Test Bank Complete_
Psychiatric-Mental Health Nursing 10th Edition, (2025)
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 -------------------------------------------------- 23
Chapter 3. Psychosocial theories and therapy ---------------------------------------------------------------------- 50
Chapter 4. Treatment settings and therapeutic programs ------------------------------------------------------ 75
Unit 2: Building The Nurse–Client Relationship ------------------------------------------------------------ 97
Chapter 5. Therapeutic relationships --------------------------------------------------------------------------------- 97
Chapter 6. Therapeutic communication ---------------------------------------------------------------------------- 121
Chapter 7. Client’s response to illness ------------------------------------------------------------------------------ 142
Chapter 8. Assessment-------------------------------------------------------------------------------------------------- 163
Unit 3: Current Social And Emotional Concerns --------------------------------------------------------- 184
Chapter 9. Legal and ethical issues ---------------------------------------------------------------------------------- 184
Chapter 10. Grief and loss---------------------------------------------------------------------------------------------- 206
Chapter 11. Anger, hostility, and aggression ---------------------------------------------------------------------- 229
Chapter 12. Abuse and violence -------------------------------------------------------------------------------------- 250
Unit 4: Nursing Practice For Psychiatric Disorders ------------------------------------------------------- 269
Chapter 13. Trauma and stressor-related disorders ------------------------------------------------------------ 269
Chapter 14. Anxiety and anxiety disorders ------------------------------------------------------------------------ 282
Chapter 15. Obsessive–compulsive and related disorders ---------------------------------------------------- 305
Chapter 16. Schizophrenia --------------------------------------------------------------------------------------------- 319
Chapter 17. Mood disorders and suicide --------------------------------------------------------------------------- 343
Chapter 18. Personality disorders ----------------------------------------------------------------------------------- 366
Chapter 19. Addiction --------------------------------------------------------------------------------------------------- 385
Chapter 20. Eating disorders ------------------------------------------------------------------------------------------ 409
Chapter 21. Somatic symptom illnesses ---------------------------------------------------------------------------- 430
Chapter 22. Neurodevelopmental disorders ---------------------------------------------------------------------- 452
Chapter 23. Disruptive behavior disorders ------------------------------------------------------------------------ 471
Chapter 24. Cognitive disorders ------------------------------------------------------------------------------------ 487
,Unit 1: Current Theories And Practice
Chapter 1. Foundations Of Psychiatric–Mental Health Nursing
Sheila L. Videbeck: Psychiatric-Mental Health Nursing 10th Edition, (2025) Test Bank
MULTIPLE CHOICE
Question 1:
A Nurse In A Psychiatric Inpatient Unit Is Assessing A Newly Admitted Patient’s Mental
Health Status. Which Of The Following Findings Is The Most Indicative Of Emotional
Resilience?
A) Expressing Complete Independence From Others
B) Demonstrating Insight Into Stressors And Using Coping Strategies
C) Denying The Existence Of Any Emotional Problems
D) Expressing A Desire To Isolate From Others Permanently
Correct Answer: B
Explanation:
Emotional Resilience, A Key Indicator Of Mental Health, Refers To The Ability To
Recognize Stressors And Use Effective Coping Mechanisms. Option B Reflects The
Patient’s Awareness Of Their Emotional State And Their Active Effort To Manage
Stress—Core Components Of Psychological Well-Being. Option A (Complete
Independence) And Option D (Isolation) Reflect Unhealthy Extremes That May Hinder
Social Support, While Option C Suggests Denial Or Lack Of Insight, Which Can Impede
Progress In Treatment.
,Question 2:
A Psychiatric Nurse Is Caring For A Hospitalized Client With Major Depression. The
Client Reports Feelings Of Worthlessness And Hopelessness. Which Nursing
Intervention Is Most Appropriate To Support The Client’s Mental Health Recovery?
A) Encourage The Client To Reflect On Past Mistakes
B) Avoid Discussing Future Plans To Prevent Anxiety
C) Promote Small, Achievable Goals And Provide Positive Reinforcement
D) Leave The Client Alone For Most Of The Day To Prevent Overstimulation
Correct Answer: C
Explanation:
Promoting Small, Achievable Goals With Positive Reinforcement (C) Helps Restore The
Client’s Sense Of Accomplishment And Self-Worth, Which Is Critical In The Care Of
Individuals With Depression. Option A Can Deepen Feelings Of Guilt, Option B Avoids
Necessary Future Planning (A Goal In Therapy), And Option D May Exacerbate
Isolation And Hopelessness. Structured, Supportive Interaction Is Vital In Psychiatric
Nursing Care.
Question 3:
During Assessment, A Psychiatric Nurse Evaluates A Client’s Orientation To Reality.
