TestmBank mVidebeckmPsychiatricmMentalmHealthmNurs
ing Psychiatric-
Mental Health 9th TEST BANK/Study Guide
m m m m m
Wolters mKluwermbymVidebeckmTest mBank/St
udymGuide
Chapterm 1!
1. The m nurse m is m assessingm the m factors m contributingm to m the m well-
beingm of mamnewlymadmitted mclient.m Which mofm themfollowingmwouldm them nursem identifymas mhav
ingm am positive m impactm on m the m individual's m mentalm health?!
A) Notm needingm others m form companionship!
B) The m abilitym to m effectivelym manage m stress!
C) Am familym historym of m mentalm illness!
D) Strivingm form totalm self-reliance!
Ans:mB!m Feedb
ack:!
Individualm factorsminfluencingm mentalm healthm includem biologic mmakeup,mautonomy,m independence,
m self-
m esteem,m capacitymform growth,mvitality,m abilitymto mfind mmeaningmin mlife,m emotionalm resiliencemor
m hardiness,m sensem of mbelonging,mrealitymorientation,mandmcopingmormstress mmanagementmabilitie
s.m Interpersonalm factorsm suchm asmintimacymandm ambalancem of mseparateness mandm connectednessm
are m both m neededm formgood mmentalm health,mandmtherefore mamhealthympersonmwould mneed mother
s m form companionship.mAmfamilymhistorymof mmentalm illnessm could mrelatemtomthe mbiologicmmakeup
m of m an m individual,m which mmaymhavem amnegativem impactmonm anm individual's mmentalmhealth,mas m
wellm as m am negativem impactmonm anm individual'sm interpersonalmand msocialmandm culturalmfactors mof
m health.m Totalm self-
reliance m is mnotmpossible,mand mampositivemsocial/culturalmfactormis maccess m tomadequatemresources
.!
2. Which m ofmthe mfollowingmstatementsm aboutmmentalmillnessmare mtrue?mSelectmallmthatmapply
.!m A) m Mentalm illness m can m cause m significantm distress,m impaired m functioning,m orm both.!
B) Mentalm illness m is m onlym due m tom social/culturalm factors.!
C) Social/culturalm factorsmthatmrelatemtommentalm illnessmincludemexcessivemdepe
ndency!m on m orm withdrawalm fromm relationships.!
D) Individuals m sufferingm fromm mentalm illness m are m usuallym able m tom cope m effectivelym with!m dailym life.!
E) Individuals m sufferingmfromm mentalmillnessmmaymexperiencemdissatisfactionmwith!mrelations
hips m and m self.!
Ans:m A,m D,m E!
Feedback:!
Mentalm illnessmcan mcause msignificantmdistress,mimpairedmfunctioning,m ormboth.mMentalmillnessm may
m be m relatedm to mindividual,m interpersonal,m ormsocial/culturalm factors.m Excessive mdependencym onmo
rm withdrawalm fromm relationshipsmare minterpersonalm factorsmthatmrelatemtommentalmillness.mIndivi
duals m sufferingm frommmentalm illnessm can mfeelmoverwhelmed mwith mdailymlife.mIndividualsm sufferin
gm fromm mentalm illness m maym experience m dissatisfaction m with m relationships m and m self.!
3. Which m ofm the m followingm are m true m regardingm mentalm health m and m mentalm illness?!
A) Behaviorm thatmmaymbemviewedmas macceptablemin monemculturem ismalways mun
acceptable!m in m otherm cultures.!
B) Itm is m easym to m determine m if m am person m is m mentallym healthym orm mentallym ill.!
C) In m mostm cases,mmentalmhealth mismamstatemof memotional,mpsychological,m and msocial!m wellnessm
evidencedmbym satisfyingminterpersonalm relationships,m effectivem behavior!mandmcoping,mpositive
m self-
concept,m and m emotionalmstability.!mD)m Personsm whomengage min mfantasies m are m mentallym ill.!
Ans:m C!
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Feedback:! TestmBank mVidebeckmPsychiatricmMentalmHealthmNurs
ing Whatm one msocietymmaymviewm asmacceptablemand mappropriate mbehavior,manothermsocietymmayms
ee m thatmas m maladaptive,m andminappropriate.mMentalm healthmand mmentalmillness mare mdifficultm t
om definem precisely.mIn m mostmcases,m mentalm healthm ismam statem of memotional,m psychological,man
d m socialm wellnessmevidenced mbym satisfyingm interpersonalmrelationships,meffectivembehaviorm andm
coping,m positive m self-
concept,m and m emotionalmstability.m Personsm who mengage min mfantasies mmaymbemmentallymhealth
y,m butm the minabilitymto m distinguish mrealitym frommfantasymis man mindividualm factorm thatm maymcon
tribute m tom mentalm illness.!
4. Am clientm grievingmthe mrecentmlossmofmhermhusbandmasksmifmshe mism becomingmmentallymillmbe
cause m she m is m so m sad.m The m nurse's m bestm response m would m be,!
A) You m maym have mamtemporarymmentalmillness mbecausemyoumare mexperiencing
m so m much!m pain.!
