7/19/23,g11:06gA Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g1
M 389]
Psychiatric-
MentalgHealthgNursingg8thgeditiongbygVidebeckgTestgBankg Chapterg1
1. Thegnursegisgassessinggthegfactorsgcontributinggtogthegwell-
beinggofgagnewlygadmittedg client.gWhichgofgthegfollowinggwouldgthegnursegiden
tifygasghavinggagpositivegimpactgong thegindividual'sgmentalghealth?
A) Notgneedinggothersgforgcompanionship
B) Thegabilitygtogeffectivelygmanagegstress
C) Agfamilyghistorygofgmentalgillness
D) Strivinggforgtotalgself-
relianceg Ans:gB
Feedback:
Individualgfactorsginfluencinggmentalghealthgincludegbiologicgmakeup,gautonomy,g i
ndependence,gself-
esteem,gcapacitygforggrowth,gvitality,gabilitygtogfindgmeaningginglife,g emotionalgre
siliencegorghardiness,gsensegofgbelonging,grealitygorientation,gandgcopinggorg stress
gmanagementgabilities.gInterpersonalgfactorsgsuchgasgintimacygandgagbalancegofg s
eparatenessgandgconnectednessgaregbothgneededgforggoodgmentalghealth,gandgtheref
oregag healthygpersongwouldgneedgothersgforgcompanionship.gAgfamilyghistorygofg
mentalgillnessg couldgrelategtogthegbiologicgmakeupgofgangindividual,gwhichgmayg
havegagnegativegimpactg ongangindividual'sgmentalghealth,gasgwellgasgagnegativegi
mpactgongangindividual'sg interpersonalg andg socialñculturalg factorsg ofg health.g Tot
alg self-
relianceg isg notg possible,g andgagpositivegsocial/culturalgfactorgisgaccessgtogadequat
egresources.
2. Whichgofgthegfollowinggstatementsgaboutgmentalgillnessgaregtrue?gSelectgallgthatgapply.
A) Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.
B) Mentalgillnessgisgonlygduegtogsocial/culturalgfactors.
C) Social/culturalgfactorsgthatgrelategtogmentalgillnessgincludegexcessivegdepend
encyg ongorgwithdrawalgfromgrelationships.
D) Individualsgsufferinggfromgmentalgillnessgaregusuallygablegtogcopegeffectively
gwithg dailyglife.
E) Individualsgsufferinggfromgmentalgillnessgmaygexperiencegdissatisfactiong
withg relationshipsgandgself.
Ans:gA,gD,gE
Feedback:
Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.gMenta
lg illnessgmaygbegrelatedgtogindividual,ginterpersonal,gorgsocial/culturalgfactors.gEx
cessiveg dependencygongorgwithdrawalgfromgrelationshipsgareginterpersonalgfactors
gthatgrelategtog mentalgillness.gIndividualsgsufferinggfromgmentalgillnessgcangfeelg
overwhelmedgwithg dailyglife.gIndividualsgsufferinggfromgmentalgillnessgmaygexper
iencegdissatisfactiongwithg relationshipsgandgself.
about:blank 1/334
,7/19/23,g11:06gA Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g1
M 389]
3. Whichgofgthegfollowinggaregtruegregardinggmentalghealthgandgmentalgillness?
A) Behaviorgthatgmaygbegviewedgasgacceptablegingonegculturegisgalwaysgunacce
ptableg ingothergcultures.
B) Itgisgeasygtogdeterminegifgagpersongisgmentallyghealthygorgmentallygill.
C) Ingmostgcases,gmentalghealthgisgagstategofgemotional,gpsychological,gandgs
ocialg wellnessgevidencedgbygsatisfyingginterpersonalgrelationships,geffective
gbehaviorg andgcoping,gpositivegself-concept,gandgemotionalgstability.
D) Personsgwhogengagegingfantasiesgaregmentally
gill.g Ans:gC
Feedback:
Whatgonegsocietygmaygviewgasgacceptablegandgappropriategbehavior,ganothergsociet
ygmayg seegthatgasgmaladaptive,gandginappropriate.gMentalghealthgandgmentalgillne
ssgaregdifficultg togdefinegprecisely.gIngmostgcases,gmentalghealthgisgagstategofgem
otional,gpsychological,g andgsocialgwellnessgevidencedgbygsatisfyingginterpersonalgr
elationships,geffectiveg behaviorgandgcoping,gpositivegself-
concept,gandgemotionalgstability.gPersonsgwhogengageg ingfantasiesgmaygbegmentall
yghealthy,gbutgtheginabilitygtogdistinguishgrealitygfromgfantasyg isgangindividualgfa
ctorgthatgmaygcontributegtogmentalgillness.
4. Agclientggrievinggthegrecentglossgofgherghusbandgasksgifgshegisgbecominggme
ntallygillg becausegshegisgsogsad.gThegnurse'sgbestgresponsegwouldgbe,
A) ìYougmayghavegagtemporarygmentalgillnessgbecausegyougaregexperiencinggso
gmuchg pain.î
B) ìYougaregnotgmentallygill.gThisgisgangexpectedgreactiongtogtheglossgy
oughaveg experienced.î
C) ìWeregyouggenerallygdissatisfiedgwithgyourgrelationshipgbeforegyourghusb
and'sg death?î
D) ìTrygnotgtogworrygaboutgthatgrightgnow.gYougnevergknowgwhatgthegfutureg
brings.îg Ans:gB
Feedback:
Mentalgillnessgincludesggeneralgdissatisfactiongwithgself,gineffectivegrelationships,g
ineffectivegcoping,gandglackgofgpersonalggrowth.gAdditionallygthegbehaviorgmustgn
otgbeg culturallygexpected.gAcuteggriefgreactionsgaregexpectedgandgthereforegnotgc
onsideredg mentalgillness.gFalsegreassurancegorgoveranalysisgdoesgnotgaccuratelygad
dressgthegclient'sg concerns.
about:blank 2/334
,7/19/23,g11:06gA Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g1
M 389]
5. ThegnursegconsultsgthegDSMgforgwhichgofgthegfollowinggpurposes?
A) Togdevisegagplangofgcaregforgagnewlygadmittedgclient
B) Togpredictgthegclient'sgprognosisgofgtreatmentgoutcomes
C) Togdocumentgthegappropriategdiagnosticgcodegingthegclient'sgmedicalgrecord
D) Togservegasgagguidegforgclientgassess
mentg Ans:gD
Feedback:
ThegDSMgprovidesgstandardgnomenclature,gpresentsgdefininggcharacteristics,gandg i
dentifiesgunderlyinggcausesgofgmentalgdisorders.gItgdoesgnotgprovidegcaregplansgor
g prognosticgoutcomesgofgtreatment.gDiagnosisgofgmentalgillnessgisgnotgwithingthe
g generalistgRN'sgscopegofgpractice,gsogdocumentinggthegcodegingthegmedicalgrec
ordgwouldg beginappropriate.
6. WhichgwouldgbegagreasongforgagstudentgnursegtogusegthegDSM?
A) Identifyinggthegmedicalgdiagnosis
B) Treatgclients
C) Evaluategtreatments
D) Understandgthegreasongforgthegadmissiongandgthegnaturegofgpsychiatricgilln
esses.g Ans:gD
Feedback:
AlthoughgstudentgnursesgdognotgusegthegDSMgtogdiagnosegclients,gtheygwillgfindg
itgag helpfulgresourcegtogunderstandgthegreasongforgthegadmissiongandgtogbegingbu
ildingg knowledgegaboutgthegnaturegofgpsychiatricgillnesses.gIdentifyinggthegmedica
lgdiagnosis,g treating,gandgevaluatinggtreatmentsgaregnotgagpartgofgthegnursinggproc
ess.
7. Theglegislationgenactedging1963gwasglargelygresponsiblegforgwhichgofgthegfollowing
gshiftsg ingcaregforgthegmentallygill?
A) Thegwidespreadgusegofgcommunity-basedgservices
B) Thegadvancementgingpharmacotherapies
C) Increasedgaccessgtoghospitalization
D) Improvedgrightsgforgclientsginglong-
termginstitutionalgcareg Ans:gA
Feedback:
ThegCommunitygMentalgHealthgCentersgConstructiongActgofg1963gaccomplishedgt
heg releasegofgindividualsgfromglong-
termgstaysgingstateginstitutions,gthegdecreaseging admissionsgtoghospitals,gandgtheg
developmentgofgcommunity-basedgservicesgasgang alternativegtoghospitalgcare.
about:blank 3/334
, 7/19/23,g11:06gA Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g1
M 389]
8. Whichgonegofgthegfollowinggisgagresultgofgfederalglegislation?
A) Makinggitgeasiergtogcommitgpeoplegforgmentalghealthgtreatmentgagainstgtheirgwill.
B) Makinggitgmoregdifficultgtogcommitgpeoplegforgmentalghealthgtreatmentga
gainstg theirgwill.
C) Stategmentalginstitutionsgbeinggthegprimarygsourcegofgcaregforgmentallygillgpersons.
D) Improvedgcaregforgmentallygillgperso
ns.g Ans:gB
Feedback:
Commitmentglawsgchangedgingthegearlyg1970s,gmakinggitgmoregdifficultgtogcomm
itg peoplegforgmentalghealthgtreatmentgagainstgtheirgwill.gDeinstitutionalizationg ac
complishedgthegreleasegofgindividualsgfromglong-
termgstaysgingstateginstitutions.g Deinstitutionalizationgalsoghadgnegativegeffectsgin
gthatgsomegmentallygillgpersonsgareg subjectedgtogthegrevolvinggdoorgeffect,gwhic
hgmayglimitgcaregforgmentallygillgpersons.
9. Theggoalgofgtheg1963gCommunitygMentalgHealthgCentersgActgwasgto
A) ensuregpatients'grightsgforgthegmentallygill.
B) deinstitutionalizegstateghospitals.
C) providegfundsgtogbuildghospitalsgwithgpsychiatricgunits.
D) treatgpeoplegwithgmentalgillnessgingaghumanegfas
hion.g Ans:gB
Feedback:
Theg1963gCommunitygMentalgHealthgCentersgActgintimatedgthegmovementgtoward
g treatinggthosegwithgmentalgillnessgingaglessgrestrictivegenvironment.gThisglegislati
ong resultedgingthegshiftgofgclientsgwithgmentalgillnessgfromglargegstateginstitutions
gtogcareg basedgingthegcommunity.gAnswergchoicesgA,gC,gandgDgweregnotgpurpos
esgofgtheg1963g CommunitygMentalgHealthgCentersgAct.
10. Thegcreationgofgasylumsgduringgtheg1800sgwasgmeantgto
A) improvegtreatmentgofgmentalgdisorders.
B) providegfoodgandgsheltergforgthegmentallygill.
C) punishgpeoplegwithgmentalgillnessgwhogweregbelievedgtogbegpossessed.
D) removegdangerousgpeoplegwithgmentalgillnessgfromgthegcommu
nity.g Ans:gB
Feedback:
Thegasylumgwasgmeantgtogbegagsafeghavengwithgfood,gshelter,gandghumanegtreat
mentgforg thegmentallygill.gAsylumsgweregnotgusedgtogimprovegtreatmentgofgment
algdisordersgorgtog punishgmentallygillgpeoplegwhogweregbelievedgtogbegpossessed.
gThegasylumgwasgnotg createdgtogremovegthegdangerouslygmentallygillgfromgthegc
ommunity.
about:blank 4/334
M 389]
Psychiatric-
MentalgHealthgNursingg8thgeditiongbygVidebeckgTestgBankg Chapterg1
1. Thegnursegisgassessinggthegfactorsgcontributinggtogthegwell-
beinggofgagnewlygadmittedg client.gWhichgofgthegfollowinggwouldgthegnursegiden
tifygasghavinggagpositivegimpactgong thegindividual'sgmentalghealth?
A) Notgneedinggothersgforgcompanionship
B) Thegabilitygtogeffectivelygmanagegstress
C) Agfamilyghistorygofgmentalgillness
D) Strivinggforgtotalgself-
relianceg Ans:gB
Feedback:
Individualgfactorsginfluencinggmentalghealthgincludegbiologicgmakeup,gautonomy,g i
ndependence,gself-
esteem,gcapacitygforggrowth,gvitality,gabilitygtogfindgmeaningginglife,g emotionalgre
siliencegorghardiness,gsensegofgbelonging,grealitygorientation,gandgcopinggorg stress
gmanagementgabilities.gInterpersonalgfactorsgsuchgasgintimacygandgagbalancegofg s
eparatenessgandgconnectednessgaregbothgneededgforggoodgmentalghealth,gandgtheref
oregag healthygpersongwouldgneedgothersgforgcompanionship.gAgfamilyghistorygofg
mentalgillnessg couldgrelategtogthegbiologicgmakeupgofgangindividual,gwhichgmayg
havegagnegativegimpactg ongangindividual'sgmentalghealth,gasgwellgasgagnegativegi
mpactgongangindividual'sg interpersonalg andg socialñculturalg factorsg ofg health.g Tot
alg self-
relianceg isg notg possible,g andgagpositivegsocial/culturalgfactorgisgaccessgtogadequat
egresources.
2. Whichgofgthegfollowinggstatementsgaboutgmentalgillnessgaregtrue?gSelectgallgthatgapply.
A) Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.
B) Mentalgillnessgisgonlygduegtogsocial/culturalgfactors.
C) Social/culturalgfactorsgthatgrelategtogmentalgillnessgincludegexcessivegdepend
encyg ongorgwithdrawalgfromgrelationships.
D) Individualsgsufferinggfromgmentalgillnessgaregusuallygablegtogcopegeffectively
gwithg dailyglife.
E) Individualsgsufferinggfromgmentalgillnessgmaygexperiencegdissatisfactiong
withg relationshipsgandgself.
Ans:gA,gD,gE
Feedback:
Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.gMenta
lg illnessgmaygbegrelatedgtogindividual,ginterpersonal,gorgsocial/culturalgfactors.gEx
cessiveg dependencygongorgwithdrawalgfromgrelationshipsgareginterpersonalgfactors
gthatgrelategtog mentalgillness.gIndividualsgsufferinggfromgmentalgillnessgcangfeelg
overwhelmedgwithg dailyglife.gIndividualsgsufferinggfromgmentalgillnessgmaygexper
iencegdissatisfactiongwithg relationshipsgandgself.
about:blank 1/334
,7/19/23,g11:06gA Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g1
M 389]
3. Whichgofgthegfollowinggaregtruegregardinggmentalghealthgandgmentalgillness?
A) Behaviorgthatgmaygbegviewedgasgacceptablegingonegculturegisgalwaysgunacce
ptableg ingothergcultures.
B) Itgisgeasygtogdeterminegifgagpersongisgmentallyghealthygorgmentallygill.
C) Ingmostgcases,gmentalghealthgisgagstategofgemotional,gpsychological,gandgs
ocialg wellnessgevidencedgbygsatisfyingginterpersonalgrelationships,geffective
gbehaviorg andgcoping,gpositivegself-concept,gandgemotionalgstability.
D) Personsgwhogengagegingfantasiesgaregmentally
gill.g Ans:gC
Feedback:
Whatgonegsocietygmaygviewgasgacceptablegandgappropriategbehavior,ganothergsociet
ygmayg seegthatgasgmaladaptive,gandginappropriate.gMentalghealthgandgmentalgillne
ssgaregdifficultg togdefinegprecisely.gIngmostgcases,gmentalghealthgisgagstategofgem
otional,gpsychological,g andgsocialgwellnessgevidencedgbygsatisfyingginterpersonalgr
elationships,geffectiveg behaviorgandgcoping,gpositivegself-
concept,gandgemotionalgstability.gPersonsgwhogengageg ingfantasiesgmaygbegmentall
yghealthy,gbutgtheginabilitygtogdistinguishgrealitygfromgfantasyg isgangindividualgfa
ctorgthatgmaygcontributegtogmentalgillness.
4. Agclientggrievinggthegrecentglossgofgherghusbandgasksgifgshegisgbecominggme
ntallygillg becausegshegisgsogsad.gThegnurse'sgbestgresponsegwouldgbe,
A) ìYougmayghavegagtemporarygmentalgillnessgbecausegyougaregexperiencinggso
gmuchg pain.î
B) ìYougaregnotgmentallygill.gThisgisgangexpectedgreactiongtogtheglossgy
oughaveg experienced.î
C) ìWeregyouggenerallygdissatisfiedgwithgyourgrelationshipgbeforegyourghusb
and'sg death?î
D) ìTrygnotgtogworrygaboutgthatgrightgnow.gYougnevergknowgwhatgthegfutureg
brings.îg Ans:gB
Feedback:
Mentalgillnessgincludesggeneralgdissatisfactiongwithgself,gineffectivegrelationships,g
ineffectivegcoping,gandglackgofgpersonalggrowth.gAdditionallygthegbehaviorgmustgn
otgbeg culturallygexpected.gAcuteggriefgreactionsgaregexpectedgandgthereforegnotgc
onsideredg mentalgillness.gFalsegreassurancegorgoveranalysisgdoesgnotgaccuratelygad
dressgthegclient'sg concerns.
about:blank 2/334
,7/19/23,g11:06gA Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g1
M 389]
5. ThegnursegconsultsgthegDSMgforgwhichgofgthegfollowinggpurposes?
A) Togdevisegagplangofgcaregforgagnewlygadmittedgclient
B) Togpredictgthegclient'sgprognosisgofgtreatmentgoutcomes
C) Togdocumentgthegappropriategdiagnosticgcodegingthegclient'sgmedicalgrecord
D) Togservegasgagguidegforgclientgassess
mentg Ans:gD
Feedback:
ThegDSMgprovidesgstandardgnomenclature,gpresentsgdefininggcharacteristics,gandg i
dentifiesgunderlyinggcausesgofgmentalgdisorders.gItgdoesgnotgprovidegcaregplansgor
g prognosticgoutcomesgofgtreatment.gDiagnosisgofgmentalgillnessgisgnotgwithingthe
g generalistgRN'sgscopegofgpractice,gsogdocumentinggthegcodegingthegmedicalgrec
ordgwouldg beginappropriate.
6. WhichgwouldgbegagreasongforgagstudentgnursegtogusegthegDSM?
A) Identifyinggthegmedicalgdiagnosis
B) Treatgclients
C) Evaluategtreatments
D) Understandgthegreasongforgthegadmissiongandgthegnaturegofgpsychiatricgilln
esses.g Ans:gD
Feedback:
AlthoughgstudentgnursesgdognotgusegthegDSMgtogdiagnosegclients,gtheygwillgfindg
itgag helpfulgresourcegtogunderstandgthegreasongforgthegadmissiongandgtogbegingbu
ildingg knowledgegaboutgthegnaturegofgpsychiatricgillnesses.gIdentifyinggthegmedica
lgdiagnosis,g treating,gandgevaluatinggtreatmentsgaregnotgagpartgofgthegnursinggproc
ess.
