
erienced.î
C) ìWerefyoufgenerallyfdissatisfiedfwithfyourfrelationshipfbeforefyourfhusband'sfde
ath?î
D) ìTryfnotftofworryfaboutfthatfrightfnow.fYoufneverfknowfwhatftheffuturefbrings.îfAns
:f B
Feedback:
Mentalfillnessfincludesfgeneralfdissatisfactionfwithfself,fineffectivefrelationships,fineffecti
vefcoping,fandflackfoffpersonalfgrowth.fAdditionallyfthefbehaviorfmustfnotfbefculturallyfex
pected.fAcutefgrieffreactionsfarefexpectedfandfthereforefnotfconsideredfmentalfillness.fFals
efreassuranceforfoveranalysisfdoesfnotfaccuratelyfaddressfthefclient'sfconcerns.
,5. ThefnursefconsultsfthefDSMfforfwhichfofftheffollowingfpurposes?
A) Tofdevisefafplanfoffcarefforfafnewlyfadmittedfclient
B) Tofpredictfthefclient'sfprognosisfofftreatmentfoutcomes
C) Tofdocumentfthefappropriatefdiagnosticfcodefinfthefclient'sfmedicalfrecord
D) TofservefasfafguidefforfclientfassessmentfA
ns:f D
Feedback:
ThefDSMfprovidesfstandardfnomenclature,fpresentsfdefiningfcharacteristics,fandfidentifie
sfunderlyingfcausesfoffmentalfdisorders.fItfdoesfnotfprovidefcarefplansforfprognosticfoutco
mesfofftreatment.fDiagnosisfoffmentalfillnessfisfnotfwithinfthefgeneralistfRN'sfscopefoffprac
tice,fsofdocumentingfthefcodefinfthefmedicalfrecordfwouldfbefinappropriate.
6. WhichfwouldfbefafreasonfforfafstudentfnurseftofusefthefDSM?
A) Identifyingfthefmedicalfdiagnosis
B) Treatfclients
C) Evaluateftreatments
D) Understandfthefreasonfforfthefadmissionfandfthefnaturefoffpsychiatricfillnesses.fAn
s:f D
Feedback:
AlthoughfstudentfnursesfdofnotfusefthefDSMftofdiagnosefclients,ftheyfwillffindfitfafhelpfulfr
esourceftofunderstandfthefreasonfforfthefadmissionfandftofbeginfbuildingfknowledgefaboutft
hefnaturefoffpsychiatricfillnesses.fIdentifyingfthefmedicalfdiagnosis,ftreating,fandfevaluatin
gftreatmentsfarefnotfafpartfoffthefnursingfprocess.
7. Theflegislationfenactedfinf1963fwasflargelyfresponsiblefforfwhichfofftheffollowingfshiftsfinfc
arefforfthefmentallyfill?
A) Thefwidespreadfusefoffcommunity-basedfservices
B) Thefadvancementfinfpharmacotherapies
C) Increasedfaccessftofhospitalization
D) Improvedfrightsfforfclientsfinflong-
termfinstitutionalfcarefAns:f A
Feedback:
ThefCommunityfMentalfHealthfCentersfConstructionfActfoff1963faccomplishedfthefrelease
foffindividualsffromflong-
termfstaysfinfstatefinstitutions,fthefdecreasefinfadmissionsftofhospitals,fandfthefdevelopmen
tfoffcommunity-basedfservicesfasfanfalternativeftofhospitalfcare.
Pagef3
, 8. Whichfonefofftheffollowingfisfafresultfofffederalflegislation?
A) Makingfitfeasierftofcommitfpeoplefforfmentalfhealthftreatmentfagainstftheirfwill.
B) Makingfitfmorefdifficultftofcommitfpeoplefforfmentalfhealthftreatmentfagainstfthe
irfwill.
C) Statefmentalfinstitutionsfbeingfthefprimaryfsourcefoffcarefforfmentallyfillfpersons.
D) Improvedfcarefforfmentallyfillfpersons.f
Ans:f B
Feedback:
Commitmentflawsfchangedfinfthefearlyf1970s,fmakingfitfmorefdifficultftofcommitfpeopleff
orfmentalfhealthftreatmentfagainstftheirfwill.fDeinstitutionalizationfaccomplishedfthefrelea
sefoffindividualsffromflong-
termfstaysfinfstatefinstitutions.fDeinstitutionalizationfalsofhadfnegativefeffectsfinfthatfsomef
mentallyfillfpersonsfarefsubjectedftofthefrevolvingfdoorfeffect,fwhichfmayflimitfcarefforfmen
tallyfillfpersons.
9. Thefgoalfoffthef1963fCommunityfMentalfHealthfCentersfActfwasfto
A) ensurefpatients'frightsfforfthefmentallyfill.
B) deinstitutionalizefstatefhospitals.
C) provideffundsftofbuildfhospitalsfwithfpsychiatricfunits.
D) treatfpeoplefwithfmentalfillnessfinfafhumaneffashion.fA
ns:f B
Feedback:
Thef1963fCommunityfMentalfHealthfCentersfActfintimatedfthefmovementftowardftreatingf
thosefwithfmentalfillnessfinfaflessfrestrictivefenvironment.fThisflegislationfresultedfinfthefs
hiftfoffclientsfwithfmentalfillnessffromflargefstatefinstitutionsftofcarefbasedfinfthefcommunit
y.fAnswerfchoicesfA,fC,fandfDfwerefnotfpurposesfoffthef1963fCommunityfMentalfHealthfC
entersfAct.
10. Thefcreationfoffasylumsfduringfthef1800sfwasfmeantfto
A) improveftreatmentfoffmentalfdisorders.
B) provideffoodfandfshelterfforfthefmentallyfill.
C) punishfpeoplefwithfmentalfillnessfwhofwerefbelievedftofbefpossessed.
D) removefdangerousfpeoplefwithfmentalfillnessffromfthefcommunity.fA
ns:f B
Feedback:
Thefasylumfwasfmeantftofbefafsafefhavenfwithffood,fshelter,fandfhumaneftreatmentfforfthefm
entallyfill.fAsylumsfwerefnotfusedftofimproveftreatmentfoffmentalfdisordersforftofpunishfme
ntallyfillfpeoplefwhofwerefbelievedftofbefpossessed.fThefasylumfwasfnotfcreatedftofremovef
thefdangerouslyfmentallyfillffromfthefcommunity.
Pagef4
