Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
v v v v v v v v
Pagev1
,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
v v v v v v v v
Psychiatric-MentalvHealthvNursingv8thveditionv
Chapterv1
1. Thevnursevisvassessingvthevfactorsvcontributingvtovthevwell-
beingvofvavnewlyvadmittedvclient.vWhichvofvthevfollowingvwouldvthevnursevidentifyvasvha
vingvavpositivevimpactvonvthevindividual'svmentalvhealth?
A) Notvneedingvothersvforvcompanionship
B) Thevabilityvtoveffectivelyvmanagevstress
C) Avfamilyvhistoryvofvmentalvillness
D) Strivingvforvtotalvself-
reliancevAns:v B
Feedback:
Individualvfactorsvinfluencingvmentalvhealthvincludevbiologicvmakeup,vautonomy,vindepe
ndence,vself-
esteem,vcapacityvforvgrowth,vvitality,vabilityvtovfindvmeaningvinvlife,vemotionalvresiliencev
orvhardiness,vsensevofvbelonging,vrealityvorientation,vandvcopingvorvstressvmanagementvab
ilities.vInterpersonalvfactorsvsuchvasvintimacyvandvavbalancevofvseparatenessvandvconnecte
dnessvarevbothvneededvforvgoodvmentalvhealth,vandvthereforevavhealthyvpersonvwouldvneedv
othersvforvcompanionship.vAvfamilyvhistoryvofvmentalvillnessvcouldvrelatevtovthevbiologicv
makeupvofvanvindividual,vwhichvmayvhavevavnegativevimpactvonvanvindividual'svmentalvhea
lth,vasvwellvasvavnegativevimpactvonvanvindividual'svinterpersonalvandvsocialñculturalvfacto
rsvofvhealth.vTotalvself-
reliancevisvnotvpossible,vandvavpositivevsocial/culturalvfactorvisvaccessvtovadequatevresourc
es.
2. Whichvofvthevfollowingvstatementsvaboutvmentalvillnessvarevtrue?vSelectvallvthatvapply.
A) Mentalvillnessvcanvcausevsignificantvdistress,vimpairedvfunctioning,vorvboth.
B) Mentalvillnessvisvonlyvduevtovsocial/culturalvfactors.
C) Social/culturalvfactorsvthatvrelatevtovmentalvillnessvincludevexcessivevdependencyv
onvorvwithdrawalvfromvrelationships.
D) Individualsvsufferingvfromvmentalvillnessvarevusuallyvablevtovcopeveffectivelyvwithv
dailyvlife.
E) Individualsvsufferingvfromvmentalvillnessvmayvexperiencevdissatisfactionvwithvr
elationshipsvandvself.
Ans:vA,vD,vE
Feedback:
Mentalvillnessvcanvcausevsignificantvdistress,vimpairedvfunctioning,vorvboth.vMentalvillnes
svmayvbevrelatedvtovindividual,vinterpersonal,vorvsocial/culturalvfactors.vExcessivevdepend
encyvonvorvwithdrawalvfromvrelationshipsvarevinterpersonalvfactorsvthatvrelatevtovmentalvil
lness.vIndividualsvsufferingvfromvmentalvillnessvcanvfeelvoverwhelmedvwithvdailyvlife.vIn
dividualsvsufferingvfromvmentalvillnessvmayvexperiencevdissatisfactionvwithvrelationshipsv
andvself.
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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3. Whichvofvthevfollowingvarevtruevregardingvmentalvhealthvandvmentalvillness?
A) Behaviorvthatvmayvbevviewedvasvacceptablevinvonevculturevisvalwaysvunacceptablevi
nvothervcultures.
B) Itvisveasyvtovdeterminevifvavpersonvisvmentallyvhealthyvorvmentallyvill.
C) Invmostvcases,vmentalvhealthvisvavstatevofvemotional,vpsychological,vandvsocialvw
ellnessvevidencedvbyvsatisfyingvinterpersonalvrelationships,veffectivevbehaviorvan
dvcoping,vpositivevself-concept,vandvemotionalvstability.
D) Personsvwhovengagevinvfantasiesvarevmentallyvill.v
Ans:vC
Feedback:
Whatvonevsocietyvmayvviewvasvacceptablevandvappropriatevbehavior,vanothervsocietyvmayvs
eevthatvasvmaladaptive,vandvinappropriate.vMentalvhealthvandvmentalvillnessvarevdifficultvtov
definevprecisely.vInvmostvcases,vmentalvhealthvisvavstatevofvemotional,vpsychological,vandvs
ocialvwellnessvevidencedvbyvsatisfyingvinterpersonalvrelationships,veffectivevbehaviorvandv
coping,vpositivevself-
concept,vandvemotionalvstability.vPersonsvwhovengagevinvfantasiesvmayvbevmentallyvhealth
y,vbutvthevinabilityvtovdistinguishvrealityvfromvfantasyvisvanvindividualvfactorvthatvmayvcontr
ibutevtovmentalvillness.
4. Avclientvgrievingvthevrecentvlossvofvhervhusbandvasksvifvshevisvbecomingvmentallyvillvb
ecausevshevisvsovsad.vThevnurse'svbestvresponsevwouldvbe,
A) ìYouvmayvhavevavtemporaryvmentalvillnessvbecausevyouvarevexperiencingvsovmuchvp
ain.î
B) ìYouvarevnotvmentallyvill.vThisvisvanvexpectedvreactionvtovthevlossvyouvhaveve
xperienced.î
C) ìWerevyouvgenerallyvdissatisfiedvwithvyourvrelationshipvbeforevyourvhusband'sv
death?î
D) ìTryvnotvtovworryvaboutvthatvrightvnow.vYouvnevervknowvwhatvthevfuturevbrings.îv
Ans:vB
Feedback:
Mentalvillnessvincludesvgeneralvdissatisfactionvwithvself,vineffectivevrelationships,vineffec
tivevcoping,vandvlackvofvpersonalvgrowth.vAdditionallyvthevbehaviorvmustvnotvbevculturall
yvexpected.vAcutevgriefvreactionsvarevexpectedvandvthereforevnotvconsideredvmentalvillnes
s.vFalsevreassurancevorvoveranalysisvdoesvnotvaccuratelyvaddressvthevclient'svconcerns.
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5. ThevnursevconsultsvthevDSMvforvwhichvofvthevfollowingvpurposes?
A) Tovdevisevavplanvofvcarevforvavnewlyvadmittedvclient
B) Tovpredictvthevclient'svprognosisvofvtreatmentvoutcomes
C) Tovdocumentvthevappropriatevdiagnosticvcodevinvthevclient'svmedicalvrecord
D) Tovservevasvavguidevforvclientvassessmentv
Ans:vD
Feedback:
ThevDSMvprovidesvstandardvnomenclature,vpresentsvdefiningvcharacteristics,vandvidentifi
esvunderlyingvcausesvofvmentalvdisorders.vItvdoesvnotvprovidevcarevplansvorvprognosticvout
comesvofvtreatment.vDiagnosisvofvmentalvillnessvisvnotvwithinvthevgeneralistvRN'svscopevof
vpractice,vsovdocumenting vthevcodevinvthevmedicalvrecordvwouldvbevinappropriate.
6. WhichvwouldvbevavreasonvforvavstudentvnursevtovusevthevDSM?
A) Identifyingvthevmedicalvdiagnosis
B) Treatvclients
C) Evaluatevtreatments
D) Understandvthevreasonvforvthevadmissionvandvthevnaturevofvpsychiatricvillnesses.v
Ans:vD
Feedback:
AlthoughvstudentvnursesvdovnotvusevthevDSMvtovdiagnosevclients,vtheyvwillvfindvitvavhelp
fulvresourcevtovunderstandvthevreasonvforvthevadmissionvandvtovbeginvbuildingvknowledg
evaboutvthevnaturevofvpsychiatricvillnesses.vIdentifyingvthevmedicalvdiagnosis,vtreating,va
ndvevaluatingvtreatmentsvarevnotvavpartvofvthevnursingvprocess.
7. Thevlegislationvenactedvinv1963vwasvlargelyvresponsiblevforvwhichvofvthevfollowingvshiftsvi
nvcarevforvthevmentallyvill?
A) Thevwidespreadvusevofvcommunity-basedvservices
B) Thevadvancementvinvpharmacotherapies
C) Increasedvaccessvtovhospitalization
D) Improvedvrightsvforvclientsvinvlong-
termvinstitutionalvcarevAns:vA
Feedback:
ThevCommunityvMentalvHealthvCentersvConstructionvActvofv1963vaccomplishedvthevr
eleasevofvindividualsvfromvlong-
termvstaysvinvstatevinstitutions,vthevdecreasevinvadmissionsvtovhospitals,vandvthevdevel
opmentvofvcommunity-basedvservicesvasvanvalternativevtovhospitalvcare.