Which Of The Following Assessment Questions Is Most Appropriate For This Purpose?
A) “Can You Describe How You Feel About Your Family?”
B) “What Would You Do If You Smelled Smoke In Your Room?”
C) “Can You Tell Me Where You Are Right Now?”
D) “Do You Feel Like People Are Talking About You?”
Correct Answer: C
,Explanation:
Assessing A Client's Orientation To Reality Typically Involves Checking Awareness Of
Person, Place, Time, And Situation. Option C Directly Assesses Orientation To Place, A
Key Component Of Reality Orientation. Option A Explores Relationships, Option B
Assesses Judgment, And Option D Evaluates Possible Delusions Or Paranoia, Which Are
Important But Not Direct Measures Of Orientation.
Question 4:
A Nurse Is Documenting A Psychiatric Patient’s Affect And Mood. The Patient Appears
Expressionless, Speaks In A Monotone, And Shows No Emotional Reactivity. Which
Term Best Describes This Affect?
A) Inappropriate
B) Labile
C) Flat
D) Euphoric
Correct Answer: C
Explanation:
A Flat Affect (C) Refers To The Absence Of Observable Emotion—No Facial
Expressions, Gestures, Or Tone Changes In Speech. Inappropriate Affect (A) Would
Involve Emotional Responses Incongruent With The Situation. Labile Affect (B) Is Rapid
And Extreme Mood Shifts, And Euphoric Affect (D) Is Characterized By An
Exaggerated Sense Of Happiness Or Well-Being. Accurate Documentation Of Affect
Supports Effective Nursing Care And Communication With The Psychiatric Team.
Question 5:
In The Hospital Setting, A Psychiatric Nurse Is Assessing A Patient’s Risk For Self-
Harm. Which Question Is Most Appropriate For Directly Assessing Suicidal Ideation?
,A) “You’re Not Thinking About Doing Anything Silly, Are You?”
B) “Have You Been Feeling Sad Or Upset Lately?”
C) “Do You Ever Think About Hurting Yourself Or Ending Your Life?”
D) “Have Your Eating And Sleeping Patterns Changed Recently?”
Correct Answer: C
Explanation:
The Most Appropriate And Clinically Responsible Way To Assess Suicidal Ideation Is
To Ask Direct, Nonjudgmental Questions Such As Option C. It Reflects Best Practices In
Mental Health Nursing, Ensuring Safety And Early Intervention. Option A Minimizes
The Issue, Option B Is Vague, And Option D May Reveal Depressive Symptoms But
Does Not Assess Self-Harm Directly. Early, Honest Risk Assessment Can Guide Timely
Interventions And Save Lives.
Question 6:
A Psychiatric Nurse Is Conducting An Initial Interview With A Newly Admitted Patient.
Which Of The Following Statements Demonstrates The Nurse's Use Of Therapeutic
Communication During The Assessment?
A) “I Know How You Feel. I Get Depressed Too Sometimes.”
B) “Let’s Focus On How You’ve Coped With Stress In The Past.”
C) “If You Don’t Talk, I Can’t Help You.”
D) “Why Did You Let Things Get This Bad?”
Correct Answer: B
Explanation:
Option B Reflects Therapeutic Communication By Focusing On The Patient’s Strengths
And Past Coping Skills, Promoting Self-Reflection And Problem-Solving. Option A Is
Non-Therapeutic And Shifts Focus To The Nurse. Option C Is Confrontational And Can
, Increase Resistance. Option D Is Judgmental And May Shame The Patient. Effective
Communication Fosters Trust And Guides Assessment In Psychiatric Nursing.
Question 7:
The Nurse Is Assessing Protective Factors In A Patient Admitted After A Suicide
Attempt. Which Finding Would Be Considered A Protective Factor Against Future
Suicide Risk?
A) The Patient Has A Detailed Suicide Plan
B) The Patient Expresses Regret And Identifies Supportive Family Members
C) The Patient Reports Recent Substance Abuse
D) The Patient Has Experienced Recent Financial Loss
Correct Answer: B
Explanation:
Option B Reflects Protective Factors: Emotional Insight, Regret, And Social Support,
Which Are Key In Reducing Suicide Risk. Option A Is A High-Risk Indicator. Option C
And Option D Are Risk Factors That Increase Vulnerability. Assessment Of Protective
And Risk Factors Is Critical In Psychiatric Inpatient Care And Safety Planning.
Question 8:
A Nurse Is Documenting A Patient's Mental Status Exam (Mse) In An Acute Psychiatric
Setting. Which Component Of The Mse Does This Statement Reflect: “The Patient
Believes The Staff Is Part Of A Government Plot To Poison Them”?
A) Mood
B) Judgment
C) Thought Content
D) Sensorium
Psychiatric-Mental Health Nursing 10th Edition, (2025)
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 -------------------------------------------------- 23
Chapter 3. Psychosocial theories and therapy ---------------------------------------------------------------------- 50
Chapter 4. Treatment settings and therapeutic programs ------------------------------------------------------ 75
Unit 2: Building The Nurse–Client Relationship ------------------------------------------------------------ 97
Chapter 5. Therapeutic relationships --------------------------------------------------------------------------------- 97
Chapter 6. Therapeutic communication ---------------------------------------------------------------------------- 121
Chapter 7. Client’s response to illness ------------------------------------------------------------------------------ 142
Chapter 8. Assessment-------------------------------------------------------------------------------------------------- 163
Unit 3: Current Social And Emotional Concerns --------------------------------------------------------- 184
Chapter 9. Legal and ethical issues ---------------------------------------------------------------------------------- 184
Chapter 10. Grief and loss---------------------------------------------------------------------------------------------- 206
Chapter 11. Anger, hostility, and aggression ---------------------------------------------------------------------- 229
Chapter 12. Abuse and violence -------------------------------------------------------------------------------------- 250
Unit 4: Nursing Practice For Psychiatric Disorders ------------------------------------------------------- 269
Chapter 13. Trauma and stressor-related disorders ------------------------------------------------------------ 269
Chapter 14. Anxiety and anxiety disorders ------------------------------------------------------------------------ 282
Chapter 15. Obsessive–compulsive and related disorders ---------------------------------------------------- 305
Chapter 16. Schizophrenia --------------------------------------------------------------------------------------------- 319
Chapter 17. Mood disorders and suicide --------------------------------------------------------------------------- 343
Chapter 18. Personality disorders ----------------------------------------------------------------------------------- 366
Chapter 19. Addiction --------------------------------------------------------------------------------------------------- 385
Chapter 20. Eating disorders ------------------------------------------------------------------------------------------ 409
Chapter 21. Somatic symptom illnesses ---------------------------------------------------------------------------- 430
Chapter 22. Neurodevelopmental disorders ---------------------------------------------------------------------- 452
Chapter 23. Disruptive behavior disorders ------------------------------------------------------------------------ 471
Chapter 24. Cognitive disorders ------------------------------------------------------------------------------------ 487
,Unit 1: Current Theories And Practice
Chapter 1. Foundations Of Psychiatric–Mental Health Nursing
Sheila L. Videbeck: Psychiatric-Mental Health Nursing 10th Edition, (2025) Test Bank
MULTIPLE CHOICE
Question 1:
A Nurse In A Psychiatric Inpatient Unit Is Assessing A Newly Admitted Patient’s Mental
Health Status. Which Of The Following Findings Is The Most Indicative Of Emotional
Resilience?
A) Expressing Complete Independence From Others
B) Demonstrating Insight Into Stressors And Using Coping Strategies
C) Denying The Existence Of Any Emotional Problems
D) Expressing A Desire To Isolate From Others Permanently
Correct Answer: B
Explanation:
Emotional Resilience, A Key Indicator Of Mental Health, Refers To The Ability To
Recognize Stressors And Use Effective Coping Mechanisms. Option B Reflects The
Patient’s Awareness Of Their Emotional State And Their Active Effort To Manage
Stress—Core Components Of Psychological Well-Being. Option A (Complete
Independence) And Option D (Isolation) Reflect Unhealthy Extremes That May Hinder
Social Support, While Option C Suggests Denial Or Lack Of Insight, Which Can Impede
Progress In Treatment.
,Question 2:
A Psychiatric Nurse Is Caring For A Hospitalized Client With Major Depression. The
Client Reports Feelings Of Worthlessness And Hopelessness. Which Nursing
Intervention Is Most Appropriate To Support The Client’s Mental Health Recovery?
A) Encourage The Client To Reflect On Past Mistakes
B) Avoid Discussing Future Plans To Prevent Anxiety
C) Promote Small, Achievable Goals And Provide Positive Reinforcement
D) Leave The Client Alone For Most Of The Day To Prevent Overstimulation
Correct Answer: C
Explanation:
Promoting Small, Achievable Goals With Positive Reinforcement (C) Helps Restore The
Client’s Sense Of Accomplishment And Self-Worth, Which Is Critical In The Care Of
Individuals With Depression. Option A Can Deepen Feelings Of Guilt, Option B Avoids
Necessary Future Planning (A Goal In Therapy), And Option D May Exacerbate
Isolation And Hopelessness. Structured, Supportive Interaction Is Vital In Psychiatric
Nursing Care.
Question 3:
During Assessment, A Psychiatric Nurse Evaluates A Client’s Orientation To Reality.
