Test Bank For Psychiatric Mental Health Nursin
d d d d d d
g 9th Edition By Videbeck
d d d d
Psychiatric-MentaldHealthdNursingd9thdeditiondbydVidebeckdTestdBank
Chapterd1dF
eedback:
Individualdfactorsdinfluencingdmentaldhealthdincludedbiologicdmakeup,dautonomy,dindepe
ndence,dself-
esteem,dcapacitydfordgrowth,dvitality,dabilitydtodfinddmeaningdindlife,demotionaldresilienced
ordhardiness,dsensedofdbelonging,drealitydorientation,danddcopingdordstressdmanagementdab
ilities.dInterpersonaldfactorsdsuchdasdintimacydanddadbalancedofdseparatenessdanddconnecte
dnessdaredbothdneededdfordgooddmentaldhealth,danddthereforedadhealthydpersondwoulddneedd
othersdfordcompanionship.dAdfamilydhistorydofdmentaldillnessdcoulddrelatedtodthedbiologicd
makeupdofdandindividual,dwhichdmaydhavedadnegativedimpactdondandindividual'sdmentaldhe
alth,dasdwelldasdadnegativedimpactdondandindividual'sdinterpersonaldanddsocialñculturaldfact
orsdofdhealth.dTotaldself-
reliancedisdnotdpossible,danddadpositivedsocial/culturaldfactordisdaccessdtodadequatedresourc
es.
2. Whichdofdthedfollowingdstatementsdaboutdmentaldillnessdaredtrue?dSelectdalldthatdapply.
A) Mentaldillnessdcandcausedsignificantddistress,dimpaireddfunctioning,dordboth.
B) Mentaldillnessdisdonlydduedtodsocial/culturaldfactors.
C) Social/culturaldfactorsdthatdrelatedtodmentaldillnessdincludedexcessiveddependencyd
ondordwithdrawaldfromdrelationships.
D) Individualsdsufferingdfromdmentaldillnessdaredusuallydabledtodcopedeffectivelydwithd
dailydlife.
E) Individualsdsufferingdfromdmentaldillnessdmaydexperienceddissatisfactiondwithd
relationshipsdanddself.
Ans:d A,dD,dE
Feedback:
Mentaldillnessdcandcausedsignificantddistress,dimpaireddfunctioning,dordboth.dMentaldillnes
sdmaydbedrelateddtodindividual,dinterpersonal,dordsocial/culturaldfactors.dExcessiveddepend
encydondordwithdrawaldfromdrelationshipsdaredinterpersonaldfactorsdthatdrelatedtodmentaldil
lness.dIndividualsdsufferingdfromdmentaldillnessdcandfeeldoverwhelmeddwithddailydlife.dInd
ividualsdsufferingdfromdmentaldillnessdmaydexperienceddissatisfactiondwithdrelationshipsda
nddself.
Paged 1
,3. Whichdofdthedfollowingdaredtruedregardingdmentaldhealthdanddmentaldillness?
A) Behaviordthatdmaydbedvieweddasdacceptabledindonedculturedisdalwaysdunacceptabledi
ndotherdcultures.
B) Itdisdeasydtoddeterminedifdadpersondisdmentallydhealthydordmentallydill.
C) Indmostdcases,dmentaldhealthdisdadstatedofdemotional,dpsychological,danddsocialdw
ellnessdevidenceddbydsatisfyingdinterpersonaldrelationships,deffectivedbehaviordan
ddcoping,dpositivedself-concept,danddemotionaldstability.
D) Personsdwhodengagedindfantasiesdaredmentallydill.d
Ans:d C
Feedback:
Whatdonedsocietydmaydviewdasdacceptabledanddappropriatedbehavior,danotherdsocietydmayds
eedthatdasdmaladaptive,danddinappropriate.dMentaldhealthdanddmentaldillnessdareddifficultdtod
definedprecisely.dIndmostdcases,dmentaldhealthdisdadstatedofdemotional,dpsychological,dandds
ocialdwellnessdevidenceddbydsatisfyingdinterpersonaldrelationships,deffectivedbehaviordandd
coping,dpositivedself-
concept,danddemotionaldstability.dPersonsdwhodengagedindfantasiesdmaydbedmentallydhealth
y,dbutdthedinabilitydtoddistinguishdrealitydfromdfantasydisdandindividualdfactordthatdmaydcontr
ibutedtodmentaldillness.
