Test Bank For Psychiatric Mental HealthN
g g g g g
ursing 9th Edition By
g g g
Videbeck
Psychiatric-MentalgHealthgNursingg9thgeditiongbygVidebeckgTestgBank
Chapterg1
1. Thegnursegisgassessinggthegfactorsgcontributinggtogthegwell-
beinggofgagnewlygadmittedgclient.gWhichgofgthegfollowinggwouldgthegnursegidentifygas
ghavinggagpositivegimpactgongthegindividual'sgmentalghealth?
A) Notgneedinggothersgforgcompanionship
B) Thegabilitygtogeffectivelygmanagegstress
C) Agfamilyghistorygofgmentalgillness
D) Strivinggforgtotalgself-
reliancegAns:g B
Feedback:
Individualgfactorsginfluencinggmentalghealthgincludegbiologicgmakeup,gautonomy,ginde
pendence,gself-
esteem,gcapacitygforggrowth,gvitality,gabilitygtogfindgmeaningginglife,gemotionalgresilien
cegorghardiness,gsensegofgbelonging,grealitygorientation,gandgcopinggorgstressgmanagem
entgabilities.gInterpersonalgfactorsgsuchgasgintimacygandgagbalancegofgseparatenessgandg
connectednessgaregbothgneededgforggoodgmentalghealth,gandgthereforegaghealthygpersong
wouldgneedgothersgforgcompanionship.gAgfamilyghistorygofgmentalgillnessgcouldgrelategt
ogthegbiologicgmakeupgofgangindividual,gwhichgmayghavegagnegativegimpactgongangindiv
idual'sgmentalghealth,gasgwellgasgagnegativegimpactgongangindividual'sginterpersonalgand
gsocialñculturalgfactorsgofghealth.gTotalgself-
reliancegisgnotgpossible,gandgagpositivegsocial/culturalgfactorgisgaccessgtogadequategreso
urces.
2. Whichgofgthegfollowinggstatementsgaboutgmentalgillnessgaregtrue?gSelectgallgthatgapply.
A) Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.
B) Mentalgillnessgisgonlygduegtogsocial/culturalgfactors.
C) Social/culturalgfactorsgthatgrelategtogmentalgillnessgincludegexcessivegdependenc
ygongorgwithdrawalgfromgrelationships.
D) Individualsgsufferinggfromgmentalgillnessgaregusuallygablegtogcopegeffectivelygwit
hgdailyglife.
E) Individualsgsufferinggfromgmentalgillnessgmaygexperiencegdissatisfactiongwit
hgrelationshipsgandgself.
Ans:g A,gD,gE
Feedback:
Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.gMentalgilln
essgmaygbegrelatedgtogindividual,ginterpersonal,gorgsocial/culturalgfactors.gExcessivegde
pendencygongorgwithdrawalgfromgrelationshipsgareginterpersonalgfactorsgthatgrelategtog
mentalgillness.gIndividualsgsufferinggfromgmentalgillnessgcangfeelgoverwhelmedgwithgda
ilyglife.gIndividualsgsufferinggfromgmentalgillnessgmaygexperiencegdissatisfactiongwithgr
elationshipsgandgself.
,Pageg1
,3. Whichgofgthegfollowinggaregtruegregardinggmentalghealthgandgmentalgillness?
A) Behaviorgthatgmaygbegviewedgasgacceptablegingonegculturegisgalwaysgunacceptabl
egingothergcultures.
B) Itgisgeasygtogdeterminegifgagpersongisgmentallyghealthygorgmentallygill.
C) Ingmostgcases,gmentalghealthgisgagstategofgemotional,gpsychological,gandgsocial
gwellnessgevidencedgbygsatisfyingginterpersonalgrelationships,geffectivegbehavi
organdgcoping,gpositivegself-concept,gandgemotionalgstability.
D) Personsgwhogengagegingfantasiesgaregmentallygill
.gAns:g C
Feedback:
Whatgonegsocietygmaygviewgasgacceptablegandgappropriategbehavior,ganothergsocietygma
ygseegthatgasgmaladaptive,gandginappropriate.gMentalghealthgandgmentalgillnessgaregdiffic
ultgtogdefinegprecisely.gIngmostgcases,gmentalghealthgisgagstategofgemotional,gpsychologic
al,gandgsocialgwellnessgevidencedgbygsatisfyingginterpersonalgrelationships,geffectivegbe
haviorgandgcoping,gpositivegself-
concept,gandgemotionalgstability.gPersonsgwhogengagegingfantasiesgmaygbegmentallygheal
thy,gbutgtheginabilitygtogdistinguishgrealitygfromgfantasygisgangindividualgfactorgthatgmayg
contributegtogmentalgillness.
4. Agclientggrievinggthegrecentglossgofgherghusbandgasksgifgshegisgbecominggmentallygi
llgbecausegshegisgsogsad.gThegnurse'sgbestgresponsegwouldgbe,
A) ìYougmayghavegagtemporarygmentalgillnessgbecausegyougaregexperiencinggsogmuc
hgpain.î
B) ìYougaregnotgmentallygill.gThisgisgangexpectedgreactiongtogtheglossgyoughav
egexperienced.î
C) ìWeregyouggenerallygdissatisfiedgwithgyourgrelationshipgbeforegyourghusband'
sgdeath?î
D) ìTrygnotgtogworrygaboutgthatgrightgnow.gYougnevergknowgwhatgthegfuturegbrings
.îgAns:g B
Feedback:
Mentalgillnessgincludesggeneralgdissatisfactiongwithgself,gineffectivegrelationships,gineff
ectivegcoping,gandglackgofgpersonalggrowth.gAdditionallygthegbehaviorgmustgnotgbegcult
urallygexpected.gAcuteggriefgreactionsgaregexpectedgandgthereforegnotgconsideredgmenta
lgillness.gFalsegreassurancegorgoveranalysisgdoesgnotgaccuratelygaddressgthegclient'sgconc
erns.
, 5. ThegnursegconsultsgthegDSMgforgwhichgofgthegfollowinggpurposes?
A) Togdevisegagplangofgcaregforgagnewlygadmittedgclient
B) Togpredictgthegclient'sgprognosisgofgtreatmentgoutcomes
C) Togdocumentgthegappropriategdiagnosticgcodegingthegclient'sgmedicalgrecord
D) Togservegasgagguidegforgclientgassessmen
tgAns:g D
Feedback:
ThegDSMgprovidesgstandardgnomenclature,gpresentsgdefininggcharacteristics,gandgident
ifiesgunderlyinggcausesgofgmentalgdisorders.gItgdoesgnotgprovidegcaregplansgorgprognosti
cgoutcomesgofgtreatment.gDiagnosisgofgmentalgillnessgisgnotgwithingtheggeneralistgRN'sg
scopegofgpractice,gsogdocumentinggthegcodegingthegmedicalgrecordgwouldgbeginappropria
te.
6. WhichgwouldgbegagreasongforgagstudentgnursegtogusegthegDSM?
A) Identifyinggthegmedicalgdiagnosis
B) Treatgclients
C) Evaluategtreatments
D) Understandgthegreasongforgthegadmissiongandgthegnaturegofgpsychiatricgillnesse
s.gAns:g D
Feedback:
AlthoughgstudentgnursesgdognotgusegthegDSMgtogdiagnosegclients,gtheygwillgfindgitgaghe
lpfulgresourcegtogunderstandgthegreasongforgthegadmissiongandgtogbegingbuildinggknowl
edgegaboutgthegnaturegofgpsychiatricgillnesses.gIdentifyinggthegmedicalgdiagnosis,gtreatin
g,gandgevaluatinggtreatmentsgaregnotgagpartgofgthegnursinggprocess.
7. Theglegislationgenactedging1963gwasglargelygresponsiblegforgwhichgofgthegfollowinggshift
sgingcaregforgthegmentallygill?
A) Thegwidespreadgusegofgcommunity-basedgservices
B) Thegadvancementgingpharmacotherapies
C) Increasedgaccessgtoghospitalization
D) Improvedgrightsgforgclientsginglong-
termginstitutionalgcaregAns:g A
Feedback:
ThegCommunitygMentalgHealthgCentersgConstructiongActgofg1963gaccomplishedgthegrel
easegofgindividualsgfromglong-
termgstaysgingstateginstitutions,gthegdecreasegingadmissionsgtoghospitals,gandgthegdevelo
pmentgofgcommunity-basedgservicesgasgangalternativegtoghospitalgcare.
