Test Bank For Psychiatric Mental Health Nursin
n n n n n n
g 9th Edition By Videbeck
n n n n
Psychiatric-MentalnHealthnNursingn9thneditionnbynVidebecknTestnBank
Chaptern1nF
eedback:
Individualnfactorsninfluencingnmentalnhealthnincludenbiologicnmakeup,nautonomy,nindepe
ndence,nself-
esteem,ncapacitynforngrowth,nvitality,nabilityntonfindnmeaningninnlife,nemotionalnresiliencen
ornhardiness,nsensenofnbelonging,nrealitynorientation,nandncopingnornstressnmanagementnab
ilities.nInterpersonalnfactorsnsuchnasnintimacynandnanbalancenofnseparatenessnandnconnecte
dnessnarenbothnneedednforngoodnmentalnhealth,nandnthereforenanhealthynpersonnwouldnneedn
othersnforncompanionship.nAnfamilynhistorynofnmentalnillnessncouldnrelatentonthenbiologicn
makeupnofnannindividual,nwhichnmaynhavenannegativenimpactnonnannindividual'snmentalnhe
alth,nasnwellnasnannegativenimpactnonnannindividual'sninterpersonalnandnsocialñculturalnfact
orsnofnhealth.nTotalnself-
reliancenisnnotnpossible,nandnanpositivensocial/culturalnfactornisnaccessntonadequatenresourc
es.
2. Whichnofnthenfollowingnstatementsnaboutnmentalnillnessnarentrue?nSelectnallnthatnapply.
A) Mentalnillnessncanncausensignificantndistress,nimpairednfunctioning,nornboth.
B) Mentalnillnessnisnonlynduentonsocial/culturalnfactors.
C) Social/culturalnfactorsnthatnrelatentonmentalnillnessnincludenexcessivendependencyn
onnornwithdrawalnfromnrelationships.
D) Individualsnsufferingnfromnmentalnillnessnarenusuallynablentoncopeneffectivelynwithn
dailynlife.
E) Individualsnsufferingnfromnmentalnillnessnmaynexperiencendissatisfactionnwithn
relationshipsnandnself.
Ans:n A,nD,nE
Feedback:
Mentalnillnessncanncausensignificantndistress,nimpairednfunctioning,nornboth.nMentalnillnes
snmaynbenrelatedntonindividual,ninterpersonal,nornsocial/culturalnfactors.nExcessivendepend
encynonnornwithdrawalnfromnrelationshipsnareninterpersonalnfactorsnthatnrelatentonmentalnil
lness.nIndividualsnsufferingnfromnmentalnillnessncannfeelnoverwhelmednwithndailynlife.nInd
ividualsnsufferingnfromnmentalnillnessnmaynexperiencendissatisfactionnwithnrelationshipsna
ndnself.
Pagen 1
,3. Whichnofnthenfollowingnarentruenregardingnmentalnhealthnandnmentalnillness?
A) Behaviornthatnmaynbenviewednasnacceptableninnonenculturenisnalwaysnunacceptableni
nnotherncultures.
B) Itnisneasyntondeterminenifnanpersonnisnmentallynhealthynornmentallynill.
C) Innmostncases,nmentalnhealthnisnanstatenofnemotional,npsychological,nandnsocialnw
ellnessnevidencednbynsatisfyingninterpersonalnrelationships,neffectivenbehaviornan
dncoping,npositivenself-concept,nandnemotionalnstability.
D) Personsnwhonengageninnfantasiesnarenmentallynill.n
Ans:n C
Feedback:
Whatnonensocietynmaynviewnasnacceptablenandnappropriatenbehavior,nanothernsocietynmayns
eenthatnasnmaladaptive,nandninappropriate.nMentalnhealthnandnmentalnillnessnarendifficultnton
definenprecisely.nInnmostncases,nmentalnhealthnisnanstatenofnemotional,npsychological,nandns
ocialnwellnessnevidencednbynsatisfyingninterpersonalnrelationships,neffectivenbehaviornandn
coping,npositivenself-
concept,nandnemotionalnstability.nPersonsnwhonengageninnfantasiesnmaynbenmentallynhealth
y,nbutntheninabilityntondistinguishnrealitynfromnfantasynisnannindividualnfactornthatnmayncontr
ibutentonmentalnillness.
4. Anclientngrievingnthenrecentnlossnofnhernhusbandnasksnifnshenisnbecomingnmentallynillnb
ecausenshenisnsonsad.nThennurse'snbestnresponsenwouldnbe,
A) ìYounmaynhavenantemporarynmentalnillnessnbecausenyounarenexperiencingnsonmuchn
pain.î
B) ìYounarennotnmentallynill.nThisnisnannexpectednreactionntonthenlossnyounhavene
xperienced.î
C) ìWerenyoungenerallyndissatisfiednwithnyournrelationshipnbeforenyournhusband'sn
death?î
D) ìTrynnotntonworrynaboutnthatnrightnnow.nYounnevernknownwhatnthenfuturenbrings.în
Ans:n B
Feedback:
Mentalnillnessnincludesngeneralndissatisfactionnwithnself,nineffectivenrelationships,nineffe
ctivencoping,nandnlacknofnpersonalngrowth.nAdditionallynthenbehaviornmustnnotnbencultural
lynexpected.nAcutengriefnreactionsnarenexpectednandnthereforennotnconsiderednmentalnillne
ss.nFalsenreassurancenornoveranalysisndoesnnotnaccuratelynaddressnthenclient'snconcerns.
,5. ThennursenconsultsnthenDSMnfornwhichnofnthenfollowingnpurposes?
A) Tondevisenanplannofncarenfornannewlynadmittedn client
B) Tonpredictnthenclient'snprognosisnofntreatmentnoutcomes
C) Tondocumentnthenappropriatendiagnosticncodeninnthenclient'snmedicalnrecord
D) Tonservenasnanguidenfornclientnassessmentn
Ans:n D
Feedback:
ThenDSMnprovidesnstandardnnomenclature,npresentsndefiningncharacteristics,nandnidentifi
esnunderlyingncausesnofnmentalndisorders.nItndoesnnotnprovidencarenplansnornprognosticnout
comesnofntreatment.nDiagnosisnofnmentalnillnessnisnnotnwithinnthengeneralistnRN'snscopenof
npractice,nsondocumentingnthencodeninnthenmedicalnrecordnwouldnbeninappropriate.
6. WhichnwouldnbenanreasonnfornanstudentnnursentonusenthenDSM?
A) Identifyingnthenmedicalndiagnosis
B) Treatnclients
C) Evaluatentreatments
D) Understandnthenreasonnfornthenadmissionnandnthennaturenofnpsychiatricnillnesses.n
Ans:n D
Feedback:
AlthoughnstudentnnursesndonnotnusenthenDSMntondiagnosenclients,ntheynwillnfindnitnanhelpf
ulnresourcentonunderstandnthenreasonnfornthenadmissionnandntonbeginnbuildingnknowledgena
boutnthennaturenofnpsychiatricnillnesses.nIdentifyingnthenmedicalndiagnosis,ntreating,nandnev
aluatingntreatmentsnarennotnanpartnofnthennursingnprocess.
7. Thenlegislationnenactedninn1963nwasnlargelynresponsiblenfornwhichnofnthenfollowingnshiftsni
nncarenfornthenmentallynill?
A) Thenwidespreadnusenofncommunity-basednservices
B) Thenadvancementninnpharmacotherapies
C) Increasednaccessntonhospitalization
D) Improvednrightsnfornclientsninnlong-
termninstitutionalncarenAns:n A
Feedback:
ThenCommunitynMentalnHealthnCentersnConstructionnActnofn1963naccomplishednthenrelea
senofnindividualsnfromnlong-
termnstaysninnstateninstitutions,nthendecreaseninnadmissionsntonhospitals,nandnthendevelopm
entnofncommunity-basednservicesnasnannalternativentonhospitalncare.
Pagen 3
, 8. Whichnonenofnthenfollowingnisnanresultnofnfederalnlegislation?
A) Makingnitneasierntoncommitnpeoplenfornmentalnhealthntreatmentnagainstntheirnwill.
B) Makingnitnmorendifficultntoncommitnpeoplenfornmentalnhealthntreatmentnagainstnt
heirnwill.
C) Statenmentalninstitutionsnbeingnthenprimarynsourcenofncarenfornmentallynillnpersons.
D) Improvedncarenfornmentallynillnpersons.n
Ans:n B
Feedback:
Commitmentnlawsnchangedninnthenearlyn1970s,nmakingnitnmorendifficultntoncommitnpeople
nfornmentalnhealthntreatmentnagainstntheirnwill.nDeinstitutionalizationnaccomplishednthenre
leasenofnindividualsnfromnlong-
termnstaysninnstateninstitutions.nDeinstitutionalizationnalsonhadnnegativeneffectsninnthatnso
menmentallynillnpersonsnarensubjectedntonthenrevolvingndoorneffect,nwhichnmaynlimitncarenf
ornmentallynillnpersons.
9. Thengoalnofnthen1963nCommunitynMentalnHealthnCentersnActnwasnto
A) ensurenpatients'nrightsnfornthenmentallynill.
B) deinstitutionalizenstatenhospitals.
C) providenfundsntonbuildnhospitalsnwithnpsychiatricnunits.
D) treatnpeoplenwithnmentalnillnessninnanhumanenfashion.n
Ans:n B
Feedback:
Then1963nCommunitynMentalnHealthnCentersnActnintimatednthenmovementntowardntreati
ngnthosenwithnmentalnillnessninnanlessnrestrictivenenvironment.nThisnlegislationnresultedninn
thenshiftnofnclientsnwithnmentalnillnessnfromnlargenstateninstitutionsntoncarenbasedninnthenco
mmunity.nAnswernchoicesnA,nC,nandnDnwerennotnpurposesnofnthen1963nCommunitynMenta
lnHealthnCentersnAct.
10. Thencreationnofnasylumsnduringnthen1800snwasnmeantnto
A) improventreatmentnofnmentalndisorders.
B) providenfoodnandnshelternfornthenmentallynill.
C) punishnpeoplenwithnmentalnillnessnwhonwerenbelievedntonbenpossessed.
D) removendangerousnpeoplenwithnmentalnillnessnfromnthencommunity.n
Ans:n B
Feedback:
Thenasylumnwasnmeantntonbenansafenhavennwithnfood,nshelter,nandnhumanentreatmentnfornth
enmentallynill.nAsylumsnwerennotnusedntonimproventreatmentnofnmentalndisordersnorntonpuni
shnmentallynillnpeoplenwhonwerenbelievedntonbenpossessed.nThenasylumnwasnnotncreatednto
nremoventhendangerouslyn mentallynillnfromnthencommunity.
Pagen 4
n n n n n n
g 9th Edition By Videbeck
n n n n
Psychiatric-MentalnHealthnNursingn9thneditionnbynVidebecknTestnBank
Chaptern1nF
eedback:
Individualnfactorsninfluencingnmentalnhealthnincludenbiologicnmakeup,nautonomy,nindepe
ndence,nself-
esteem,ncapacitynforngrowth,nvitality,nabilityntonfindnmeaningninnlife,nemotionalnresiliencen
ornhardiness,nsensenofnbelonging,nrealitynorientation,nandncopingnornstressnmanagementnab
ilities.nInterpersonalnfactorsnsuchnasnintimacynandnanbalancenofnseparatenessnandnconnecte
dnessnarenbothnneedednforngoodnmentalnhealth,nandnthereforenanhealthynpersonnwouldnneedn
othersnforncompanionship.nAnfamilynhistorynofnmentalnillnessncouldnrelatentonthenbiologicn
makeupnofnannindividual,nwhichnmaynhavenannegativenimpactnonnannindividual'snmentalnhe
alth,nasnwellnasnannegativenimpactnonnannindividual'sninterpersonalnandnsocialñculturalnfact
orsnofnhealth.nTotalnself-
reliancenisnnotnpossible,nandnanpositivensocial/culturalnfactornisnaccessntonadequatenresourc
es.
2. Whichnofnthenfollowingnstatementsnaboutnmentalnillnessnarentrue?nSelectnallnthatnapply.
A) Mentalnillnessncanncausensignificantndistress,nimpairednfunctioning,nornboth.
B) Mentalnillnessnisnonlynduentonsocial/culturalnfactors.
C) Social/culturalnfactorsnthatnrelatentonmentalnillnessnincludenexcessivendependencyn
onnornwithdrawalnfromnrelationships.
D) Individualsnsufferingnfromnmentalnillnessnarenusuallynablentoncopeneffectivelynwithn
dailynlife.
E) Individualsnsufferingnfromnmentalnillnessnmaynexperiencendissatisfactionnwithn
relationshipsnandnself.
