Psychiatric-Mental Health Nursing 9th Edition, (2022)
By Sheila L. Videbeck
All Chapters 1-24| 4 Units| Latest Editions With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.Stuvia
,UNIT 1: CURRENT THEORIES AND PRACTICE ------------------------------------------------------------------ 3
Chapter 1. Foundations Of Psychiatric–Mental Health Nursing--------------------------------------------------3
Chapter 2. Neurobiologic Theories And Psychopharmacology ------------------------------------------------- 19
Chapter 3. Psychosocial Theories And Therapy -------------------------------------------------------------------- 40
Chapter 4. Treatment Settings And Therapeutic Programs ----------------------------------------------------- 60
UNIT 2: BUILDING THE NURSE–CLIENT RELATIONSHIP --------------------------------------------------- 77
Chapter 5. Therapeutic Relationships--------------------------------------------------------------------------------- 77
Chapter 6. Therapeutic Communication ----------------------------------------------------------------------------- 96
Chapter 7. Client’s Response To Illness ----------------------------------------------------------------------------- 113
Chapter 8. Assessment-------------------------------------------------------------------------------------------------- 130
UNIT 3: CURRENT SOCIAL AND EMOTIONAL CONCERNS ---------------------------------------------- 146
Chapter 9. Legal And Ethical Issues ---------------------------------------------------------------------------------- 146
Chapter 10. Grief And Loss--------------------------------------------------------------------------------------------- 163
Chapter 11. Anger, Hostility, And Aggression --------------------------------------------------------------------- 181
Chapter 12. Abuse And Violence ------------------------------------------------------------------------------------- 198
UNIT 4: NURSING PRACTICE FOR PSYCHIATRIC DISORDERS------------------------------------------- 213
Chapter 13. Trauma And Stressor-Related Disorders ----------------------------------------------------------- 213
Chapter 14. Anxiety And Anxiety Disorders ----------------------------------------------------------------------- 224
Chapter 15. Obsessive–Compulsive And Related Disorders -------------------------------------------------- 242
Chapter 16. Schizophrenia --------------------------------------------------------------------------------------------- 253
Chapter 17. Mood Disorders And Suicide -------------------------------------------------------------------------- 272
Chapter 18. Personality Disorders ----------------------------------------------------------------------------------- 291
Chapter 19. Addiction --------------------------------------------------------------------------------------------------- 306
Chapter 20. Eating Disorders ------------------------------------------------------------------------------------------ 325
Chapter 21. Somatic Symptom Illnesses --------------------------------------------------------------------------- 342
Chapter 22. Neurodevelopmental Disorders ---------------------------------------------------------------------- 360
Chapter 23. Disruptive Behavior Disorders ------------------------------------------------------------------------ 375
Chapter 24. Cognitive Disorders -------------------------------------------------------------------------------------- 388
,UNIT 1: CURRENT THEORIES AND PRACTICE
Chapter 1. Foundations Of Psychiatric–Mental Health Nursing
Sheila L. Videbeck: Psychiatric-Mental Health Nursing 9th Edition, (2022) Test Bank
MULTIPLE CHOICE
1. The Nurse Is Assessing The Factors Contributing To The Well- Being Of A Newly
Admitted Client. Which Of The Following Would The Nurse Identify As Having A
Positive Impact On The Individual's Mental Health?
A) Not Needing Others For Companionship
B) The Ability To Effectively Manage Stress
C) A Family History Of Mental Illness
D) Striving For Total Self-Reliance
Correct Ans: B
Feedback:
Individual Factors Influencing Mental Health Include Biologic Makeup, Autonomy,
Independence, Self-Esteem, Capacity For Growth, Vitality, Ability To Find Meaning In
Life, Emotional Resilience Or Hardiness, Sense Of Belonging, Reality Orientation, And
Coping Or Stress Management Abilities. Interpersonal Factors Such As Intimacy And A
Balance Of Separateness And Connectedness Are Both Needed
For Good Mental Health, And Therefore A Healthy Person Would Need Others For
Companionship. A Family History Of Mental Illness Could Relate To The Biologic
Makeup Of An Individual, Which May Have A Negative Impaction An Individual's
Mental Health, As Well As A Negative Impact On An Individual's Interpersonal And
Social Cultural Factors Of Health. Total Self-Reliance Is Not Possible, And A Positive
Social/Cultural Factor Is Access To Adequate Resources.
2. Which Of The Following Statements About Mental Illness Are True? Select All That
Apply.
,A) Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both.
B) Mental Illness Is Only Due To Social/Cultural Factors.
C) Social/Cultural Factors That Relate To Mental Illness Include Excessive Dependency
On Or Withdrawal From Relationships.
D) Individuals Suffering From Mental Illness Are Usually Able To Cope Effectively
With Daily Life.
E) Individuals Suffering From Mental Illness May Experience Dissatisfaction With
Relationships And Self.
Correct Ans: A, D, E
Feedback:
Mental Illness Can Cause Significant Distress, Impaired Functioning, Or Both. Mental
Illness May Be Related To Individual, Interpersonal, Or Social/Cultural Factors.
Excessive Dependency On Or Withdrawal From Relationships Are Interpersonal Factors
That Relate To Mental Illness. Individuals Suffering From Mental Illness Can Feel
Overwhelmed With Daily Life. Individuals Suffering From Mental Illness May
Experience Dissatisfaction With Relationships And Self.
