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Psychiatric-Mentalh Healthh Nursingh 8thheditionh byhVidebeckh Testh Bank
Chapterh1
1. Theh nurseh ish assessingh theh factorsh contributingh toh theh well-
beingh ofh ah newlyh admittedhclient.h Whichh ofh theh followingh wouldh theh nurseh identifyh
ash havingh ah positiveh impacth onhthehindividual'sh mentalhhealth?
A) Noth needingh othersh forh companionship
B) Theh abilityh toh effectivelyh manageh stress
C) Ah familyh historyh ofh mentalh illness
D) Strivingh forh totalh self-
reliancehAns:h B
Feedback:
Individualh factorsh influencingh mentalh healthh includeh biologich makeup,h autonomy,h inde
pendence,h self-
esteem,h capacityh forh growth,h vitality,h abilityh toh findh meaningh inh life,hemotionalh resilie
nceh orh hardiness,h senseh ofh belonging,h realityh orientation,h andh copingh orhstressh manage
menth abilities.h Interpersonalh factorsh suchh ash intimacyh andh ah balanceh ofhseparatenessh a
ndh connectednessh areh bothh neededh forh goodh mentalh health,h andh thereforeh ahhealthyh per
sonh wouldh needh othersh forh companionship.h Ah familyh historyh ofh mentalh illnesshcouldh r
elateh toh theh biologich makeuph ofh anh individual,h whichh mayh haveh ah negativeh impacthonh
anh individual'sh mentalh health,h ash wellh ash ah negativeh impacth onh anh individual'shinterpers
onalh andh socialñculturalh factorsh ofh health.h Totalh self-
relianceh ish noth possible,handhahpositiveh social/culturalh factorh ishaccessh tohadequateh reso
urces.
2. Whichh ofh theh followingh statementsh abouth mentalh illnessh areh true?h Selecth allh thath apply.
A) Mentalh illnessh canh causeh significanth distress,h impairedh functioning,h orh both.
B) Mentalh illnessh ish onlyh dueh toh social/culturalh factors.
C) Social/culturalh factorsh thath relateh toh mentalh illnessh includeh excessiveh dependen
cyhonhorhwithdrawalhfromhrelationships.
D) Individualsh sufferingh fromh mentalh illnessh areh usuallyh ableh toh copeh effectivelyh
withhdailyhlife.
E) Individualsh sufferingh fromh mentalh illnessh mayh experienceh dissatisfactionh wi
thhrelationshipshandhself.
Ans:h A,h D,h E
Feedback:
Mentalh illnessh canh causeh significanth distress,h impairedh functioning,h orh both.h Mentalhill
nessh mayh beh relatedh toh individual,h interpersonal,h orh social/culturalh factors.h Excessiveh
dependencyh onh orh withdrawalh fromh relationshipsh areh interpersonalh factorsh thath relateh
toh mentalh illness.h Individualsh sufferingh fromh mentalh illnessh canh feelh overwhelmedh wit
hhdailyh life.h Individualsh sufferingh fromh mentalh illnessh mayh experienceh dissatisfaction
h withhrelationshipshandhself.
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,8/14/23,h10:54hPM Psychiatrichmentalhhealthhnursingh8thheditionhbyhvidebeckhtesthbank[h138
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3. Whichh ofh theh followingh areh trueh regardingh mentalh healthh andh mentalh illness?
A) Behaviorh thath mayh beh viewedh ash acceptableh inh oneh cultureh ish alwaysh unaccepta
blehinhotherhcultures.
B) Ith ish easyh toh determineh ifh ah personh ish mentallyh healthyh orh mentallyh ill.
C) Inh mosth cases,h mentalh healthh ish ah stateh ofh emotional,h psychological,h andh socia
lhwellnessh evidencedh byh satisfyingh interpersonalh relationships,h effectiveh beha
viorhandhcoping,hpositiveh self-concept,handh emotionalhstability.