B) You m are m notmmentallymill.mThism isman mexpectedmreactionm tomthemlos
s m you m have!m experienced.!
C) Were m youmgenerallymdissatisfiedmwith myourmrelationship mbeforemyourmhu
sband's!m death?!
D) Trym notm tom worrym aboutm thatm rightm now.m You m neverm knowm whatm the m future m brings.!
Ans:mB!m Feedb
ack:!
Mentalm illnessmincludesm generalmdissatisfaction mwithm self,mineffective mrelationships,m ineffective mco
ping,m and m lackm ofmpersonalm growth.mAdditionallymthembehaviorm mustmnotm bemculturallymexpected
.m Acute m grief mreactionsm are mexpected mandm thereforem notmconsidered mmentalmillness.m Falsem reas
surance m orm overanalysis m does m notm accuratelym address m the m client's m concerns.!
5. The m nursemconsultsmthemDSMmformwhichmofmthemfollowingmpurpos
es?!m A) mTom devise mam plan mofm care mform am newlym admitted m client!
B) Tom predictm the m client's m prognosis m of m treatmentm outcomes!
C) Tom documentm the m appropriate m diagnostic m code m in m the m client's m medicalm record!
D) Tom serve m as m am guide m form clientm assessment!
Ans:mD!m Feedb
ack:!
The m DSM mprovidesmstandardm nomenclature,mpresents mdefiningm characteristics,m and midentifiesmund
erlyingm causesm of mmentalmdisorders.m Itmdoesmnotm provide mcaremplansmormprognostic moutcomes m
ofm treatment.
Diagnosis m of mmentalmillness mismnotmwithin mthem generalistmRN'smscope mof mpractice,m somdocument
ingm the m code m in m the m medicalm record m would m be m inappropriate.!
6. Which m wouldmbemam reason mformamstudentmnurse mtomusemthe
m DSM?!m A) m Identifyingm the m medicalm diagnosis!
B) Treatm clients!
C) Evaluate m treatments!
3. Which m ofm the m followingm are m true m regardingm mentalm health m and m mentalm illness?!
A) Behaviorm thatmmaymbemviewedmas macceptablemin monemculturem ismalways mun
acceptable!m in m otherm cultures.!
B) Itm is m easym to m determine m if m am person m is m mentallym healthym orm mentallym ill.!
C) In m mostm cases,mmentalmhealth mismamstatemof memotional,mpsychological,m and msocial!m wellnessm
evidenced m bym satisfyingm interpersonalm relationships,m effective m behavior!
and m coping,m positive m self-
concept,mand memotionalmstability.!mD)m Personsmwho mengage m i
n m fantasies m are m mentallym ill.!
Ans:mC!m Feedb
ack:!
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Whatm one msocietymmaymviewm asTest mBank
macceptable mVidebeck
mand mPsychiatric
mappropriate mMental
mbehavior,manother mHealth
msociety mmaymmNurs
s
ing ee m thatmas m maladaptive,m andminappropriate.mMentalm healthmand mmentalmillness mare mdifficultm t
om definem precisely.mIn m mostmcases,m mentalm healthm ismam statem of memotional,m psychological,man
d m socialm wellnessmevidenced mbym satisfyingm interpersonalmrelationships,meffectivembehaviorm andm
coping,m positive m self-
concept,m and m emotionalmstability.m Personsm who mengage min mfantasies mmaymbemmentallymhealth
y,m butm the minabilitymto m distinguish mrealitym frommfantasymis man mindividualm factorm thatm maymcon
tribute m tom mentalm illness.!
4. Am clientm grievingmthe mrecentmlossmofmhermhusbandmasksmifmshe mism becomingmmentallymillmbe
cause m she m is m so m sad.m The m nurse's m bestm response m would m be,!
A) You m maym have mamtemporarymmentalmillness mbecausemyoumare mexperiencing
m so m much!m pain.!
B) You m are m notmmentallymill.mThism isman mexpectedmreactionm tomthemlos
s m you m have!m experienced.!
C) Were m youmgenerallymdissatisfiedmwith myourmrelationship mbeforemyourmhu
sband's!m death?!
D) Trym notm tom worrym aboutm thatm rightm now.m You m neverm knowm whatm the m future m brings.!
Ans:mB!m Feedb
ack:!
Mentalm illnessmincludesm generalmdissatisfaction mwithm self,mineffective mrelationships,m ineffective mco
ping,m and m lackm ofmpersonalm growth.mAdditionallymthembehaviorm mustmnotm bemculturallymexpected
.m Acute m grief mreactionsm are mexpected mandm thereforem notmconsidered mmentalmillness.m Falsem reas
surance m orm overanalysis m does m notm accuratelym address m the m client's m concerns.!
5. The m nursemconsultsmthemDSMmformwhichmofmthemfollowingmpurpos
es?!m A) mTom devise mam plan mofm care mform am newlym admitted m client!
B) Tom predictm the m client's m prognosis m of m treatmentm outcomes!
C) Tom documentm the m appropriate m diagnostic m code m in m the m client's m medicalm record!
D) Tom serve m as m am guide m form clientm assessment!
Ans:mD!m Feedb
ack:!
