3/28/24, 11:55 PM Test Bank Videbeck Psychiatric Mental Health Nursing
Psychiatric-Mental Health 9th TEST
BANK/Study Guide
Wolters Kluwer by Videbeck Test
Bank/Study Guide
Chapter 1!
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of
the following would the nurse identify as having a positive impact on the individual's mental health?!
A) Not needing others for companionship!
B) The ability to effectively manage stress!
C) A family history of mental illness!
D) Striving for total self-reliance!
Ans: B!
Feedback:!
Individual factors influencing mental health include biologic makeup, autonomy, independence, self-
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or hardiness,
sense of belonging, reality orientation, and coping or stress management abilities. Interpersonal factors
such as intimacy and a balance of separateness and connectedness are both needed for good mental
health, and therefore a healthy person would need others for companionship. A family history of mental
illness could relate to the biologic makeup of an individual, which may have a negative impact on an
individual's mental health, as well as a negative impact on an individual's interpersonal and social and
cultural factors of health. Total self-reliance is not possible, and a positive social/cultural factor is access
to adequate resources.!
2. Which of the following statements about mental illness are true? Select all that apply.! A) Mental
illness can cause significant distress, impaired functioning, or both.!
B) Mental illness is only due to social/cultural factors.!
C) Social/cultural factors that relate to mental illness include excessive dependency!
on or withdrawal from relationships.!
D) Individuals suffering from mental illness are usually able to cope effectively with! daily life.!
E) Individuals suffering from mental illness may experience dissatisfaction with! relationships and
self.!
Ans: A, D, E!
Feedback:!
Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related
to individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from
relationships are interpersonal factors that relate to mental illness. Individuals suffering from mental
illness can feel overwhelmed with daily life. Individuals suffering from mental illness may experience
dissatisfaction with relationships and self.!
3. Which of the following are true regarding mental health and mental illness?!
A) Behavior that may be viewed as acceptable in one culture is always unacceptable!
in other cultures.!
B) It is easy to determine if a person is mentally healthy or mentally ill.!
C) In most cases, mental health is a state of emotional, psychological, and social! wellness evidenced by
satisfying interpersonal relationships, effective behavior! and coping, positive self-concept, and
emotional stability.! D) Persons who engage in fantasies are mentally ill.!
Ans: C!
about:blank 1/223
,3/28/24, 11:55 PM Test Bank Videbeck Psychiatric Mental Health Nursing
Feedback:!
What one society may view as acceptable and appropriate behavior, another society may see that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In
most cases, mental health is a state of emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and
emotional stability. Persons who engage in fantasies may be mentally healthy, but the inability to
distinguish reality from fantasy is an individual factor that may contribute to mental illness.!
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so
sad. The nurse's best response would be,!
A) You may have a temporary mental illness because you are experiencing so much!
pain.!
B) You are not mentally ill. This is an expected reaction to the loss you have!
experienced.!
C) Were you generally dissatisfied with your relationship before your husband's!
death?!
D) Try not to worry about that right now. You never know what the future brings.!
Ans: B!
Feedback:!
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective coping, and
lack of personal growth. Additionally the behavior must not be culturally expected. Acute grief reactions
are expected and therefore not considered mental illness. False reassurance or overanalysis does not
accurately address the client's concerns.!
5. The nurse consults the DSM for which of the following purposes?! A) To
devise a plan of care for a newly admitted client!
B) To predict the client's prognosis of treatment outcomes!
C) To document the appropriate diagnostic code in the client's medical record!
D) To serve as a guide for client assessment!
Ans: D!
Feedback:!
The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying
causes of mental disorders. It does not provide care plans or prognostic outcomes of treatment.
Diagnosis of mental illness is not within the generalist RN's scope of practice, so documenting the code
in the medical record would be inappropriate.!
6. Which would be a reason for a student nurse to use the DSM?! A)
Identifying the medical diagnosis!
B) Treat clients!
C) Evaluate treatments!
3. Which of the following are true regarding mental health and mental illness?!
A) Behavior that may be viewed as acceptable in one culture is always unacceptable!
in other cultures.!
B) It is easy to determine if a person is mentally healthy or mentally ill.!
C) In most cases, mental health is a state of emotional, psychological, and social! wellness evidenced by
satisfying interpersonal relationships, effective behavior!
and coping, positive self-concept, and emotional stability.! D)
Persons who engage in fantasies are mentally ill.!
Ans: C!
Feedback:!
about:blank 2/223
,3/28/24, 11:55 PM Test Bank Videbeck Psychiatric Mental Health Nursing
What one society may view as acceptable and appropriate behavior, another society may see that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In
most cases, mental health is a state of emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and
emotional stability. Persons who engage in fantasies may be mentally healthy, but the inability to
distinguish reality from fantasy is an individual factor that may contribute to mental illness.!
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so
sad. The nurse's best response would be,!
A) You may have a temporary mental illness because you are experiencing so much!
pain.!
B) You are not mentally ill. This is an expected reaction to the loss you have!
experienced.!
C) Were you generally dissatisfied with your relationship before your husband's!
death?!
D) Try not to worry about that right now. You never know what the future brings.!
Ans: B!
Feedback:!
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective coping, and
lack of personal growth. Additionally the behavior must not be culturally expected. Acute grief reactions
are expected and therefore not considered mental illness. False reassurance or overanalysis does not
accurately address the client's concerns.!
5. The nurse consults the DSM for which of the following purposes?! A) To
devise a plan of care for a newly admitted client!
B) To predict the client's prognosis of treatment outcomes!
C) To document the appropriate diagnostic code in the client's medical record!
D) To serve as a guide for client assessment!
Ans: D!
Feedback:!
The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying
causes of mental disorders. It does not provide care plans or prognostic outcomes of treatment.
Diagnosis of mental illness is not within the generalist RN's scope of practice, so documenting the code
in the medical record would be inappropriate.!
6. Which would be a reason for a student nurse to use the DSM?! A)
Identifying the medical diagnosis!
B) Treat clients!
C) Evaluate treatments!
D) remove dangerous people with mental illness from the community.!
Ans: B!
Feedback:!
The asylum was meant to be a safe haven with food, shelter, and humane treatment for the mentally ill.
Asylums were not used to improve treatment of mental disorders or to punish mentally ill people who
were believed to be possessed. The asylum was not created to remove the dangerously mentally ill from
the community.!
11. The major problems with large state institutions are: Select all that apply.! A)
attendants were accused of abusing the residents.!
B) stigma associated with residence in an insane asylum.!
C) clients were geographically isolated from family and community.!
D) increasing financial costs to individual residents.! Ans: A, C!
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, 3/28/24, 11:55 PM Test Bank Videbeck Psychiatric Mental Health Nursing
Feedback:!
Clients were often far removed from the local community, family, and friends because state institutions
were usually in rural or remote settings. Choices B and D were not major problems associated with large
state instructions.!
12. A significant change in the treatment of people with mental illness occurred in the 1950s when!
A) community support services were established.!
B) legislation dramatically changed civil commitment procedures.!
C) the Patient's Bill of Rights was enacted.!
D) psychotropic drugs became available for use.!
Ans: D!
Feedback:!
The development of psychotropic drugs, or drugs used to treat mental illness, began in the 1950s.
Answer choices A, B, and C did not occur in the 1950s.!
13. Before the period of the enlightenment, treatment of the mentally ill included! A)
creating large institutions to provide custodial care.!
B) focusing on religious education to improve their souls.!
C) placing the mentally ill on display for the public's amusement.!
D) providing a safe refuge or haven offering protection.!
Ans: C!
Feedback:!
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and ridiculing the mentally ill,
who were seen as animals, less than human. Custodial care was not often provided as persons who were
considered harmless were allowed to wander in the countryside or live in rural communities, and more
dangerous lunatics were imprisoned, chained, and starved. In early Christian times, primitive beliefs and
superstitions were strong. The mentally ill were viewed as evil or possessed. Priests performed
exorcisms to rid evil spirits, and in the colonies, witch hunts were conducted with offenders burned at
the stake. It was not until the period of enlightenment when persons who were mentally ill were offered
asylum as a safe refuge or haven offering protection at institutions.!
14. The first training of nurses to work with persons with mental illness was in 1882 in which state?!
A) California!
B) Illinois!
C) Massachusetts!
D) New York!
Ans: C!
Feedback:!
The first training for nurses to work with persons with mental illness was in 1882 at McLean Hospital in
Belmont, Massachusetts.!
15. What is meant by the term revolving door effect in mental health care?! A) An
overall reduction in incidence of severe mental illness!
B) Shorter and more frequent hospital stays for persons with severe and persistent!
mental illness!
C) Flexible treatment settings for mentally ill!
D) Most effective and least expensive treatment settings!
Ans: B!