D) Personsh whoh engageh inh fantasiesh areh mentallyh i
ll.hAns:h C
Feedback:
Whath oneh societyh mayh viewh ash acceptableh andh appropriateh behavior,h anotherh societyh
mayhseeh thath ash maladaptive,h andh inappropriate.h Mentalh healthh andh mentalh illnessh areh d
ifficulthtoh defineh precisely.h Inh mosth cases,h mentalh healthh ish ah stateh ofh emotional,h psych
ological,handh socialh wellnessh evidencedh byh satisfyingh interpersonalh relationships,h effect
ivehbehaviorh andh coping,h positiveh self-
concept,h andh emotionalh stability.h Personsh whoh engagehinh fantasiesh mayh beh mentallyh h
ealthy,h buth theh inabilityh toh distinguishh realityh fromh fantasyh ishanhindividualh factorhthath
mayhcontributehtoh mentalhillness.
4. Ah clienth grievingh theh recenth lossh ofh herh husbandh asksh ifh sheh ish becomingh mentall
yh illhbecausehshehishsohsad.hThehnurse'shbesthresponsehwouldhbe,
A) ìYouh mayh haveh ah temporaryh mentalh illnessh becauseh youh areh experiencingh soh m
uchhpain.î
B) ìYouh areh noth mentallyh ill.h Thish ish anh expectedh reactionh toh theh lossh youh
havehexperienced.î
C) ìWereh youh generallyh dissatisfiedh withh yourh relationshiph beforeh yourh husban
d'shdeath?î
D) ìTryh noth toh worryh abouth thath righth now.h Youh neverh knowh whath theh futureh brin
gs.îhAns:h B
Feedback:
Mentalh illnessh includesh generalh dissatisfactionh withh self,h ineffectiveh relationships,hineff
ectiveh coping,h andh lackh ofh personalh growth.h Additionallyh theh behaviorh musth noth behcu
lturallyh expected.h Acuteh griefh reactionsh arehexpectedh andh thereforeh noth consideredhme
ntalh illness.h Falseh reassuranceh orh overanalysish doesh noth accuratelyh addressh theh client'sh
concerns.
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,8/14/23,h10:54hPM Psychiatrichmentalhhealthhnursingh8thheditionhbyhvidebeckhtesthbank[h138
9]
5. Theh nurseh consultsh theh DSMh forh whichh ofh theh followingh purposes?
A) Toh deviseh ah planh ofh careh forh ah newlyh admittedh client
B) Toh predicth theh client'sh prognosish ofh treatmenth outcomes
C) Toh documenth theh appropriateh diagnostich codeh inh theh client'sh medicalh record
D) Toh serveh ash ah guideh forh clienth assessme
nthAns:h D
Feedback:
Theh DSMh providesh standardh nomenclature,h presentsh definingh characteristics,h andhident
ifiesh underlyingh causesh ofh mentalh disorders.h Ith doesh noth provideh careh plansh orhprognos
tich outcomesh ofh treatment.h Diagnosish ofh mentalh illnessh ish noth withinh theh generalisth R
N'sh scopeh ofh practice,h soh documentingh theh codeh inh theh medicalh recordh wouldhbehinapp
ropriate.
6. Whichh wouldhbeh ah reasonh forh ah studenth nurseh toh useh theh DSM?
A) Identifyingh theh medicalh diagnosis
B) Treath clients
C) Evaluateh treatments
D) Understandh theh reasonh forh theh admissionh andh theh natureh ofh psychiatrich illnes
ses.hAns:h D
Feedback:
Althoughh studenth nursesh doh noth useh theh DSMh toh diagnoseh clients,h theyh willh findh ith ah
helpfulh resourceh toh understandh theh reasonh forh theh admissionh andh toh beginh buildinghkn
owledgeh abouth theh natureh ofh psychiatrich illnesses.h Identifyingh theh medicalh diagnosis,ht
reating,h andh evaluatingh treatmentsh areh noth ah parth ofh theh nursingh process.
