7/13/23,u1:33uPM Psychiatricumentaluhealthunursingu8thueditionubyuvidebeckutestubank[u138
9]
Psychiatric-
MentaluHealthuNursingu8thueditionubyuVidebeckuTestuBanku Chapteru1
1. Theunurseuisuassessingutheufactorsucontributingutoutheuwell-
beinguofuaunewlyuadmittedu client.uWhichuofutheufollowinguwouldutheunurseuidentifyu
asuhavinguaupositiveuimpactuonu theuindividual'sumentaluhealth?
A) Notuneedinguothersu forucompanionship
B) Theuabilityu toueffectivelyu manageustress
C) Au familyu historyuofu mentalu illness
D) Strivinguforutotaluself-
relianceu Ans:uB
Feedback:
Individualufactorsuinfluencingumentaluhealthuincludeubiologicumakeup,uautonomy,u ind
ependence,uself-
esteem,ucapacityuforugrowth,uvitality,uabilityutoufindumeaninguinulife,u emotionaluresili
enceuoruhardiness,usenseuofubelonging,urealityuorientation,uanducopinguoru stressumana
gementuabilities.uInterpersonalufactorsusuchuasuintimacyuanduaubalanceuofu separatenes
suanduconnectednessuareubothuneededuforugoodumentaluhealth,uanduthereforeuau healthy
upersonuwoulduneeduothersuforucompanionship.uAufamilyuhistoryuofumentaluillnessu co
uldurelateutoutheubiologicumakeupuofuanuindividual,uwhichumayuhaveuaunegativeuimpac
tu onuanuindividual'sumentaluhealth,uasuwelluasuaunegativeuimpactuonuanuindividual'su i
nterpersonaluandusocialñculturalufactorsuofuhealth.uTotaluself-
relianceuisunotupossible,u anduaupositiveusocial/culturalufactoruisuaccessutouadequateure
sources.
2. Whichuofutheu followingustatementsuaboutu mentalu illnessuareutrue?uSelectualluthatuapply.
A) Mentalu illnessucanucauseusignificantudistress,uimpairedu functioning,uoru both.
B) Mentalu illnessuisuonlyudueutousocial/culturalu factors.
C) Social/culturalufactorsuthaturelateutoumentaluillnessuincludeuexcessiveudependenc
yu onuoruwithdrawalufromurelationships.
D) Individualsusufferingufromumentaluillnessuareuusuallyuableutoucopeueffectivelyuwi
thu dailyulife.
E) Individualsusufferingufromumentaluillnessumayuexperienceudissatisfactionuwit
hu relationshipsuanduself.
Ans:u A,uD,uE
Feedback:
Mentaluillnessucanucauseusignificantudistress,uimpairedufunctioning,uoruboth.uMentalu il
lnessumayubeurelatedutouindividual,uinterpersonal,uorusocial/culturalufactors.uExcessive
u dependencyuonuoruwithdrawalufromurelationshipsuareuinterpersonalufactorsuthaturelate
utou mentaluillness.uIndividualsusufferingufromu mentaluillnessucanufeeluoverwhelmeduw
ithu dailyulife.uIndividualsusufferingufromumentaluillnessumayuexperienceudissatisfactio
nuwithu relationshipsuanduself.
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3. Whichuofutheu followinguareutrueuregardingu mentalu healthuandu mentalu illness?
A) Behavioruthatumayubeuvieweduasuacceptableuinuoneucultureuisualwaysuunaccepta
bleu inuotherucultures.
B) Itu isueasyutoudetermineu ifuaupersonu isu mentallyu healthyuoru mentallyu ill.
C) Inumostucases,umentaluhealthuisuaustateuofuemotional,upsychological,uandusocial
u wellnessuevidencedubyusatisfyinguinterpersonalurelationships,ueffectiveubehav
ioru anducoping,upositiveuself-concept,uanduemotionalustability.
D) Personsuwhouengageuinufantasiesuareumentallyuil
l.u Ans:uC
Feedback:
Whatuoneusocietyu mayuviewuasuacceptableuanduappropriateubehavior,uanotherusocietyu
mayu seeuthatuasumaladaptive,uanduinappropriate.uMentaluhealthuandumentaluillnessuareu
difficultu toudefineuprecisely.uInumostucases,umentaluhealthuisuaustateuofuemotional,upsy
chological,u andusocialuwellnessuevidencedubyusatisfyinguinterpersonalurelationships,uef
fectiveu behavioruanducoping,upositiveuself-
concept,uanduemotionalustability.uPersonsuwhouengageu inufantasiesumayubeumentallyuh
ealthy,ubututheuinabilityutoudistinguishurealityufromufantasyu isuanuindividualufactoruthat
umayucontributeutoumentaluillness.