3. Which Of The Following Are True Regarding Mental Health And Mental Illness?
A) Behavior That May Be Viewed As Acceptable In One Culture Is Always
Unacceptable In Other Cultures.
B) It Is Easy To Determine If A Person Is Mentally Healthy Or Mentally Ill.
C) In Most Cases, Mental Health Is A State Of Emotional, Psychological, And Social
Wellness Evidenced By Satisfying Interpersonal Relationships, Effective Behavior And
Coping, Positive Self-Concept, And Emotional Stability.
D) Persons Who Engage In Fantasies Are Mentally Ill.
Correct Ans: C
Feedback:
What One Society May View As Acceptable And Appropriate Behavior, Another Society
May See That As Maladaptive, And Inappropriate. Mental Health And Mental Illness Are
,Difficult To Define Precisely. In Most Cases, Mental Health Is A State Of Emotional,
Psychological, And Social Wellness Evidenced By Satisfying Interpersonal
Relationships, Effective Behavior And Coping, Positive Self-Concept, And Emotional
Stability. Persons Who Engage In Fantasies May Be Mentally Healthy, But The Inability
To Distinguish Reality From Fantasy Is An Individual Factor That May Contribute To
Mental Illness.
4. A Client Grieving The Recent Loss Of Her Husband Asks If She Is Becoming
Mentally Ill Because She Is So Sad. The Nurse's Best Response Would Be,
A) You May Have A Temporary Mental Illness Because You Are Experiencing So Much
Pain.
B) You Are Not Mentally Ill. This Is An Expected Reaction To The Loss You Have
Experienced.
C) Were You Generally Dissatisfied With Your Relationship Before Your Husband's
Death?
D) Try Not To Worry About That Right Now. You Never Know What The Future
Brings.
Correct Ans: B
Feedback:
Mental Illness Includes General Dissatisfaction With Self, Ineffective Relationships,
Ineffective Coping, And Lack Of Personal Growth. Additionally The Behavior Must Not
Be Culturally Expected. Acute Grief Reactions Are Expected And Therefore Not
Considered Mental Illness. False Reassurance Or Over analysis Does Not Accurately
Address The Client's Concerns.
5. The Nurse Consults The DSM For Which Of The Following Purposes?
A) To Devise A Plan Of Care For A Newly Admitted Client
B) To Predict The Client's Prognosis Of Treatment Outcomes
C) To Document The Appropriate Diagnostic Code In The Client's Medical Record
D) To Serve As A Guide For Client Assessment
,Correct Ans: D
Feedback:
The DSM Provides Standard Nomenclature, Presents Defining Characteristics, And
Identifies Underlying Causes Of Mental Disorders. It Does Not Provide Care Plans Or
Prognostic Outcomes Of Treatment. Diagnosis Of Mental Illness Is Not Within The
Generalist Rn's Scope Of Practice, So Documenting The Code In The Medical Record
Would Be Inappropriate.
6. Which Would Be A Reason For A Student Nurse To Use The DSM?
A) Identifying The Medical Diagnosis
B) Treat Clients
C) Evaluate Treatments
D) Understand The Reason For The Admission And The Nature Of Psychiatric Illnesses.
Correct Ans: D
Feedback:
Although Student Nurses Do Not Use The Dsm To Diagnose Clients, They Will Find It
A Helpful Resource To Understand The Reason For The Admission And To Begin
Building Knowledge About The Nature Of Psychiatric Illnesses. Identifying The Medical
Diagnosis, Treating, And Evaluating Treatments Are Not A Part Of The Nursing Process.
7. The Legislation Enacted In 1963 Was Largely Responsible For Which Of The
Following Shifts In Care For The Mentally Ill?
A) The Widespread Use Of Community-Based Services
B) The Advancement In Pharmacotherapies
C) Increased Access To Hospitalization
D) Improved Rights For Clients In Long-Term Institutional Care
Correct Ans: A
, Feedback:
The Community Mental Health Centers Construction Act Of 1963 Accomplished The
Release Of Individuals From Long-Term Stays In State Institutions, The Decrease In
Admissions To Hospitals, And The Development Of Community-Based Services As An
Alternative To Hospital Care.
8. Which One Of The Following Is A Result Of Federal Legislation?
A) Making It Easier To Commit People For Mental Health Treatment Against Their Will.
B) Making It More Difficult To Commit People For Mental Health Treatment Against
Their Will.
C) State Mental Institutions Being The Primary Source Of Care For Mentally Ill Persons.
D) Improved Care For Mentally Ill Persons.
Correct Ans: B
Feedback:
Commitment Laws Changed In The Early 1970s, Making It More Difficult To Commit
People For Mental Health Treatment Against Their Will. Deinstitutionalization
Accomplished The Release Of Individuals From Long-Term Stays In State Institutions.
Deinstitutionalization Also Had Negative Effects In That Some Mentally Ill Persons Are
Subjected To The Revolving Door Effect, Which May Limit Care For Mentally Ill
Persons.
9. The Goal Of The 1963 Community Mental Health Centers Act Was To
A) Ensure Patients' Rights For The Mentally Ill.
B) Deinstitutionalize State Hospitals.
C) Provide Funds To Build Hospitals With Psychiatric Units.
D) Treat People With Mental Illness In A Humane Fashion.
Correct Ans: B
Feedback: