Test Bank For Psychiatric Mental Health Nursin
k k k k k k
g 9th Edition By Videbeck
k k k k
Psychiatric-MentalkHealthkNursingk9thkeditionkbykVidebeckkTestkBank
Chapterk1kF
eedback:
Individualkfactorskinfluencingkmentalkhealthkincludekbiologickmakeup,kautonomy,kindepe
ndence,kself-
esteem,kcapacitykforkgrowth,kvitality,kabilityktokfindkmeaningkinklife,kemotionalkresiliencek
orkhardiness,ksensekofkbelonging,krealitykorientation,kandkcopingkorkstresskmanagementkab
ilities.kInterpersonalkfactorsksuchkaskintimacykandkakbalancekofkseparatenesskandkconnecte
dnesskarekbothkneededkforkgoodkmentalkhealth,kandkthereforekakhealthykpersonkwouldkneedk
otherskforkcompanionship.kAkfamilykhistorykofkmentalkillnesskcouldkrelatektokthekbiologick
makeupkofkankindividual,kwhichkmaykhavekaknegativekimpactkonkankindividual'skmentalkhe
alth,kaskwellkaskaknegativekimpactkonkankindividual'skinterpersonalkandksocialñculturalkfact
orskofkhealth.kTotalkself-
reliancekisknotkpossible,kandkakpositiveksocial/culturalkfactorkiskaccessktokadequatekresourc
es.
2. Whichkofkthekfollowingkstatementskaboutkmentalkillnesskarektrue?kSelectkallkthatkapply.
A) Mentalkillnesskcankcauseksignificantkdistress,kimpairedkfunctioning,korkboth.
B) Mentalkillnesskiskonlykduektoksocial/culturalkfactors.
C) Social/culturalkfactorskthatkrelatektokmentalkillnesskincludekexcessivekdependencyk
onkorkwithdrawalkfromkrelationships.
D) Individualsksufferingkfromkmentalkillnesskarekusuallykablektokcopekeffectivelykwithk
dailyklife.
E) Individualsksufferingkfromkmentalkillnesskmaykexperiencekdissatisfactionkwithk
relationshipskandkself.
Ans:k A,kD,kE
Feedback:
Mentalkillnesskcankcauseksignificantkdistress,kimpairedkfunctioning,korkboth.kMentalkillnes
skmaykbekrelatedktokindividual,kinterpersonal,korksocial/culturalkfactors.kExcessivekdepend
encykonkorkwithdrawalkfromkrelationshipskarekinterpersonalkfactorskthatkrelatektokmentalkil
lness.kIndividualsksufferingkfromkmentalkillnesskcankfeelkoverwhelmedkwithkdailyklife.kInd
ividualsksufferingkfromkmentalkillnesskmaykexperiencekdissatisfactionkwithkrelationshipska
ndkself.
Pagek 1
,3. Whichkofkthekfollowingkarektruekregardingkmentalkhealthkandkmentalkillness?
A) Behaviorkthatkmaykbekviewedkaskacceptablekinkonekculturekiskalwayskunacceptableki
nkotherkcultures.
B) Itkiskeasyktokdeterminekifkakpersonkiskmentallykhealthykorkmentallykill.
C) Inkmostkcases,kmentalkhealthkiskakstatekofkemotional,kpsychological,kandksocialkw
ellnesskevidencedkbyksatisfyingkinterpersonalkrelationships,keffectivekbehaviorkan
dkcoping,kpositivekself-concept,kandkemotionalkstability.
D) Personskwhokengagekinkfantasieskarekmentallykill.k
Ans:k C
Feedback:
Whatkoneksocietykmaykviewkaskacceptablekandkappropriatekbehavior,kanotherksocietykmayks
eekthatkaskmaladaptive,kandkinappropriate.kMentalkhealthkandkmentalkillnesskarekdifficultktok
definekprecisely.kInkmostkcases,kmentalkhealthkiskakstatekofkemotional,kpsychological,kandks
ocialkwellnesskevidencedkbyksatisfyingkinterpersonalkrelationships,keffectivekbehaviorkandk
coping,kpositivekself-
concept,kandkemotionalkstability.kPersonskwhokengagekinkfantasieskmaykbekmentallykhealth
y,kbutkthekinabilityktokdistinguishkrealitykfromkfantasykiskankindividualkfactorkthatkmaykcontr
ibutektokmentalkillness.