Feedback:!
about:blank 4/223
Psychiatric-Mental Health 9th TEST
BANK/Study Guide
Wolters Kluwer by Videbeck Test
Bank/Study Guide
Chapter 1!
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of
the following would the nurse identify as having a positive impact on the individual's mental health?!
A) Not needing others for companionship!
B) The ability to effectively manage stress!
C) A family history of mental illness!
D) Striving for total self-reliance!
Ans: B!
Feedback:!
Individual factors influencing mental health include biologic makeup, autonomy, independence, self-
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or hardiness,
sense of belonging, reality orientation, and coping or stress management abilities. Interpersonal factors
such as intimacy and a balance of separateness and connectedness are both needed for good mental
health, and therefore a healthy person would need others for companionship. A family history of mental
illness could relate to the biologic makeup of an individual, which may have a negative impact on an
individual's mental health, as well as a negative impact on an individual's interpersonal and social and
cultural factors of health. Total self-reliance is not possible, and a positive social/cultural factor is access
to adequate resources.!
2. Which of the following statements about mental illness are true? Select all that apply.! A) Mental
illness can cause significant distress, impaired functioning, or both.!
B) Mental illness is only due to social/cultural factors.!
C) Social/cultural factors that relate to mental illness include excessive dependency!
on or withdrawal from relationships.!
D) Individuals suffering from mental illness are usually able to cope effectively with! daily life.!
E) Individuals suffering from mental illness may experience dissatisfaction with! relationships and
self.!
Ans: A, D, E!
Feedback:!
Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related
to individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from
relationships are interpersonal factors that relate to mental illness. Individuals suffering from mental
illness can feel overwhelmed with daily life. Individuals suffering from mental illness may experience
dissatisfaction with relationships and self.!
3. Which of the following are true regarding mental health and mental illness?!
A) Behavior that may be viewed as acceptable in one culture is always unacceptable!
in other cultures.!
B) It is easy to determine if a person is mentally healthy or mentally ill.!
C) In most cases, mental health is a state of emotional, psychological, and social! wellness evidenced by
satisfying interpersonal relationships, effective behavior! and coping, positive self-concept, and
emotional stability.! D) Persons who engage in fantasies are mentally ill.!
Ans: C!
about:blank 1/223
,3/28/24, 11:55 PM Test Bank Videbeck Psychiatric Mental Health Nursing
Feedback:!
What one society may view as acceptable and appropriate behavior, another society may see that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In
most cases, mental health is a state of emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and
emotional stability. Persons who engage in fantasies may be mentally healthy, but the inability to
distinguish reality from fantasy is an individual factor that may contribute to mental illness.!
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so
sad. The nurse's best response would be,!
A) You may have a temporary mental illness because you are experiencing so much!
pain.!
B) You are not mentally ill. This is an expected reaction to the loss you have!
experienced.!
C) Were you generally dissatisfied with your relationship before your husband's!
death?!
D) Try not to worry about that right now. You never know what the future brings.!
Ans: B!
Feedback:!
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective coping, and
lack of personal growth. Additionally the behavior must not be culturally expected. Acute grief reactions
are expected and therefore not considered mental illness. False reassurance or overanalysis does not
accurately address the client's concerns.!
5. The nurse consults the DSM for which of the following purposes?! A) To
devise a plan of care for a newly admitted client!
B) To predict the client's prognosis of treatment outcomes!
C) To document the appropriate diagnostic code in the client's medical record!
D) To serve as a guide for client assessment!
Ans: D!
Feedback:!
The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying
causes of mental disorders. It does not provide care plans or prognostic outcomes of treatment.
Diagnosis of mental illness is not within the generalist RN's scope of practice, so documenting the code
in the medical record would be inappropriate.!
6. Which would be a reason for a student nurse to use the DSM?! A)
Identifying the medical diagnosis!
B) Treat clients!
C) Evaluate treatments!
3. Which of the following are true regarding mental health and mental illness?!
A) Behavior that may be viewed as acceptable in one culture is always unacceptable!
in other cultures.!
B) It is easy to determine if a person is mentally healthy or mentally ill.!
C) In most cases, mental health is a state of emotional, psychological, and social! wellness evidenced by
satisfying interpersonal relationships, effective behavior!
and coping, positive self-concept, and emotional stability.! D)
Persons who engage in fantasies are mentally ill.!
Ans: C!