7. Theh legislationh enactedh inh 1963h wash largelyh responsibleh forh whichh ofh theh followingh s
hiftshinhcarehforhtheh mentallyh ill?
A) Theh widespreadh useh ofh community-basedh services
B) Theh advancementh inh pharmacotherapies
C) Increasedh accessh toh hospitalization
D) Improvedh rightsh forh clientsh inh long-
termh institutionalh carehAns:h A
Feedback:
Theh Communityh Mentalh Healthh Centersh Constructionh Acth ofh 1963h accomplishedh thehr
eleaseh ofh individualsh fromh long-
termh staysh inh stateh institutions,h theh decreaseh inhadmissionsh toh hospitals,h andh theh devel
opmenth ofh community-basedh servicesh ash anhalternativehtohhospitalhcare.
about:blank 3/334
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8. Whichh oneh ofh theh followingh ish ah resulth ofh federalh legislation?
A) Makingh ith easierh toh commith peopleh forh mentalh healthh treatmenth againsth theirh will.
B) Makingh ith moreh difficulth toh commith peopleh forh mentalh healthh treatmenth agai
nsththeirhwill.
C) Stateh mentalh institutionsh beingh theh primaryh sourceh ofh careh forh mentallyh illh persons.
D) Improvedh careh forh mentallyh illh person
s.hAns:h B
Feedback:
Commitmenth lawsh changedh inh theh earlyh 1970s,h makingh ith moreh difficulth toh commi
thpeopleh forh mentalh healthh treatmenth againsth theirh will.h Deinstitutionalizationhacco
mplishedh theh releaseh ofh individualsh fromh long-
termh staysh inh stateh institutions.hDeinstitutionalizationh alsoh hadh negativeh effectsh inh t
hath someh mentallyh illh personsh arehsubjectedh toh theh revolvingh doorh effect,h whichh m
ayh limith careh forh mentallyh illh persons.
9. Theh goalh ofh theh 1963h Communityh Mentalh Healthh Centersh Acth wash to
A) ensureh patients'h rightsh forh theh mentallyh ill.
B) deinstitutionalizeh stateh hospitals.
C) provideh fundsh toh buildh hospitalsh withh psychiatrich units.
D) treath peopleh withh mentalh illnessh inh ah humaneh fashio
n.hAns:h B
Feedback:
Theh 1963h Communityh Mentalh Healthh Centersh Acth intimatedh theh movementh toward
htreatingh thoseh withh mentalh illnessh inh ah lessh restrictiveh environment.h Thish legislatio
nhresultedh inh theh shifth ofh clientsh withh mentalh illnessh fromh largeh stateh institutionsh to
h carehbasedh inh theh community.h Answerh choicesh A,h C,h andh Dh wereh noth purposesh of
h theh 1963hCommunityhMentalh HealthhCentershAct.
10. Theh creationh ofh asylumsh duringh theh 1800sh wash meanth to
A) improveh treatmenth ofh mentalh disorders.
B) provideh foodh andh shelterh forh theh mentallyh ill.
C) punishh peopleh withh mentalh illnessh whoh wereh believedh toh beh possessed.
D) removeh dangeroush peopleh withh mentalh illnessh fromh theh communit
y.hAns:h B
Feedback:
Theh asylumh wash meanth toh beh ah safeh havenh withh food,h shelter,h andh humaneh treatment
h forhtheh mentallyh ill.h Asylumsh wereh noth usedh toh improveh treatmenth ofh mentalh disorde
rsh orh tohpunishh mentallyh illh peopleh whoh wereh believedh toh beh possessed.h Theh asylumh
wash nothcreatedhtoh removeh theh dangerouslyh mentallyh illh fromh thehcommunity.
about:blank 4/334
9]
Psychiatric-Mentalh Healthh Nursingh 8thheditionh byhVidebeckh Testh Bank
Chapterh1
1. Theh nurseh ish assessingh theh factorsh contributingh toh theh well-
beingh ofh ah newlyh admittedhclient.h Whichh ofh theh followingh wouldh theh nurseh identifyh
ash havingh ah positiveh impacth onhthehindividual'sh mentalhhealth?
