8/14/23,l10:54lPM Psychiatriclmentallhealthlnursingl8thleditionlbylvidebeckltestlbank[l1389]
Psychiatric-Mentall Healthl Nursingl 8thl editionl byl Videbeckl Testl Bank
Chapterl1
1. Thel nursel isl assessingl thel factorsl contributingl tol thel well-
beingl ofl al newlyl admittedlclient.l Whichl ofl thel followingl wouldl thel nursel identifyl asl ha
vingl al positivel impactl onlthelindividual'slmentallhealth?
A) Notl needingl othersl forl companionship
B) Thel abilityl tol effectivelyl managel stress
C) Al familyl historyl ofl mentall illness
D) Strivingl forl totall self-
reliancelAns:l B
Feedback:
Individuall factorsl influencingl mentall healthl includel biologicl makeup,l autonomy,lindepen
dence,l self-
esteem,l capacityl forl growth,l vitality,l abilityl tol findl meaningl inl life,lemotionall resiliencel
orl hardiness,l sensel ofl belonging,l realityl orientation,l andl copingl orlstressl managementl abi
lities.l Interpersonall factorsl suchl asl intimacyl andl al balancel oflseparatenessl andl connectedn
essl arel bothl neededl forl goodl mentall health,l andl thereforel alhealthyl personl wouldl needl oth
ersl forl companionship.l Al familyl historyl ofl mentall illnesslcouldl relatel tol thel biologicl mak
eupl ofl anl individual,l whichl mayl havel al negativel impactlonlanl individual'sl mentall health,la
slwelllaslalnegativel impactlonlanl individual'slinterpersonall andl socialñculturall factorsl ofl
health.l Totall self-
reliancel isl notl possible,landlalpositivelsocial/culturallfactorlislaccessltoladequatelresources
.
2. Whichl ofl thel followingl statementslaboutl mentall illnessl areltrue?lSelectl alll thatl apply.
A) Mentall illnessl canl causel significantl distress,l impairedl functioning,l orl both.
B) Mentall illnesslisl onlyl dueltol social/culturall factors.
C) Social/culturall factorsl thatl relatel tol mentall illnessl includel excessivel dependencylo
nlorlwithdrawallfromlrelationships.
D) Individualsl sufferingl froml mentall illnessl arel usuallyl ablel tol copel effectivelyl withld
ailyllife.
E) Individualsl sufferingl froml mentall illnessl mayl experiencel dissatisfactionl withlr
elationshipslandlself.
Ans:l A,lD,lE
Feedback:
Mentall illnessl canl causel significantl distress,l impairedl functioning,l orl both.l Mentallillness
l mayl bel relatedl tol individual,l interpersonal,l orl social/culturall factors.l Excessiveldepende
ncyl onl orl withdrawall froml relationshipsl arel interpersonall factorsl thatl relatel tolmentall illn
ess.l Individualsl sufferingl froml mentall illnessl canl feell overwhelmedl withldailyl life.l Indiv
idualsl sufferingl froml mentall illnessl mayl experiencel dissatisfactionl withlrelationshipsland
lself.
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3. Whichl ofl thel followingl arel truel regardingl mentall healthl andl mentall illness?
A) Behaviorl thatl mayl bel viewedl asl acceptablel inl onel culturel isl alwaysl unacceptableli
nlotherlcultures.
B) Itl isl easyl tol determinel ifl al personl isl mentallyl healthyl orl mentallyl ill.
C) Inl mostl cases,l mentall healthl isl al statel ofl emotional,l psychological,l andl sociallwel
lnessl evidencedl byl satisfyingl interpersonall relationships,l effectivel behaviorlandl
coping,lpositivelself-concept,landlemotionallstability.
D) Personsl whol engagel inl fantasiesl arel mentallyl ill.l
Ans:l C
Feedback:
Whatl onel societyl mayl viewl asl acceptablel andl appropriatel behavior,l anotherl societyl mayls
eel thatl asl maladaptive,l andl inappropriate.l Mentall healthl andl mentall illnessl arel difficultltol
definel precisely.l Inl mostl cases,l mentall healthl isl al statel ofl emotional,l psychological,landl so
ciall wellnessl evidencedl byl satisfyingl interpersonall relationships,l effectivelbehaviorl andl c
oping,l positivel self-
concept,l andl emotionall stability.l Personsl whol engagelinl fantasiesl mayl bel mentallyl health
y,l butl thel inabilityl tol distinguishl realityl froml fantasylislanlindividuallfactorlthatlmaylcontri
buteltolmentallillness.
4. Al clientl grievingl thel recentl lossl ofl herl husbandl asksl ifl shel isl becomingl mentallyl illlb
ecauselshelislsolsad.lThelnurse'slbestlresponselwouldlbe,
A) ìYoul mayl havel al temporaryl mentall illnessl becausel youl arel experiencingl sol muchlp
ain.î
B) ìYoul arel notl mentallyl ill.l Thisl isl anl expectedl reactionl tol thel lossl youl havele
xperienced.î
C) ìWerel youl generallyl dissatisfiedl withl yourl relationshipl beforel yourl husband'sld
eath?î
D) ìTryl notl tol worryl aboutl thatl rightl now.l Youl neverl knowl whatl thel futurel brings.îlA
ns:l B
Feedback:
Mentall illnessl includesl generall dissatisfactionl withl self,l ineffectivel relationships,lineffecti
vel coping,l andl lackl ofl personall growth.l Additionallyl thel behaviorl mustl notl belculturallyl
expected.l Acutel griefl reactionsl arelexpectedl andl thereforel notl consideredl mentall illness.l
Falsel reassurancel orl overanalysisl doesl notl accuratelyl addressl thel client'slconcerns.
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5. Thel nursel consultsl thel DSMl forl whichl ofl thel followingl purposes?
A) Tol devisel al planl ofl carel forl al newlyl admittedl client
B) Tol predictl thel client'sl prognosisl ofl treatmentl outcomes
C) Tol documentl thel appropriatel diagnosticl codel inl thel client'sl medicall record
D) Tolservel asl al guidel forl clientl assessmentl
Ans:l D
Feedback:
Thel DSMl providesl standardl nomenclature,lpresentsl definingl characteristics,l andlidentifie
slunderlyingl causeslofl mentalldisorders.l Itl doeslnotl providelcarel plansl orlprognosticl outco
mesl ofl treatment.l Diagnosisl ofl mentall illnessl isl notl withinl thelgeneralistl RN'sl scopel ofl pr
actice,l sol documentingl thel codel inl thel medicall recordl wouldlbelinappropriate.
6. Whichl wouldlbel al reasonl forl al studentl nursel tol usel thel DSM?
A) Identifyingl thel medicall diagnosis
B) Treatl clients
C) Evaluatel treatments
D) Understandl thel reasonl forl thel admissionl andl thel naturel ofl psychiatricl illnesses.l
Ans:l D
Feedback:
Althoughlstudentl nursesl dol notlusel thel DSMl tol diagnoselclients,l theyl willl findl itl alhelpful
l resourcel tol understandl thel reasonl forl thel admissionl andl tol beginl buildinglknowledgel abo
utl thel naturel ofl psychiatricl illnesses.l Identifyingl thel medicall diagnosis,ltreating,landleval
uatingltreatmentslarelnotlalpartloflthelnursinglprocess.
7. Thel legislationl enactedl inl 1963l wasl largelyl responsiblel forl whichl ofl thel followingl shiftsli
nlcarelforlthel mentallylill?
A) Thel widespreadl usel ofl community-basedl services
B) Thel advancementl inl pharmacotherapies
C) Increasedl accessl tol hospitalization
D) Improvedl rightsl forl clientsl inl long-
terml institutionall carelAns:l A
Feedback:
Thel Communityl Mentall Healthl Centersl Constructionl Actl ofl 1963l accomplishedl thelrelea
selofl individualsl froml long-
terml staysl inl statel institutions,l thel decreasel inladmissionsl tol hospitals,l andl thel developme
ntl ofl community-basedl servicesl aslanlalternativeltolhospitallcare.
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, 8/14/23,l10:54lPM Psychiatriclmentallhealthlnursingl8thleditionlbylvidebeckltestlbank[l1389]
8. Whichl onel ofl thel followingl isl al resultl ofl federall legislation?
A) Makingl itl easierl tol commitl peoplel forl mentall healthl treatmentl againstl theirl will.
B) Makingl itl morel difficultl tol commitl peoplel forl mentall healthl treatmentl againstlt
heirlwill.
C) Statel mentall institutionsl beingl thel primarylsourcel ofl carel forl mentallyl illl persons.
