TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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TEST BANK FOR PSYCHIATRIC
n n n nn
MENTAL HEALTH NURSING 7TH n n n
n n
EDITION BY VIDEBECK LATEST n n nn
PsychiatricMentalHealthNursing 7thEditionTest Bank
n n n n n n
Chapter n1
1. Thennursenisnassessingnthenfactorsncontributingntonthenwell-
beingnof nannewlynadmittedn client.n Whichnofnthenfollowingnwouldnthen nursen identifynasn
havingnanpositiven impact n onn then individual'sn mentaln health?
A) Not nneedingothersnforncompanionship
B) Thenabilityntoneffectivelymanagen stress
C) Afamilynhistorynof nmentalnillness
D) Strivingnfortotalnself-
reliancen Ans:n B
Feedback:
Individualn factorsn influencingn mentaln healthn includen biologicn makeup,n autonomy,n inde
pendence,nself-
esteem,ncapacitynforngrowth,nvitality,nabilityntonfindnmeaningninnlife,n emotionalresilienceorn
hardiness,nsensenof nbelonging,nrealitynorientation,n andncopingnorn stressn management n abiliti
es.n Interpersonaln factorsn suchn asnintimacyn and nanbalancen ofn separatenessnand nconnectedn
essnarenbothneeded nforgoodmentalnhealth,nandnthereforenan healthynpersonnwould nneednothe
rsn forn companionship.nAn familynhistoryn of n mentalnillnessncouldrelatentonthenbiologicnmake
upnof nanindividual,nwhichmaynhavenannegativen impactonnannindividual'snmentalhealth,nasn
wellnasnannegativenimpact nonnannindividual'sn interpersonalnand nsocialñculturalnfactorsnof nh
ealth.nTotalnself-
reliancenisnnot npossible,n and n an positivensocial/culturalnfactorn isn accessn ton adequaten resour
ces.
2. Whichof nthenfollowingn statementsaboutmentalillnessnarentrue?n Select nallnthat napply.
A) Mentalillnessncancausesignificantdistress,nimpaired nfunctioning,norn both.
B) Mentalillnessnisnonlyn duentonsocial/culturalnfactors.
C) Social/culturalfactorsnthat nrelatentonmentalnillnessnincludenexcessivendependencyn
onn orn withdrawaln fromn relationships.
D) Individualssufferingfrommentalnillnessnarenusuallynablentoncopeneffectivelynwithn
dailyn life.
E) Individualssufferingnfrommentalillnessn maynexperiencedissatisfactionnwith
relationshipsnand n self.
Ans:nA,n D,n E
Feedback:
Mentaln illnessn cann causen significant n distress,n impaired n functioning,n orn both.n Mentaln illn
essnmaynbenrelated ntonindividual,ninterpersonal,n ornsocial/culturaln factors.nExcessivendepen
dencynonnornwithdrawalnfromnrelationshipsnareninterpersonalnfactorsnthat nrelatenton mentaln il
lness.n Individualsn sufferingn fromn mentaln illnessn cann feeln overwhelmed nwithndailynlife.nIn
dividualsnsufferingnfrommentalnillnessnmaynexperiencendissatisfactionnwithnrelationshipsn a
nd n self.
TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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,TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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3. Aclient ngrievingnthenrecentnlossnofnhernhusbandnasksnifnshenisnbecomingnmentallyn i
llnbecausen shen isn sonsad.n Then nurse'sn best nresponsen would n be,
A) ìYounmaynhavenantemporarynmentalnillnessnbecausenyounarenexperiencingnsonmuchnp
ain.î
B) ìYouarennot nmentallynill.nThisnisnannexpectednreactionntonthenlossnyounhavene
xperienced.î
C) ìWerenyoungenerallyndissatisfiednwithnyournrelationshipnbeforenyournhusband'sn
death?î
D) ìTrynot ntonworrynaboutnthatnright nnow.nYounnevernknowwhatnthen futurenbrings.în
Ans:n B
Feedback:
Mentaln illnessn includesn generaln dissatisfactionn withn self,n ineffectiven relationships,n ineff
ectivencoping,nand nlacknofnpersonalngrowth.nAdditionallynthenbehaviornmust nnot nben cultural
lyn expected.n Acutengrief n reactionsn aren expectedn andnthereforen not n considered n mentalilln
ess.nFalsenreassuranceornoveranalysisndoesn not naccuratelynaddressnthenclient'sn concerns.
4. Whichnof nthenfollowingnarentruenregardingnmentalhealthnandmentalnillness?
A) Behaviornthatnmaynbenviewednasnacceptableninnonenculturen isnalwaysn
unacceptablen inn othern cultures.
B) It nisneasyn tondeterminenif nanpersonnisnmentallynhealthynornmentallyn ill.
C) Innmost ncases,n mentalnhealthnisnanstatenofnemotional,n psychological,n andn socialn
wellnessn evidencednbyn satisfyingn interpersonaln relationships,n effectiven behaviorn
and n coping,n positivenself-concept,n and nemotionaln stability.
D) Personswhonengageinn fantasiesnarenmentallyn
ill.n Ans:n C
Feedback:
What nonensocietynmaynview nasnacceptableand nappropriatenbehavior,nanothernsocietynmayn s
eenthat n asnmaladaptive,nandninappropriate.nMentalnhealthnandnmentalnillnessn arendifficultnton
definen precisely.n Innmost ncases,n mentalnhealthnisn anstatenofnemotional,n psychological,n and
n socialn wellnessn evidenced n byn satisfyingn interpersonaln relationships,n effectiven behaviorn
and ncoping,npositivenself-
concept,nand nemotionalnstability.nPersonsnwhonengagen innfantasiesmaynbenmentallynhealth
y,nbuttheninabilityntondistinguishrealitynfromnfantasyisn annindividualnfactorn that nmayn contr
ibuten ton mentalnillness.
5. ThennurseconsultsnthenDSMnforwhichnof nthenfollowingnpurposes?
A) Todevisenan plannof ncarenfornan newlyn admitted n client
B) Topredict nthen client'snprognosisnof ntreatment noutcomes
C) Todocument nthenappropriaten diagnosticncoden innthen client'snmedicaln record
D) Tonservenasnanguidenfornclientnassessmentn
Ans:n D
Feedback:
Then DSMn providesn standard nnomenclature,n presentsn definingn characteristics,n and n identi
fiesn underlyingn causesn of n mentaln disorders.n It ndoesn notnproviden caren plansn orn prognostic
n outcomesn of n treatment.nDiagnosisn of n mentalnillnessn isn not n withinn then generalist nRN'snsco
penof npractice,nsondocumentingnthencodeninnthenmedicalnrecord nwouldben inappropriate.
TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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,TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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6. Whichnwould nbenan reasonnfornanstudent nnursen tonusenthen DSM?
A) Identifyingnthenmedicaln diagnosis
B) Treatclients
C) Evaluatetreatments
D) Understandnthenreasonfornthenadmissionand nthennaturenofnpsychiatricni
llnesses.n Ans:n D
Feedback:
Althoughn student nnursesn donnot nusenthenDSMntondiagnosen clients,n theynwilln find n it n an help
fuln resourcen ton understand nthen reasonn forn then admissionn and n tonbeginn buildingn knowledg
eabout nthennatureof npsychiatricnillnesses.n Identifyingnthenmedicaldiagnosis,ntreating,nandne
valuatingn treatmentsnaren not nan part nof nthen nursingn process.
7. Thenlegislationnenacted ninn1963nwaslargelynresponsibleforwhichnofnthen followingn
shiftsn inn caren forn then mentallyn ill?
A) Thewidespreaduseof n community-based n services
B) Thenadvancement ninnpharmacotherapies
C) Increasedaccessnton hospitalization
D) Improvedrightsforclientsninnlong-
terminstitutionalncaren Ans:n A
Feedback:
ThenCommunitynMentalHealthnCentersnConstructionnActof n1963naccomplished nthen releas
en of n individualsn fromn long-
termn staysn inn staten institutions,n then decreasen inn admissionsntonhospitals,nand nthendevelop
ment nof ncommunity-based nservicesnasnann alternativen ton hospitaln care.
TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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, TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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8. Whichonenof nthenfollowingnisnanresult nof nfederalnlegislation?
A) Makingnit neasierntoncommitpeoplenformentalhealthtreatmentagainst ntheirnwill.
B) Makingnit nmorendifficult ntoncommitpeoplenformentalnhealthntreatmentnagainstnt
heirn will.
C) Statenmentalninstitutionsnbeingnthenprimarynsourcenof ncarenformentallynillnpersons.
D) Improvedcarenformentallynillnpersons.n
Ans:n B
Feedback:
Commitment nlawsnchanged ninnthenearlyn1970s,nmakingnit nmorendifficult ntoncommit n people
n forn mentaln healthn treatment nagainst n theirn will.n Deinstitutionalization n accomplished nthen
releasenof nindividualsnfromnlong-
termnstaysninnstateninstitutions.n Deinstitutionalizationalsonhadnegativeneffectsn innthat nsom
enmentallyn illnpersonsnaren subjectedntonthenrevolvingndoorneffect,nwhichnmaynlimit ncareform
entallynillnpersons.
9. Thengoalnof nthen1963nCommunitynMentalnHealthnCentersnAct nwasnto
A) ensurepatients'nrightsn fornthenmentallyn ill.
B) deinstitutionalizestatenhospitals.
C) providenfundsntonbuild nhospitalsnwithnpsychiatricnunits.
D) treat npeoplewithmentalillnessninn anhumanenfashion.n
Ans:n B
Feedback:
Then 1963n CommunitynMentalnHealthnCentersnAct n intimatedn thenmovement n towardn treati
ngn thosen withn mentaln illnessn inn an lessn restrictiven environment.n Thisn legislationn resulted ni
nnthenshiftnofnclientsnwithnmentalillnessnfromnlargenstateninstitutionsntoncarebasedn innthen com
munity.n Answern choicesn A,n C,nandnDnwerennot npurposesn ofnthen1963nCommunityn Mental
n Healthn CentersAct.
10. Thencreationnof n asylumsduringnthen 1800swasmeant n to
A) improvetreatmentof n mentaln disorders.
B) providefood nand nshelternfornthenmentallyn ill.
C) punishpeoplewithmentalillnessnwhon werenbelieved n ton ben possessed.
D) removendangerouspeoplenwithnmentalillnessnfromnthencommunity.n
Ans:n B
Feedback:
Thenasylumnwasnmeant ntonbenansafehavennwithnfood,nshelter,nandnhumanentreatmentnfornthen
mentallynill.nAsylumsnwerennot nused ntonimproventreatmentnof nmentalndisordersnorntopunishn
mentallyn illn peoplen whonweren believed nton ben possessed.n Then asylumn wasn not n creatednton r
emoventhen dangerouslyn mentallyn illn fromn then community.
TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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TEST BANK FOR PSYCHIATRIC
n n n nn
MENTAL HEALTH NURSING 7TH n n n
n n
EDITION BY VIDEBECK LATEST n n nn
PsychiatricMentalHealthNursing 7thEditionTest Bank
n n n n n n
Chapter n1
1. Thennursenisnassessingnthenfactorsncontributingntonthenwell-
beingnof nannewlynadmittedn client.n Whichnofnthenfollowingnwouldnthen nursen identifynasn
havingnanpositiven impact n onn then individual'sn mentaln health?
A) Not nneedingothersnforncompanionship
B) Thenabilityntoneffectivelymanagen stress
C) Afamilynhistorynof nmentalnillness
D) Strivingnfortotalnself-
reliancen Ans:n B
Feedback:
Individualn factorsn influencingn mentaln healthn includen biologicn makeup,n autonomy,n inde
pendence,nself-
esteem,ncapacitynforngrowth,nvitality,nabilityntonfindnmeaningninnlife,n emotionalresilienceorn
hardiness,nsensenof nbelonging,nrealitynorientation,n andncopingnorn stressn management n abiliti
es.n Interpersonaln factorsn suchn asnintimacyn and nanbalancen ofn separatenessnand nconnectedn
essnarenbothneeded nforgoodmentalnhealth,nandnthereforenan healthynpersonnwould nneednothe
rsn forn companionship.nAn familynhistoryn of n mentalnillnessncouldrelatentonthenbiologicnmake
upnof nanindividual,nwhichmaynhavenannegativen impactonnannindividual'snmentalhealth,nasn
wellnasnannegativenimpact nonnannindividual'sn interpersonalnand nsocialñculturalnfactorsnof nh
ealth.nTotalnself-
reliancenisnnot npossible,n and n an positivensocial/culturalnfactorn isn accessn ton adequaten resour
ces.
2. Whichof nthenfollowingn statementsaboutmentalillnessnarentrue?n Select nallnthat napply.
A) Mentalillnessncancausesignificantdistress,nimpaired nfunctioning,norn both.
B) Mentalillnessnisnonlyn duentonsocial/culturalnfactors.
C) Social/culturalfactorsnthat nrelatentonmentalnillnessnincludenexcessivendependencyn
onn orn withdrawaln fromn relationships.
D) Individualssufferingfrommentalnillnessnarenusuallynablentoncopeneffectivelynwithn
dailyn life.
E) Individualssufferingnfrommentalillnessn maynexperiencedissatisfactionnwith
relationshipsnand n self.
Ans:nA,n D,n E
Feedback:
Mentaln illnessn cann causen significant n distress,n impaired n functioning,n orn both.n Mentaln illn
essnmaynbenrelated ntonindividual,ninterpersonal,n ornsocial/culturaln factors.nExcessivendepen
dencynonnornwithdrawalnfromnrelationshipsnareninterpersonalnfactorsnthat nrelatenton mentaln il
lness.n Individualsn sufferingn fromn mentaln illnessn cann feeln overwhelmed nwithndailynlife.nIn
dividualsnsufferingnfrommentalnillnessnmaynexperiencendissatisfactionnwithnrelationshipsn a
nd n self.
TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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,TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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3. Aclient ngrievingnthenrecentnlossnofnhernhusbandnasksnifnshenisnbecomingnmentallyn i
llnbecausen shen isn sonsad.n Then nurse'sn best nresponsen would n be,
A) ìYounmaynhavenantemporarynmentalnillnessnbecausenyounarenexperiencingnsonmuchnp
ain.î
B) ìYouarennot nmentallynill.nThisnisnannexpectednreactionntonthenlossnyounhavene
xperienced.î
C) ìWerenyoungenerallyndissatisfiednwithnyournrelationshipnbeforenyournhusband'sn
death?î
D) ìTrynot ntonworrynaboutnthatnright nnow.nYounnevernknowwhatnthen futurenbrings.în
Ans:n B
Feedback:
Mentaln illnessn includesn generaln dissatisfactionn withn self,n ineffectiven relationships,n ineff
ectivencoping,nand nlacknofnpersonalngrowth.nAdditionallynthenbehaviornmust nnot nben cultural
lyn expected.n Acutengrief n reactionsn aren expectedn andnthereforen not n considered n mentalilln
ess.nFalsenreassuranceornoveranalysisndoesn not naccuratelynaddressnthenclient'sn concerns.
4. Whichnof nthenfollowingnarentruenregardingnmentalhealthnandmentalnillness?
A) Behaviornthatnmaynbenviewednasnacceptableninnonenculturen isnalwaysn
unacceptablen inn othern cultures.
B) It nisneasyn tondeterminenif nanpersonnisnmentallynhealthynornmentallyn ill.
C) Innmost ncases,n mentalnhealthnisnanstatenofnemotional,n psychological,n andn socialn
wellnessn evidencednbyn satisfyingn interpersonaln relationships,n effectiven behaviorn
and n coping,n positivenself-concept,n and nemotionaln stability.
D) Personswhonengageinn fantasiesnarenmentallyn
ill.n Ans:n C
Feedback:
What nonensocietynmaynview nasnacceptableand nappropriatenbehavior,nanothernsocietynmayn s
eenthat n asnmaladaptive,nandninappropriate.nMentalnhealthnandnmentalnillnessn arendifficultnton
definen precisely.n Innmost ncases,n mentalnhealthnisn anstatenofnemotional,n psychological,n and
n socialn wellnessn evidenced n byn satisfyingn interpersonaln relationships,n effectiven behaviorn
and ncoping,npositivenself-
concept,nand nemotionalnstability.nPersonsnwhonengagen innfantasiesmaynbenmentallynhealth
y,nbuttheninabilityntondistinguishrealitynfromnfantasyisn annindividualnfactorn that nmayn contr
ibuten ton mentalnillness.
5. ThennurseconsultsnthenDSMnforwhichnof nthenfollowingnpurposes?
A) Todevisenan plannof ncarenfornan newlyn admitted n client
B) Topredict nthen client'snprognosisnof ntreatment noutcomes
C) Todocument nthenappropriaten diagnosticncoden innthen client'snmedicaln record
D) Tonservenasnanguidenfornclientnassessmentn
Ans:n D
Feedback:
Then DSMn providesn standard nnomenclature,n presentsn definingn characteristics,n and n identi
fiesn underlyingn causesn of n mentaln disorders.n It ndoesn notnproviden caren plansn orn prognostic
n outcomesn of n treatment.nDiagnosisn of n mentalnillnessn isn not n withinn then generalist nRN'snsco
penof npractice,nsondocumentingnthencodeninnthenmedicalnrecord nwouldben inappropriate.
TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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,TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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6. Whichnwould nbenan reasonnfornanstudent nnursen tonusenthen DSM?
A) Identifyingnthenmedicaln diagnosis
B) Treatclients
C) Evaluatetreatments
D) Understandnthenreasonfornthenadmissionand nthennaturenofnpsychiatricni
llnesses.n Ans:n D
Feedback:
Althoughn student nnursesn donnot nusenthenDSMntondiagnosen clients,n theynwilln find n it n an help
fuln resourcen ton understand nthen reasonn forn then admissionn and n tonbeginn buildingn knowledg
eabout nthennatureof npsychiatricnillnesses.n Identifyingnthenmedicaldiagnosis,ntreating,nandne
valuatingn treatmentsnaren not nan part nof nthen nursingn process.
7. Thenlegislationnenacted ninn1963nwaslargelynresponsibleforwhichnofnthen followingn
shiftsn inn caren forn then mentallyn ill?
A) Thewidespreaduseof n community-based n services
B) Thenadvancement ninnpharmacotherapies
C) Increasedaccessnton hospitalization
D) Improvedrightsforclientsninnlong-
terminstitutionalncaren Ans:n A
Feedback:
ThenCommunitynMentalHealthnCentersnConstructionnActof n1963naccomplished nthen releas
en of n individualsn fromn long-
termn staysn inn staten institutions,n then decreasen inn admissionsntonhospitals,nand nthendevelop
ment nof ncommunity-based nservicesnasnann alternativen ton hospitaln care.
TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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, TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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8. Whichonenof nthenfollowingnisnanresult nof nfederalnlegislation?
A) Makingnit neasierntoncommitpeoplenformentalhealthtreatmentagainst ntheirnwill.
B) Makingnit nmorendifficult ntoncommitpeoplenformentalnhealthntreatmentnagainstnt
heirn will.
C) Statenmentalninstitutionsnbeingnthenprimarynsourcenof ncarenformentallynillnpersons.
D) Improvedcarenformentallynillnpersons.n
Ans:n B
Feedback:
Commitment nlawsnchanged ninnthenearlyn1970s,nmakingnit nmorendifficult ntoncommit n people
n forn mentaln healthn treatment nagainst n theirn will.n Deinstitutionalization n accomplished nthen
releasenof nindividualsnfromnlong-
termnstaysninnstateninstitutions.n Deinstitutionalizationalsonhadnegativeneffectsn innthat nsom
enmentallyn illnpersonsnaren subjectedntonthenrevolvingndoorneffect,nwhichnmaynlimit ncareform
entallynillnpersons.
9. Thengoalnof nthen1963nCommunitynMentalnHealthnCentersnAct nwasnto
A) ensurepatients'nrightsn fornthenmentallyn ill.
B) deinstitutionalizestatenhospitals.
C) providenfundsntonbuild nhospitalsnwithnpsychiatricnunits.
D) treat npeoplewithmentalillnessninn anhumanenfashion.n
Ans:n B
Feedback:
Then 1963n CommunitynMentalnHealthnCentersnAct n intimatedn thenmovement n towardn treati
ngn thosen withn mentaln illnessn inn an lessn restrictiven environment.n Thisn legislationn resulted ni
nnthenshiftnofnclientsnwithnmentalillnessnfromnlargenstateninstitutionsntoncarebasedn innthen com
munity.n Answern choicesn A,n C,nandnDnwerennot npurposesn ofnthen1963nCommunityn Mental
n Healthn CentersAct.
10. Thencreationnof n asylumsduringnthen 1800swasmeant n to
A) improvetreatmentof n mentaln disorders.
B) providefood nand nshelternfornthenmentallyn ill.
C) punishpeoplewithmentalillnessnwhon werenbelieved n ton ben possessed.
D) removendangerouspeoplenwithnmentalillnessnfromnthencommunity.n
Ans:n B
Feedback:
Thenasylumnwasnmeant ntonbenansafehavennwithnfood,nshelter,nandnhumanentreatmentnfornthen
mentallynill.nAsylumsnwerennot nused ntonimproventreatmentnof nmentalndisordersnorntopunishn
mentallyn illn peoplen whonweren believed nton ben possessed.n Then asylumn wasn not n creatednton r
emoventhen dangerouslyn mentallyn illn fromn then community.
TESTnBANKnFORnPSYCHIATRICnMENTALnHEALTHnNURSINGn7THnEDITIONnBYnVIDEBEC
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