4. Auclientugrievingutheurecentulossuofuheruhusbanduasksuifusheuisubecomingumentally
uillu becauseusheuisusousad.uTheunurse'subesturesponseuwouldube,
A) ìYouumayuhaveuautemporaryumentaluillnessubecauseuyouuareuexperiencingusou mu
chu pain.î
B) ìYouuareunotumentallyuill.uThisuisuanuexpectedureactionutoutheulossuyouuh
aveu experienced.î
C) ìWereuyouugenerallyudissatisfieduwithuyoururelationshipubeforeuyouruhusband
'su death?î
D) ìTryunotutouworryuaboututhaturightunow.uYouuneveruknowuwhatutheufutureubrin
gs.îu Ans:uB
Feedback:
Mentaluillnessuincludesugeneraludissatisfactionuwithuself,uineffectiveurelationships,u ine
ffectiveucoping,uandulackuofupersonalugrowth.uAdditionallyutheubehaviorumustunotubeu
culturallyuexpected.uAcuteugriefureactionsuareuexpecteduanduthereforeunotuconsideredu
mentaluillness.uFalseureassuranceuoruoveranalysisudoesunotuaccuratelyuaddressutheuclien
t'su concerns.
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5. Theu nurseuconsultsutheuDSMu foruwhichuofutheu followingupurposes?
A) Toudeviseuauplanuofucareu foruau newlyuadmitteduclient
B) Toupredictutheuclient'su prognosisuofutreatmentu outcomes
C) Toudocumentutheu appropriateudiagnosticu codeu inu theuclient'su medicalurecord
D) Touserveuasuauguideuforuclientuassessme
ntu Ans:uD
Feedback:
TheuDSMuprovidesustandardunomenclature,upresentsudefiningucharacteristics,uandu ide
ntifiesuunderlyingucausesuofumentaludisorders.uItudoesunotuprovideucareuplansuoru prog
nosticuoutcomesuofutreatment.uDiagnosisuofu mentaluillnessuisunotuwithinutheu generalist
uRN'suscopeuofupractice,usoudocumentingutheucodeuinutheu medicalurecorduwouldu beuin
appropriate.
6. Whichuwouldubeuaureasonu foruaustudentu nurseutouuseutheuDSM?
A) Identifyingu theu medicalu diagnosis
B) Treatuclients
C) Evaluateu treatments
D) Understandutheureasonuforutheuadmissionuandutheunatureuofupsychiatricuillness
es.u Ans:uD
Feedback:
AlthoughustudentunursesudounotuuseutheuDSMutoudiagnoseuclients,utheyuwillufinduituau
helpfuluresourceutouunderstandutheureasonuforutheuadmissionuandutoubeginubuildingu kn
owledgeuaboututheunatureuofupsychiatricuillnesses.uIdentifyingutheumedicaludiagnosis,u
treating,uanduevaluatingutreatmentsuareunotuaupartuofutheunursinguprocess.
7. Theulegislationuenacteduinu1963uwasulargelyuresponsibleuforuwhichuofutheufollowingushi
ftsu inucareuforutheumentallyuill?
A) Theu widespreaduuseu ofucommunity-basedu services
B) Theuadvancementu inu pharmacotherapies
C) Increaseduaccessutou hospitalization
D) Improvedurightsuforuclientsuinulong-
termuinstitutionalucareu Ans:uA
Feedback:
TheuCommunityuMentaluHealthuCentersuConstructionuActuofu1963uaccomplishedutheu
releaseuofuindividualsufromulong-
termustaysuinustateuinstitutions,utheudecreaseuinu admissionsutouhospitals,uandutheudevel
opmentuofucommunity-baseduservicesuasuanu alternativeutouhospitalucare.
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8. Whichuoneuofutheu followingu isuauresultuofufederalu legislation?
A) Makingu itueasierutoucommitupeopleu foru mentalu healthutreatmentuagainstutheiruwill.
B) Makinguitumoreudifficultutoucommitupeopleuforumentaluhealthutreatmentuagai
nstu theiruwill.
C) Stateu mentalu institutionsubeingutheuprimaryusourceu ofucareu foru mentallyu illu persons.
