Test Bank for Psychiatric-Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters (1-24) LATEST UPDATE 2025

TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION
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,Chapter 1 /f


1. The nurse is assessing the factors contributing
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/ fto the well- being of a newly admitted client.
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/f Which of the following would the nurse identify
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/fas having a positive impact ontheindividual's
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/ fmental health? / f


A) Not needing others for companionship /f /f /f /f


B) The ability to effectively manage stress /f /f / f /f /f


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


/fself- relianceAns: B /f


Feedback:
Individual factors influencing mental health include / f / f / f / f / f


/fbiologic makeup, autonomy, independence, self- / f / f / f / f


esteem, capacity for growth, vitality, ability to find
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/ fmeaning in life,emotional resilience or hardiness, / f /f / f / f / f


/ fsense of belonging, reality orientation, and coping
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/ for stress management abilities. Interpersonal
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/ ffactors such as intimacy and a balance of / f / f /f / f / f / f /f


/fseparateness and connectedness are both needed / f /f / f /f /f


for good mental health, and therefore ahealthy person would need others
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/ ffor companionship. A family history of mental illnesscould relate to the
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/ fbiologic makeup of an individual, which may have a negative impacton
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/ fan individual's mental health, aswell as a negative impact on an
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/ findividual's interpersonal and socialñcultural factors ofhealth. Total self- / f / f /f / f / f / f / f


reliance is not possible, and a positive social/cultural factor is access to
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/ fadequate resources. / f




2. Which of the following statements about mental illness are true? Select all that
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/fapply.
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. /f /f /f /f /f /f /f


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


dependencyon or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope / f /f /f / f /f /f /f /f / f


effectively withdaily life.
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E) Individuals suffering from mental illness may experience dissatisfaction /f /f /f /f /f /f /f


with relationships and self.
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Ans: A, D, E / f /f / f


Feedback:
Mental illness can cause significant distress, impaired functioning, or both.
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Mental illness may be related to individual, interpersonal, or
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social/cultural factors.
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Excessive dependency on or withdrawal from relationships are
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interpersonal factors that relate to mental illness. Individuals suffering
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from mental illness can feel overwhelmed with daily life. Individuals
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suffering from mental illness may experience dissatisfaction with relationships
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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 /f / f /f /f /f /f /f / f /f /f


always unacceptable in 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,
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psychological, and social wellness evidenced by satisfying interpersonal
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relationships, effective behaviorand coping, positive self-concept, and
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emotional stability.
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D) Persons who engage in fantasies are /f / f /f / f / f


mentally ill.Ans:
/f C /f


Feedback:
What one society may view as acceptable and appropriate behavior, another
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society maysee that as maladaptive, and inappropriate. Mental health and
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mental illness are difficult to define precisely. In most cases, mental
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health is a state of emotional, psychological, and social wellness
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evidenced by satisfying interpersonal relationships, effective behavior and
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coping, positive self-concept, and emotional stability. Persons who
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engage in fantasies may be mentally healthy, but the inability to
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distinguish reality from fantasyis an individual factor that may contribute
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to mental illness.
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4. A client grieving the recent loss of her husband asks if she is
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/fbecoming mentally ill because she is so sad. The nurse's best
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response would be,
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A) ìYou may have a temporary mental illness because you are experiencing
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so muchpain.î /f /f


B) ìYou are not mentally ill. This is an expected reaction to the loss
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you have experienced.î
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C) ìWere you generally dissatisfied with your relationship before your
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husband'sdeath?î
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D) ìTry not to worry about that right now. You never know what the
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future brings.î Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must
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not be culturally expected. Acute grief reactions are expected and therefore not
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considered mental illness. False reassurance or overanalysis does not accurately
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address the client'sconcerns.
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, 5. The nurse consults the DSM for which of the following
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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
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recordTD
oo o)serve as a guide for client
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Ans: D / f


Feedback:
The DSM provides standard nomenclature, presents defining characteristics,
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and identifies underlying causes of mental disorders. It does not provide
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care plans or prognostic outcomes of treatment. Diagnosis of mental
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illness is not within the generalist RN's scope of practice, so
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documenting the code in the medical record would be inappropriate.
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6. / f o / f o


A) would
Which Identifying the medical
be a reason diagnosis
for a student nurse to use the /f /f /f


B) Treat clients /f


C) Evaluate
treatmUendtseD
oo rs)tand the reason for the admission and the nature of psychiatric
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Ans: D / f


Feedback:
Although student nurses do not use the DSM to diagnose clients, they
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will find it a helpful resource to understand the reason for the
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admission and to begin building knowledge about the nature of
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psychiatric illnesses. Identifying the medical diagnosis,treating, and
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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
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following shifts in 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 /f /f /f


C) Increased access to hospitalization /f /f /f


D) Improved rights for clients in long-term / f / f / f /f / f


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