D) Improvedl carel forl mentallyl illl persons.l
Ans:l B
Feedback:
Commitmentl lawsl changedl inl thel earlyl 1970s,l makingl itl morel difficultl tol commitlpeo
plel forl mentall healthl treatmentlagainstltheirl will.l Deinstitutionalizationlaccomplishedl
thel releasel ofl individualsl froml long-
terml staysl inl statel institutions.lDeinstitutionalizationl alsol hadl negativel effectsl inl thatl
somel mentallyl illl personsl arelsubjectedl tol thel revolvingl doorl effect,l whichl mayl limitl
carel forl mentallyl illl persons.
9. Thel goall ofl thel 1963l Communityl Mentall HealthlCentersl Actl waslto
A) ensurel patients'l rightsl forl thel mentallyl ill.
B) deinstitutionalizel statel hospitals.
C) providel fundsl tol buildl hospitalsl withl psychiatricl units.
D) treatl peoplel withl mentall illnessl inl al humanel fashion.l
Ans:l B
Feedback:
Thel 1963l Communityl Mentall Healthl Centersl Actl intimatedl thel movementl towardltrea
tingl thosel withl mentall illnessl inl al lessl restrictivel environment.l Thisl legislationlresulte
dl inl thel shiftl ofl clientsl withl mentall illnessl froml largel statel institutionsl tol carelbasedl inl
thel community.l Answerl choicesl A,l C,l andl Dl werel notl purposesl ofl thel 1963lCommunit
ylMentallHealthlCenterslAct.
10. Thel creationl ofl asylumsl duringl thel 1800sl wasl meantl to
A) improvel treatmentl ofl mentall disorders.
B) providel foodl andl shelterl forl thel mentallyl ill.
C) punishl peoplel withl mentall illnessl whol werel believedl tol bel possessed.
D) removel dangerousl peoplel withl mentall illnessl froml thel community.l
Ans:l B
Feedback:
Thel asyluml wasl meantl tol bel alsafel havenl withl food,l shelter,l andl humanel treatmentl forlth
el mentallyl ill.l Asylumsl werel notl usedl tol improvel treatmentl ofl mentall disordersl orl tolpun
ishl mentallyl illl peoplelwhol werel believedl tol bel possessed.l Thel asyluml wasl notlcreatedlt
olremoveltheldangerouslylmentallyl illl froml thelcommunity.
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Psychiatric-Mentall Healthl Nursingl 8thl editionl byl Videbeckl Testl Bank
Chapterl1
1. Thel nursel isl assessingl thel factorsl contributingl tol thel well-
beingl ofl al newlyl admittedlclient.l Whichl ofl thel followingl wouldl thel nursel identifyl asl ha
vingl al positivel impactl onlthelindividual'slmentallhealth?
A) Notl needingl othersl forl companionship
B) Thel abilityl tol effectivelyl managel stress
C) Al familyl historyl ofl mentall illness
D) Strivingl forl totall self-
reliancelAns:l B
Feedback:
Individuall factorsl influencingl mentall healthl includel biologicl makeup,l autonomy,lindepen
dence,l self-
esteem,l capacityl forl growth,l vitality,l abilityl tol findl meaningl inl life,lemotionall resiliencel
orl hardiness,l sensel ofl belonging,l realityl orientation,l andl copingl orlstressl managementl abi
lities.l Interpersonall factorsl suchl asl intimacyl andl al balancel oflseparatenessl andl connectedn
essl arel bothl neededl forl goodl mentall health,l andl thereforel alhealthyl personl wouldl needl oth
ersl forl companionship.l Al familyl historyl ofl mentall illnesslcouldl relatel tol thel biologicl mak
eupl ofl anl individual,l whichl mayl havel al negativel impactlonlanl individual'sl mentall health,la
slwelllaslalnegativel impactlonlanl individual'slinterpersonall andl socialñculturall factorsl ofl
health.l Totall self-
reliancel isl notl possible,landlalpositivelsocial/culturallfactorlislaccessltoladequatelresources
.
2. Whichl ofl thel followingl statementslaboutl mentall illnessl areltrue?lSelectl alll thatl apply.
A) Mentall illnessl canl causel significantl distress,l impairedl functioning,l orl both.
B) Mentall illnesslisl onlyl dueltol social/culturall factors.
C) Social/culturall factorsl thatl relatel tol mentall illnessl includel excessivel dependencylo
nlorlwithdrawallfromlrelationships.
D) Individualsl sufferingl froml mentall illnessl arel usuallyl ablel tol copel effectivelyl withld
ailyllife.
E) Individualsl sufferingl froml mentall illnessl mayl experiencel dissatisfactionl withlr
elationshipslandlself.
Ans:l A,lD,lE
Feedback:
Mentall illnessl canl causel significantl distress,l impairedl functioning,l orl both.l Mentallillness
l mayl bel relatedl tol individual,l interpersonal,l orl social/culturall factors.l Excessiveldepende
ncyl onl orl withdrawall froml relationshipsl arel interpersonall factorsl thatl relatel tolmentall illn
ess.l Individualsl sufferingl froml mentall illnessl canl feell overwhelmedl withldailyl life.l Indiv
idualsl sufferingl froml mentall illnessl mayl experiencel dissatisfactionl withlrelationshipsland
lself.
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,8/14/23,l10:54lPM Psychiatriclmentallhealthlnursingl8thleditionlbylvidebeckltestlbank[l1389]
3. Whichl ofl thel followingl arel truel regardingl mentall healthl andl mentall illness?
A) Behaviorl thatl mayl bel viewedl asl acceptablel inl onel culturel isl alwaysl unacceptableli
nlotherlcultures.
B) Itl isl easyl tol determinel ifl al personl isl mentallyl healthyl orl mentallyl ill.
C) Inl mostl cases,l mentall healthl isl al statel ofl emotional,l psychological,l andl sociallwel
lnessl evidencedl byl satisfyingl interpersonall relationships,l effectivel behaviorlandl
coping,lpositivelself-concept,landlemotionallstability.
D) Personsl whol engagel inl fantasiesl arel mentallyl ill.l
Ans:l C
Feedback:
Whatl onel societyl mayl viewl asl acceptablel andl appropriatel behavior,l anotherl societyl mayls
eel thatl asl maladaptive,l andl inappropriate.l Mentall healthl andl mentall illnessl arel difficultltol
definel precisely.l Inl mostl cases,l mentall healthl isl al statel ofl emotional,l psychological,landl so
ciall wellnessl evidencedl byl satisfyingl interpersonall relationships,l effectivelbehaviorl andl c
oping,l positivel self-
concept,l andl emotionall stability.l Personsl whol engagelinl fantasiesl mayl bel mentallyl health
y,l butl thel inabilityl tol distinguishl realityl froml fantasylislanlindividuallfactorlthatlmaylcontri
buteltolmentallillness.
4. Al clientl grievingl thel recentl lossl ofl herl husbandl asksl ifl shel isl becomingl mentallyl illlb
ecauselshelislsolsad.lThelnurse'slbestlresponselwouldlbe,
A) ìYoul mayl havel al temporaryl mentall illnessl becausel youl arel experiencingl sol muchlp
ain.î
B) ìYoul arel notl mentallyl ill.l Thisl isl anl expectedl reactionl tol thel lossl youl havele
xperienced.î
C) ìWerel youl generallyl dissatisfiedl withl yourl relationshipl beforel yourl husband'sld
eath?î
D) ìTryl notl tol worryl aboutl thatl rightl now.l Youl neverl knowl whatl thel futurel brings.îlA
ns:l B
Feedback:
Mentall illnessl includesl generall dissatisfactionl withl self,l ineffectivel relationships,lineffecti
vel coping,l andl lackl ofl personall growth.l Additionallyl thel behaviorl mustl notl belculturallyl
expected.l Acutel griefl reactionsl arelexpectedl andl thereforel notl consideredl mentall illness.l
Falsel reassurancel orl overanalysisl doesl notl accuratelyl addressl thel client'slconcerns.
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,8/14/23,l10:54lPM Psychiatriclmentallhealthlnursingl8thleditionlbylvidebeckltestlbank[l1389]
5. Thel nursel consultsl thel DSMl forl whichl ofl thel followingl purposes?
A) Tol devisel al planl ofl carel forl al newlyl admittedl client
B) Tol predictl thel client'sl prognosisl ofl treatmentl outcomes
C) Tol documentl thel appropriatel diagnosticl codel inl thel client'sl medicall record
D) Tolservel asl al guidel forl clientl assessmentl
Ans:l D
Feedback:
Thel DSMl providesl standardl nomenclature,lpresentsl definingl characteristics,l andlidentifie
slunderlyingl causeslofl mentalldisorders.l Itl doeslnotl providelcarel plansl orlprognosticl outco
mesl ofl treatment.l Diagnosisl ofl mentall illnessl isl notl withinl thelgeneralistl RN'sl scopel ofl pr
actice,l sol documentingl thel codel inl thel medicall recordl wouldlbelinappropriate.
