3/28/24,b11:55bPM
TestbBankbVidebeckbPsychiatricbMentalbHealthbNursin
g Psychiatric-
Mental Health 9th TEST BANK/Study Guide
b b b b b
WoltersbKluwerbbybVidebeckbTestbBank/Stu
dybGuide
Chapterb1!
1. Thebnursebisbassessingbthebfactorsbcontributingbtobthebwell-
beingbofbabnewlybadmittedbclient.bWhichbofb thebfollowingbwouldbthebnursebidentifybasbhavingbabp
ositivebimpactbonbthebindividual'sbmentalbhealth?!
A) Notbneedingbothersbforbcompanionship!
B) Thebabilitybtobeffectivelybmanagebstress!
C) Abfamilybhistorybofbmentalbillness!
D) Strivingbforbtotalbself-reliance!
Ans:bB!b Feedba
ck:!
Individualbfactorsbinfluencingbmentalbhealthbincludebbiologicbmakeup,bautonomy,bindependence,bself
-
b esteem,bcapacitybforbgrowth,bvitality,babilitybtobfindbmeaningbinblife,bemotionalbresilienceborbhardi
ness,b sensebofbbelonging,brealityborientation,bandbcopingborbstressbmanagementbabilities.bInterperso
nalbfactorsb suchbasbintimacybandbabbalancebofbseparatenessbandbconnectednessbarebbothbneededbf
orbgoodbmentalb health,bandbthereforebabhealthybpersonbwouldbneedbothersbforbcompanionship.bAbf
amilybhistorybofbmentalb illnessbcouldbrelatebtobthebbiologicbmakeupbofbanbindividual,bwhichbmaybha
vebabnegativebimpactbonbanb individual'sbmentalbhealth,basbwellbasbabnegativebimpactbonbanbindivid
ual'sbinterpersonalbandbsocialbandb culturalbfactorsbofbhealth.bTotalbself-
reliancebisbnotbpossible,bandbabpositivebsocial/culturalbfactorbisbaccessb tobadequatebresources.!
2. Whichbofbthebfollowingbstatementsbaboutbmentalbillnessbarebtrue?bSelectballbthatbapply.!bA)b
Mentalb illnessbcanbcausebsignificantbdistress,bimpairedbfunctioning,borbboth.!
B) Mentalbillnessbisbonlybduebtobsocial/culturalbfactors.!
C) Social/culturalbfactorsbthatbrelatebtobmentalbillnessbincludebexcessivebdepende
ncy!b onborbwithdrawalbfrombrelationships.!
D) Individualsbsufferingbfrombmentalbillnessbarebusuallybablebtobcopebeffectivelybwith!bdailyblife.!
E) Individualsbsufferingbfrombmentalbillnessbmaybexperiencebdissatisfactionbwith!brelationshipsb
andb self.!
Ans:bA,bD,bE!
Feedback:!
Mentalbillnessbcanbcausebsignificantbdistress,bimpairedbfunctioning,borbboth.bMentalbillnessbmaybbebre
latedb tobindividual,binterpersonal,borbsocial/culturalbfactors.bExcessivebdependencybonborbwithdrawa
lbfromb relationshipsbarebinterpersonalbfactorsbthatbrelatebtobmentalbillness.bIndividualsbsufferingbfro
mbmentalb illnessbcanbfeelboverwhelmedbwithbdailyblife.bIndividualsbsufferingbfrombmentalbillnessbm
aybexperienceb dissatisfactionbwithbrelationshipsbandbself.!
3. Whichbofbthebfollowingbarebtruebregardingbmentalbhealthbandbmentalbillness?!
A) Behaviorbthatbmaybbebviewedbasbacceptablebinbonebculturebisbalwaysbunaccept
able!b inbotherbcultures.!
B) Itbisbeasybtobdeterminebifbabpersonbisbmentallybhealthyborbmentallybill.!
C) Inbmostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocial!bwellnessbevidenc
edbbyb satisfyingbinterpersonalbrelationships,beffectivebbehavior!bandbcoping,bpositivebself-
concept,bandb emotionalbstability.!bD)bPersonsbwhobengagebinbfantasiesbarebmentallybill.!