A) Noth needingh othersh forh companionship
B) Theh abilityh toh effectivelyh manageh stress
C) Ah familyh historyh ofh mentalh illness
D) Strivingh forh totalh self-
reliancehAns:h B
Feedback:
Individualh factorsh influencingh mentalh healthh includeh biologich makeup,h autonomy,h inde
pendence,h self-
esteem,h capacityh forh growth,h vitality,h abilityh toh findh meaningh inh life,hemotionalh resilie
nceh orh hardiness,h senseh ofh belonging,h realityh orientation,h andh copingh orhstressh manage
menth abilities.h Interpersonalh factorsh suchh ash intimacyh andh ah balanceh ofhseparatenessh a
ndh connectednessh areh bothh neededh forh goodh mentalh health,h andh thereforeh ahhealthyh per
sonh wouldh needh othersh forh companionship.h Ah familyh historyh ofh mentalh illnesshcouldh r
elateh toh theh biologich makeuph ofh anh individual,h whichh mayh haveh ah negativeh impacthonh
anh individual'sh mentalh health,h ash wellh ash ah negativeh impacth onh anh individual'shinterpers
onalh andh socialñculturalh factorsh ofh health.h Totalh self-
relianceh ish noth possible,handhahpositiveh social/culturalh factorh ishaccessh tohadequateh reso
urces.
2. Whichh ofh theh followingh statementsh abouth mentalh illnessh areh true?h Selecth allh thath apply.
A) Mentalh illnessh canh causeh significanth distress,h impairedh functioning,h orh both.
B) Mentalh illnessh ish onlyh dueh toh social/culturalh factors.
C) Social/culturalh factorsh thath relateh toh mentalh illnessh includeh excessiveh dependen
cyhonhorhwithdrawalhfromhrelationships.
D) Individualsh sufferingh fromh mentalh illnessh areh usuallyh ableh toh copeh effectivelyh
withhdailyhlife.
E) Individualsh sufferingh fromh mentalh illnessh mayh experienceh dissatisfactionh wi
thhrelationshipshandhself.
Ans:h A,h D,h E
Feedback:
Mentalh illnessh canh causeh significanth distress,h impairedh functioning,h orh both.h Mentalhill
nessh mayh beh relatedh toh individual,h interpersonal,h orh social/culturalh factors.h Excessiveh
dependencyh onh orh withdrawalh fromh relationshipsh areh interpersonalh factorsh thath relateh
toh mentalh illness.h Individualsh sufferingh fromh mentalh illnessh canh feelh overwhelmedh wit
hhdailyh life.h Individualsh sufferingh fromh mentalh illnessh mayh experienceh dissatisfaction
h withhrelationshipshandhself.
about:blank 1/334
,8/14/23,h10:54hPM Psychiatrichmentalhhealthhnursingh8thheditionhbyhvidebeckhtesthbank[h138
9]
3. Whichh ofh theh followingh areh trueh regardingh mentalh healthh andh mentalh illness?
A) Behaviorh thath mayh beh viewedh ash acceptableh inh oneh cultureh ish alwaysh unaccepta
blehinhotherhcultures.
B) Ith ish easyh toh determineh ifh ah personh ish mentallyh healthyh orh mentallyh ill.
C) Inh mosth cases,h mentalh healthh ish ah stateh ofh emotional,h psychological,h andh socia
lhwellnessh evidencedh byh satisfyingh interpersonalh relationships,h effectiveh beha
viorhandhcoping,hpositiveh self-concept,handh emotionalhstability.