D) Improveducareuforumentallyuillupersons
.u Ans:uB
Feedback:
Commitmentulawsuchangeduinutheuearlyu1970s,umakinguitumoreudifficultutoucommit u p
eopleuforumentaluhealthutreatmentuagainstutheiruwill.uDeinstitutionalizationu accomplis
hedutheureleaseuofuindividualsufromulong-
termustaysuinustateuinstitutions.u Deinstitutionalizationualsouhadunegativeueffectsuinutha
tusomeumentallyuillupersonsuareu subjectedutoutheurevolvingudoorueffect,uwhichu mayu li
mitucareu foru mentallyu illupersons.
9. Theu goaluofutheu1963uCommunityuMentaluHealthuCentersuActuwasuto
A) ensureu patients'u rightsu foru theu mentallyu ill.
B) deinstitutionalizeu stateu hospitals.
C) provideu fundsu toubuildu hospitalsuwithu psychiatricu units.
D) treatupeopleuwithu mentaluillnessuinuauhumaneufashio
n.u Ans:uB
Feedback:
Theu1963uCommunityuMentaluHealthuCentersuActuintimatedutheu movementutowardu tr
eatinguthoseuwithumentaluillnessuinuaulessurestrictiveuenvironment.uThisulegislationu res
ulteduinutheushiftuofuclientsuwithu mentaluillnessufromulargeustateuinstitutionsutoucareu b
aseduinutheucommunity.uAnsweruchoicesuA,uC,uanduDuwereunotupurposesuofutheu1963
u CommunityuMentaluHealthuCentersuAct.
10. Theucreationuofuasylumsuduringutheu1800suwasu meantuto
A) improveu treatmentu ofu mentalu disorders.
B) provideu fooduandushelteru foru theumentallyu ill.
C) punishupeopleuwithu mentalu illnessuwhou wereubelievedutoubeupossessed.
D) removeudangerousupeopleuwithu mentaluillnessufromutheucommunit
y.u Ans:uB
Feedback:
Theuasylumuwasumeantutoubeuausafeuhavenuwithufood,ushelter,uanduhumaneutreatmentuf
oru theu mentallyuill.uAsylumsuwereunotuusedutouimproveutreatmentuofumentaludisorders
uorutou punishumentallyuillupeopleuwhouwereubelievedutoubeupossessed.uTheuasylumuw
asunotu createdutouremoveutheudangerouslyumentallyuillufromutheucommunity.
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9]
Psychiatric-
MentaluHealthuNursingu8thueditionubyuVidebeckuTestuBanku Chapteru1
1. Theunurseuisuassessingutheufactorsucontributingutoutheuwell-
beinguofuaunewlyuadmittedu client.uWhichuofutheufollowinguwouldutheunurseuidentifyu
asuhavinguaupositiveuimpactuonu theuindividual'sumentaluhealth?
A) Notuneedinguothersu forucompanionship
B) Theuabilityu toueffectivelyu manageustress
C) Au familyu historyuofu mentalu illness
D) Strivinguforutotaluself-
relianceu Ans:uB
Feedback:
Individualufactorsuinfluencingumentaluhealthuincludeubiologicumakeup,uautonomy,u ind
ependence,uself-
esteem,ucapacityuforugrowth,uvitality,uabilityutoufindumeaninguinulife,u emotionaluresili
enceuoruhardiness,usenseuofubelonging,urealityuorientation,uanducopinguoru stressumana
gementuabilities.uInterpersonalufactorsusuchuasuintimacyuanduaubalanceuofu separatenes
suanduconnectednessuareubothuneededuforugoodumentaluhealth,uanduthereforeuau healthy
upersonuwoulduneeduothersuforucompanionship.uAufamilyuhistoryuofumentaluillnessu co
uldurelateutoutheubiologicumakeupuofuanuindividual,uwhichumayuhaveuaunegativeuimpac
tu onuanuindividual'sumentaluhealth,uasuwelluasuaunegativeuimpactuonuanuindividual'su i
nterpersonaluandusocialñculturalufactorsuofuhealth.uTotaluself-
relianceuisunotupossible,u anduaupositiveusocial/culturalufactoruisuaccessutouadequateure
sources.
2. Whichuofutheu followingustatementsuaboutu mentalu illnessuareutrue?uSelectualluthatuapply.
A) Mentalu illnessucanucauseusignificantudistress,uimpairedu functioning,uoru both.
B) Mentalu illnessuisuonlyudueutousocial/culturalu factors.
C) Social/culturalufactorsuthaturelateutoumentaluillnessuincludeuexcessiveudependenc
yu onuoruwithdrawalufromurelationships.
