Videbeck L. Sheila-Psychiatric Mental Health Nursing 8th Edition-Test Bank with All Answers Graded A+

Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
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Psychiatric-MentalAHealthANursingA8thAedition

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1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following would the nurse
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identify a s having a positive impact onthe individual's mental health?
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A) Not needing others for companionship ix ix ix ix


B) The ability to effectively manage stress ix ix ix ix ix


C) A family history of mental illness
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D) Striving for total ix ix


self- relianceAns: B
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Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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inde pendence, self-
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esteem, capacity for growth, vitality, ability to find meaning in life, emotional
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resilien ce or hardiness, sense of belonging, reality orientation, and coping or stress
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managem ent abilities. Interpersonal factors such as intimacy and a balance of
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separateness and connectedness are both needed for good mental health, and
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therefore ahealthy person would need others for companionship. A family history
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of mental illnesscould relate t o the biologic makeup of an individual, which
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may have a negative impacton an indiv idual's mental health, as well as a negative
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impact on an individual's interpersonal and socialñcultural factors of health. Total
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self-
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reliance is not possible, and a positive social/cultural factor is access to adequate
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reso urces.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both.
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B) Mental illness is only due to social/cultural factors. ix ix ix ix ix ix ix


C) Social/cultural factors that relate to mental illness include excessive ix ix ix ix ix ix ix ix


dependenc yon or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively ix ix ix ix ix ix ix ix ix ix


wi thdaily life.
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E) Individuals suffering from mental illness may experience dissatisfaction ix ix ix ix ix ix ix


wit hrelationships and self.
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Ans: A, D, E ix ix ix


Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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ill ness may be related to individual, interpersonal, or social/cultural factors.
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Excessive d ependency on or withdrawal from relationships are interpersonal
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factors that relate to mental illness. Individuals suffering from mental illness can
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feel overwhelmed with d aily life. Individuals suffering from mental illness may
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experience dissatisfaction with relationships and self.
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3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always ix ix ix ix ix ix ix ix ix ix ix


unacceptab lein other cultures.
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B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and
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social wellness evidenced by satisfying interpersonal relationships, effective
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behavi orand coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ix ix ix ix ix ix


il l.Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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m aysee that as maladaptive, and inappropriate. Mental health and mental illness are
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diffi cult to define precisely. In most cases, mental health is a state of emotional,
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psycholog ical, and social wellness evidenced by satisfying interpersonal
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relationships, effective b ehavior and coping, positive self-
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concept, and emotional stability. Persons who engagein fantasies may be mentally
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heal thy, but the inability to distinguish reality from fantasyis an individual factor
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that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming
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mentally illbecause she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so
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mu chpain.î ix ix


B) ìYou are not mentally ill. This is an expected reaction to the loss you
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ha veexperienced.î ix ix


C) ìWere you generally dissatisfied with your relationship before your
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husband 'sdeath?î ix ix


D) ìTry not to worry about that right now. You never know what the future
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bring s.îAns: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineff ective coping, and lack of personal growth. Additionally the behavior must
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not be cult urally expected. Acute grief reactions are expected and therefore not
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considered ment al illness. False reassurance or overanalysis does not accurately
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address the client'scon cerns.
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, Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank ix ix ix




5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client ix ix ix ix ix ix


assessme ntAns: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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ident ifies underlying causes of mental disorders. It does not provide care plans or
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prognost ic outcomes of treatment. Diagnosis of mental illness is not within the
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generalist RN's scope of practice, so documenting the code in the medical record
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wouldbe inappropri ate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis ix ix ix


B) Treat clients ix


C) Evaluate treatments ix


D) Understand the reason for the admission and the nature of psychiatric ix ix ix ix ix ix ix ix ix ix


illnesse s.Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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h elpful resource to understand the reason for the admission and to begin building
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kno wledge about the nature of psychiatric illnesses. Identifying the medical
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diagnosis,tr eating, and evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following
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shif tsin care for the mentally ill?
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A) The widespread use of community-based services
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B) The advancement in pharmacotherapies ix ix ix


C) Increased access to hospitalization ix ix ix


D) Improved rights for clients in ix ix ix ix


long- term institutional careAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
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th erelease of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the dev
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elopment of community-based services as an alternative to hospital care.
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