Ans:bC!
about:blank 1/223
,3/28/24,b11:55bPM
Feedback:! TestbBankbVidebeckbPsychiatricbMentalbHealthbNursin
g Whatbonebsocietybmaybviewbasbacceptablebandbappropriatebbehavior,banotherbsocietybmaybseebthat
basb maladaptive,bandbinappropriate.bMentalbhealthbandbmentalbillnessbarebdifficultbtobdefinebpreci
sely.bInb mostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocialbwellnessbevi
dencedbbyb satisfyingbinterpersonalbrelationships,beffectivebbehaviorbandbcoping,bpositivebself-
concept,bandb emotionalbstability.bPersonsbwhobengagebinbfantasiesbmaybbebmentallybhealthy,bbutb
thebinabilitybtob distinguishbrealitybfrombfantasybisbanbindividualbfactorbthatbmaybcontributebtobme
ntalbillness.!
4. Abclientbgrievingbthebrecentblossbofbherbhusbandbasksbifbshebisbbecomingbmentallybillbbecausebs
hebisbsob sad.bThebnurse'sbbestbresponsebwouldbbe,!
A) Youbmaybhavebabtemporarybmentalbillnessbbecausebyoubarebexperiencingbsobm
uch!b pain.!
B) Youbarebnotbmentallybill.bThisbisbanbexpectedbreactionbtobtheblossbyoub
have!b experienced.!
C) Werebyoubgenerallybdissatisfiedbwithbyourbrelationshipbbeforebyourbhusban
d's!b death?!
D) Trybnotbtobworrybaboutbthatbrightbnow.bYoubneverbknowbwhatbthebfuturebbrings.!
Ans:bB!b Feedba
ck:!
Mentalbillnessbincludesbgeneralbdissatisfactionbwithbself,bineffectivebrelationships,bineffectivebcoping,b
andb lackbofbpersonalbgrowth.bAdditionallybthebbehaviorbmustbnotbbebculturallybexpected.bAcutebgrief
breactionsb arebexpectedbandbthereforebnotbconsideredbmentalbillness.bFalsebreassurance borboverana
lysisbdoesbnotb accuratelybaddressbthebclient'sbconcerns.!
5. ThebnursebconsultsbthebDSMbforbwhichbofbthebfollowingbpurposes?!b
A)bTob devisebabplanbofbcarebforbabnewlybadmittedbclient!
B) Tobpredictbthebclient'sbprognosisbofbtreatmentboutcomes!
C) Tobdocumentbthebappropriatebdiagnosticbcodebinbthebclient'sbmedicalbrecord!
D) Tobservebasbabguidebforbclientbassessment!
Ans:bD!b Feedba
ck:!
ThebDSMbprovidesbstandardbnomenclature,bpresentsbdefiningbcharacteristics,bandbidentifiesbunderlyin
gb causesbofbmentalbdisorders.bItbdoesbnotbprovidebcarebplansborbprognosticboutcomesbofbtreatment
.
DiagnosisbofbmentalbillnessbisbnotbwithinbthebgeneralistbRN'sbscopebofbpractice,bsobdocumentingbthe
bcodeb inbthebmedicalbrecordbwouldbbebinappropriate.!
6. WhichbwouldbbebabreasonbforbabstudentbnursebtobusebthebDSM
?!bA)b Identifyingbthebmedicalbdiagnosis!
B) Treatbclients!
C) Evaluateb treatments!
3. Whichbofbthebfollowingbarebtruebregardingbmentalbhealthbandbmentalbillness?!
A) Behaviorbthatbmaybbebviewedbasbacceptablebinbonebculturebisbalwaysbunaccept
able!b inbotherbcultures.!
B) Itbisbeasybtobdeterminebifbabpersonbisbmentallybhealthyborbmentallybill.!
C) Inbmostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocial!bwellnessbevidenc
edbbyb satisfyingbinterpersonalbrelationships,beffectivebbehavior!
andbcoping,bpositivebself-
concept,bandbemotionalbstability.!bD)b Personsbwhobengagebinbfa
ntasiesbarebmentallybill.!