Which Of The Following Assessment Questions Is Most Appropriate For This Purpose?
A) “Can You Describe How You Feel About Your Family?”
B) “What Would You Do If You Smelled Smoke In Your Room?”
C) “Can You Tell Me Where You Are Right Now?”
D) “Do You Feel Like People Are Talking About You?”
Correct Answer: C
,Explanation:
Assessing A Client's Orientation To Reality Typically Involves Checking Awareness Of
Person, Place, Time, And Situation. Option C Directly Assesses Orientation To Place, A
Key Component Of Reality Orientation. Option A Explores Relationships, Option B
Assesses Judgment, And Option D Evaluates Possible Delusions Or Paranoia, Which Are
Important But Not Direct Measures Of Orientation.
Question 4:
A Nurse Is Documenting A Psychiatric Patient’s Affect And Mood. The Patient Appears
Expressionless, Speaks In A Monotone, And Shows No Emotional Reactivity. Which
Term Best Describes This Affect?
A) Inappropriate
B) Labile
C) Flat
D) Euphoric
Correct Answer: C
Explanation:
A Flat Affect (C) Refers To The Absence Of Observable Emotion—No Facial
Expressions, Gestures, Or Tone Changes In Speech. Inappropriate Affect (A) Would
Involve Emotional Responses Incongruent With The Situation. Labile Affect (B) Is Rapid
And Extreme Mood Shifts, And Euphoric Affect (D) Is Characterized By An
Exaggerated Sense Of Happiness Or Well-Being. Accurate Documentation Of Affect
Supports Effective Nursing Care And Communication With The Psychiatric Team.
Question 5:
In The Hospital Setting, A Psychiatric Nurse Is Assessing A Patient’s Risk For Self-
Harm. Which Question Is Most Appropriate For Directly Assessing Suicidal Ideation?
,A) “You’re Not Thinking About Doing Anything Silly, Are You?”
B) “Have You Been Feeling Sad Or Upset Lately?”
C) “Do You Ever Think About Hurting Yourself Or Ending Your Life?”
D) “Have Your Eating And Sleeping Patterns Changed Recently?”
Correct Answer: C
Explanation:
The Most Appropriate And Clinically Responsible Way To Assess Suicidal Ideation Is
To Ask Direct, Nonjudgmental Questions Such As Option C. It Reflects Best Practices In
Mental Health Nursing, Ensuring Safety And Early Intervention. Option A Minimizes
The Issue, Option B Is Vague, And Option D May Reveal Depressive Symptoms But
Does Not Assess Self-Harm Directly. Early, Honest Risk Assessment Can Guide Timely
Interventions And Save Lives.
Question 6:
A Psychiatric Nurse Is Conducting An Initial Interview With A Newly Admitted Patient.
Which Of The Following Statements Demonstrates The Nurse's Use Of Therapeutic
Communication During The Assessment?
A) “I Know How You Feel. I Get Depressed Too Sometimes.”
B) “Let’s Focus On How You’ve Coped With Stress In The Past.”
C) “If You Don’t Talk, I Can’t Help You.”
D) “Why Did You Let Things Get This Bad?”
Correct Answer: B
Explanation:
Option B Reflects Therapeutic Communication By Focusing On The Patient’s Strengths
And Past Coping Skills, Promoting Self-Reflection And Problem-Solving. Option A Is
Non-Therapeutic And Shifts Focus To The Nurse. Option C Is Confrontational And Can
, Increase Resistance. Option D Is Judgmental And May Shame The Patient. Effective
Communication Fosters Trust And Guides Assessment In Psychiatric Nursing.
Question 7:
The Nurse Is Assessing Protective Factors In A Patient Admitted After A Suicide
Attempt. Which Finding Would Be Considered A Protective Factor Against Future
Suicide Risk?
A) The Patient Has A Detailed Suicide Plan
B) The Patient Expresses Regret And Identifies Supportive Family Members
C) The Patient Reports Recent Substance Abuse
D) The Patient Has Experienced Recent Financial Loss
Correct Answer: B
Explanation:
Option B Reflects Protective Factors: Emotional Insight, Regret, And Social Support,
Which Are Key In Reducing Suicide Risk. Option A Is A High-Risk Indicator. Option C
And Option D Are Risk Factors That Increase Vulnerability. Assessment Of Protective
And Risk Factors Is Critical In Psychiatric Inpatient Care And Safety Planning.
Question 8:
A Nurse Is Documenting A Patient's Mental Status Exam (Mse) In An Acute Psychiatric
Setting. Which Component Of The Mse Does This Statement Reflect: “The Patient
Believes The Staff Is Part Of A Government Plot To Poison Them”?
A) Mood
B) Judgment
C) Thought Content
D) Sensorium