Pageg3
g g g g g
ursing 9th Edition By
g g g
Videbeck
Psychiatric-MentalgHealthgNursingg9thgeditiongbygVidebeckgTestgBank
Chapterg1
1. Thegnursegisgassessinggthegfactorsgcontributinggtogthegwell-
beinggofgagnewlygadmittedgclient.gWhichgofgthegfollowinggwouldgthegnursegidentifygas
ghavinggagpositivegimpactgongthegindividual'sgmentalghealth?
A) Notgneedinggothersgforgcompanionship
B) Thegabilitygtogeffectivelygmanagegstress
C) Agfamilyghistorygofgmentalgillness
D) Strivinggforgtotalgself-
reliancegAns:g B
Feedback:
Individualgfactorsginfluencinggmentalghealthgincludegbiologicgmakeup,gautonomy,ginde
pendence,gself-
esteem,gcapacitygforggrowth,gvitality,gabilitygtogfindgmeaningginglife,gemotionalgresilien
cegorghardiness,gsensegofgbelonging,grealitygorientation,gandgcopinggorgstressgmanagem
entgabilities.gInterpersonalgfactorsgsuchgasgintimacygandgagbalancegofgseparatenessgandg
connectednessgaregbothgneededgforggoodgmentalghealth,gandgthereforegaghealthygpersong
wouldgneedgothersgforgcompanionship.gAgfamilyghistorygofgmentalgillnessgcouldgrelategt
ogthegbiologicgmakeupgofgangindividual,gwhichgmayghavegagnegativegimpactgongangindiv
idual'sgmentalghealth,gasgwellgasgagnegativegimpactgongangindividual'sginterpersonalgand
gsocialñculturalgfactorsgofghealth.gTotalgself-
reliancegisgnotgpossible,gandgagpositivegsocial/culturalgfactorgisgaccessgtogadequategreso
urces.
2. Whichgofgthegfollowinggstatementsgaboutgmentalgillnessgaregtrue?gSelectgallgthatgapply.
A) Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.
B) Mentalgillnessgisgonlygduegtogsocial/culturalgfactors.
C) Social/culturalgfactorsgthatgrelategtogmentalgillnessgincludegexcessivegdependenc
ygongorgwithdrawalgfromgrelationships.
D) Individualsgsufferinggfromgmentalgillnessgaregusuallygablegtogcopegeffectivelygwit
hgdailyglife.
E) Individualsgsufferinggfromgmentalgillnessgmaygexperiencegdissatisfactiongwit
hgrelationshipsgandgself.
Ans:g A,gD,gE
Feedback:
Mentalgillnessgcangcausegsignificantgdistress,gimpairedgfunctioning,gorgboth.gMentalgilln
essgmaygbegrelatedgtogindividual,ginterpersonal,gorgsocial/culturalgfactors.gExcessivegde
pendencygongorgwithdrawalgfromgrelationshipsgareginterpersonalgfactorsgthatgrelategtog
mentalgillness.gIndividualsgsufferinggfromgmentalgillnessgcangfeelgoverwhelmedgwithgda
ilyglife.gIndividualsgsufferinggfromgmentalgillnessgmaygexperiencegdissatisfactiongwithgr
elationshipsgandgself.
,Pageg1
,3. Whichgofgthegfollowinggaregtruegregardinggmentalghealthgandgmentalgillness?
A) Behaviorgthatgmaygbegviewedgasgacceptablegingonegculturegisgalwaysgunacceptabl
egingothergcultures.
B) Itgisgeasygtogdeterminegifgagpersongisgmentallyghealthygorgmentallygill.
C) Ingmostgcases,gmentalghealthgisgagstategofgemotional,gpsychological,gandgsocial
gwellnessgevidencedgbygsatisfyingginterpersonalgrelationships,geffectivegbehavi
organdgcoping,gpositivegself-concept,gandgemotionalgstability.
D) Personsgwhogengagegingfantasiesgaregmentallygill
.gAns:g C
Feedback:
Whatgonegsocietygmaygviewgasgacceptablegandgappropriategbehavior,ganothergsocietygma
ygseegthatgasgmaladaptive,gandginappropriate.gMentalghealthgandgmentalgillnessgaregdiffic
ultgtogdefinegprecisely.gIngmostgcases,gmentalghealthgisgagstategofgemotional,gpsychologic
al,gandgsocialgwellnessgevidencedgbygsatisfyingginterpersonalgrelationships,geffectivegbe
haviorgandgcoping,gpositivegself-
concept,gandgemotionalgstability.gPersonsgwhogengagegingfantasiesgmaygbegmentallygheal
thy,gbutgtheginabilitygtogdistinguishgrealitygfromgfantasygisgangindividualgfactorgthatgmayg
contributegtogmentalgillness.