Ans:bC!b Feedba
ck:!
about:blank 2/223
,3/28/24,b11:55bPM
TestbBank
Whatbonebsocietybmaybviewbasbacceptable bandbbVidebeck Psychiatric
appropriatebbbehavior, bMental
banother bHealth
bsociety bNursin
bmaybsee bthat
g basb maladaptive,bandbinappropriate.bMentalbhealthbandbmentalbillnessbarebdifficultbtobdefinebpreci
sely.bInb mostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocialbwellnessbevi
dencedbbyb satisfyingbinterpersonalbrelationships,beffectivebbehaviorbandbcoping,bpositivebself-
concept,bandb emotionalbstability.bPersonsbwhobengagebinbfantasiesbmaybbebmentallybhealthy,bbutb
thebinabilitybtob distinguishbrealitybfrombfantasybisbanbindividualbfactorbthatbmaybcontributebtobme
ntalbillness.!
4. Abclientbgrievingbthebrecentblossbofbherbhusbandbasksbifbshebisbbecomingbmentallybillbbecausebs
hebisbsob sad.bThebnurse'sbbestbresponsebwouldbbe,!
A) Youbmaybhavebabtemporarybmentalbillnessbbecausebyoubarebexperiencingbsobm
uch!b pain.!
B) Youbarebnotbmentallybill.bThisbisbanbexpectedbreactionbtobtheblossbyoub
have!b experienced.!
C) Werebyoubgenerallybdissatisfiedbwithbyourbrelationshipbbeforebyourbhusban
d's!b death?!
D) Trybnotbtobworrybaboutbthatbrightbnow.bYoubneverbknowbwhatbthebfuturebbrings.!
Ans:bB!b Feedba
ck:!
Mentalbillnessbincludesbgeneralbdissatisfactionbwithbself,bineffectivebrelationships,bineffectivebcoping,b
andb lackbofbpersonalbgrowth.bAdditionallybthebbehaviorbmustbnotbbebculturallybexpected.bAcutebgrief
breactionsb arebexpectedbandbthereforebnotbconsideredbmentalbillness.bFalsebreassurance borboverana
lysisbdoesbnotb accuratelybaddressbthebclient'sbconcerns.!
5. ThebnursebconsultsbthebDSMbforbwhichbofbthebfollowingbpurposes?!b
A)bTob devisebabplanbofbcarebforbabnewlybadmittedbclient!
B) Tobpredictbthebclient'sbprognosisbofbtreatmentboutcomes!
C) Tobdocumentbthebappropriatebdiagnosticbcodebinbthebclient'sbmedicalbrecord!
D) Tobservebasbabguidebforbclientbassessment!
Ans:bD!b Feedba
ck:!
ThebDSMbprovidesbstandardbnomenclature,bpresentsbdefiningbcharacteristics,bandbidentifiesbunderlyin
gb causesbofbmentalbdisorders.bItbdoesbnotbprovidebcarebplansborbprognosticboutcomesbofbtreatment
.
DiagnosisbofbmentalbillnessbisbnotbwithinbthebgeneralistbRN'sbscopebofbpractice,bsobdocumentingbthe
bcodeb inbthebmedicalbrecordbwouldbbebinappropriate.!
6. WhichbwouldbbebabreasonbforbabstudentbnursebtobusebthebDSM
?!bA)b Identifyingbthebmedicalbdiagnosis!
B) Treatbclients!
C) Evaluateb treatments!
D) removebdangerousbpeoplebwithbmentalbillnessbfrombthebcommunity.!
Ans:bB!b Feedba
ck:!
Thebasylumbwasbmeantbtobbebabsafebhavenbwithbfood,bshelter,bandbhumanebtreatmentbforbthebment
allybill.b Asylumsbwerebnotbusedbtobimprovebtreatmentbofbmentalbdisordersborbtobpunishbmentallybill
bpeoplebwhob werebbelievedbtobbebpossessed.bThebasylumbwasbnotbcreatedbtobremovebthebdangero
uslybmentallybillbfromb thebcommunity.!
11. Thebmajorbproblemsbwithblargebstatebinstitutionsbare:bSelectballbthatbapply
.!bA)b attendantsbwerebaccusedbofbabusingbthebresidents.!