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v v v v v v v v
Pagev1
,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
v v v v v v v v
Psychiatric-MentalvHealthvNursingv8thveditionv
Chapterv1
1. Thevnursevisvassessingvthevfactorsvcontributingvtovthevwell-
beingvofvavnewlyvadmittedvclient.vWhichvofvthevfollowingvwouldvthevnursevidentifyvasvha
vingvavpositivevimpactvonvthevindividual'svmentalvhealth?
A) Notvneedingvothersvforvcompanionship
B) Thevabilityvtoveffectivelyvmanagevstress
C) Avfamilyvhistoryvofvmentalvillness
D) Strivingvforvtotalvself-
reliancevAns:v B
Feedback:
Individualvfactorsvinfluencingvmentalvhealthvincludevbiologicvmakeup,vautonomy,vindepe
ndence,vself-
esteem,vcapacityvforvgrowth,vvitality,vabilityvtovfindvmeaningvinvlife,vemotionalvresiliencev
orvhardiness,vsensevofvbelonging,vrealityvorientation,vandvcopingvorvstressvmanagementvab
ilities.vInterpersonalvfactorsvsuchvasvintimacyvandvavbalancevofvseparatenessvandvconnecte
dnessvarevbothvneededvforvgoodvmentalvhealth,vandvthereforevavhealthyvpersonvwouldvneedv
othersvforvcompanionship.vAvfamilyvhistoryvofvmentalvillnessvcouldvrelatevtovthevbiologicv
makeupvofvanvindividual,vwhichvmayvhavevavnegativevimpactvonvanvindividual'svmentalvhea
lth,vasvwellvasvavnegativevimpactvonvanvindividual'svinterpersonalvandvsocialñculturalvfacto
rsvofvhealth.vTotalvself-
reliancevisvnotvpossible,vandvavpositivevsocial/culturalvfactorvisvaccessvtovadequatevresourc
es.
2. Whichvofvthevfollowingvstatementsvaboutvmentalvillnessvarevtrue?vSelectvallvthatvapply.
A) Mentalvillnessvcanvcausevsignificantvdistress,vimpairedvfunctioning,vorvboth.
B) Mentalvillnessvisvonlyvduevtovsocial/culturalvfactors.
C) Social/culturalvfactorsvthatvrelatevtovmentalvillnessvincludevexcessivevdependencyv
onvorvwithdrawalvfromvrelationships.
D) Individualsvsufferingvfromvmentalvillnessvarevusuallyvablevtovcopeveffectivelyvwithv
dailyvlife.
E) Individualsvsufferingvfromvmentalvillnessvmayvexperiencevdissatisfactionvwithvr
elationshipsvandvself.
Ans:vA,vD,vE
Feedback:
Mentalvillnessvcanvcausevsignificantvdistress,vimpairedvfunctioning,vorvboth.vMentalvillnes
svmayvbevrelatedvtovindividual,vinterpersonal,vorvsocial/culturalvfactors.vExcessivevdepend
encyvonvorvwithdrawalvfromvrelationshipsvarevinterpersonalvfactorsvthatvrelatevtovmentalvil
lness.vIndividualsvsufferingvfromvmentalvillnessvcanvfeelvoverwhelmedvwithvdailyvlife.vIn
dividualsvsufferingvfromvmentalvillnessvmayvexperiencevdissatisfactionvwithvrelationshipsv
andvself.
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
v v v v v v v v
3. Whichvofvthevfollowingvarevtruevregardingvmentalvhealthvandvmentalvillness?
A) Behaviorvthatvmayvbevviewedvasvacceptablevinvonevculturevisvalwaysvunacceptablevi
nvothervcultures.
B) Itvisveasyvtovdeterminevifvavpersonvisvmentallyvhealthyvorvmentallyvill.
C) Invmostvcases,vmentalvhealthvisvavstatevofvemotional,vpsychological,vandvsocialvw
ellnessvevidencedvbyvsatisfyingvinterpersonalvrelationships,veffectivevbehaviorvan
dvcoping,vpositivevself-concept,vandvemotionalvstability.