4. Adclientdgrievingdthedrecentdlossdofdherdhusbanddasksdifdshedisdbecomingdmentallydilldb
ecausedshedisdsodsad.dThednurse'sdbestdresponsedwoulddbe,
A) ìYoudmaydhavedadtemporarydmentaldillnessdbecausedyoudaredexperiencingdsodmuchd
pain.î
B) ìYoudarednotdmentallydill.dThisdisdandexpecteddreactiondtodthedlossdyoudhavede
xperienced.î
C) ìWeredyoudgenerallyddissatisfieddwithdyourdrelationshipdbeforedyourdhusband'sd
death?î
D) ìTrydnotdtodworrydaboutdthatdrightdnow.dYoudneverdknowdwhatdthedfuturedbrings.îd
Ans:d B
Feedback:
Mentaldillnessdincludesdgeneralddissatisfactiondwithdself,dineffectivedrelationships,dineffe
ctivedcoping,danddlackdofdpersonaldgrowth.dAdditionallydthedbehaviordmustdnotdbedcultural
lydexpected.dAcutedgriefdreactionsdaredexpecteddanddthereforednotdconsidereddmentaldillne
ss.dFalsedreassurancedordoveranalysisddoesdnotdaccuratelydaddressdthedclient'sdconcerns.
,5. ThednursedconsultsdthedDSMdfordwhichdofdthedfollowingdpurposes?
A) Toddevisedadplandofdcaredfordadnewlydadmitteddclient
B) Todpredictdthedclient'sdprognosisdofdtreatmentdoutcomes
C) Toddocumentdthedappropriateddiagnosticdcodedindthedclient'sdmedicaldrecord
D) Todservedasdadguidedfordclientdassessmentd
Ans:d D
Feedback:
ThedDSMdprovidesdstandarddnomenclature,dpresentsddefiningdcharacteristics,danddidentifi
esdunderlyingdcausesdofdmentalddisorders.dItddoesdnotdprovidedcaredplansdordprognosticdout
comesdofdtreatment.dDiagnosisdofdmentaldillnessdisdnotdwithindthedgeneralistdRN'sdscopedof
dpractice,dsoddocumentingdthedcodedindthedmedicaldrecorddwoulddbedinappropriate.
6. WhichdwoulddbedadreasondfordadstudentdnursedtodusedthedDSM?
A) Identifyingdthedmedicalddiagnosis
B) Treatdclients
C) Evaluatedtreatments
D) Understanddthedreasondfordthedadmissiondanddthednaturedofdpsychiatricdillnesses.d
Ans:d D
Feedback:
AlthoughdstudentdnursesddodnotdusedthedDSMdtoddiagnosedclients,dtheydwilldfindditdadhelpf
uldresourcedtodunderstanddthedreasondfordthedadmissiondanddtodbegindbuildingdknowledgeda
boutdthednaturedofdpsychiatricdillnesses.dIdentifyingdthedmedicalddiagnosis,dtreating,danddev
aluatingdtreatmentsdarednotdadpartdofdthednursingdprocess.
7. Thedlegislationdenacteddind1963dwasdlargelydresponsibledfordwhichdofdthedfollowingdshiftsdi
ndcaredfordthedmentallydill?
A) Thedwidespreaddusedofdcommunity-baseddservices
B) Thedadvancementdindpharmacotherapies
C) Increaseddaccessdtodhospitalization
D) Improveddrightsdfordclientsdindlong-
termdinstitutionaldcaredAns:d A
Feedback:
ThedCommunitydMentaldHealthdCentersdConstructiondActdofd1963daccomplisheddthedrelea
sedofdindividualsdfromdlong-
termdstaysdindstatedinstitutions,dtheddecreasedindadmissionsdtodhospitals,danddtheddevelopm
entdofdcommunity-baseddservicesdasdandalternativedtodhospitaldcare.
Paged 3
, 8. Whichdonedofdthedfollowingdisdadresultdofdfederaldlegislation?
A) Makingditdeasierdtodcommitdpeopledfordmentaldhealthdtreatmentdagainstdtheirdwill.
B) Makingditdmoreddifficultdtodcommitdpeopledfordmentaldhealthdtreatmentdagainstdt
heirdwill.
C) Statedmentaldinstitutionsdbeingdthedprimarydsourcedofdcaredfordmentallydilldpersons.