B) stigmabassociatedbwithbresidencebinbanbinsanebasylum.!
C) clientsbwerebgeographicallybisolatedbfrombfamilybandbcommunity.!
D) increasingbfinancialbcostsbtobindividualbresidents.!bAns:bA,bC!
about:blank 3/223
, 3/28/24,b11:55bPM
Feedback:! TestbBankbVidebeckbPsychiatricbMentalbHealthbNursin
g Clientsbwereboftenbfarbremovedbfrombtheblocalbcommunity,bfamily,bandbfriendsbbecausebstatebinstitu
tionsb werebusuallybinbruralborbremotebsettings.bChoicesbBbandbDbwerebnotbmajorbproblemsbassociat
edbwithblargeb statebinstructions.!
12. Absignificantbchangebinbthebtreatmentbofbpeoplebwithbmentalbillnessboccurredbinbtheb1950sbwhen!
A) communitybsupportbservicesbwerebestablished.!
B) legislationbdramaticallybchangedbcivilbcommitmentbprocedures.!
C) thebPatient'sbBillbofbRightsbwasbenacted.!
D) psychotropicbdrugsbbecamebavailablebforbuse.!
Ans:bD!b Feedba
ck:!
Thebdevelopmentbofbpsychotropicbdrugs,borbdrugsbusedbtobtreatbmentalbillness,bbeganbinbtheb1950s
.b AnswerbchoicesbA,bB,bandbCbdidbnotboccurbinbtheb1950s.!
13. Beforebthebperiodbofbthebenlightenment,btreatmentbofbthebmentallybillbinclude
d!bA)b creatingblargebinstitutionsbtobprovidebcustodialbcare.!
B) focusingbonbreligiousbeducationbtobimprovebtheirbsouls.!
C) placingbthebmentallybillbonbdisplaybforbthebpublic'sbamusement.!
D) providingbabsafebrefugeborbhavenbofferingbprotection.!
Ans:bC!b Feedba
ck:!
Inb1775,bvisitorsbatbSt.bMary'sbofbBethlehembwerebchargedbabfeebforbviewingbandbridiculingbthebmen
tallybill,b whobwerebseenbasbanimals,blessbthanbhuman.bCustodialbcarebwasbnotboftenbprovidedbasbpe
rsonsbwhobwereb consideredbharmlessbwereballowedbtobwanderbinbthebcountrysideborblivebinbruralbc
ommunities,bandbmoreb dangerousblunaticsbwerebimprisoned,bchained,bandbstarved.bInbearlybChristia
nbtimes,bprimitivebbeliefsbandb superstitionsbwerebstrong.bThebmentallybillbwerebviewedbasbevilborbp
ossessed.bPriestsbperformedb exorcismsbtobridbevilbspirits,bandbinbthebcolonies,bwitchbhuntsbwerebco
nductedbwithboffendersbburnedbatb thebstake.bItbwasbnotbuntilbthebperiodbofbenlightenmentbwhenbp
ersonsbwhobwerebmentallybillbwerebofferedb asylumbasbabsafebrefugeborbhavenbofferingbprotectionba
tbinstitutions.!
14. Thebfirstbtrainingbofbnursesbtobworkbwithbpersonsbwithbmentalbillnessbwasbinb1882binbwhichbstate?!
A) California!
B) Illinois!
C) Massachusetts!
D) NewbYork!
Ans:bC!b Feedba
ck:!
Thebfirstbtrainingbforbnursesbtobworkbwithbpersonsbwithbmentalbillnessbwasbinb1882batbMcLeanbHospi
talbinb Belmont,bMassachusetts.!
15. Whatbisbmeantbbybthebtermbrevolvingbdoorbeffectbinbmentalbhealthbcare?!b
A)bAnb overallbreductionbinbincidencebofbseverebmentalbillness!
B) Shorterbandbmorebfrequentbhospitalbstaysbforbpersonsbwithbseverebandbpersist
ent!b mentalbillness!
C) Flexiblebtreatmentbsettingsbforbmentallybill!
D) Mostbeffectivebandbleastbexpensivebtreatmentbsettings!
Ans:bB!b Feedba
ck:!
about:blank 4/223
TestbBankbVidebeckbPsychiatricbMentalbHealthbNursin
g Psychiatric-
Mental Health 9th TEST BANK/Study Guide
b b b b b
WoltersbKluwerbbybVidebeckbTestbBank/Stu
dybGuide
Chapterb1!
1. Thebnursebisbassessingbthebfactorsbcontributingbtobthebwell-
beingbofbabnewlybadmittedbclient.bWhichbofb thebfollowingbwouldbthebnursebidentifybasbhavingbabp
ositivebimpactbonbthebindividual'sbmentalbhealth?!
A) Notbneedingbothersbforbcompanionship!
B) Thebabilitybtobeffectivelybmanagebstress!
C) Abfamilybhistorybofbmentalbillness!
D) Strivingbforbtotalbself-reliance!
Ans:bB!b Feedba
ck:!
Individualbfactorsbinfluencingbmentalbhealthbincludebbiologicbmakeup,bautonomy,bindependence,bself
-
b esteem,bcapacitybforbgrowth,bvitality,babilitybtobfindbmeaningbinblife,bemotionalbresilienceborbhardi
ness,b sensebofbbelonging,brealityborientation,bandbcopingborbstressbmanagementbabilities.bInterperso
nalbfactorsb suchbasbintimacybandbabbalancebofbseparatenessbandbconnectednessbarebbothbneededbf
orbgoodbmentalb health,bandbthereforebabhealthybpersonbwouldbneedbothersbforbcompanionship.bAbf
amilybhistorybofbmentalb illnessbcouldbrelatebtobthebbiologicbmakeupbofbanbindividual,bwhichbmaybha
vebabnegativebimpactbonbanb individual'sbmentalbhealth,basbwellbasbabnegativebimpactbonbanbindivid
ual'sbinterpersonalbandbsocialbandb culturalbfactorsbofbhealth.bTotalbself-
reliancebisbnotbpossible,bandbabpositivebsocial/culturalbfactorbisbaccessb tobadequatebresources.!
2. Whichbofbthebfollowingbstatementsbaboutbmentalbillnessbarebtrue?bSelectballbthatbapply.!bA)b
Mentalb illnessbcanbcausebsignificantbdistress,bimpairedbfunctioning,borbboth.!
B) Mentalbillnessbisbonlybduebtobsocial/culturalbfactors.!
C) Social/culturalbfactorsbthatbrelatebtobmentalbillnessbincludebexcessivebdepende
ncy!b onborbwithdrawalbfrombrelationships.!
D) Individualsbsufferingbfrombmentalbillnessbarebusuallybablebtobcopebeffectivelybwith!bdailyblife.!
E) Individualsbsufferingbfrombmentalbillnessbmaybexperiencebdissatisfactionbwith!brelationshipsb
andb self.!
Ans:bA,bD,bE!
Feedback:!
Mentalbillnessbcanbcausebsignificantbdistress,bimpairedbfunctioning,borbboth.bMentalbillnessbmaybbebre
latedb tobindividual,binterpersonal,borbsocial/culturalbfactors.bExcessivebdependencybonborbwithdrawa
lbfromb relationshipsbarebinterpersonalbfactorsbthatbrelatebtobmentalbillness.bIndividualsbsufferingbfro
mbmentalb illnessbcanbfeelboverwhelmedbwithbdailyblife.bIndividualsbsufferingbfrombmentalbillnessbm
aybexperienceb dissatisfactionbwithbrelationshipsbandbself.!
3. Whichbofbthebfollowingbarebtruebregardingbmentalbhealthbandbmentalbillness?!
A) Behaviorbthatbmaybbebviewedbasbacceptablebinbonebculturebisbalwaysbunaccept
able!b inbotherbcultures.!
B) Itbisbeasybtobdeterminebifbabpersonbisbmentallybhealthyborbmentallybill.!
C) Inbmostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocial!bwellnessbevidenc
edbbyb satisfyingbinterpersonalbrelationships,beffectivebbehavior!bandbcoping,bpositivebself-
concept,bandb emotionalbstability.!bD)bPersonsbwhobengagebinbfantasiesbarebmentallybill.!