4. Agclientggrievinggthegrecentglossgofgherghusbandgasksgifgshegisgbecominggmentallygi
llgbecausegshegisgsogsad.gThegnurse'sgbestgresponsegwouldgbe,
A) ìYougmayghavegagtemporarygmentalgillnessgbecausegyougaregexperiencinggsogmuc
hgpain.î
B) ìYougaregnotgmentallygill.gThisgisgangexpectedgreactiongtogtheglossgyoughav
egexperienced.î
C) ìWeregyouggenerallygdissatisfiedgwithgyourgrelationshipgbeforegyourghusband'
sgdeath?î
D) ìTrygnotgtogworrygaboutgthatgrightgnow.gYougnevergknowgwhatgthegfuturegbrings
.îgAns:g B
Feedback:
Mentalgillnessgincludesggeneralgdissatisfactiongwithgself,gineffectivegrelationships,gineff
ectivegcoping,gandglackgofgpersonalggrowth.gAdditionallygthegbehaviorgmustgnotgbegcult
urallygexpected.gAcuteggriefgreactionsgaregexpectedgandgthereforegnotgconsideredgmenta
lgillness.gFalsegreassurancegorgoveranalysisgdoesgnotgaccuratelygaddressgthegclient'sgconc
erns.
, 5. ThegnursegconsultsgthegDSMgforgwhichgofgthegfollowinggpurposes?
A) Togdevisegagplangofgcaregforgagnewlygadmittedgclient
B) Togpredictgthegclient'sgprognosisgofgtreatmentgoutcomes
C) Togdocumentgthegappropriategdiagnosticgcodegingthegclient'sgmedicalgrecord
D) Togservegasgagguidegforgclientgassessmen
tgAns:g D
Feedback:
ThegDSMgprovidesgstandardgnomenclature,gpresentsgdefininggcharacteristics,gandgident
ifiesgunderlyinggcausesgofgmentalgdisorders.gItgdoesgnotgprovidegcaregplansgorgprognosti
cgoutcomesgofgtreatment.gDiagnosisgofgmentalgillnessgisgnotgwithingtheggeneralistgRN'sg
scopegofgpractice,gsogdocumentinggthegcodegingthegmedicalgrecordgwouldgbeginappropria
te.
6. WhichgwouldgbegagreasongforgagstudentgnursegtogusegthegDSM?
A) Identifyinggthegmedicalgdiagnosis
B) Treatgclients
C) Evaluategtreatments
D) Understandgthegreasongforgthegadmissiongandgthegnaturegofgpsychiatricgillnesse
s.gAns:g D
Feedback:
AlthoughgstudentgnursesgdognotgusegthegDSMgtogdiagnosegclients,gtheygwillgfindgitgaghe
lpfulgresourcegtogunderstandgthegreasongforgthegadmissiongandgtogbegingbuildinggknowl
edgegaboutgthegnaturegofgpsychiatricgillnesses.gIdentifyinggthegmedicalgdiagnosis,gtreatin
g,gandgevaluatinggtreatmentsgaregnotgagpartgofgthegnursinggprocess.
7. Theglegislationgenactedging1963gwasglargelygresponsiblegforgwhichgofgthegfollowinggshift
sgingcaregforgthegmentallygill?
A) Thegwidespreadgusegofgcommunity-basedgservices
B) Thegadvancementgingpharmacotherapies
C) Increasedgaccessgtoghospitalization
D) Improvedgrightsgforgclientsginglong-
termginstitutionalgcaregAns:g A
Feedback:
ThegCommunitygMentalgHealthgCentersgConstructiongActgofg1963gaccomplishedgthegrel
easegofgindividualsgfromglong-
termgstaysgingstateginstitutions,gthegdecreasegingadmissionsgtoghospitals,gandgthegdevelo
pmentgofgcommunity-basedgservicesgasgangalternativegtoghospitalgcare.
Pageg3