D) Improveddcaredfordmentallydilldpersons.d
Ans:d B
Feedback:
Commitmentdlawsdchangeddindthedearlyd1970s,dmakingditdmoreddifficultdtodcommitdpeople
dfordmentaldhealthdtreatmentdagainstdtheirdwill.dDeinstitutionalizationdaccomplisheddthedre
leasedofdindividualsdfromdlong-
termdstaysdindstatedinstitutions.dDeinstitutionalizationdalsodhaddnegativedeffectsdindthatdso
medmentallydilldpersonsdaredsubjecteddtodthedrevolvingddoordeffect,dwhichdmaydlimitdcaredf
ordmentallydilldpersons.
9. Thedgoaldofdthed1963dCommunitydMentaldHealthdCentersdActdwasdto
A) ensuredpatients'drightsdfordthedmentallydill.
B) deinstitutionalizedstatedhospitals.
C) providedfundsdtodbuilddhospitalsdwithdpsychiatricdunits.
D) treatdpeopledwithdmentaldillnessdindadhumanedfashion.d
Ans:d B
Feedback:
Thed1963dCommunitydMentaldHealthdCentersdActdintimateddthedmovementdtowarddtreati
ngdthosedwithdmentaldillnessdindadlessdrestrictivedenvironment.dThisdlegislationdresulteddind
thedshiftdofdclientsdwithdmentaldillnessdfromdlargedstatedinstitutionsdtodcaredbaseddindthedco
mmunity.dAnswerdchoicesdA,dC,danddDdwerednotdpurposesdofdthed1963dCommunitydMenta
ldHealthdCentersdAct.
10. Thedcreationdofdasylumsdduringdthed1800sdwasdmeantdto
A) improvedtreatmentdofdmentalddisorders.
B) providedfooddanddshelterdfordthedmentallydill.
C) punishdpeopledwithdmentaldillnessdwhodweredbelieveddtodbedpossessed.
D) removeddangerousdpeopledwithdmentaldillnessdfromdthedcommunity.d
Ans:d B
Feedback:
Thedasylumdwasdmeantdtodbedadsafedhavendwithdfood,dshelter,danddhumanedtreatmentdfordth
edmentallydill.dAsylumsdwerednotduseddtodimprovedtreatmentdofdmentalddisordersdordtodpuni
shdmentallydilldpeopledwhodweredbelieveddtodbedpossessed.dThedasylumdwasdnotdcreateddto
dremovedtheddangerouslydmentallydilldfromdthedcommunity.
Paged 4
d d d d d d
g 9th Edition By Videbeck
d d d d
Psychiatric-MentaldHealthdNursingd9thdeditiondbydVidebeckdTestdBank
Chapterd1dF
eedback:
Individualdfactorsdinfluencingdmentaldhealthdincludedbiologicdmakeup,dautonomy,dindepe
ndence,dself-
esteem,dcapacitydfordgrowth,dvitality,dabilitydtodfinddmeaningdindlife,demotionaldresilienced
ordhardiness,dsensedofdbelonging,drealitydorientation,danddcopingdordstressdmanagementdab
ilities.dInterpersonaldfactorsdsuchdasdintimacydanddadbalancedofdseparatenessdanddconnecte
dnessdaredbothdneededdfordgooddmentaldhealth,danddthereforedadhealthydpersondwoulddneedd
othersdfordcompanionship.dAdfamilydhistorydofdmentaldillnessdcoulddrelatedtodthedbiologicd
makeupdofdandindividual,dwhichdmaydhavedadnegativedimpactdondandindividual'sdmentaldhe
alth,dasdwelldasdadnegativedimpactdondandindividual'sdinterpersonaldanddsocialñculturaldfact
orsdofdhealth.dTotaldself-
reliancedisdnotdpossible,danddadpositivedsocial/culturaldfactordisdaccessdtodadequatedresourc
es.
2. Whichdofdthedfollowingdstatementsdaboutdmentaldillnessdaredtrue?dSelectdalldthatdapply.
A) Mentaldillnessdcandcausedsignificantddistress,dimpaireddfunctioning,dordboth.
B) Mentaldillnessdisdonlydduedtodsocial/culturaldfactors.
C) Social/culturaldfactorsdthatdrelatedtodmentaldillnessdincludedexcessiveddependencyd
ondordwithdrawaldfromdrelationships.
D) Individualsdsufferingdfromdmentaldillnessdaredusuallydabledtodcopedeffectivelydwithd
dailydlife.
E) Individualsdsufferingdfromdmentaldillnessdmaydexperienceddissatisfactiondwithd
relationshipsdanddself.
Ans:d A,dD,dE
Feedback:
Mentaldillnessdcandcausedsignificantddistress,dimpaireddfunctioning,dordboth.dMentaldillnes
sdmaydbedrelateddtodindividual,dinterpersonal,dordsocial/culturaldfactors.dExcessiveddepend
encydondordwithdrawaldfromdrelationshipsdaredinterpersonaldfactorsdthatdrelatedtodmentaldil
lness.dIndividualsdsufferingdfromdmentaldillnessdcandfeeldoverwhelmeddwithddailydlife.dInd
ividualsdsufferingdfromdmentaldillnessdmaydexperienceddissatisfactiondwithdrelationshipsda
nddself.
Paged 1
,3. Whichdofdthedfollowingdaredtruedregardingdmentaldhealthdanddmentaldillness?
A) Behaviordthatdmaydbedvieweddasdacceptabledindonedculturedisdalwaysdunacceptabledi
ndotherdcultures.
B) Itdisdeasydtoddeterminedifdadpersondisdmentallydhealthydordmentallydill.
C) Indmostdcases,dmentaldhealthdisdadstatedofdemotional,dpsychological,danddsocialdw
ellnessdevidenceddbydsatisfyingdinterpersonaldrelationships,deffectivedbehaviordan
ddcoping,dpositivedself-concept,danddemotionaldstability.
D) Personsdwhodengagedindfantasiesdaredmentallydill.d
Ans:d C
Feedback:
Whatdonedsocietydmaydviewdasdacceptabledanddappropriatedbehavior,danotherdsocietydmayds
eedthatdasdmaladaptive,danddinappropriate.dMentaldhealthdanddmentaldillnessdareddifficultdtod
definedprecisely.dIndmostdcases,dmentaldhealthdisdadstatedofdemotional,dpsychological,dandds
ocialdwellnessdevidenceddbydsatisfyingdinterpersonaldrelationships,deffectivedbehaviordandd
coping,dpositivedself-
concept,danddemotionaldstability.dPersonsdwhodengagedindfantasiesdmaydbedmentallydhealth
y,dbutdthedinabilitydtoddistinguishdrealitydfromdfantasydisdandindividualdfactordthatdmaydcontr
ibutedtodmentaldillness.
4. Adclientdgrievingdthedrecentdlossdofdherdhusbanddasksdifdshedisdbecomingdmentallydilldb
ecausedshedisdsodsad.dThednurse'sdbestdresponsedwoulddbe,
A) ìYoudmaydhavedadtemporarydmentaldillnessdbecausedyoudaredexperiencingdsodmuchd
pain.î
B) ìYoudarednotdmentallydill.dThisdisdandexpecteddreactiondtodthedlossdyoudhavede
xperienced.î
C) ìWeredyoudgenerallyddissatisfieddwithdyourdrelationshipdbeforedyourdhusband'sd
death?î
D) ìTrydnotdtodworrydaboutdthatdrightdnow.dYoudneverdknowdwhatdthedfuturedbrings.îd
Ans:d B
Feedback:
Mentaldillnessdincludesdgeneralddissatisfactiondwithdself,dineffectivedrelationships,dineffe
ctivedcoping,danddlackdofdpersonaldgrowth.dAdditionallydthedbehaviordmustdnotdbedcultural
lydexpected.dAcutedgriefdreactionsdaredexpecteddanddthereforednotdconsidereddmentaldillne
ss.dFalsedreassurancedordoveranalysisddoesdnotdaccuratelydaddressdthedclient'sdconcerns.
,5. ThednursedconsultsdthedDSMdfordwhichdofdthedfollowingdpurposes?
A) Toddevisedadplandofdcaredfordadnewlydadmitteddclient
B) Todpredictdthedclient'sdprognosisdofdtreatmentdoutcomes
C) Toddocumentdthedappropriateddiagnosticdcodedindthedclient'sdmedicaldrecord
D) Todservedasdadguidedfordclientdassessmentd
Ans:d D
Feedback:
ThedDSMdprovidesdstandarddnomenclature,dpresentsddefiningdcharacteristics,danddidentifi
esdunderlyingdcausesdofdmentalddisorders.dItddoesdnotdprovidedcaredplansdordprognosticdout
comesdofdtreatment.dDiagnosisdofdmentaldillnessdisdnotdwithindthedgeneralistdRN'sdscopedof
dpractice,dsoddocumentingdthedcodedindthedmedicaldrecorddwoulddbedinappropriate.