7. Theglegislationgenactedging1963gwasglargelygresponsiblegforgwhichgofgthegfollowing
gshiftsg ingcaregforgthegmentallygill?
A) Thegwidespreadgusegofgcommunity-basedgservices
B) Thegadvancementgingpharmacotherapies
C) Increasedgaccessgtoghospitalization
D) Improvedgrightsgforgclientsginglong-
termginstitutionalgcareg Ans:gA
Feedback:
ThegCommunitygMentalgHealthgCentersgConstructiongActgofg1963gaccomplishedgt
heg releasegofgindividualsgfromglong-
termgstaysgingstateginstitutions,gthegdecreaseging admissionsgtoghospitals,gandgtheg
developmentgofgcommunity-basedgservicesgasgang alternativegtoghospitalgcare.
about:blank 3/334
, 7/19/23,g11:06gA Psychiatricgmentalghealthgnursingg8thgeditiongbygvidebeckgtestgbank[g1
M 389]
8. Whichgonegofgthegfollowinggisgagresultgofgfederalglegislation?
A) Makinggitgeasiergtogcommitgpeoplegforgmentalghealthgtreatmentgagainstgtheirgwill.
B) Makinggitgmoregdifficultgtogcommitgpeoplegforgmentalghealthgtreatmentga
gainstg theirgwill.
C) Stategmentalginstitutionsgbeinggthegprimarygsourcegofgcaregforgmentallygillgpersons.
D) Improvedgcaregforgmentallygillgperso
ns.g Ans:gB
Feedback:
Commitmentglawsgchangedgingthegearlyg1970s,gmakinggitgmoregdifficultgtogcomm
itg peoplegforgmentalghealthgtreatmentgagainstgtheirgwill.gDeinstitutionalizationg ac
complishedgthegreleasegofgindividualsgfromglong-
termgstaysgingstateginstitutions.g Deinstitutionalizationgalsoghadgnegativegeffectsgin
gthatgsomegmentallygillgpersonsgareg subjectedgtogthegrevolvinggdoorgeffect,gwhic
hgmayglimitgcaregforgmentallygillgpersons.
9. Theggoalgofgtheg1963gCommunitygMentalgHealthgCentersgActgwasgto
A) ensuregpatients'grightsgforgthegmentallygill.
B) deinstitutionalizegstateghospitals.
C) providegfundsgtogbuildghospitalsgwithgpsychiatricgunits.
D) treatgpeoplegwithgmentalgillnessgingaghumanegfas
hion.g Ans:gB
Feedback:
Theg1963gCommunitygMentalgHealthgCentersgActgintimatedgthegmovementgtoward
g treatinggthosegwithgmentalgillnessgingaglessgrestrictivegenvironment.gThisglegislati
ong resultedgingthegshiftgofgclientsgwithgmentalgillnessgfromglargegstateginstitutions
gtogcareg basedgingthegcommunity.gAnswergchoicesgA,gC,gandgDgweregnotgpurpos
esgofgtheg1963g CommunitygMentalgHealthgCentersgAct.
10. Thegcreationgofgasylumsgduringgtheg1800sgwasgmeantgto
A) improvegtreatmentgofgmentalgdisorders.
B) providegfoodgandgsheltergforgthegmentallygill.
C) punishgpeoplegwithgmentalgillnessgwhogweregbelievedgtogbegpossessed.
D) removegdangerousgpeoplegwithgmentalgillnessgfromgthegcommu
nity.g Ans:gB
Feedback:
Thegasylumgwasgmeantgtogbegagsafeghavengwithgfood,gshelter,gandghumanegtreat
mentgforg thegmentallygill.gAsylumsgweregnotgusedgtogimprovegtreatmentgofgment
algdisordersgorgtog punishgmentallygillgpeoplegwhogweregbelievedgtogbegpossessed.
gThegasylumgwasgnotg createdgtogremovegthegdangerouslygmentallygillgfromgthegc
ommunity.
about:blank 4/334