4. Akclientkgrievingkthekrecentklosskofkherkhusbandkaskskifkshekiskbecomingkmentallykillkb
ecausekshekisksoksad.kTheknurse'skbestkresponsekwouldkbe,
A) ìYoukmaykhavekaktemporarykmentalkillnesskbecausekyoukarekexperiencingksokmuchk
pain.î
B) ìYoukareknotkmentallykill.kThiskiskankexpectedkreactionktoktheklosskyoukhaveke
xperienced.î
C) ìWerekyoukgenerallykdissatisfiedkwithkyourkrelationshipkbeforekyourkhusband'sk
death?î
D) ìTryknotktokworrykaboutkthatkrightknow.kYoukneverkknowkwhatkthekfuturekbrings.îk
Ans:k B
Feedback:
Mentalkillnesskincludeskgeneralkdissatisfactionkwithkself,kineffectivekrelationships,kineffe
ctivekcoping,kandklackkofkpersonalkgrowth.kAdditionallykthekbehaviorkmustknotkbekcultural
lykexpected.kAcutekgriefkreactionskarekexpectedkandkthereforeknotkconsideredkmentalkillne
ss.kFalsekreassurancekorkoveranalysiskdoesknotkaccuratelykaddresskthekclient'skconcerns.
,5. TheknursekconsultskthekDSMkforkwhichkofkthekfollowingkpurposes?
A) Tokdevisekakplankofkcarekforkaknewlykadmittedkclient
B) Tokpredictkthekclient'skprognosiskofktreatmentkoutcomes
C) Tokdocumentkthekappropriatekdiagnostickcodekinkthekclient'skmedicalkrecord
D) Tokservekaskakguidekforkclientkassessmentk
Ans:k D
Feedback:
ThekDSMkprovideskstandardknomenclature,kpresentskdefiningkcharacteristics,kandkidentifi
eskunderlyingkcauseskofkmentalkdisorders.kItkdoesknotkprovidekcarekplanskorkprognostickout
comeskofktreatment.kDiagnosiskofkmentalkillnesskisknotkwithinkthekgeneralistkRN'skscopekof
kpractice,ksokdocumentingkthekcodekinkthekmedicalkrecordkwouldkbekinappropriate.
6. WhichkwouldkbekakreasonkforkakstudentknursektokusekthekDSM?
A) Identifyingkthekmedicalkdiagnosis
B) Treatkclients
C) Evaluatektreatments
D) Understandkthekreasonkforkthekadmissionkandktheknaturekofkpsychiatrickillnesses.k
Ans:k D
Feedback:
AlthoughkstudentknurseskdoknotkusekthekDSMktokdiagnosekclients,ktheykwillkfindkitkakhelpf
ulkresourcektokunderstandkthekreasonkforkthekadmissionkandktokbeginkbuildingkknowledgeka
boutktheknaturekofkpsychiatrickillnesses.kIdentifyingkthekmedicalkdiagnosis,ktreating,kandkev
aluatingktreatmentskareknotkakpartkofktheknursingkprocess.
7. Theklegislationkenactedkink1963kwasklargelykresponsiblekforkwhichkofkthekfollowingkshiftski
nkcarekforkthekmentallykill?
A) Thekwidespreadkusekofkcommunity-basedkservices
B) Thekadvancementkinkpharmacotherapies
C) Increasedkaccessktokhospitalization
D) Improvedkrightskforkclientskinklong-
termkinstitutionalkcarekAns:k A
Feedback:
ThekCommunitykMentalkHealthkCenterskConstructionkActkofk1963kaccomplishedkthekrelea
sekofkindividualskfromklong-
termkstayskinkstatekinstitutions,kthekdecreasekinkadmissionsktokhospitals,kandkthekdevelopm
entkofkcommunity-basedkserviceskaskankalternativektokhospitalkcare.
Pagek 3
, 8. Whichkonekofkthekfollowingkiskakresultkofkfederalklegislation?
A) Makingkitkeasierktokcommitkpeoplekforkmentalkhealthktreatmentkagainstktheirkwill.
B) Makingkitkmorekdifficultktokcommitkpeoplekforkmentalkhealthktreatmentkagainstkt
heirkwill.
C) Statekmentalkinstitutionskbeingkthekprimaryksourcekofkcarekforkmentallykillkpersons.