6. WhichdwoulddbedadreasondfordadstudentdnursedtodusedthedDSM?
A) Identifyingdthedmedicalddiagnosis
B) Treatdclients
C) Evaluatedtreatments
D) Understanddthedreasondfordthedadmissiondanddthednaturedofdpsychiatricdillnesses.d
Ans:d D
Feedback:
AlthoughdstudentdnursesddodnotdusedthedDSMdtoddiagnosedclients,dtheydwilldfindditdadhelpf
uldresourcedtodunderstanddthedreasondfordthedadmissiondanddtodbegindbuildingdknowledgeda
boutdthednaturedofdpsychiatricdillnesses.dIdentifyingdthedmedicalddiagnosis,dtreating,danddev
aluatingdtreatmentsdarednotdadpartdofdthednursingdprocess.
7. Thedlegislationdenacteddind1963dwasdlargelydresponsibledfordwhichdofdthedfollowingdshiftsdi
ndcaredfordthedmentallydill?
A) Thedwidespreaddusedofdcommunity-baseddservices
B) Thedadvancementdindpharmacotherapies
C) Increaseddaccessdtodhospitalization
D) Improveddrightsdfordclientsdindlong-
termdinstitutionaldcaredAns:d A
Feedback:
ThedCommunitydMentaldHealthdCentersdConstructiondActdofd1963daccomplisheddthedrelea
sedofdindividualsdfromdlong-
termdstaysdindstatedinstitutions,dtheddecreasedindadmissionsdtodhospitals,danddtheddevelopm
entdofdcommunity-baseddservicesdasdandalternativedtodhospitaldcare.
Paged 3
, 8. Whichdonedofdthedfollowingdisdadresultdofdfederaldlegislation?
A) Makingditdeasierdtodcommitdpeopledfordmentaldhealthdtreatmentdagainstdtheirdwill.
B) Makingditdmoreddifficultdtodcommitdpeopledfordmentaldhealthdtreatmentdagainstdt
heirdwill.
C) Statedmentaldinstitutionsdbeingdthedprimarydsourcedofdcaredfordmentallydilldpersons.
D) Improveddcaredfordmentallydilldpersons.d
Ans:d B
Feedback:
Commitmentdlawsdchangeddindthedearlyd1970s,dmakingditdmoreddifficultdtodcommitdpeople
dfordmentaldhealthdtreatmentdagainstdtheirdwill.dDeinstitutionalizationdaccomplisheddthedre
leasedofdindividualsdfromdlong-
termdstaysdindstatedinstitutions.dDeinstitutionalizationdalsodhaddnegativedeffectsdindthatdso
medmentallydilldpersonsdaredsubjecteddtodthedrevolvingddoordeffect,dwhichdmaydlimitdcaredf
ordmentallydilldpersons.
9. Thedgoaldofdthed1963dCommunitydMentaldHealthdCentersdActdwasdto
A) ensuredpatients'drightsdfordthedmentallydill.
B) deinstitutionalizedstatedhospitals.
C) providedfundsdtodbuilddhospitalsdwithdpsychiatricdunits.
D) treatdpeopledwithdmentaldillnessdindadhumanedfashion.d
Ans:d B
Feedback:
Thed1963dCommunitydMentaldHealthdCentersdActdintimateddthedmovementdtowarddtreati
ngdthosedwithdmentaldillnessdindadlessdrestrictivedenvironment.dThisdlegislationdresulteddind
thedshiftdofdclientsdwithdmentaldillnessdfromdlargedstatedinstitutionsdtodcaredbaseddindthedco
mmunity.dAnswerdchoicesdA,dC,danddDdwerednotdpurposesdofdthed1963dCommunitydMenta
ldHealthdCentersdAct.
10. Thedcreationdofdasylumsdduringdthed1800sdwasdmeantdto
A) improvedtreatmentdofdmentalddisorders.
B) providedfooddanddshelterdfordthedmentallydill.
C) punishdpeopledwithdmentaldillnessdwhodweredbelieveddtodbedpossessed.
D) removeddangerousdpeopledwithdmentaldillnessdfromdthedcommunity.d
Ans:d B
Feedback:
Thedasylumdwasdmeantdtodbedadsafedhavendwithdfood,dshelter,danddhumanedtreatmentdfordth
edmentallydill.dAsylumsdwerednotduseddtodimprovedtreatmentdofdmentalddisordersdordtodpuni
shdmentallydilldpeopledwhodweredbelieveddtodbedpossessed.dThedasylumdwasdnotdcreateddto
dremovedtheddangerouslydmentallydilldfromdthedcommunity.
Paged 4