D) Individualsusufferingufromumentaluillnessuareuusuallyuableutoucopeueffectivelyuwi
thu dailyulife.
E) Individualsusufferingufromumentaluillnessumayuexperienceudissatisfactionuwit
hu relationshipsuanduself.
Ans:u A,uD,uE
Feedback:
Mentaluillnessucanucauseusignificantudistress,uimpairedufunctioning,uoruboth.uMentalu il
lnessumayubeurelatedutouindividual,uinterpersonal,uorusocial/culturalufactors.uExcessive
u dependencyuonuoruwithdrawalufromurelationshipsuareuinterpersonalufactorsuthaturelate
utou mentaluillness.uIndividualsusufferingufromu mentaluillnessucanufeeluoverwhelmeduw
ithu dailyulife.uIndividualsusufferingufromumentaluillnessumayuexperienceudissatisfactio
nuwithu relationshipsuanduself.
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9]
3. Whichuofutheu followinguareutrueuregardingu mentalu healthuandu mentalu illness?
A) Behavioruthatumayubeuvieweduasuacceptableuinuoneucultureuisualwaysuunaccepta
bleu inuotherucultures.
B) Itu isueasyutoudetermineu ifuaupersonu isu mentallyu healthyuoru mentallyu ill.
C) Inumostucases,umentaluhealthuisuaustateuofuemotional,upsychological,uandusocial
u wellnessuevidencedubyusatisfyinguinterpersonalurelationships,ueffectiveubehav
ioru anducoping,upositiveuself-concept,uanduemotionalustability.
D) Personsuwhouengageuinufantasiesuareumentallyuil
l.u Ans:uC
Feedback:
Whatuoneusocietyu mayuviewuasuacceptableuanduappropriateubehavior,uanotherusocietyu
mayu seeuthatuasumaladaptive,uanduinappropriate.uMentaluhealthuandumentaluillnessuareu
difficultu toudefineuprecisely.uInumostucases,umentaluhealthuisuaustateuofuemotional,upsy
chological,u andusocialuwellnessuevidencedubyusatisfyinguinterpersonalurelationships,uef
fectiveu behavioruanducoping,upositiveuself-
concept,uanduemotionalustability.uPersonsuwhouengageu inufantasiesumayubeumentallyuh
ealthy,ubututheuinabilityutoudistinguishurealityufromufantasyu isuanuindividualufactoruthat
umayucontributeutoumentaluillness.
4. Auclientugrievingutheurecentulossuofuheruhusbanduasksuifusheuisubecomingumentally
uillu becauseusheuisusousad.uTheunurse'subesturesponseuwouldube,
A) ìYouumayuhaveuautemporaryumentaluillnessubecauseuyouuareuexperiencingusou mu
chu pain.î
B) ìYouuareunotumentallyuill.uThisuisuanuexpectedureactionutoutheulossuyouuh
aveu experienced.î
C) ìWereuyouugenerallyudissatisfieduwithuyoururelationshipubeforeuyouruhusband
'su death?î
D) ìTryunotutouworryuaboututhaturightunow.uYouuneveruknowuwhatutheufutureubrin
gs.îu Ans:uB
Feedback:
Mentaluillnessuincludesugeneraludissatisfactionuwithuself,uineffectiveurelationships,u ine
ffectiveucoping,uandulackuofupersonalugrowth.uAdditionallyutheubehaviorumustunotubeu
culturallyuexpected.uAcuteugriefureactionsuareuexpecteduanduthereforeunotuconsideredu
mentaluillness.uFalseureassuranceuoruoveranalysisudoesunotuaccuratelyuaddressutheuclien
t'su concerns.
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9]
5. Theu nurseuconsultsutheuDSMu foruwhichuofutheu followingupurposes?
A) Toudeviseuauplanuofucareu foruau newlyuadmitteduclient
B) Toupredictutheuclient'su prognosisuofutreatmentu outcomes
C) Toudocumentutheu appropriateudiagnosticu codeu inu theuclient'su medicalurecord
D) Touserveuasuauguideuforuclientuassessme
ntu Ans:uD
Feedback:
TheuDSMuprovidesustandardunomenclature,upresentsudefiningucharacteristics,uandu ide
ntifiesuunderlyingucausesuofumentaludisorders.uItudoesunotuprovideucareuplansuoru prog
nosticuoutcomesuofutreatment.uDiagnosisuofu mentaluillnessuisunotuwithinutheu generalist
uRN'suscopeuofupractice,usoudocumentingutheucodeuinutheu medicalurecorduwouldu beuin
appropriate.
