Test bank for Psychiatric Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters 1-24

TestBank
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ForPsychiatricMental HealthNursing 9thEdition c c c c c c




Chapter1 c




1. Thenurseis assessing thefactors contributing to the well-
c c c c c c c c c




being of a newly admitted client. Which of the following
c c c c c c c c c c




wouldthenurseidentify as havinga positive impact onthe
c c c c c c c c c c




individual's mental health?
c c c




A) Notneeding othersforcompanionship c c c




B) Theabilityto effectivelymanagestress c c c




C) Afamilyhistory of mental illness c c c




D) Striving for total self-reliance c c c




Ans: B
c c




Feedback:
Individual factors influencing mental health include biologic c c c c c c




makeup, autonomy, independence, self-esteem, capacity for
c c c c c c




growth, vitality, ability to find meaning in life,emotional
c c c c c c c c




resilience or hardiness, sense of belonging, reality
c c c c c c c




orientation, and coping or stress management abilities.
c c c c c c c




Interpersonal factors such as intimacy and a balanceof
c c c c c c c c c




separateness and connectedness are both needed
c c c c c c




for good mental health, and therefore ahealthy person would need others for
c c c c c c c c c c c




companionship. A family history of mental illnesscould relate to the biologic makeup of an
c c c c c c c c c c c c c c




individual, which may have a negative impacton an individual's mental health, aswell as a
c c c c c c c c c c c c c c




negative impact on an individual's interpersonal and socialñcultural factorsofhealth.
c c c c c c c c c




Total self-reliance is not possible, and a positive social/cultural factor is access to adequate
c c c c c c c c c c c c c c




resources.
c




2. Whichofthefollowingstatementsaboutmental illnessaretrue? Select all that apply.
c c c c c c c c c c c c




A) Mentalillnesscancausesignificantdistress,impairedfunctioning, orboth. c c c c c c c c c




B) Mentalillness isonlydue tosocial/cultural factors. c c c c c c c




C) Social/cultural factors thatrelate to mental illness includeexcessive dependency on c c c c c c c c c c




or withdrawal from relationships.
c c c c




D) Individuals sufferingfrommental illness areusuallyableto copeeffectivelywith c c c c c c c c c




dailylife. c c




E) Individuals sufferingfrom mental illness mayexperiencedissatisfaction with c c c c c c c




relationships and self. c c c




Ans: A,D, E c c c




Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
c c c c c c c c c c c




may be related to individual, interpersonal, or social/cultural factors. Excessive
c c c c c c c c c c




dependency on or withdrawal from relationships are interpersonal factors that relate to
c c c c c c c c c c c c




mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
c c c c c c c c c c c c




life. Individuals sufferingfrom mental illness mayexperiencedissatisfaction with
c c c c c c c c c c




relationships and self.
c c c

,3. Whichofthefollowingaretrueregardingmental health and mental illness?
c c c c c c c c c c




A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in c c c c c c c c c c c c




other cultures. c c




B) Itis easyto determine if aperson is mentallyhealthyor mentallyill.
c c c c c c c c c c c




C) In most cases, mental health is a state of emotional, psychological, and social
c c c c c c c c c c c c




wellness evidenced bysatisfying interpersonal relationships, effective behavior
c c c c c c c




and coping, positive self-concept, and emotional stability.
c c c c c c c




D) Persons who engage in fantasies are mentallyill. c c c c c c




Ans: C
c c




Feedback:
Whatonesocietymayview as acceptable and appropriate behavior, another societymay see
c c c c c c c c c c c c




that as maladaptive, and inappropriate.Mental health and mental illness aredifficult to define
c c c c c c c c c c c c c c




precisely. In most cases, mental health is a state of emotional, psychological, and social
c c c c c c c c c c c c c c




wellness evidenced by satisfying interpersonal relationships, effective behavior and
c c c c c c c c c




coping, positive self-concept, and emotional stability. Persons who engagein fantasies may
c c c c c c c c c c c




be mentally healthy, but the inability to distinguish reality from fantasyis an individual
c c c c c c c c c c c c c




factor that may contribute to mental illness.
c c c c c c c




4. Aclient grievingthe recent loss ofher husbandasks if she isbecomingmentallyill
c c c c c c c c c c c c c c




because she is so sad. The nurse's best response would be,
c c c c c c c c c c c




A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuch
c c c c c c c c c c




pain.î c




B) ìYouarenotmentallyill. Thisisanexpectedreaction to theloss you have
c c c c c c c c c c c c




experienced.î c




C) ìWereyou generallydissatisfied with yourrelationship before yourhusband's c c c c c c c




death?î c




D) ìTrynottoworryaboutthatright now.Youneverknowwhat thefuturebrings.î Ans: c c c c c c c c c c c c




