15/6/23,b1:21 Psychiatricbmentalbhealthbnursingb8thbeditionbbybvidebeckbtestbbank[b138
9]
Psychiatric-
MentalbHealthbNursingb8thbeditionbbybVidebeckbTestbBankb Chapterb1
1. Thebnursebisbassessingbthebfactorsbcontributingbtobthebwell-
beingbofbabnewlybadmittedb client.bWhichbofbthebfollowingbwouldbthebnursebidentifyb
asbhavingbabpositivebimpactbonb thebindividual'sbmentalbhealth?
A) Notbneedingbothersbforbcompanionship
B) Thebabilityb tobeffectivelyb managebstress
C) Abfamilybhistorybofb mentalbillness
D) Strivingbforbtotalbself-
relianceb Ans:bB
Feedback:
Individualbfactorsbinfluencingbmentalbhealthbincludebbiologicbmakeup,bautonomy,b ind
ependence, bself-
esteem,bcapacitybforbgrowth,bvitality,babilitybtobfindbmeaningbinblife,b emotionalbresilie
nceborbhardiness,bsensebofbbelonging,brealityborientation,bandbcopingborb stress bmanag
ementbabilities.bInterpersonalbfactorsbsuchbasbintimacybandbabbalancebofb separateness b
andbconnectednessbarebbothbneededbforbgoodbmentalbhealth,bandbthereforebab healthybp
ersonbwouldbneedbothersbforbcompanionship.bAbfamilybhistorybofbmentalbillnessb coul
dbrelatebtobthebbiologicbmakeupbofbanbindividual,bwhichbmaybhavebabnegativebimpactb
onbanbindividual's bmentalbhealth,basbwellbasbabnegativebimpactbonbanbindividual's b inte
rpersonalb andb socialñculturalb factorsb ofb health. b Totalb self-
relianceb isb notb possible,b andbabpositivebsocial/culturalbfactorbisbaccessbtobadequatebre
sources.
2. Whichbofbthebfollowingbstatementsbaboutbmentalbillnessbarebtrue?bSelectballbthatbapply.
A) Mentalbillnessbcanbcausebsignificantbdistress,bimpairedbfunctioning,borb both.
B) Mentalbillnessbisbonlybduebtobsocial/culturalbfactors.
C) Social/culturalbfactorsbthatbrelatebtobmentalbillnessbincludebexcessivebdependenc
yb onborbwithdrawalbfrombrelationships.
D) Individualsbsufferingbfrombmentalbillnessbarebusuallybablebtobcopebeffectivelybwi
thb dailyblife.
E) Individualsbsufferingbfrombmentalbillnessbmaybexperiencebdissatisfactionbwit
hb relationships bandbself.
Ans:b A,bD,bE
Feedback:
Mentalbillnessbcanbcausebsignificantbdistress,bimpairedbfunctioning,borbboth.bMentalb il
lnessbmaybbebrelatedbtobindividual,binterpersonal,borbsocial/culturalbfactors.bExcessive
b dependencybonborbwithdrawalbfrombrelationshipsbare binterpersonalbfactorsbthatbrelate
btob mentalbillness.bIndividuals bsufferingbfrombmentalbillnessbcanbfeelboverwhelmed bw
ithb dailyblife.bIndividualsbsufferingbfrombmentalbillnessbmaybexperiencebdissatisfactio
nbwithb relationshipsbandbself.
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9]
3. Whichbofbthebfollowingbarebtruebregardingbmentalb healthbandb mentalbillness?
A) Behaviorbthatbmaybbebviewedbasbacceptablebinbonebculturebisbalwaysbunacceptab
leb inbotherbcultures.
B) Itbisbeasybtobdeterminebifbabpersonbisb mentallybhealthyborb mentallybill.
C) Inbmostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocial
b wellnessbevidencedbbybsatisfyingbinterpersonalbrelationships,beffective bbehav
iorb andbcoping,bpositivebself-concept,bandbemotionalbstability.