The m DSM mprovidesmstandardm nomenclature,mpresents mdefiningm characteristics,m and midentifiesmund
erlyingm causesm of mmentalmdisorders.m Itmdoesmnotm provide mcaremplansmormprognostic moutcomes m
ofm treatment.
Diagnosis m of mmentalmillnessm ismnotmwithinmthemgeneralistmRN's mscope mof mpractice,msomdocument
ingm the m code m in m the m medicalm record m would m be m inappropriate.!
6. Which m wouldmbemam reason mformamstudentmnurse mtomusemthe
m DSM?!m A) m Identifyingm the m medicalm diagnosis!
B) Treatm clients!
C) Evaluate m treatments!
D) remove m dangerous m people m with m mentalm illness m fromm the m community.!
Ans:mB!m Feedb
ack:!
The m asylummwas mmeantm to mbemam safemhaven mwith mfood,m shelter,mand mhumanemtreatmentmformt
he m mentallymill.m Asylums mwere mnotmusedm tomimprove mtreatmentmofmmentalmdisorders mormtompu
nish m mentallymillmpeople mwhom werembelievedmtombe mpossessed.mThemasylummwas mnotmcreatedmt
om remove m the m dangerouslym mentallym illm fromm the mcommunity.!
11. The m majorm problemsmwith mlarge mstateminstitutionsmare:mSelectm allm that
m apply.!m A) m attendants m were m accused m of m abusingm the m residents.!
B) stigmam associated m with m residence m in m an m insane m asylum.!
C) clients m were m geographicallym isolated m fromm familym and m community.!
D) increasingm financialm costs m to m individualm residents.!m Ans:m A,m C!
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Feedback:! TestmBank mVidebeckmPsychiatricmMentalmHealthmNurs
ing Clients m weremoftenm farm removedmfrommthe mlocalm community,mfamily,mandm friendsmbecausem state
m institutionsm weremusuallyminm ruralm ormremotemsettings.mChoicesm Bmand mDmweremnotmmajormpro
blems m associated m with m large m state minstructions.!
12. Am significantmchangemin m the m treatmentm of m people m with m mentalm illness m occurred m in m the m 1950s m when!
A) communitymsupportm services m were m established.!
B) legislation mdramaticallym changed mcivilm commitmentm procedures.!
C) the m Patient's m Billm ofm Rights m was m enacted.!
D) psychotropic m drugs m became m available m form use.!
Ans:mD!m Feedb
ack:!
The m developmentmofmpsychotropic mdrugs,mormdrugs mused mtomtreatmmentalm illness,m began minmthe
m 1950s.m Answerm choices m A,m B,m and m C m did m notm occurm in m the m 1950s.!
13. Before m the mperiod mofmthemenlightenment,mtreatmentmofmthemmentallymillmin
cluded!m A)m creatingm large m institutions m tom provide m custodialm care.!
B) focusingm on m religious m education m tom improve m theirm souls.!
C) placingm the m mentallym illm on m displaym form the m public's m amusement.!
D) providingm am safe m refuge m orm haven m offeringm protection.!
Ans:mC!m Feedb
ack:!
In m 1775,m visitorsmatmSt.m Mary'sm ofmBethlehemmweremchargedm amfeem formviewingmand mridiculingmt
he m mentallymill,m who mwere mseenmas manimals,m less mthan mhuman.mCustodialmcarem wasmnotm often
m provided masmpersonsmwho mwere m considered mharmless mwere mallowed mto mwandermin mthemcount
ryside m ormlive min mruralm communities,mandm more m dangerous mlunaticsm werem imprisoned,m chained,
m and m starved.mIn mearlymChristianmtimes,mprimitivembeliefsm and m superstitionsm were mstrong.m The m
mentallym illm werem viewed mas mevilm orm possessed.m Priestsm performed m exorcisms mtom ridm evilmspirit
s,m and m in mthemcolonies,mwitchm hunts mwere mconductedm withm offenders mburned matm themstake.m It
m was m notmuntilmthemperiodm of menlightenmentmwhen mpersons mwhomweremmentallymillmweremoffer
ed m asylumm as m am safe m refuge m orm haven m offeringm protection m atm institutions.!
14. The m firstmtrainingmofmnurses mtom workmwithm persons m with m mentalm illness m was m in m 1882 m in m which m state?!
A) California!
B) Illinois!
C) Massachusetts!
D) Newm York!
Ans:mC!m Feedb
ack:!
The m firstm trainingmformnurses mtomworkmwith mpersons mwith mmentalm illnessmwas min m1882 matmMcLe
an m Hospitalm in m Belmont,mMassachusetts.!
15. Whatm is m meantmbymthemtermm revolvingmdoormeffectminmmentalmhealth mc
are?!m A) m An m overallmreduction m in m incidence m ofm severe m mentalm illness!
B) Shorterm and mmorem frequentm hospitalmstaysm formpersons mwithmsevere mand m
persistent!m mentalmillness!
C) Flexible m treatmentm settings m form mentallym ill!
D) Mostmeffective m and m leastm expensive m treatmentm settings!
Ans:mB!m Feedb
ack:!
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