6. Whichuwouldubeuaureasonu foruaustudentu nurseutouuseutheuDSM?
A) Identifyingu theu medicalu diagnosis
B) Treatuclients
C) Evaluateu treatments
D) Understandutheureasonuforutheuadmissionuandutheunatureuofupsychiatricuillness
es.u Ans:uD
Feedback:
AlthoughustudentunursesudounotuuseutheuDSMutoudiagnoseuclients,utheyuwillufinduituau
helpfuluresourceutouunderstandutheureasonuforutheuadmissionuandutoubeginubuildingu kn
owledgeuaboututheunatureuofupsychiatricuillnesses.uIdentifyingutheumedicaludiagnosis,u
treating,uanduevaluatingutreatmentsuareunotuaupartuofutheunursinguprocess.
7. Theulegislationuenacteduinu1963uwasulargelyuresponsibleuforuwhichuofutheufollowingushi
ftsu inucareuforutheumentallyuill?
A) Theu widespreaduuseu ofucommunity-basedu services
B) Theuadvancementu inu pharmacotherapies
C) Increaseduaccessutou hospitalization
D) Improvedurightsuforuclientsuinulong-
termuinstitutionalucareu Ans:uA
Feedback:
TheuCommunityuMentaluHealthuCentersuConstructionuActuofu1963uaccomplishedutheu
releaseuofuindividualsufromulong-
termustaysuinustateuinstitutions,utheudecreaseuinu admissionsutouhospitals,uandutheudevel
opmentuofucommunity-baseduservicesuasuanu alternativeutouhospitalucare.
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9]
8. Whichuoneuofutheu followingu isuauresultuofufederalu legislation?
A) Makingu itueasierutoucommitupeopleu foru mentalu healthutreatmentuagainstutheiruwill.
B) Makinguitumoreudifficultutoucommitupeopleuforumentaluhealthutreatmentuagai
nstu theiruwill.
C) Stateu mentalu institutionsubeingutheuprimaryusourceu ofucareu foru mentallyu illu persons.
D) Improveducareuforumentallyuillupersons
.u Ans:uB
Feedback:
Commitmentulawsuchangeduinutheuearlyu1970s,umakinguitumoreudifficultutoucommit u p
eopleuforumentaluhealthutreatmentuagainstutheiruwill.uDeinstitutionalizationu accomplis
hedutheureleaseuofuindividualsufromulong-
termustaysuinustateuinstitutions.u Deinstitutionalizationualsouhadunegativeueffectsuinutha
tusomeumentallyuillupersonsuareu subjectedutoutheurevolvingudoorueffect,uwhichu mayu li
mitucareu foru mentallyu illupersons.
9. Theu goaluofutheu1963uCommunityuMentaluHealthuCentersuActuwasuto
A) ensureu patients'u rightsu foru theu mentallyu ill.
B) deinstitutionalizeu stateu hospitals.
C) provideu fundsu toubuildu hospitalsuwithu psychiatricu units.
D) treatupeopleuwithu mentaluillnessuinuauhumaneufashio
n.u Ans:uB
Feedback:
Theu1963uCommunityuMentaluHealthuCentersuActuintimatedutheu movementutowardu tr
eatinguthoseuwithumentaluillnessuinuaulessurestrictiveuenvironment.uThisulegislationu res
ulteduinutheushiftuofuclientsuwithu mentaluillnessufromulargeustateuinstitutionsutoucareu b
aseduinutheucommunity.uAnsweruchoicesuA,uC,uanduDuwereunotupurposesuofutheu1963
u CommunityuMentaluHealthuCentersuAct.
10. Theucreationuofuasylumsuduringutheu1800suwasu meantuto
A) improveu treatmentu ofu mentalu disorders.
B) provideu fooduandushelteru foru theumentallyu ill.
C) punishupeopleuwithu mentalu illnessuwhou wereubelievedutoubeupossessed.
D) removeudangerousupeopleuwithu mentaluillnessufromutheucommunit
y.u Ans:uB
Feedback:
Theuasylumuwasumeantutoubeuausafeuhavenuwithufood,ushelter,uanduhumaneutreatmentuf
oru theu mentallyuill.uAsylumsuwereunotuusedutouimproveutreatmentuofumentaludisorders
uorutou punishumentallyuillupeopleuwhouwereubelievedutoubeupossessed.uTheuasylumuw
asunotu createdutouremoveutheudangerouslyumentallyuillufromutheucommunity.
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