D) Improvedkcarekforkmentallykillkpersons.k
Ans:k B
Feedback:
Commitmentklawskchangedkinkthekearlyk1970s,kmakingkitkmorekdifficultktokcommitkpeople
kforkmentalkhealthktreatmentkagainstktheirkwill.kDeinstitutionalizationkaccomplishedkthekre
leasekofkindividualskfromklong-
termkstayskinkstatekinstitutions.kDeinstitutionalizationkalsokhadknegativekeffectskinkthatkso
mekmentallykillkpersonskareksubjectedktokthekrevolvingkdoorkeffect,kwhichkmayklimitkcarekf
orkmentallykillkpersons.
9. Thekgoalkofkthek1963kCommunitykMentalkHealthkCenterskActkwaskto
A) ensurekpatients'krightskforkthekmentallykill.
B) deinstitutionalizekstatekhospitals.
C) providekfundsktokbuildkhospitalskwithkpsychiatrickunits.
D) treatkpeoplekwithkmentalkillnesskinkakhumanekfashion.k
Ans:k B
Feedback:
Thek1963kCommunitykMentalkHealthkCenterskActkintimatedkthekmovementktowardktreati
ngkthosekwithkmentalkillnesskinkaklesskrestrictivekenvironment.kThisklegislationkresultedkink
thekshiftkofkclientskwithkmentalkillnesskfromklargekstatekinstitutionsktokcarekbasedkinkthekco
mmunity.kAnswerkchoiceskA,kC,kandkDkwereknotkpurposeskofkthek1963kCommunitykMenta
lkHealthkCenterskAct.
10. Thekcreationkofkasylumskduringkthek1800skwaskmeantkto
A) improvektreatmentkofkmentalkdisorders.
B) providekfoodkandkshelterkforkthekmentallykill.
C) punishkpeoplekwithkmentalkillnesskwhokwerekbelievedktokbekpossessed.
D) removekdangerouskpeoplekwithkmentalkillnesskfromkthekcommunity.k
Ans:k B
Feedback:
Thekasylumkwaskmeantktokbekaksafekhavenkwithkfood,kshelter,kandkhumanektreatmentkforkth
ekmentallykill.kAsylumskwereknotkusedktokimprovektreatmentkofkmentalkdisorderskorktokpuni
shkmentallykillkpeoplekwhokwerekbelievedktokbekpossessed.kThekasylumkwasknotkcreatedkto
kremovekthekdangerouslykmentallykillkfromkthekcommunity.
Pagek 4
k k k k k k
g 9th Edition By Videbeck
k k k k
Psychiatric-MentalkHealthkNursingk9thkeditionkbykVidebeckkTestkBank
Chapterk1kF
eedback:
Individualkfactorskinfluencingkmentalkhealthkincludekbiologickmakeup,kautonomy,kindepe
ndence,kself-
esteem,kcapacitykforkgrowth,kvitality,kabilityktokfindkmeaningkinklife,kemotionalkresiliencek
orkhardiness,ksensekofkbelonging,krealitykorientation,kandkcopingkorkstresskmanagementkab
ilities.kInterpersonalkfactorsksuchkaskintimacykandkakbalancekofkseparatenesskandkconnecte
dnesskarekbothkneededkforkgoodkmentalkhealth,kandkthereforekakhealthykpersonkwouldkneedk
otherskforkcompanionship.kAkfamilykhistorykofkmentalkillnesskcouldkrelatektokthekbiologick
makeupkofkankindividual,kwhichkmaykhavekaknegativekimpactkonkankindividual'skmentalkhe
alth,kaskwellkaskaknegativekimpactkonkankindividual'skinterpersonalkandksocialñculturalkfact
orskofkhealth.kTotalkself-
reliancekisknotkpossible,kandkakpositiveksocial/culturalkfactorkiskaccessktokadequatekresourc
es.
2. Whichkofkthekfollowingkstatementskaboutkmentalkillnesskarektrue?kSelectkallkthatkapply.
A) Mentalkillnesskcankcauseksignificantkdistress,kimpairedkfunctioning,korkboth.
B) Mentalkillnesskiskonlykduektoksocial/culturalkfactors.
C) Social/culturalkfactorskthatkrelatektokmentalkillnesskincludekexcessivekdependencyk
onkorkwithdrawalkfromkrelationships.
D) Individualsksufferingkfromkmentalkillnesskarekusuallykablektokcopekeffectivelykwithk
dailyklife.
E) Individualsksufferingkfromkmentalkillnesskmaykexperiencekdissatisfactionkwithk
relationshipskandkself.
