7/13/23,l1:33lPM Psychiatriclmentallhealthlnursingl8thleditionlbylvidebeckltestlbank[l1389]
Psychiatric-
MentallHealthlNursingl8thleditionlbylVidebecklTestlBankl Chapterl1
1. Thelnurselislassessinglthelfactorslcontributingltolthelwell-
beingloflalnewlyladmittedl client.lWhichloflthelfollowinglwouldlthelnurselidentifylaslha
vinglalpositivelimpactlonl thelindividual'slmentallhealth?
A) Notlneedingl othersl forlcompanionship
B) Thelabilityl toleffectivelyl managelstress
C) Al familyl historylofl mentall illness
D) Strivinglforltotallself-
reliancel Ans:lB
Feedback:
Individuallfactorslinfluencinglmentallhealthlincludelbiologiclmakeup,lautonomy,l indepe
ndence,lself-
esteem,lcapacitylforlgrowth,lvitality,labilityltolfindlmeaninglinllife,l emotionallresiliencel
orlhardiness,lsenseloflbelonging,lrealitylorientation,landlcopinglorl stresslmanagementlab
ilities.lInterpersonallfactorslsuchlaslintimacylandlalbalancelofl separatenesslandlconnecte
dnesslarelbothlneededlforlgoodlmentallhealth,landlthereforelal healthylpersonlwouldlneedl
otherslforlcompanionship.lAlfamilylhistoryloflmentallillnessl couldlrelateltolthelbiologicl
makeuploflanlindividual,lwhichlmaylhavelalnegativelimpactl onlanlindividual'slmentallhe
alth,laslwelllaslalnegativelimpactlonlanlindividual'sl interpersonallandlsocialñculturallfact
orsloflhealth.lTotallself-
reliancelislnotlpossible,l andlalpositivelsocial/culturallfactorlislaccessltoladequatelresourc
es.
2. Whichloflthel followinglstatementslaboutl mentall illnesslareltrue?lSelectlalllthatlapply.
A) Mentall illnesslcanlcauselsignificantldistress,limpairedl functioning,lorl both.
B) Mentall illnesslislonlyldueltolsocial/culturall factors.
C) Social/culturallfactorslthatlrelateltolmentallillnesslincludelexcessiveldependencyl
onlorlwithdrawallfromlrelationships.
D) Individualslsufferinglfroml mentallillnesslarelusuallylableltolcopeleffectivelylwithl d
ailyllife.
E) Individualslsufferinglfroml mentallillnesslmaylexperienceldissatisfactionlwithl r
elationshipslandlself.
Ans:l A,lD,lE
Feedback:
Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.lMentall illnes
slmaylbelrelatedltolindividual,linterpersonal,lorlsocial/culturallfactors.lExcessivel depend
encylonlorlwithdrawallfromlrelationshipslarelinterpersonallfactorslthatlrelateltol mentallill
ness.lIndividualslsufferinglfromlmentallillnesslcanlfeelloverwhelmedlwithl dailyllife.lIndi
vidualslsufferinglfroml mentallillnesslmaylexperienceldissatisfactionlwithl relationships la
ndlself.
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3. Whichloflthel followinglareltruel regardingl mentall healthlandl mentall illness?
A) Behaviorlthatlmaylbelviewedlaslacceptablelinlonelculturelislalwayslunacceptablel i
nlotherlcultures.
B) Itlisleasyltoldeterminel iflalpersonl isl mentallyl healthylorl mentallyl ill.
C) Inlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,landlsociall we
llnesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorl and
lcoping,lpositivelself-concept,landlemotionallstability.
D) Personslwholengagelinlfantasieslarelmentallylill.l
Ans:lC
Feedback:
Whatlonelsocietylmaylviewlaslacceptablelandlappropriatelbehavior,lanotherlsocietylmayl s
eelthatlaslmaladaptive,landlinappropriate.lMentallhealthlandlmentallillnesslareldifficultl tol
definelprecisely.lInlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,l andls
ociallwellnesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivel behaviorland
lcoping,lpositivelself-
concept,landlemotionallstability.lPersonslwholengagel inlfantasieslmaylbelmentallylhealth
y,lbutlthelinabilityltoldistinguishlrealitylfromlfantasyl islanlindividuallfactorlthatlmaylcontr
ibuteltolmentallillness.
4. Alclientlgrievinglthelrecentllossloflherlhusbandlasksliflshelislbecominglmentallylilll b
ecauselshelislsolsad.lThelnurse'slbestlresponselwouldlbe,
A) ìYoulmaylhavelaltemporarylmentallillnesslbecauselyoularelexperiencinglsolmuchl p
ain.î
B) ìYoularelnotlmentallylill.lThislislanlexpectedlreactionltolthellosslyoulhavel e
xperienced.î
C) ìWerelyoulgenerallyldissatisfiedlwithlyourlrelationshiplbeforelyourlhusband'sl
death?î
D) ìTrylnotltolworrylaboutlthatlrightlnow.lYoulneverlknowlwhatlthelfuturelbrings.îl A
ns:lB
Feedback:
Mentallillnesslincludeslgeneralldissatisfactionlwithlself,lineffectivelrelationships,l ineffec
tivelcoping,landllackloflpersonallgrowth.lAdditionallylthelbehaviorlmustlnotlbel culturall
ylexpected.lAcutelgrieflreactionslarelexpectedlandlthereforelnotlconsideredl mentallillnes
s.lFalselreassurancelorloveranalysisldoeslnotlaccuratelyladdresslthelclient'sl concerns.
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5. ThelnurselconsultslthelDSMl forlwhichloflthelfollowinglpurposes?
A) Toldeviselalplanloflcarel forlalnewlyladmittedlclient
B) Tolpredictlthelclient'sl prognosislofltreatmentloutcomes
C) Toldocumentlthel appropriateldiagnosticl codelinl thelclient'sl medicall record
D) Tolservelaslalguidelforlclientlassessmentl
Ans:lD
Feedback:
ThelDSMlprovideslstandardlnomenclature,lpresentsldefininglcharacteristics,landl identifi
eslunderlyinglcausesloflmentalldisorders.lItldoeslnotlprovidelcarelplanslorl prognosticlout
comeslofltreatment.lDiagnosisloflmentallillnesslislnotlwithinlthel generalistlRN'slscopelof
lpractice,lsoldocumentinglthelcodel inlthel medicallrecordlwouldl belinappropriate.
6. Whichlwouldlbelalreasonlforlalstudentl nurseltoluselthelDSM?
A) Identifyingl thel medicall diagnosis
B) Treatlclients
C) Evaluatel treatments
D) Understandlthelreasonlforltheladmissionlandlthelnatureloflpsychiatriclillnesses.l
Ans:lD
Feedback:
AlthoughlstudentlnursesldolnotluselthelDSMltoldiagnoselclients,ltheylwilllfindlitlal helpfu
llresourceltolunderstandlthelreasonlforltheladmissionlandltolbeginlbuildingl knowledgelab
outlthelnatureloflpsychiatriclillnesses.lIdentifyinglthelmedicalldiagnosis,l treating,landlev
aluatingltreatmentslarelnotlalpartloflthelnursinglprocess.
7. Thellegislationlenactedlinl1963lwasllargelylresponsiblelforlwhichloflthelfollowinglshiftsl i
nlcarelforlthelmentallylill?
A) Thel widespreadlusel oflcommunity-basedl services
B) Theladvancementl inlpharmacotherapies
C) Increasedlaccessltol hospitalization
D) Improvedlrightslforlclientslinllong-
termlinstitutionallcarel Ans:lA
Feedback:
ThelCommunitylMentallHealthlCenterslConstructionlActlofl1963laccomplishedlthel relea
seloflindividualslfromllong-
termlstayslinlstatelinstitutions,ltheldecreaselinl admissionsltolhospitals,landltheldevelopm
entloflcommunity-basedlserviceslaslanl alternativeltolhospitallcare.
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, 7/13/23,l1:33lPM Psychiatriclmentallhealthlnursingl8thleditionlbylvidebeckltestlbank[l1389]
8. Whichloneloflthelfollowingl islalresultlofl federall legislation?
A) Makingl itleasierltolcommitlpeoplel forl mentall healthl treatmentlagainstltheirlwill.
B) Makinglitlmoreldifficultltolcommitlpeoplelforlmentallhealthltreatmentlagainstl t
heirlwill.
C) Statel mentall institutionslbeinglthelprimarylsourceloflcarel forl mentallyl illlpersons.
D) Improvedlcarelforlmentallylilllpersons.l
Ans:lB
Feedback:
Commitmentllawslchangedlinlthelearlyl1970s,lmakinglitlmoreldifficultltolcommitl peopl
elforlmentallhealthltreatmentlagainstltheirlwill.lDeinstitutionalizationl accomplishedlthelr
eleaseloflindividualslfromllong-
termlstayslinlstatelinstitutions.l Deinstitutionalizationlalsolhadlnegativeleffectslinlthatlso
melmentallylilllpersonslarel subjectedltolthel revolvingl doorleffect,lwhichlmayl limitlcarel
forl mentallyl illlpersons.
9. Thelgoall oflthel1963lCommunitylMentallHealthlCentersl Actlwaslto
A) ensurelpatients'lrightsl forl thel mentallyl ill.
B) deinstitutionalizel statel hospitals.
C) providel fundsl tolbuildl hospitalslwithl psychiatricl units.
D) treatlpeoplelwithlmentallillnesslinlalhumanelfashion.l
Ans:lB
Feedback:
Thel1963lCommunitylMentallHealthlCenterslActlintimatedlthelmovementltowardl treatin
glthoselwithlmentallillnesslinlallesslrestrictivelenvironment.lThisllegislationl resultedlinlth
elshiftloflclientslwithlmentallillnesslfromllargelstatelinstitutionsltolcarel basedlinlthelcom
munity.lAnswerlchoiceslA,lC,landlDlwerelnotlpurposesloflthel1963l CommunitylMentall
HealthlCenterslAct.
10. Thelcreationloflasylumslduringl thel1800slwasl meantlto
A) improveltreatmentl ofl mentall disorders.
B) providel foodlandlshelterl forlthelmentallyl ill.
C) punishlpeoplelwithl mentall illnesslwholwerelbelievedltolbelpossessed.
D) removeldangerouslpeoplelwithl mentallillnesslfromlthelcommunity.l
Ans:lB
Feedback:
Thelasylumlwaslmeantltolbelalsafelhavenlwithlfood,lshelter,landlhumaneltreatmentlforl th
elmentallylill.lAsylumslwerelnotlusedltolimproveltreatmentloflmentalldisorderslorltol puni
shlmentallylilllpeoplelwholwerelbelievedltolbelpossessed.lThelasylumlwaslnotl createdltol
removeltheldangerouslylmentallylilllfromlthelcommunity.
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Psychiatric-
MentallHealthlNursingl8thleditionlbylVidebecklTestlBankl Chapterl1
1. Thelnurselislassessinglthelfactorslcontributingltolthelwell-
beingloflalnewlyladmittedl client.lWhichloflthelfollowinglwouldlthelnurselidentifylaslha
vinglalpositivelimpactlonl thelindividual'slmentallhealth?
A) Notlneedingl othersl forlcompanionship
B) Thelabilityl toleffectivelyl managelstress
C) Al familyl historylofl mentall illness
D) Strivinglforltotallself-
reliancel Ans:lB
Feedback:
Individuallfactorslinfluencinglmentallhealthlincludelbiologiclmakeup,lautonomy,l indepe
ndence,lself-
esteem,lcapacitylforlgrowth,lvitality,labilityltolfindlmeaninglinllife,l emotionallresiliencel
orlhardiness,lsenseloflbelonging,lrealitylorientation,landlcopinglorl stresslmanagementlab
ilities.lInterpersonallfactorslsuchlaslintimacylandlalbalancelofl separatenesslandlconnecte
dnesslarelbothlneededlforlgoodlmentallhealth,landlthereforelal healthylpersonlwouldlneedl
otherslforlcompanionship.lAlfamilylhistoryloflmentallillnessl couldlrelateltolthelbiologicl
makeuploflanlindividual,lwhichlmaylhavelalnegativelimpactl onlanlindividual'slmentallhe
alth,laslwelllaslalnegativelimpactlonlanlindividual'sl interpersonallandlsocialñculturallfact
orsloflhealth.lTotallself-
reliancelislnotlpossible,l andlalpositivelsocial/culturallfactorlislaccessltoladequatelresourc
es.
2. Whichloflthel followinglstatementslaboutl mentall illnesslareltrue?lSelectlalllthatlapply.
A) Mentall illnesslcanlcauselsignificantldistress,limpairedl functioning,lorl both.
B) Mentall illnesslislonlyldueltolsocial/culturall factors.
C) Social/culturallfactorslthatlrelateltolmentallillnesslincludelexcessiveldependencyl
onlorlwithdrawallfromlrelationships.
D) Individualslsufferinglfroml mentallillnesslarelusuallylableltolcopeleffectivelylwithl d
ailyllife.
E) Individualslsufferinglfroml mentallillnesslmaylexperienceldissatisfactionlwithl r
elationshipslandlself.
Ans:l A,lD,lE
Feedback:
Mentallillnesslcanlcauselsignificantldistress,limpairedlfunctioning,lorlboth.lMentall illnes
slmaylbelrelatedltolindividual,linterpersonal,lorlsocial/culturallfactors.lExcessivel depend
encylonlorlwithdrawallfromlrelationshipslarelinterpersonallfactorslthatlrelateltol mentallill
ness.lIndividualslsufferinglfromlmentallillnesslcanlfeelloverwhelmedlwithl dailyllife.lIndi
vidualslsufferinglfroml mentallillnesslmaylexperienceldissatisfactionlwithl relationships la
ndlself.
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3. Whichloflthel followinglareltruel regardingl mentall healthlandl mentall illness?
A) Behaviorlthatlmaylbelviewedlaslacceptablelinlonelculturelislalwayslunacceptablel i
nlotherlcultures.
B) Itlisleasyltoldeterminel iflalpersonl isl mentallyl healthylorl mentallyl ill.
C) Inlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,landlsociall we
llnesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivelbehaviorl and
lcoping,lpositivelself-concept,landlemotionallstability.
D) Personslwholengagelinlfantasieslarelmentallylill.l
Ans:lC
Feedback:
Whatlonelsocietylmaylviewlaslacceptablelandlappropriatelbehavior,lanotherlsocietylmayl s
eelthatlaslmaladaptive,landlinappropriate.lMentallhealthlandlmentallillnesslareldifficultl tol
definelprecisely.lInlmostlcases,lmentallhealthlislalstateloflemotional,lpsychological,l andls
ociallwellnesslevidencedlbylsatisfyinglinterpersonallrelationships,leffectivel behaviorland
lcoping,lpositivelself-
concept,landlemotionallstability.lPersonslwholengagel inlfantasieslmaylbelmentallylhealth
y,lbutlthelinabilityltoldistinguishlrealitylfromlfantasyl islanlindividuallfactorlthatlmaylcontr
ibuteltolmentallillness.
4. Alclientlgrievinglthelrecentllossloflherlhusbandlasksliflshelislbecominglmentallylilll b
ecauselshelislsolsad.lThelnurse'slbestlresponselwouldlbe,
A) ìYoulmaylhavelaltemporarylmentallillnesslbecauselyoularelexperiencinglsolmuchl p
ain.î
B) ìYoularelnotlmentallylill.lThislislanlexpectedlreactionltolthellosslyoulhavel e
xperienced.î
C) ìWerelyoulgenerallyldissatisfiedlwithlyourlrelationshiplbeforelyourlhusband'sl
death?î
D) ìTrylnotltolworrylaboutlthatlrightlnow.lYoulneverlknowlwhatlthelfuturelbrings.îl A
ns:lB
Feedback:
Mentallillnesslincludeslgeneralldissatisfactionlwithlself,lineffectivelrelationships,l ineffec
tivelcoping,landllackloflpersonallgrowth.lAdditionallylthelbehaviorlmustlnotlbel culturall
ylexpected.lAcutelgrieflreactionslarelexpectedlandlthereforelnotlconsideredl mentallillnes
s.lFalselreassurancelorloveranalysisldoeslnotlaccuratelyladdresslthelclient'sl concerns.
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5. ThelnurselconsultslthelDSMl forlwhichloflthelfollowinglpurposes?
A) Toldeviselalplanloflcarel forlalnewlyladmittedlclient
B) Tolpredictlthelclient'sl prognosislofltreatmentloutcomes
C) Toldocumentlthel appropriateldiagnosticl codelinl thelclient'sl medicall record
D) Tolservelaslalguidelforlclientlassessmentl
Ans:lD
Feedback:
ThelDSMlprovideslstandardlnomenclature,lpresentsldefininglcharacteristics,landl identifi
eslunderlyinglcausesloflmentalldisorders.lItldoeslnotlprovidelcarelplanslorl prognosticlout
comeslofltreatment.lDiagnosisloflmentallillnesslislnotlwithinlthel generalistlRN'slscopelof
lpractice,lsoldocumentinglthelcodel inlthel medicallrecordlwouldl belinappropriate.
6. Whichlwouldlbelalreasonlforlalstudentl nurseltoluselthelDSM?
A) Identifyingl thel medicall diagnosis
B) Treatlclients
C) Evaluatel treatments
D) Understandlthelreasonlforltheladmissionlandlthelnatureloflpsychiatriclillnesses.l
Ans:lD
Feedback:
AlthoughlstudentlnursesldolnotluselthelDSMltoldiagnoselclients,ltheylwilllfindlitlal helpfu
llresourceltolunderstandlthelreasonlforltheladmissionlandltolbeginlbuildingl knowledgelab
outlthelnatureloflpsychiatriclillnesses.lIdentifyinglthelmedicalldiagnosis,l treating,landlev
aluatingltreatmentslarelnotlalpartloflthelnursinglprocess.
7. Thellegislationlenactedlinl1963lwasllargelylresponsiblelforlwhichloflthelfollowinglshiftsl i
nlcarelforlthelmentallylill?
A) Thel widespreadlusel oflcommunity-basedl services
B) Theladvancementl inlpharmacotherapies
C) Increasedlaccessltol hospitalization
D) Improvedlrightslforlclientslinllong-
termlinstitutionallcarel Ans:lA
Feedback:
ThelCommunitylMentallHealthlCenterslConstructionlActlofl1963laccomplishedlthel relea
seloflindividualslfromllong-
termlstayslinlstatelinstitutions,ltheldecreaselinl admissionsltolhospitals,landltheldevelopm
entloflcommunity-basedlserviceslaslanl alternativeltolhospitallcare.
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8. Whichloneloflthelfollowingl islalresultlofl federall legislation?
A) Makingl itleasierltolcommitlpeoplel forl mentall healthl treatmentlagainstltheirlwill.
B) Makinglitlmoreldifficultltolcommitlpeoplelforlmentallhealthltreatmentlagainstl t
heirlwill.
C) Statel mentall institutionslbeinglthelprimarylsourceloflcarel forl mentallyl illlpersons.
D) Improvedlcarelforlmentallylilllpersons.l
Ans:lB
Feedback:
Commitmentllawslchangedlinlthelearlyl1970s,lmakinglitlmoreldifficultltolcommitl peopl
elforlmentallhealthltreatmentlagainstltheirlwill.lDeinstitutionalizationl accomplishedlthelr
eleaseloflindividualslfromllong-
termlstayslinlstatelinstitutions.l Deinstitutionalizationlalsolhadlnegativeleffectslinlthatlso
melmentallylilllpersonslarel subjectedltolthel revolvingl doorleffect,lwhichlmayl limitlcarel
forl mentallyl illlpersons.
9. Thelgoall oflthel1963lCommunitylMentallHealthlCentersl Actlwaslto
A) ensurelpatients'lrightsl forl thel mentallyl ill.
B) deinstitutionalizel statel hospitals.
C) providel fundsl tolbuildl hospitalslwithl psychiatricl units.
D) treatlpeoplelwithlmentallillnesslinlalhumanelfashion.l
Ans:lB
Feedback:
Thel1963lCommunitylMentallHealthlCenterslActlintimatedlthelmovementltowardl treatin
glthoselwithlmentallillnesslinlallesslrestrictivelenvironment.lThisllegislationl resultedlinlth
elshiftloflclientslwithlmentallillnesslfromllargelstatelinstitutionsltolcarel basedlinlthelcom
munity.lAnswerlchoiceslA,lC,landlDlwerelnotlpurposesloflthel1963l CommunitylMentall
HealthlCenterslAct.
10. Thelcreationloflasylumslduringl thel1800slwasl meantlto
A) improveltreatmentl ofl mentall disorders.
B) providel foodlandlshelterl forlthelmentallyl ill.
C) punishlpeoplelwithl mentall illnesslwholwerelbelievedltolbelpossessed.
D) removeldangerouslpeoplelwithl mentallillnesslfromlthelcommunity.l
Ans:lB
Feedback:
Thelasylumlwaslmeantltolbelalsafelhavenlwithlfood,lshelter,landlhumaneltreatmentlforl th
elmentallylill.lAsylumslwerelnotlusedltolimproveltreatmentloflmentalldisorderslorltol puni
shlmentallylilllpeoplelwholwerelbelievedltolbelpossessed.lThelasylumlwaslnotl createdltol
removeltheldangerouslylmentallylilllfromlthelcommunity.
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