Feedback:!
about:blank 2/223
,3/28/24, 11:55 PM Test Bank Videbeck Psychiatric Mental Health Nursing
What one society may view as acceptable and appropriate behavior, another society may see that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In
most cases, mental health is a state of emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and
emotional stability. Persons who engage in fantasies may be mentally healthy, but the inability to
distinguish reality from fantasy is an individual factor that may contribute to mental illness.!
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill because she is so
sad. The nurse's best response would be,!
A) You may have a temporary mental illness because you are experiencing so much!
pain.!
B) You are not mentally ill. This is an expected reaction to the loss you have!
experienced.!
C) Were you generally dissatisfied with your relationship before your husband's!
death?!
D) Try not to worry about that right now. You never know what the future brings.!
Ans: B!
Feedback:!
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective coping, and
lack of personal growth. Additionally the behavior must not be culturally expected. Acute grief reactions
are expected and therefore not considered mental illness. False reassurance or overanalysis does not
accurately address the client's concerns.!
5. The nurse consults the DSM for which of the following purposes?! A) To
devise a plan of care for a newly admitted client!
B) To predict the client's prognosis of treatment outcomes!
C) To document the appropriate diagnostic code in the client's medical record!
D) To serve as a guide for client assessment!
Ans: D!
Feedback:!
The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying
causes of mental disorders. It does not provide care plans or prognostic outcomes of treatment.
Diagnosis of mental illness is not within the generalist RN's scope of practice, so documenting the code
in the medical record would be inappropriate.!
6. Which would be a reason for a student nurse to use the DSM?! A)
Identifying the medical diagnosis!
B) Treat clients!
C) Evaluate treatments!
D) remove dangerous people with mental illness from the community.!
Ans: B!
Feedback:!
The asylum was meant to be a safe haven with food, shelter, and humane treatment for the mentally ill.
Asylums were not used to improve treatment of mental disorders or to punish mentally ill people who
were believed to be possessed. The asylum was not created to remove the dangerously mentally ill from
the community.!
11. The major problems with large state institutions are: Select all that apply.! A)
attendants were accused of abusing the residents.!
B) stigma associated with residence in an insane asylum.!
C) clients were geographically isolated from family and community.!
D) increasing financial costs to individual residents.! Ans: A, C!
about:blank 3/223
, 3/28/24, 11:55 PM Test Bank Videbeck Psychiatric Mental Health Nursing
Feedback:!
Clients were often far removed from the local community, family, and friends because state institutions
were usually in rural or remote settings. Choices B and D were not major problems associated with large
state instructions.!
12. A significant change in the treatment of people with mental illness occurred in the 1950s when!
A) community support services were established.!
B) legislation dramatically changed civil commitment procedures.!
C) the Patient's Bill of Rights was enacted.!
D) psychotropic drugs became available for use.!
Ans: D!
Feedback:!
The development of psychotropic drugs, or drugs used to treat mental illness, began in the 1950s.
Answer choices A, B, and C did not occur in the 1950s.!
13. Before the period of the enlightenment, treatment of the mentally ill included! A)
creating large institutions to provide custodial care.!
B) focusing on religious education to improve their souls.!
C) placing the mentally ill on display for the public's amusement.!
D) providing a safe refuge or haven offering protection.!
Ans: C!
Feedback:!
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing and ridiculing the mentally ill,
who were seen as animals, less than human. Custodial care was not often provided as persons who were
considered harmless were allowed to wander in the countryside or live in rural communities, and more
dangerous lunatics were imprisoned, chained, and starved. In early Christian times, primitive beliefs and
superstitions were strong. The mentally ill were viewed as evil or possessed. Priests performed
exorcisms to rid evil spirits, and in the colonies, witch hunts were conducted with offenders burned at
the stake. It was not until the period of enlightenment when persons who were mentally ill were offered
asylum as a safe refuge or haven offering protection at institutions.!
14. The first training of nurses to work with persons with mental illness was in 1882 in which state?!
A) California!
B) Illinois!
C) Massachusetts!
D) New York!
Ans: C!
Feedback:!
The first training for nurses to work with persons with mental illness was in 1882 at McLean Hospital in
Belmont, Massachusetts.!
15. What is meant by the term revolving door effect in mental health care?! A) An
overall reduction in incidence of severe mental illness!
B) Shorter and more frequent hospital stays for persons with severe and persistent!
mental illness!
C) Flexible treatment settings for mentally ill!
D) Most effective and least expensive treatment settings!
Ans: B!
Feedback:!
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