D) Personsh whoh engageh inh fantasiesh areh mentallyh i
ll.hAns:h C
Feedback:
Whath oneh societyh mayh viewh ash acceptableh andh appropriateh behavior,h anotherh societyh
mayhseeh thath ash maladaptive,h andh inappropriate.h Mentalh healthh andh mentalh illnessh areh d
ifficulthtoh defineh precisely.h Inh mosth cases,h mentalh healthh ish ah stateh ofh emotional,h psych
ological,handh socialh wellnessh evidencedh byh satisfyingh interpersonalh relationships,h effect
ivehbehaviorh andh coping,h positiveh self-
concept,h andh emotionalh stability.h Personsh whoh engagehinh fantasiesh mayh beh mentallyh h
ealthy,h buth theh inabilityh toh distinguishh realityh fromh fantasyh ishanhindividualh factorhthath
mayhcontributehtoh mentalhillness.
4. Ah clienth grievingh theh recenth lossh ofh herh husbandh asksh ifh sheh ish becomingh mentall
yh illhbecausehshehishsohsad.hThehnurse'shbesthresponsehwouldhbe,
A) ìYouh mayh haveh ah temporaryh mentalh illnessh becauseh youh areh experiencingh soh m
uchhpain.î
B) ìYouh areh noth mentallyh ill.h Thish ish anh expectedh reactionh toh theh lossh youh
havehexperienced.î
C) ìWereh youh generallyh dissatisfiedh withh yourh relationshiph beforeh yourh husban
d'shdeath?î
D) ìTryh noth toh worryh abouth thath righth now.h Youh neverh knowh whath theh futureh brin
gs.îhAns:h B
Feedback:
Mentalh illnessh includesh generalh dissatisfactionh withh self,h ineffectiveh relationships,hineff
ectiveh coping,h andh lackh ofh personalh growth.h Additionallyh theh behaviorh musth noth behcu
lturallyh expected.h Acuteh griefh reactionsh arehexpectedh andh thereforeh noth consideredhme
ntalh illness.h Falseh reassuranceh orh overanalysish doesh noth accuratelyh addressh theh client'sh
concerns.
about:blank 2/334
,8/14/23,h10:54hPM Psychiatrichmentalhhealthhnursingh8thheditionhbyhvidebeckhtesthbank[h138
9]
5. Theh nurseh consultsh theh DSMh forh whichh ofh theh followingh purposes?
A) Toh deviseh ah planh ofh careh forh ah newlyh admittedh client
B) Toh predicth theh client'sh prognosish ofh treatmenth outcomes
C) Toh documenth theh appropriateh diagnostich codeh inh theh client'sh medicalh record
D) Toh serveh ash ah guideh forh clienth assessme
nthAns:h D
Feedback:
Theh DSMh providesh standardh nomenclature,h presentsh definingh characteristics,h andhident
ifiesh underlyingh causesh ofh mentalh disorders.h Ith doesh noth provideh careh plansh orhprognos
tich outcomesh ofh treatment.h Diagnosish ofh mentalh illnessh ish noth withinh theh generalisth R
N'sh scopeh ofh practice,h soh documentingh theh codeh inh theh medicalh recordh wouldhbehinapp
ropriate.
6. Whichh wouldhbeh ah reasonh forh ah studenth nurseh toh useh theh DSM?
A) Identifyingh theh medicalh diagnosis
B) Treath clients
C) Evaluateh treatments
D) Understandh theh reasonh forh theh admissionh andh theh natureh ofh psychiatrich illnes
ses.hAns:h D
Feedback:
Althoughh studenth nursesh doh noth useh theh DSMh toh diagnoseh clients,h theyh willh findh ith ah
helpfulh resourceh toh understandh theh reasonh forh theh admissionh andh toh beginh buildinghkn
owledgeh abouth theh natureh ofh psychiatrich illnesses.h Identifyingh theh medicalh diagnosis,ht
reating,h andh evaluatingh treatmentsh areh noth ah parth ofh theh nursingh process.