D) Personsbwhobengagebinbfantasiesbarebmentallybil
l.b Ans:bC
Feedback:
Whatbonebsocietybmaybviewbasbacceptablebandbappropriatebbehavior,banotherbsocietyb
mayb seebthatbasbmaladaptive,bandbinappropriate.bMentalbhealthbandbmentalbillnessbareb
difficultb tobdefinebprecisely.bInbmostbcases,bmentalbhealthbisbabstatebofbemotional,bpsy
chological,b andbsocialbwellnessbevidencedbbybsatisfyingbinterpersonalbrelationships, bef
fectiveb behaviorbandbcoping,bpositivebself-
concept,bandbemotionalbstability.bPersonsbwhobengageb inbfantasiesbmaybbebmentallybh
ealthy,bbutbthebinabilitybtobdistinguishbrealitybfrombfantasyb isbanbindividualbfactorbthat
bmaybcontributebtobmentalbillness.
4. Abclientbgrievingbthebrecentblossbofbherbhusbandbasksbifbshebisbbecomingbmentally
billb becausebshe bis bsobsad. bThe bnurse's bbestbresponse bwouldbbe,
A) ìYoubmaybhavebabtemporarybmentalbillnessbbecausebyoubarebexperiencingbsobmu
chb pain.î
B) ìYoubarebnotbmentallybill.bThisbisbanbexpectedbreactionbtobtheblossbyoubh
aveb experienced.î
C) ìWerebyoubgenerallybdissatisfiedbwithbyourbrelationshipbbeforebyourbhusband
'sb death?î
D) ìTrybnotbtobworrybaboutbthatbrightbnow.bYoubneverbknowbwhatbthebfuturebbrin
gs.îb Ans:bB
Feedback:
Mentalbillnessbincludesbgeneralbdissatisfactionbwithbself,bineffectivebrelationships,b ine
ffectivebcoping, bandblackbofbpersonalbgrowth.bAdditionallybthebbehaviorbmustbnotbbeb
culturallybexpected.bAcutebgriefbreactionsbarebexpectedbandbthereforebnotbconsideredb
mentalbillness.bFalsebreassuranceborboveranalysis bdoesbnotbaccuratelybaddressbthebclien
t'sb concerns.
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9]
5. Thebnursebconsults bthebDSMbforbwhichbofbthebfollowingbpurposes?
A) Tobdevisebabplanbofbcarebforbabnewlybadmittedbclient
B) Tobpredictbthebclient'sbprognosisbofbtreatmentboutcomes
C) Tobdocumentbthebappropriatebdiagnosticbcodebinbthebclient'sb medicalbrecord
D) Tobservebasbabguidebforbclientbassessme
ntb Ans:bD
Feedback:
ThebDSMbprovides bstandardbnomenclature,bpresentsbdefiningbcharacteristics,bandb ide
ntifiesbunderlyingbcausesbofbmentalbdisorders.bItbdoesbnotbprovidebcarebplansborb prog
nosticboutcomes bofbtreatment.bDiagnosisbofbmentalbillnessbisbnotbwithinbtheb generalis
tbRN'sbscopebofbpractice,bsobdocumentingbthebcodebinbthebmedicalbrecordbwouldb bebi
nappropriate.
6. WhichbwouldbbebabreasonbforbabstudentbnursebtobusebthebDSM?
A) Identifyingb theb medicalbdiagnosis
B) Treatbclients
C) Evaluatebtreatments
D) Understandbthebreasonbforbthebadmissionbandbthebnaturebofbpsychiatricbillnesse
s.b Ans:bD
Feedback:
AlthoughbstudentbnursesbdobnotbusebthebDSMbtobdiagnosebclients,btheybwillbfindbitbab
helpfulbresourcebtobunderstandbthebreasonbforbthebadmissionbandbtobbeginbbuildingb kn
owledgebaboutbthebnaturebofbpsychiatricbillnesses.bIdentifyingbthebmedicalbdiagnosis,b
treating,bandbevaluatingbtreatmentsbarebnotbabpartbofbthebnursingbprocess.
7. Theblegislationbenactedbinb1963bwasblargelybresponsiblebforbwhichbofbthebfollowingbshi
ftsb inbcarebforbthebmentallybill?
A) Thebwidespreadbusebofbcommunity-basedb services
B) Thebadvancementb inbpharmacotherapies
C) Increasedbaccessbtob hospitalization
D) Improvedbrightsbforbclientsbinblong-
termbinstitutionalbcareb Ans:bA
Feedback:
ThebCommunitybMentalbHealthbCentersbConstructionbActbofb1963baccomplished btheb
releasebofbindividualsbfromblong-
termbstaysbinbstatebinstitutions,bthebdecreasebinb admissionsbtobhospitals,bandbthebdevel
opmentbofbcommunity-basedbservicesbasbanb alternativebtobhospitalbcare.
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9]
8. Whichbonebofbthebfollowingbisbabresultbofbfederalblegislation?
A) Makingbitbeasierbtobcommitbpeoplebforbmentalbhealthbtreatmentbagainstbtheirbwill.
B) Makingbitbmorebdifficultbtobcommitbpeoplebforbmentalbhealthbtreatmentbagain
stb theirbwill.
C) Statebmentalbinstitutionsbbeingbthebprimarybsourcebofbcarebforb mentallybillbpersons.
D) Improvedbcarebforbmentallybillbpersons
.b Ans:bB
Feedback:
Commitmentblaws bchangedbinbthebearlyb1970s,bmakingbitbmorebdifficultbtobcommit b p
eoplebforbmentalbhealthbtreatmentbagainstbtheirbwill.bDeinstitutionalizationb accomplis
hedbthebreleasebofbindividualsbfromblong-
termbstaysbinbstatebinstitutions.b Deinstitutionalizationbalsobhadbnegativebeffectsbinbtha
tbsomebmentallybillbpersonsbareb subjectedbtobthebrevolvingbdoorbeffect,bwhichbmaybli
mitbcarebforbmentallybillbpersons.
9. Thebgoalbofbtheb1963bCommunitybMentalbHealthbCentersbActbwasbto
A) ensurebpatients'brightsbforbtheb mentallybill.
B) deinstitutionalizeb stateb hospitals.
C) providebfundsb tobbuildb hospitalsbwithbpsychiatricbunits.
D) treatbpeoplebwithbmentalbillnessbinbabhumanebfashio
n.b Ans:bB
Feedback:
Theb1963bCommunitybMentalbHealthbCentersbActbintimatedbthebmovementbtowardb tr
eatingbthosebwithbmentalbillnessbinbablessbrestrictivebenvironment.bThisblegislationb res
ultedbinbthebshiftbofbclientsbwithbmentalbillnessbfromblargebstatebinstitutionsbtobcareb b
asedbinbthebcommunity. bAnswerbchoicesbA,bC,bandbDbwerebnotbpurposesbofbtheb1963
b CommunitybMentalbHealthbCenters bAct.
10. Thebcreationbofbasylumsbduringbtheb1800sbwasbmeantbto
A) improvebtreatmentbofb mentalbdisorders.
B) providebfoodbandbshelterbforbthebmentallybill.
C) punishbpeoplebwithb mentalbillnessbwhobwerebbelievedbtobbebpossessed.
D) removebdangerousbpeoplebwithbmentalbillnessbfrombthebcommunit
y.b Ans:bB
Feedback:
Thebasylumbwasbmeantbtobbebabsafebhavenbwithbfood,bshelter,bandbhumanebtreatmentbf
orb thebmentallybill.bAsylumsbwerebnotbusedbtobimprovebtreatmentbofbmentalbdisorders
borbtob punishbmentallybillbpeople bwhobwerebbelieved btobbebpossessed.bThe basylumbwa
sbnotb createdbtobremovebthebdangerouslybmentallybillbfrombthebcommunity.
about:blank 4/335
9]
Psychiatric-
MentalbHealthbNursingb8thbeditionbbybVidebeckbTestbBankb Chapterb1
1. Thebnursebisbassessingbthebfactorsbcontributingbtobthebwell-
beingbofbabnewlybadmittedb client.bWhichbofbthebfollowingbwouldbthebnursebidentifyb
asbhavingbabpositivebimpactbonb thebindividual'sbmentalbhealth?
A) Notbneedingbothersbforbcompanionship
B) Thebabilityb tobeffectivelyb managebstress
C) Abfamilybhistorybofb mentalbillness
D) Strivingbforbtotalbself-
relianceb Ans:bB
Feedback:
Individualbfactorsbinfluencingbmentalbhealthbincludebbiologicbmakeup,bautonomy,b ind
ependence, bself-
esteem,bcapacitybforbgrowth,bvitality,babilitybtobfindbmeaningbinblife,b emotionalbresilie
nceborbhardiness,bsensebofbbelonging,brealityborientation,bandbcopingborb stress bmanag
ementbabilities.bInterpersonalbfactorsbsuchbasbintimacybandbabbalancebofb separateness b
andbconnectednessbarebbothbneededbforbgoodbmentalbhealth,bandbthereforebab healthybp
ersonbwouldbneedbothersbforbcompanionship.bAbfamilybhistorybofbmentalbillnessb coul
dbrelatebtobthebbiologicbmakeupbofbanbindividual,bwhichbmaybhavebabnegativebimpactb
onbanbindividual's bmentalbhealth,basbwellbasbabnegativebimpactbonbanbindividual's b inte
rpersonalb andb socialñculturalb factorsb ofb health. b Totalb self-
relianceb isb notb possible,b andbabpositivebsocial/culturalbfactorbisbaccessbtobadequatebre
sources.
2. Whichbofbthebfollowingbstatementsbaboutbmentalbillnessbarebtrue?bSelectballbthatbapply.
A) Mentalbillnessbcanbcausebsignificantbdistress,bimpairedbfunctioning,borb both.
B) Mentalbillnessbisbonlybduebtobsocial/culturalbfactors.
C) Social/culturalbfactorsbthatbrelatebtobmentalbillnessbincludebexcessivebdependenc
yb onborbwithdrawalbfrombrelationships.
D) Individualsbsufferingbfrombmentalbillnessbarebusuallybablebtobcopebeffectivelybwi
thb dailyblife.
E) Individualsbsufferingbfrombmentalbillnessbmaybexperiencebdissatisfactionbwit
hb relationships bandbself.
Ans:b A,bD,bE
Feedback:
Mentalbillnessbcanbcausebsignificantbdistress,bimpairedbfunctioning,borbboth.bMentalb il
lnessbmaybbebrelatedbtobindividual,binterpersonal,borbsocial/culturalbfactors.bExcessive
b dependencybonborbwithdrawalbfrombrelationshipsbare binterpersonalbfactorsbthatbrelate
btob mentalbillness.bIndividuals bsufferingbfrombmentalbillnessbcanbfeelboverwhelmed bw
ithb dailyblife.bIndividualsbsufferingbfrombmentalbillnessbmaybexperiencebdissatisfactio
nbwithb relationshipsbandbself.
about:blank 1/335
,15/6/23,b1:21 Psychiatricbmentalbhealthbnursingb8thbeditionbbybvidebeckbtestbbank[b138
9]
3. Whichbofbthebfollowingbarebtruebregardingbmentalb healthbandb mentalbillness?
A) Behaviorbthatbmaybbebviewedbasbacceptablebinbonebculturebisbalwaysbunacceptab
leb inbotherbcultures.
B) Itbisbeasybtobdeterminebifbabpersonbisb mentallybhealthyborb mentallybill.
C) Inbmostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocial
b wellnessbevidencedbbybsatisfyingbinterpersonalbrelationships,beffective bbehav
iorb andbcoping,bpositivebself-concept,bandbemotionalbstability.