Ans:bC!
about:blank 1/223
,3/28/24,b11:55bPM
Feedback:! TestbBankbVidebeckbPsychiatricbMentalbHealthbNursin
g Whatbonebsocietybmaybviewbasbacceptablebandbappropriatebbehavior,banotherbsocietybmaybseebthat
basb maladaptive,bandbinappropriate.bMentalbhealthbandbmentalbillnessbarebdifficultbtobdefinebpreci
sely.bInb mostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocialbwellnessbevi
dencedbbyb satisfyingbinterpersonalbrelationships,beffectivebbehaviorbandbcoping,bpositivebself-
concept,bandb emotionalbstability.bPersonsbwhobengagebinbfantasiesbmaybbebmentallybhealthy,bbutb
thebinabilitybtob distinguishbrealitybfrombfantasybisbanbindividualbfactorbthatbmaybcontributebtobme
ntalbillness.!
4. Abclientbgrievingbthebrecentblossbofbherbhusbandbasksbifbshebisbbecomingbmentallybillbbecausebs
hebisbsob sad.bThebnurse'sbbestbresponsebwouldbbe,!
A) Youbmaybhavebabtemporarybmentalbillnessbbecausebyoubarebexperiencingbsobm
uch!b pain.!
B) Youbarebnotbmentallybill.bThisbisbanbexpectedbreactionbtobtheblossbyoub
have!b experienced.!
C) Werebyoubgenerallybdissatisfiedbwithbyourbrelationshipbbeforebyourbhusban
d's!b death?!
D) Trybnotbtobworrybaboutbthatbrightbnow.bYoubneverbknowbwhatbthebfuturebbrings.!
Ans:bB!b Feedba
ck:!
Mentalbillnessbincludesbgeneralbdissatisfactionbwithbself,bineffectivebrelationships,bineffectivebcoping,b
andb lackbofbpersonalbgrowth.bAdditionallybthebbehaviorbmustbnotbbebculturallybexpected.bAcutebgrief
breactionsb arebexpectedbandbthereforebnotbconsideredbmentalbillness.bFalsebreassurance borboverana
lysisbdoesbnotb accuratelybaddressbthebclient'sbconcerns.!
5. ThebnursebconsultsbthebDSMbforbwhichbofbthebfollowingbpurposes?!b
A)bTob devisebabplanbofbcarebforbabnewlybadmittedbclient!
B) Tobpredictbthebclient'sbprognosisbofbtreatmentboutcomes!
C) Tobdocumentbthebappropriatebdiagnosticbcodebinbthebclient'sbmedicalbrecord!
D) Tobservebasbabguidebforbclientbassessment!
Ans:bD!b Feedba
ck:!
ThebDSMbprovidesbstandardbnomenclature,bpresentsbdefiningbcharacteristics,bandbidentifiesbunderlyin
gb causesbofbmentalbdisorders.bItbdoesbnotbprovidebcarebplansborbprognosticboutcomesbofbtreatment
.
DiagnosisbofbmentalbillnessbisbnotbwithinbthebgeneralistbRN'sbscopebofbpractice,bsobdocumentingbthe
bcodeb inbthebmedicalbrecordbwouldbbebinappropriate.!
6. WhichbwouldbbebabreasonbforbabstudentbnursebtobusebthebDSM
?!bA)b Identifyingbthebmedicalbdiagnosis!
B) Treatbclients!
C) Evaluateb treatments!
3. Whichbofbthebfollowingbarebtruebregardingbmentalbhealthbandbmentalbillness?!
A) Behaviorbthatbmaybbebviewedbasbacceptablebinbonebculturebisbalwaysbunaccept
able!b inbotherbcultures.!
B) Itbisbeasybtobdeterminebifbabpersonbisbmentallybhealthyborbmentallybill.!
C) Inbmostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocial!bwellnessbevidenc
edbbyb satisfyingbinterpersonalbrelationships,beffectivebbehavior!
andbcoping,bpositivebself-
concept,bandbemotionalbstability.!bD)b Personsbwhobengagebinbfa
ntasiesbarebmentallybill.!