Ans:n A,nD,nE
Feedback:
Mentalnillnessncanncausensignificantndistress,nimpairednfunctioning,nornboth.nMentalnillnes
snmaynbenrelatedntonindividual,ninterpersonal,nornsocial/culturalnfactors.nExcessivendepend
encynonnornwithdrawalnfromnrelationshipsnareninterpersonalnfactorsnthatnrelatentonmentalnil
lness.nIndividualsnsufferingnfromnmentalnillnessncannfeelnoverwhelmednwithndailynlife.nInd
ividualsnsufferingnfromnmentalnillnessnmaynexperiencendissatisfactionnwithnrelationshipsna
ndnself.
Pagen 1
,3. Whichnofnthenfollowingnarentruenregardingnmentalnhealthnandnmentalnillness?
A) Behaviornthatnmaynbenviewednasnacceptableninnonenculturenisnalwaysnunacceptableni
nnotherncultures.
B) Itnisneasyntondeterminenifnanpersonnisnmentallynhealthynornmentallynill.
C) Innmostncases,nmentalnhealthnisnanstatenofnemotional,npsychological,nandnsocialnw
ellnessnevidencednbynsatisfyingninterpersonalnrelationships,neffectivenbehaviornan
dncoping,npositivenself-concept,nandnemotionalnstability.
D) Personsnwhonengageninnfantasiesnarenmentallynill.n
Ans:n C
Feedback:
Whatnonensocietynmaynviewnasnacceptablenandnappropriatenbehavior,nanothernsocietynmayns
eenthatnasnmaladaptive,nandninappropriate.nMentalnhealthnandnmentalnillnessnarendifficultnton
definenprecisely.nInnmostncases,nmentalnhealthnisnanstatenofnemotional,npsychological,nandns
ocialnwellnessnevidencednbynsatisfyingninterpersonalnrelationships,neffectivenbehaviornandn
coping,npositivenself-
concept,nandnemotionalnstability.nPersonsnwhonengageninnfantasiesnmaynbenmentallynhealth
y,nbutntheninabilityntondistinguishnrealitynfromnfantasynisnannindividualnfactornthatnmayncontr
ibutentonmentalnillness.
4. Anclientngrievingnthenrecentnlossnofnhernhusbandnasksnifnshenisnbecomingnmentallynillnb
ecausenshenisnsonsad.nThennurse'snbestnresponsenwouldnbe,
A) ìYounmaynhavenantemporarynmentalnillnessnbecausenyounarenexperiencingnsonmuchn
pain.î
B) ìYounarennotnmentallynill.nThisnisnannexpectednreactionntonthenlossnyounhavene
xperienced.î
C) ìWerenyoungenerallyndissatisfiednwithnyournrelationshipnbeforenyournhusband'sn
death?î
D) ìTrynnotntonworrynaboutnthatnrightnnow.nYounnevernknownwhatnthenfuturenbrings.în
Ans:n B
Feedback:
Mentalnillnessnincludesngeneralndissatisfactionnwithnself,nineffectivenrelationships,nineffe
ctivencoping,nandnlacknofnpersonalngrowth.nAdditionallynthenbehaviornmustnnotnbencultural
lynexpected.nAcutengriefnreactionsnarenexpectednandnthereforennotnconsiderednmentalnillne
ss.nFalsenreassurancenornoveranalysisndoesnnotnaccuratelynaddressnthenclient'snconcerns.
,5. ThennursenconsultsnthenDSMnfornwhichnofnthenfollowingnpurposes?
A) Tondevisenanplannofncarenfornannewlynadmittedn client
B) Tonpredictnthenclient'snprognosisnofntreatmentnoutcomes
C) Tondocumentnthenappropriatendiagnosticncodeninnthenclient'snmedicalnrecord
D) Tonservenasnanguidenfornclientnassessmentn
Ans:n D
Feedback:
ThenDSMnprovidesnstandardnnomenclature,npresentsndefiningncharacteristics,nandnidentifi
esnunderlyingncausesnofnmentalndisorders.nItndoesnnotnprovidencarenplansnornprognosticnout
comesnofntreatment.nDiagnosisnofnmentalnillnessnisnnotnwithinnthengeneralistnRN'snscopenof
npractice,nsondocumentingnthencodeninnthenmedicalnrecordnwouldnbeninappropriate.
6. WhichnwouldnbenanreasonnfornanstudentnnursentonusenthenDSM?
A) Identifyingnthenmedicalndiagnosis
B) Treatnclients
C) Evaluatentreatments
D) Understandnthenreasonnfornthenadmissionnandnthennaturenofnpsychiatricnillnesses.n
Ans:n D
Feedback:
AlthoughnstudentnnursesndonnotnusenthenDSMntondiagnosenclients,ntheynwillnfindnitnanhelpf
ulnresourcentonunderstandnthenreasonnfornthenadmissionnandntonbeginnbuildingnknowledgena
boutnthennaturenofnpsychiatricnillnesses.nIdentifyingnthenmedicalndiagnosis,ntreating,nandnev
aluatingntreatmentsnarennotnanpartnofnthennursingnprocess.
7. Thenlegislationnenactedninn1963nwasnlargelynresponsiblenfornwhichnofnthenfollowingnshiftsni
nncarenfornthenmentallynill?
A) Thenwidespreadnusenofncommunity-basednservices
B) Thenadvancementninnpharmacotherapies
C) Increasednaccessntonhospitalization
D) Improvednrightsnfornclientsninnlong-
termninstitutionalncarenAns:n A
Feedback:
ThenCommunitynMentalnHealthnCentersnConstructionnActnofn1963naccomplishednthenrelea
senofnindividualsnfromnlong-
termnstaysninnstateninstitutions,nthendecreaseninnadmissionsntonhospitals,nandnthendevelopm
entnofncommunity-basednservicesnasnannalternativentonhospitalncare.
Pagen 3
, 8. Whichnonenofnthenfollowingnisnanresultnofnfederalnlegislation?
A) Makingnitneasierntoncommitnpeoplenfornmentalnhealthntreatmentnagainstntheirnwill.
B) Makingnitnmorendifficultntoncommitnpeoplenfornmentalnhealthntreatmentnagainstnt
heirnwill.
C) Statenmentalninstitutionsnbeingnthenprimarynsourcenofncarenfornmentallynillnpersons.
D) Improvedncarenfornmentallynillnpersons.n
Ans:n B
Feedback:
Commitmentnlawsnchangedninnthenearlyn1970s,nmakingnitnmorendifficultntoncommitnpeople
nfornmentalnhealthntreatmentnagainstntheirnwill.nDeinstitutionalizationnaccomplishednthenre
leasenofnindividualsnfromnlong-
termnstaysninnstateninstitutions.nDeinstitutionalizationnalsonhadnnegativeneffectsninnthatnso
menmentallynillnpersonsnarensubjectedntonthenrevolvingndoorneffect,nwhichnmaynlimitncarenf
ornmentallynillnpersons.
9. Thengoalnofnthen1963nCommunitynMentalnHealthnCentersnActnwasnto
A) ensurenpatients'nrightsnfornthenmentallynill.
B) deinstitutionalizenstatenhospitals.
C) providenfundsntonbuildnhospitalsnwithnpsychiatricnunits.
D) treatnpeoplenwithnmentalnillnessninnanhumanenfashion.n
Ans:n B
Feedback:
Then1963nCommunitynMentalnHealthnCentersnActnintimatednthenmovementntowardntreati
ngnthosenwithnmentalnillnessninnanlessnrestrictivenenvironment.nThisnlegislationnresultedninn
thenshiftnofnclientsnwithnmentalnillnessnfromnlargenstateninstitutionsntoncarenbasedninnthenco
mmunity.nAnswernchoicesnA,nC,nandnDnwerennotnpurposesnofnthen1963nCommunitynMenta
lnHealthnCentersnAct.
10. Thencreationnofnasylumsnduringnthen1800snwasnmeantnto
A) improventreatmentnofnmentalndisorders.
B) providenfoodnandnshelternfornthenmentallynill.
C) punishnpeoplenwithnmentalnillnessnwhonwerenbelievedntonbenpossessed.
D) removendangerousnpeoplenwithnmentalnillnessnfromnthencommunity.n
Ans:n B
Feedback:
Thenasylumnwasnmeantntonbenansafenhavennwithnfood,nshelter,nandnhumanentreatmentnfornth
enmentallynill.nAsylumsnwerennotnusedntonimproventreatmentnofnmentalndisordersnorntonpuni
shnmentallynillnpeoplenwhonwerenbelievedntonbenpossessed.nThenasylumnwasnnotncreatednto
nremoventhendangerouslyn mentallynillnfromnthencommunity.
Pagen 4