D) Personsbwhobengagebinbfantasiesbarebmentallybil
l.b Ans:bC
Feedback:
Whatbonebsocietybmaybviewbasbacceptablebandbappropriatebbehavior,banotherbsocietyb
mayb seebthatbasbmaladaptive,bandbinappropriate.bMentalbhealthbandbmentalbillnessbareb
difficultb tobdefinebprecisely.bInbmostbcases,bmentalbhealthbisbabstatebofbemotional,bpsy
chological,b andbsocialbwellnessbevidencedbbybsatisfyingbinterpersonalbrelationships, bef
fectiveb behaviorbandbcoping,bpositivebself-
concept,bandbemotionalbstability.bPersonsbwhobengageb inbfantasiesbmaybbebmentallybh
ealthy,bbutbthebinabilitybtobdistinguishbrealitybfrombfantasyb isbanbindividualbfactorbthat
bmaybcontributebtobmentalbillness.
4. Abclientbgrievingbthebrecentblossbofbherbhusbandbasksbifbshebisbbecomingbmentally
billb becausebshe bis bsobsad. bThe bnurse's bbestbresponse bwouldbbe,
A) ìYoubmaybhavebabtemporarybmentalbillnessbbecausebyoubarebexperiencingbsobmu
chb pain.î
B) ìYoubarebnotbmentallybill.bThisbisbanbexpectedbreactionbtobtheblossbyoubh
aveb experienced.î
C) ìWerebyoubgenerallybdissatisfiedbwithbyourbrelationshipbbeforebyourbhusband
'sb death?î
D) ìTrybnotbtobworrybaboutbthatbrightbnow.bYoubneverbknowbwhatbthebfuturebbrin
gs.îb Ans:bB
Feedback:
Mentalbillnessbincludesbgeneralbdissatisfactionbwithbself,bineffectivebrelationships,b ine
ffectivebcoping, bandblackbofbpersonalbgrowth.bAdditionallybthebbehaviorbmustbnotbbeb
culturallybexpected.bAcutebgriefbreactionsbarebexpectedbandbthereforebnotbconsideredb
mentalbillness.bFalsebreassuranceborboveranalysis bdoesbnotbaccuratelybaddressbthebclien
t'sb concerns.
about:blank 2/335
,15/6/23,b1:21 Psychiatricbmentalbhealthbnursingb8thbeditionbbybvidebeckbtestbbank[b138
9]
5. Thebnursebconsults bthebDSMbforbwhichbofbthebfollowingbpurposes?
A) Tobdevisebabplanbofbcarebforbabnewlybadmittedbclient
B) Tobpredictbthebclient'sbprognosisbofbtreatmentboutcomes
C) Tobdocumentbthebappropriatebdiagnosticbcodebinbthebclient'sb medicalbrecord
D) Tobservebasbabguidebforbclientbassessme
ntb Ans:bD
Feedback:
ThebDSMbprovides bstandardbnomenclature,bpresentsbdefiningbcharacteristics,bandb ide
ntifiesbunderlyingbcausesbofbmentalbdisorders.bItbdoesbnotbprovidebcarebplansborb prog
nosticboutcomes bofbtreatment.bDiagnosisbofbmentalbillnessbisbnotbwithinbtheb generalis
tbRN'sbscopebofbpractice,bsobdocumentingbthebcodebinbthebmedicalbrecordbwouldb bebi
nappropriate.
6. WhichbwouldbbebabreasonbforbabstudentbnursebtobusebthebDSM?
A) Identifyingb theb medicalbdiagnosis
B) Treatbclients
C) Evaluatebtreatments
D) Understandbthebreasonbforbthebadmissionbandbthebnaturebofbpsychiatricbillnesse
s.b Ans:bD
Feedback:
AlthoughbstudentbnursesbdobnotbusebthebDSMbtobdiagnosebclients,btheybwillbfindbitbab
helpfulbresourcebtobunderstandbthebreasonbforbthebadmissionbandbtobbeginbbuildingb kn
owledgebaboutbthebnaturebofbpsychiatricbillnesses.bIdentifyingbthebmedicalbdiagnosis,b
treating,bandbevaluatingbtreatmentsbarebnotbabpartbofbthebnursingbprocess.