Ans:bC!b Feedba
ck:!
about:blank 2/223
,3/28/24,b11:55bPM
TestbBank
Whatbonebsocietybmaybviewbasbacceptable bandbbVidebeck Psychiatric
appropriatebbbehavior, bMental
banother bHealth
bsociety bNursin
bmaybsee bthat
g basb maladaptive,bandbinappropriate.bMentalbhealthbandbmentalbillnessbarebdifficultbtobdefinebpreci
sely.bInb mostbcases,bmentalbhealthbisbabstatebofbemotional,bpsychological,bandbsocialbwellnessbevi
dencedbbyb satisfyingbinterpersonalbrelationships,beffectivebbehaviorbandbcoping,bpositivebself-
concept,bandb emotionalbstability.bPersonsbwhobengagebinbfantasiesbmaybbebmentallybhealthy,bbutb
thebinabilitybtob distinguishbrealitybfrombfantasybisbanbindividualbfactorbthatbmaybcontributebtobme
ntalbillness.!
4. Abclientbgrievingbthebrecentblossbofbherbhusbandbasksbifbshebisbbecomingbmentallybillbbecausebs
hebisbsob sad.bThebnurse'sbbestbresponsebwouldbbe,!
A) Youbmaybhavebabtemporarybmentalbillnessbbecausebyoubarebexperiencingbsobm
uch!b pain.!
B) Youbarebnotbmentallybill.bThisbisbanbexpectedbreactionbtobtheblossbyoub
have!b experienced.!
C) Werebyoubgenerallybdissatisfiedbwithbyourbrelationshipbbeforebyourbhusban
d's!b death?!
D) Trybnotbtobworrybaboutbthatbrightbnow.bYoubneverbknowbwhatbthebfuturebbrings.!
Ans:bB!b Feedba
ck:!
Mentalbillnessbincludesbgeneralbdissatisfactionbwithbself,bineffectivebrelationships,bineffectivebcoping,b
andb lackbofbpersonalbgrowth.bAdditionallybthebbehaviorbmustbnotbbebculturallybexpected.bAcutebgrief
breactionsb arebexpectedbandbthereforebnotbconsideredbmentalbillness.bFalsebreassurance borboverana
lysisbdoesbnotb accuratelybaddressbthebclient'sbconcerns.!
5. ThebnursebconsultsbthebDSMbforbwhichbofbthebfollowingbpurposes?!b
A)bTob devisebabplanbofbcarebforbabnewlybadmittedbclient!
B) Tobpredictbthebclient'sbprognosisbofbtreatmentboutcomes!
C) Tobdocumentbthebappropriatebdiagnosticbcodebinbthebclient'sbmedicalbrecord!
D) Tobservebasbabguidebforbclientbassessment!
Ans:bD!b Feedba
ck:!
ThebDSMbprovidesbstandardbnomenclature,bpresentsbdefiningbcharacteristics,bandbidentifiesbunderlyin
gb causesbofbmentalbdisorders.bItbdoesbnotbprovidebcarebplansborbprognosticboutcomesbofbtreatment
.
DiagnosisbofbmentalbillnessbisbnotbwithinbthebgeneralistbRN'sbscopebofbpractice,bsobdocumentingbthe
bcodeb inbthebmedicalbrecordbwouldbbebinappropriate.!
6. WhichbwouldbbebabreasonbforbabstudentbnursebtobusebthebDSM
?!bA)b Identifyingbthebmedicalbdiagnosis!
B) Treatbclients!
C) Evaluateb treatments!
D) removebdangerousbpeoplebwithbmentalbillnessbfrombthebcommunity.!
Ans:bB!b Feedba
ck:!
Thebasylumbwasbmeantbtobbebabsafebhavenbwithbfood,bshelter,bandbhumanebtreatmentbforbthebment
allybill.b Asylumsbwerebnotbusedbtobimprovebtreatmentbofbmentalbdisordersborbtobpunishbmentallybill
bpeoplebwhob werebbelievedbtobbebpossessed.bThebasylumbwasbnotbcreatedbtobremovebthebdangero
uslybmentallybillbfromb thebcommunity.!
11. Thebmajorbproblemsbwithblargebstatebinstitutionsbare:bSelectballbthatbapply
.!bA)b attendantsbwerebaccusedbofbabusingbthebresidents.!