6. Whichl wouldlbel al reasonl forl al studentl nursel tol usel thel DSM?
A) Identifyingl thel medicall diagnosis
B) Treatl clients
C) Evaluatel treatments
D) Understandl thel reasonl forl thel admissionl andl thel naturel ofl psychiatricl illnesses.l
Ans:l D
Feedback:
Althoughlstudentl nursesl dol notlusel thel DSMl tol diagnoselclients,l theyl willl findl itl alhelpful
l resourcel tol understandl thel reasonl forl thel admissionl andl tol beginl buildinglknowledgel abo
utl thel naturel ofl psychiatricl illnesses.l Identifyingl thel medicall diagnosis,ltreating,landleval
uatingltreatmentslarelnotlalpartloflthelnursinglprocess.
7. Thel legislationl enactedl inl 1963l wasl largelyl responsiblel forl whichl ofl thel followingl shiftsli
nlcarelforlthel mentallylill?
A) Thel widespreadl usel ofl community-basedl services
B) Thel advancementl inl pharmacotherapies
C) Increasedl accessl tol hospitalization
D) Improvedl rightsl forl clientsl inl long-
terml institutionall carelAns:l A
Feedback:
Thel Communityl Mentall Healthl Centersl Constructionl Actl ofl 1963l accomplishedl thelrelea
selofl individualsl froml long-
terml staysl inl statel institutions,l thel decreasel inladmissionsl tol hospitals,l andl thel developme
ntl ofl community-basedl servicesl aslanlalternativeltolhospitallcare.
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, 8/14/23,l10:54lPM Psychiatriclmentallhealthlnursingl8thleditionlbylvidebeckltestlbank[l1389]
8. Whichl onel ofl thel followingl isl al resultl ofl federall legislation?
A) Makingl itl easierl tol commitl peoplel forl mentall healthl treatmentl againstl theirl will.
B) Makingl itl morel difficultl tol commitl peoplel forl mentall healthl treatmentl againstlt
heirlwill.
C) Statel mentall institutionsl beingl thel primarylsourcel ofl carel forl mentallyl illl persons.
D) Improvedl carel forl mentallyl illl persons.l
Ans:l B
Feedback:
Commitmentl lawsl changedl inl thel earlyl 1970s,l makingl itl morel difficultl tol commitlpeo
plel forl mentall healthl treatmentlagainstltheirl will.l Deinstitutionalizationlaccomplishedl
thel releasel ofl individualsl froml long-
terml staysl inl statel institutions.lDeinstitutionalizationl alsol hadl negativel effectsl inl thatl
somel mentallyl illl personsl arelsubjectedl tol thel revolvingl doorl effect,l whichl mayl limitl
carel forl mentallyl illl persons.
9. Thel goall ofl thel 1963l Communityl Mentall HealthlCentersl Actl waslto
A) ensurel patients'l rightsl forl thel mentallyl ill.
B) deinstitutionalizel statel hospitals.
C) providel fundsl tol buildl hospitalsl withl psychiatricl units.
D) treatl peoplel withl mentall illnessl inl al humanel fashion.l
Ans:l B
Feedback:
Thel 1963l Communityl Mentall Healthl Centersl Actl intimatedl thel movementl towardltrea
tingl thosel withl mentall illnessl inl al lessl restrictivel environment.l Thisl legislationlresulte
dl inl thel shiftl ofl clientsl withl mentall illnessl froml largel statel institutionsl tol carelbasedl inl
thel community.l Answerl choicesl A,l C,l andl Dl werel notl purposesl ofl thel 1963lCommunit
ylMentallHealthlCenterslAct.
10. Thel creationl ofl asylumsl duringl thel 1800sl wasl meantl to
A) improvel treatmentl ofl mentall disorders.
B) providel foodl andl shelterl forl thel mentallyl ill.
C) punishl peoplel withl mentall illnessl whol werel believedl tol bel possessed.
D) removel dangerousl peoplel withl mentall illnessl froml thel community.l
Ans:l B
Feedback:
Thel asyluml wasl meantl tol bel alsafel havenl withl food,l shelter,l andl humanel treatmentl forlth
el mentallyl ill.l Asylumsl werel notl usedl tol improvel treatmentl ofl mentall disordersl orl tolpun
ishl mentallyl illl peoplelwhol werel believedl tol bel possessed.l Thel asyluml wasl notlcreatedlt
olremoveltheldangerouslylmentallyl illl froml thelcommunity.
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