D) Personsvwhovengagevinvfantasiesvarevmentallyvill.v
Ans:vC
Feedback:
Whatvonevsocietyvmayvviewvasvacceptablevandvappropriatevbehavior,vanothervsocietyvmayvs
eevthatvasvmaladaptive,vandvinappropriate.vMentalvhealthvandvmentalvillnessvarevdifficultvtov
definevprecisely.vInvmostvcases,vmentalvhealthvisvavstatevofvemotional,vpsychological,vandvs
ocialvwellnessvevidencedvbyvsatisfyingvinterpersonalvrelationships,veffectivevbehaviorvandv
coping,vpositivevself-
concept,vandvemotionalvstability.vPersonsvwhovengagevinvfantasiesvmayvbevmentallyvhealth
y,vbutvthevinabilityvtovdistinguishvrealityvfromvfantasyvisvanvindividualvfactorvthatvmayvcontr
ibutevtovmentalvillness.
4. Avclientvgrievingvthevrecentvlossvofvhervhusbandvasksvifvshevisvbecomingvmentallyvillvb
ecausevshevisvsovsad.vThevnurse'svbestvresponsevwouldvbe,
A) ìYouvmayvhavevavtemporaryvmentalvillnessvbecausevyouvarevexperiencingvsovmuchvp
ain.î
B) ìYouvarevnotvmentallyvill.vThisvisvanvexpectedvreactionvtovthevlossvyouvhaveve
xperienced.î
C) ìWerevyouvgenerallyvdissatisfiedvwithvyourvrelationshipvbeforevyourvhusband'sv
death?î
D) ìTryvnotvtovworryvaboutvthatvrightvnow.vYouvnevervknowvwhatvthevfuturevbrings.îv
Ans:vB
Feedback:
Mentalvillnessvincludesvgeneralvdissatisfactionvwithvself,vineffectivevrelationships,vineffec
tivevcoping,vandvlackvofvpersonalvgrowth.vAdditionallyvthevbehaviorvmustvnotvbevculturall
yvexpected.vAcutevgriefvreactionsvarevexpectedvandvthereforevnotvconsideredvmentalvillnes
s.vFalsevreassurancevorvoveranalysisvdoesvnotvaccuratelyvaddressvthevclient'svconcerns.
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, Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
v v v v v v v v
5. ThevnursevconsultsvthevDSMvforvwhichvofvthevfollowingvpurposes?
A) Tovdevisevavplanvofvcarevforvavnewlyvadmittedvclient
B) Tovpredictvthevclient'svprognosisvofvtreatmentvoutcomes
C) Tovdocumentvthevappropriatevdiagnosticvcodevinvthevclient'svmedicalvrecord
D) Tovservevasvavguidevforvclientvassessmentv
Ans:vD
Feedback:
ThevDSMvprovidesvstandardvnomenclature,vpresentsvdefiningvcharacteristics,vandvidentifi
esvunderlyingvcausesvofvmentalvdisorders.vItvdoesvnotvprovidevcarevplansvorvprognosticvout
comesvofvtreatment.vDiagnosisvofvmentalvillnessvisvnotvwithinvthevgeneralistvRN'svscopevof
vpractice,vsovdocumenting vthevcodevinvthevmedicalvrecordvwouldvbevinappropriate.
6. WhichvwouldvbevavreasonvforvavstudentvnursevtovusevthevDSM?
A) Identifyingvthevmedicalvdiagnosis
B) Treatvclients
C) Evaluatevtreatments
D) Understandvthevreasonvforvthevadmissionvandvthevnaturevofvpsychiatricvillnesses.v
Ans:vD
Feedback:
AlthoughvstudentvnursesvdovnotvusevthevDSMvtovdiagnosevclients,vtheyvwillvfindvitvavhelp
fulvresourcevtovunderstandvthevreasonvforvthevadmissionvandvtovbeginvbuildingvknowledg
evaboutvthevnaturevofvpsychiatricvillnesses.vIdentifyingvthevmedicalvdiagnosis,vtreating,va
ndvevaluatingvtreatmentsvarevnotvavpartvofvthevnursingvprocess.
7. Thevlegislationvenactedvinv1963vwasvlargelyvresponsiblevforvwhichvofvthevfollowingvshiftsvi
nvcarevforvthevmentallyvill?
A) Thevwidespreadvusevofvcommunity-basedvservices
B) Thevadvancementvinvpharmacotherapies
C) Increasedvaccessvtovhospitalization
D) Improvedvrightsvforvclientsvinvlong-
termvinstitutionalvcarevAns:vA
Feedback:
ThevCommunityvMentalvHealthvCentersvConstructionvActvofv1963vaccomplishedvthevr
eleasevofvindividualsvfromvlong-
termvstaysvinvstatevinstitutions,vthevdecreasevinvadmissionsvtovhospitals,vandvthevdevel
opmentvofvcommunity-basedvservicesvasvanvalternativevtovhospitalvcare.
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