PSYCHIATRIC-MENTAL HEALTH NURSING
8TH EDITION BY VIDEBECK TEST BANK Q &
A WITH FEEDBACKS
Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
Chapter 1
1. 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
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.
2. 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.
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.
3. The legislation enacted in 1963 was largely responsible for which of the following shifts
, PSYCHIATRIC-MENTAL HEALTH NURSING
8TH EDITION BY VIDEBECK TEST BANK Q &
A WITH FEEDBACKS
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
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.
, PSYCHIATRIC-MENTAL HEALTH NURSING
8TH EDITION BY VIDEBECK TEST BANK Q &
A WITH FEEDBACKS
4. 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.
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.
5. 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.
Ans: B
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Answer choices A, C, and D were not purposes of the 1963
Community Mental Health Centers Act.
6. The creation of asylums during the 1800s was meant to
A) improve treatment of mental disorders.
, PSYCHIATRIC-MENTAL HEALTH NURSING
8TH EDITION BY VIDEBECK TEST BANK Q &
A WITH FEEDBACKS
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community.
Ans: B
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
the mentally ill. Asylums were not used to improve treatment of mental disorders or to
punish mentally ill people who were believed to be possessed. The asylum was not
created to remove the dangerously mentally ill from the community.
8TH EDITION BY VIDEBECK TEST BANK Q &
A WITH FEEDBACKS
Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
Chapter 1
1. 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
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.
2. 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.
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.
3. The legislation enacted in 1963 was largely responsible for which of the following shifts
, PSYCHIATRIC-MENTAL HEALTH NURSING
8TH EDITION BY VIDEBECK TEST BANK Q &
A WITH FEEDBACKS
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
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.
, PSYCHIATRIC-MENTAL HEALTH NURSING
8TH EDITION BY VIDEBECK TEST BANK Q &
A WITH FEEDBACKS
4. 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.
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.
5. 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.
Ans: B
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
treating those with mental illness in a less restrictive environment. This legislation
resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Answer choices A, C, and D were not purposes of the 1963
Community Mental Health Centers Act.
6. The creation of asylums during the 1800s was meant to
A) improve treatment of mental disorders.
, PSYCHIATRIC-MENTAL HEALTH NURSING
8TH EDITION BY VIDEBECK TEST BANK Q &
A WITH FEEDBACKS
B) provide food and shelter for the mentally ill.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community.
Ans: B
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
the mentally ill. Asylums were not used to improve treatment of mental disorders or to
punish mentally ill people who were believed to be possessed. The asylum was not
created to remove the dangerously mentally ill from the community.