Ans:k A,kD,kE
Feedback:
Mentalkillnesskcankcauseksignificantkdistress,kimpairedkfunctioning,korkboth.kMentalkillnes
skmaykbekrelatedktokindividual,kinterpersonal,korksocial/culturalkfactors.kExcessivekdepend
encykonkorkwithdrawalkfromkrelationshipskarekinterpersonalkfactorskthatkrelatektokmentalkil
lness.kIndividualsksufferingkfromkmentalkillnesskcankfeelkoverwhelmedkwithkdailyklife.kInd
ividualsksufferingkfromkmentalkillnesskmaykexperiencekdissatisfactionkwithkrelationshipska
ndkself.
Pagek 1
,3. Whichkofkthekfollowingkarektruekregardingkmentalkhealthkandkmentalkillness?
A) Behaviorkthatkmaykbekviewedkaskacceptablekinkonekculturekiskalwayskunacceptableki
nkotherkcultures.
B) Itkiskeasyktokdeterminekifkakpersonkiskmentallykhealthykorkmentallykill.
C) Inkmostkcases,kmentalkhealthkiskakstatekofkemotional,kpsychological,kandksocialkw
ellnesskevidencedkbyksatisfyingkinterpersonalkrelationships,keffectivekbehaviorkan
dkcoping,kpositivekself-concept,kandkemotionalkstability.
D) Personskwhokengagekinkfantasieskarekmentallykill.k
Ans:k C
Feedback:
Whatkoneksocietykmaykviewkaskacceptablekandkappropriatekbehavior,kanotherksocietykmayks
eekthatkaskmaladaptive,kandkinappropriate.kMentalkhealthkandkmentalkillnesskarekdifficultktok
definekprecisely.kInkmostkcases,kmentalkhealthkiskakstatekofkemotional,kpsychological,kandks
ocialkwellnesskevidencedkbyksatisfyingkinterpersonalkrelationships,keffectivekbehaviorkandk
coping,kpositivekself-
concept,kandkemotionalkstability.kPersonskwhokengagekinkfantasieskmaykbekmentallykhealth
y,kbutkthekinabilityktokdistinguishkrealitykfromkfantasykiskankindividualkfactorkthatkmaykcontr
ibutektokmentalkillness.
4. Akclientkgrievingkthekrecentklosskofkherkhusbandkaskskifkshekiskbecomingkmentallykillkb
ecausekshekisksoksad.kTheknurse'skbestkresponsekwouldkbe,
A) ìYoukmaykhavekaktemporarykmentalkillnesskbecausekyoukarekexperiencingksokmuchk
pain.î
B) ìYoukareknotkmentallykill.kThiskiskankexpectedkreactionktoktheklosskyoukhaveke
xperienced.î
C) ìWerekyoukgenerallykdissatisfiedkwithkyourkrelationshipkbeforekyourkhusband'sk
death?î
D) ìTryknotktokworrykaboutkthatkrightknow.kYoukneverkknowkwhatkthekfuturekbrings.îk
Ans:k B
Feedback:
Mentalkillnesskincludeskgeneralkdissatisfactionkwithkself,kineffectivekrelationships,kineffe
ctivekcoping,kandklackkofkpersonalkgrowth.kAdditionallykthekbehaviorkmustknotkbekcultural
lykexpected.kAcutekgriefkreactionskarekexpectedkandkthereforeknotkconsideredkmentalkillne
ss.kFalsekreassurancekorkoveranalysiskdoesknotkaccuratelykaddresskthekclient'skconcerns.
,5. TheknursekconsultskthekDSMkforkwhichkofkthekfollowingkpurposes?
A) Tokdevisekakplankofkcarekforkaknewlykadmittedkclient
B) Tokpredictkthekclient'skprognosiskofktreatmentkoutcomes
C) Tokdocumentkthekappropriatekdiagnostickcodekinkthekclient'skmedicalkrecord
D) Tokservekaskakguidekforkclientkassessmentk
Ans:k D
Feedback:
ThekDSMkprovideskstandardknomenclature,kpresentskdefiningkcharacteristics,kandkidentifi
eskunderlyingkcauseskofkmentalkdisorders.kItkdoesknotkprovidekcarekplanskorkprognostickout
comeskofktreatment.kDiagnosiskofkmentalkillnesskisknotkwithinkthekgeneralistkRN'skscopekof
kpractice,ksokdocumentingkthekcodekinkthekmedicalkrecordkwouldkbekinappropriate.