B
c




Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
c c c c c c c c




ineffective coping, and lack of personal growth. Additionally the behavior must not
c c c c c c c c c c c c




beculturallyexpected. Acute grief reactions areexpected and therefore not considered
c c c c c c c c c c c




mental illness. False reassurance or overanalysis does not accurately address the
c c c c c c c c c c c




client'sconcerns.
c

,5.
c The nurse consults the DSM for which of the following purposes?
vb cv c vcv b b b b b b b b b b


A) Todeviseaplan ofcareforanewlyadmittedclient c B




B) To predict theclient'sprognosis oftreatment outcomes
v c B c




C) Todocumentthe appropriatediagnosticcodein theclient'smedicalrecord
B B c B




D) To serve as a guide for client assessment
b
b b b b b b b



Ans:D c




Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
c c c c c c c c




identifies underlyingcauses ofmental disorders. It does notprovide careplans or prognostic
c c c c c c c c c c c c c c




outcomesoftreatment.Diagnosisofmentalillnessisnotwithinthegeneralist
c c c c c c c c c c c c




RN'sscopeofpractice,sodocumenting thecodeinthemedicalrecordwouldbe
c B c




cinappropriate.


6.
v b v cv
c c c




A) Identifyingt hemedicaldiagnosis B c




B) Treatclients c




C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses.
b b b b b b b b b b b b


Ans:D c




Feedback:
AlthoughstudentnursesdonotusetheDSMtodiagnoseclients,theywillfinditahelpful
c c c c c c c c c c c c c




resourcetounderstand thereason forthe admissionand tobegin buildingknowledge about
c c c c c c c c c c c c c c




thenatureofpsychiatricillnesses. Identifying themedicaldiagnosis,treating, and
c c c c c c c c c c




evaluatingtreatments arenot a part of thenursing process.
c c c c B c c




7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshifts in c c




care for the mentally ill?
c c c c c




A) Thewidespread useofcommunity-based services c c




B) Theadvancementin pharmacotherapies c




C) Increasedaccesstohospitalization
D) Improvedrightsforclientsinlong-terminstitutionalcare
Ans: A
c c




Feedback:
TheCommunityMental HealthCentersConstructionActof1963accomplishedthe B c c c c c




releaseof individuals from long-term staysinstate institutions, thedecrease in
c c c c c c c c c c c c




admissionstohospitals,andthedevelopmentofcommunity-basedservicesasan
c c c c c c c c c c c




alternative to hospital care.
c c c c

, 8. Whichoneofthefollowingisaresultoffederallegislation?B




A) Makingi teasiertocommitpeopleformentalhealthtreatment against theirwill. B c c B




B) Makingi tmoredifficulttocommitpeopleformentalhealthtreatmentagainst B c




theirwill. c c




C) Statementalinstitutionsbeingtheprimarysourceofcareformentallyillpersons.
D) Improvedcareformentallyillpersons.
Ans: B
c c




Feedback:
Commitmentlawschangedintheearly1970s,makingitmoredifficulttocommitpeople forc c c c c c c c c c c c c




mentalhealth treatment against theirwill.Deinstitutionalization accomplished the release
c c c c c c c c c c




ofindividuals fromlong-term stays instate institutions. Deinstitutionalization alsohad
c c c c c c c c c c c




negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolving door effect,
c c c c c c c c c c c c c c




which maylimit care formentally ill persons.
c c c c c c c c




9. Thegoalofthe1963CommunityMentalHealth CentersActwas to c c




A) ensurepatients'rightsforthementallyill. c




B) deinstitutionalizestatehospitals.
C) providefunds tobuild hospitalswithpsychiatricunits. B c




D) treatpeoplewithmentalillness in ahumanefashion. B B B




Ans: B
c c




Feedback:
The1963CommunityMentalHealthCentersActintimatedthemovementtowardtreating
c c c c c c c c c




thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedinthe shift
c c c c c c c c c c c c c c




ofclients with mental illness from large stateinstitutions to carebasedin the community.
c c c c c c c c c c c c c




Answer choices A,C, and Dwerenot purposes of the1963Community Mental Health
c c c c B c c c c c




CentersAct.
c




10. Thecreationofasylums duringthe1800swasmeant to c c




A) improvetreatment ofmentaldisorders. B




B) providefoodandshelter forthementallyill. c




C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed.
D) removedangerous peoplewithmentalillnessfromthecommunity. B




cAns: B c




Feedback:
Theasylumwasmeant to beasafehaven withfood,shelter,andhumanetreatment for the c B c c c




mentallyill.Asylumswere notusedtoimprovetreatmentofmentaldisordersortopunish
c c c B c c c c c c c




mentallyill peoplewhowerebelieved tobepossessed.Theasylum was not createdto remove
c c c c c c c c c c c c c c c c




the dangerouslymentallyill from the community.
c c c c c