7. Theh legislationh enactedh inh 1963h wash largelyh responsibleh forh whichh ofh theh followingh s
hiftshinhcarehforhtheh mentallyh ill?
A) Theh widespreadh useh ofh community-basedh services
B) Theh advancementh inh pharmacotherapies
C) Increasedh accessh toh hospitalization
D) Improvedh rightsh forh clientsh inh long-
termh institutionalh carehAns:h A
Feedback:
Theh Communityh Mentalh Healthh Centersh Constructionh Acth ofh 1963h accomplishedh thehr
eleaseh ofh individualsh fromh long-
termh staysh inh stateh institutions,h theh decreaseh inhadmissionsh toh hospitals,h andh theh devel
opmenth ofh community-basedh servicesh ash anhalternativehtohhospitalhcare.
about:blank 3/334
, 8/14/23,h10:54hPM Psychiatrichmentalhhealthhnursingh8thheditionhbyhvidebeckhtesthbank[h138
9]
8. Whichh oneh ofh theh followingh ish ah resulth ofh federalh legislation?
A) Makingh ith easierh toh commith peopleh forh mentalh healthh treatmenth againsth theirh will.
B) Makingh ith moreh difficulth toh commith peopleh forh mentalh healthh treatmenth agai
nsththeirhwill.
C) Stateh mentalh institutionsh beingh theh primaryh sourceh ofh careh forh mentallyh illh persons.
D) Improvedh careh forh mentallyh illh person
s.hAns:h B
Feedback:
Commitmenth lawsh changedh inh theh earlyh 1970s,h makingh ith moreh difficulth toh commi
thpeopleh forh mentalh healthh treatmenth againsth theirh will.h Deinstitutionalizationhacco
mplishedh theh releaseh ofh individualsh fromh long-
termh staysh inh stateh institutions.hDeinstitutionalizationh alsoh hadh negativeh effectsh inh t
hath someh mentallyh illh personsh arehsubjectedh toh theh revolvingh doorh effect,h whichh m
ayh limith careh forh mentallyh illh persons.
9. Theh goalh ofh theh 1963h Communityh Mentalh Healthh Centersh Acth wash to
A) ensureh patients'h rightsh forh theh mentallyh ill.
B) deinstitutionalizeh stateh hospitals.
C) provideh fundsh toh buildh hospitalsh withh psychiatrich units.
D) treath peopleh withh mentalh illnessh inh ah humaneh fashio
n.hAns:h B
Feedback:
Theh 1963h Communityh Mentalh Healthh Centersh Acth intimatedh theh movementh toward
htreatingh thoseh withh mentalh illnessh inh ah lessh restrictiveh environment.h Thish legislatio
nhresultedh inh theh shifth ofh clientsh withh mentalh illnessh fromh largeh stateh institutionsh to
h carehbasedh inh theh community.h Answerh choicesh A,h C,h andh Dh wereh noth purposesh of
h theh 1963hCommunityhMentalh HealthhCentershAct.
10. Theh creationh ofh asylumsh duringh theh 1800sh wash meanth to
A) improveh treatmenth ofh mentalh disorders.
B) provideh foodh andh shelterh forh theh mentallyh ill.
C) punishh peopleh withh mentalh illnessh whoh wereh believedh toh beh possessed.
D) removeh dangeroush peopleh withh mentalh illnessh fromh theh communit
y.hAns:h B
Feedback:
Theh asylumh wash meanth toh beh ah safeh havenh withh food,h shelter,h andh humaneh treatment
h forhtheh mentallyh ill.h Asylumsh wereh noth usedh toh improveh treatmenth ofh mentalh disorde
rsh orh tohpunishh mentallyh illh peopleh whoh wereh believedh toh beh possessed.h Theh asylumh
wash nothcreatedhtoh removeh theh dangerouslyh mentallyh illh fromh thehcommunity.
about:blank 4/334