6. WhichkwouldkbekakreasonkforkakstudentknursektokusekthekDSM?
A) Identifyingkthekmedicalkdiagnosis
B) Treatkclients
C) Evaluatektreatments
D) Understandkthekreasonkforkthekadmissionkandktheknaturekofkpsychiatrickillnesses.k
Ans:k D
Feedback:
AlthoughkstudentknurseskdoknotkusekthekDSMktokdiagnosekclients,ktheykwillkfindkitkakhelpf
ulkresourcektokunderstandkthekreasonkforkthekadmissionkandktokbeginkbuildingkknowledgeka
boutktheknaturekofkpsychiatrickillnesses.kIdentifyingkthekmedicalkdiagnosis,ktreating,kandkev
aluatingktreatmentskareknotkakpartkofktheknursingkprocess.
7. Theklegislationkenactedkink1963kwasklargelykresponsiblekforkwhichkofkthekfollowingkshiftski
nkcarekforkthekmentallykill?
A) Thekwidespreadkusekofkcommunity-basedkservices
B) Thekadvancementkinkpharmacotherapies
C) Increasedkaccessktokhospitalization
D) Improvedkrightskforkclientskinklong-
termkinstitutionalkcarekAns:k A
Feedback:
ThekCommunitykMentalkHealthkCenterskConstructionkActkofk1963kaccomplishedkthekrelea
sekofkindividualskfromklong-
termkstayskinkstatekinstitutions,kthekdecreasekinkadmissionsktokhospitals,kandkthekdevelopm
entkofkcommunity-basedkserviceskaskankalternativektokhospitalkcare.
Pagek 3
, 8. Whichkonekofkthekfollowingkiskakresultkofkfederalklegislation?
A) Makingkitkeasierktokcommitkpeoplekforkmentalkhealthktreatmentkagainstktheirkwill.
B) Makingkitkmorekdifficultktokcommitkpeoplekforkmentalkhealthktreatmentkagainstkt
heirkwill.
C) Statekmentalkinstitutionskbeingkthekprimaryksourcekofkcarekforkmentallykillkpersons.
D) Improvedkcarekforkmentallykillkpersons.k
Ans:k B
Feedback:
Commitmentklawskchangedkinkthekearlyk1970s,kmakingkitkmorekdifficultktokcommitkpeople
kforkmentalkhealthktreatmentkagainstktheirkwill.kDeinstitutionalizationkaccomplishedkthekre
leasekofkindividualskfromklong-
termkstayskinkstatekinstitutions.kDeinstitutionalizationkalsokhadknegativekeffectskinkthatkso
mekmentallykillkpersonskareksubjectedktokthekrevolvingkdoorkeffect,kwhichkmayklimitkcarekf
orkmentallykillkpersons.
9. Thekgoalkofkthek1963kCommunitykMentalkHealthkCenterskActkwaskto
A) ensurekpatients'krightskforkthekmentallykill.
B) deinstitutionalizekstatekhospitals.
C) providekfundsktokbuildkhospitalskwithkpsychiatrickunits.
D) treatkpeoplekwithkmentalkillnesskinkakhumanekfashion.k
Ans:k B
Feedback:
Thek1963kCommunitykMentalkHealthkCenterskActkintimatedkthekmovementktowardktreati
ngkthosekwithkmentalkillnesskinkaklesskrestrictivekenvironment.kThisklegislationkresultedkink
thekshiftkofkclientskwithkmentalkillnesskfromklargekstatekinstitutionsktokcarekbasedkinkthekco
mmunity.kAnswerkchoiceskA,kC,kandkDkwereknotkpurposeskofkthek1963kCommunitykMenta
lkHealthkCenterskAct.
10. Thekcreationkofkasylumskduringkthek1800skwaskmeantkto
A) improvektreatmentkofkmentalkdisorders.
B) providekfoodkandkshelterkforkthekmentallykill.
C) punishkpeoplekwithkmentalkillnesskwhokwerekbelievedktokbekpossessed.
D) removekdangerouskpeoplekwithkmentalkillnesskfromkthekcommunity.k
Ans:k B
Feedback:
Thekasylumkwaskmeantktokbekaksafekhavenkwithkfood,kshelter,kandkhumanektreatmentkforkth
ekmentallykill.kAsylumskwereknotkusedktokimprovektreatmentkofkmentalkdisorderskorktokpuni
shkmentallykillkpeoplekwhokwerekbelievedktokbekpossessed.kThekasylumkwasknotkcreatedkto
kremovekthekdangerouslykmentallykillkfromkthekcommunity.
Pagek 4