B) stigmabassociatedbwithbresidencebinbanbinsanebasylum.!
C) clientsbwerebgeographicallybisolatedbfrombfamilybandbcommunity.!
D) increasingbfinancialbcostsbtobindividualbresidents.!bAns:bA,bC!
about:blank 3/223
, 3/28/24,b11:55bPM
Feedback:! TestbBankbVidebeckbPsychiatricbMentalbHealthbNursin
g Clientsbwereboftenbfarbremovedbfrombtheblocalbcommunity,bfamily,bandbfriendsbbecausebstatebinstitu
tionsb werebusuallybinbruralborbremotebsettings.bChoicesbBbandbDbwerebnotbmajorbproblemsbassociat
edbwithblargeb statebinstructions.!
12. Absignificantbchangebinbthebtreatmentbofbpeoplebwithbmentalbillnessboccurredbinbtheb1950sbwhen!
A) communitybsupportbservicesbwerebestablished.!
B) legislationbdramaticallybchangedbcivilbcommitmentbprocedures.!
C) thebPatient'sbBillbofbRightsbwasbenacted.!
D) psychotropicbdrugsbbecamebavailablebforbuse.!
Ans:bD!b Feedba
ck:!
Thebdevelopmentbofbpsychotropicbdrugs,borbdrugsbusedbtobtreatbmentalbillness,bbeganbinbtheb1950s
.b AnswerbchoicesbA,bB,bandbCbdidbnotboccurbinbtheb1950s.!
13. Beforebthebperiodbofbthebenlightenment,btreatmentbofbthebmentallybillbinclude
d!bA)b creatingblargebinstitutionsbtobprovidebcustodialbcare.!
B) focusingbonbreligiousbeducationbtobimprovebtheirbsouls.!
C) placingbthebmentallybillbonbdisplaybforbthebpublic'sbamusement.!
D) providingbabsafebrefugeborbhavenbofferingbprotection.!
Ans:bC!b Feedba
ck:!
Inb1775,bvisitorsbatbSt.bMary'sbofbBethlehembwerebchargedbabfeebforbviewingbandbridiculingbthebmen
tallybill,b whobwerebseenbasbanimals,blessbthanbhuman.bCustodialbcarebwasbnotboftenbprovidedbasbpe
rsonsbwhobwereb consideredbharmlessbwereballowedbtobwanderbinbthebcountrysideborblivebinbruralbc
ommunities,bandbmoreb dangerousblunaticsbwerebimprisoned,bchained,bandbstarved.bInbearlybChristia
nbtimes,bprimitivebbeliefsbandb superstitionsbwerebstrong.bThebmentallybillbwerebviewedbasbevilborbp
ossessed.bPriestsbperformedb exorcismsbtobridbevilbspirits,bandbinbthebcolonies,bwitchbhuntsbwerebco
nductedbwithboffendersbburnedbatb thebstake.bItbwasbnotbuntilbthebperiodbofbenlightenmentbwhenbp
ersonsbwhobwerebmentallybillbwerebofferedb asylumbasbabsafebrefugeborbhavenbofferingbprotectionba
tbinstitutions.!
14. Thebfirstbtrainingbofbnursesbtobworkbwithbpersonsbwithbmentalbillnessbwasbinb1882binbwhichbstate?!
A) California!
B) Illinois!
C) Massachusetts!
D) NewbYork!
Ans:bC!b Feedba
ck:!
Thebfirstbtrainingbforbnursesbtobworkbwithbpersonsbwithbmentalbillnessbwasbinb1882batbMcLeanbHospi
talbinb Belmont,bMassachusetts.!
15. Whatbisbmeantbbybthebtermbrevolvingbdoorbeffectbinbmentalbhealthbcare?!b
A)bAnb overallbreductionbinbincidencebofbseverebmentalbillness!
B) Shorterbandbmorebfrequentbhospitalbstaysbforbpersonsbwithbseverebandbpersist
ent!b mentalbillness!
C) Flexiblebtreatmentbsettingsbforbmentallybill!
D) Mostbeffectivebandbleastbexpensivebtreatmentbsettings!
Ans:bB!b Feedba
ck:!
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