7. Theblegislationbenactedbinb1963bwasblargelybresponsiblebforbwhichbofbthebfollowingbshi
ftsb inbcarebforbthebmentallybill?
A) Thebwidespreadbusebofbcommunity-basedb services
B) Thebadvancementb inbpharmacotherapies
C) Increasedbaccessbtob hospitalization
D) Improvedbrightsbforbclientsbinblong-
termbinstitutionalbcareb Ans:bA
Feedback:
ThebCommunitybMentalbHealthbCentersbConstructionbActbofb1963baccomplished btheb
releasebofbindividualsbfromblong-
termbstaysbinbstatebinstitutions,bthebdecreasebinb admissionsbtobhospitals,bandbthebdevel
opmentbofbcommunity-basedbservicesbasbanb alternativebtobhospitalbcare.
about:blank 3/335
, 15/6/23,b1:21 Psychiatricbmentalbhealthbnursingb8thbeditionbbybvidebeckbtestbbank[b138
9]
8. Whichbonebofbthebfollowingbisbabresultbofbfederalblegislation?
A) Makingbitbeasierbtobcommitbpeoplebforbmentalbhealthbtreatmentbagainstbtheirbwill.
B) Makingbitbmorebdifficultbtobcommitbpeoplebforbmentalbhealthbtreatmentbagain
stb theirbwill.
C) Statebmentalbinstitutionsbbeingbthebprimarybsourcebofbcarebforb mentallybillbpersons.
D) Improvedbcarebforbmentallybillbpersons
.b Ans:bB
Feedback:
Commitmentblaws bchangedbinbthebearlyb1970s,bmakingbitbmorebdifficultbtobcommit b p
eoplebforbmentalbhealthbtreatmentbagainstbtheirbwill.bDeinstitutionalizationb accomplis
hedbthebreleasebofbindividualsbfromblong-
termbstaysbinbstatebinstitutions.b Deinstitutionalizationbalsobhadbnegativebeffectsbinbtha
tbsomebmentallybillbpersonsbareb subjectedbtobthebrevolvingbdoorbeffect,bwhichbmaybli
mitbcarebforbmentallybillbpersons.
9. Thebgoalbofbtheb1963bCommunitybMentalbHealthbCentersbActbwasbto
A) ensurebpatients'brightsbforbtheb mentallybill.
B) deinstitutionalizeb stateb hospitals.
C) providebfundsb tobbuildb hospitalsbwithbpsychiatricbunits.
D) treatbpeoplebwithbmentalbillnessbinbabhumanebfashio
n.b Ans:bB
Feedback:
Theb1963bCommunitybMentalbHealthbCentersbActbintimatedbthebmovementbtowardb tr
eatingbthosebwithbmentalbillnessbinbablessbrestrictivebenvironment.bThisblegislationb res
ultedbinbthebshiftbofbclientsbwithbmentalbillnessbfromblargebstatebinstitutionsbtobcareb b
asedbinbthebcommunity. bAnswerbchoicesbA,bC,bandbDbwerebnotbpurposesbofbtheb1963
b CommunitybMentalbHealthbCenters bAct.
10. Thebcreationbofbasylumsbduringbtheb1800sbwasbmeantbto
A) improvebtreatmentbofb mentalbdisorders.
B) providebfoodbandbshelterbforbthebmentallybill.
C) punishbpeoplebwithb mentalbillnessbwhobwerebbelievedbtobbebpossessed.
D) removebdangerousbpeoplebwithbmentalbillnessbfrombthebcommunit
y.b Ans:bB
Feedback:
Thebasylumbwasbmeantbtobbebabsafebhavenbwithbfood,bshelter,bandbhumanebtreatmentbf
orb thebmentallybill.bAsylumsbwerebnotbusedbtobimprovebtreatmentbofbmentalbdisorders
borbtob punishbmentallybillbpeople bwhobwerebbelieved btobbebpossessed.bThe basylumbwa
sbnotb createdbtobremovebthebdangerouslybmentallybillbfrombthebcommunity.
about:blank 4/335
