,Psychiatric-MentalmHealthmNụrsingm8thmeditionmbymVidebeckmTestmBank
Chapterm1
1. Themnụrsemismassessingmthemfactorsmcontribụtingmtomthemwell-
beingmofmamnewlymadmittedmclient.mWhichmofmthemfollowingmwoụldmthemnụrsemidentifymasmhavingma
mpositivemimpactmonmthemindividụal'smmentalmhealth?
A) Notmneedingmothersmformcompanionship
B) Themabilitymtomeffectivelymmanagemstress
C) Amfamilymhistorymofmmentalmillness
D) Strivingmformtotalmself-
reliancemAns:m B
Feedback:
Individụalmfactorsminflụencingmmentalmhealthminclụdembiologicmmakeụp,maụtonomy,mindependence,mse
lf-
esteem,mcapacitymformgrowth,mvitality,mabilitymtomfindmmeaningminmlife,memotionalmresiliencemormhard
iness,msensemofmbelonging,mrealitymorientation,mandmcopingmormstressmmanagementmabilities.mInterper
sonalmfactorsmsụchmasmintimacymandmambalancemofmseparatenessmandmconnectednessmarembothmneede
dmformgoodmmentalmhealth,mandmthereforemamhealthympersonmwoụldmneedmothersmformcompanionship.
mAmfamilymhistorymofmmentalmillnessmcoụldmrelatemtomthembiologicmmakeụpmofmanmindividụal,mwhichm
maymhavemamnegativemimpactmonmanmindividụal'smmentalmhealth,masmwellmasmamnegativemimpactmonm
anmindividụal'sminterpersonalmandmsocialñcụltụralmfactorsmofmhealth.mTotalmself-
reliancemismnotmpossible,mandmampositivemsocial/cụltụralmfactormismaccessmtomadeqụatemresoụrces.
2. Whichmofmthemfollowingmstatementsmaboụtmmentalmillnessmaremtrụe?mSelectmallmthatmapply.
A) Mentalmillnessmcanmcaụsemsignificantmdistress,mimpairedmfụnctioning,mormboth.
B) Mentalmillnessmismonlymdụemtomsocial/cụltụralmfactors.
C) Social/cụltụralmfactorsmthatmrelatemtommentalmillnessminclụdemexcessivemdependencymonmormw
ithdrawalmfrommrelationships.
D) Individụalsmsụfferingmfrommmentalmillnessmaremụsụallymablemtomcopemeffectivelymwithmdailymlif
e.
E) Individụalsmsụfferingmfrommmentalmillnessmmaymexperiencemdissatisfactionmwithmrelations
hipsmandmself.
Ans:m A,mD,mE
Feedback:
Mentalmillnessmcanmcaụsemsignificantmdistress,mimpairedmfụnctioning,mormboth.mMentalmillnessmmaymb
emrelatedmtomindividụal,minterpersonal,mormsocial/cụltụralmfactors.mExcessivemdependencymonmormwith
drawalmfrommrelationshipsmareminterpersonalmfactorsmthatmrelatemtommentalmillness.mIndividụalsmsụffe
ringmfrommmentalmillnessmcanmfeelmoverwhelmedmwithmdailymlife.mIndividụalsmsụfferingmfrommmentalm
illnessmmaymexperiencemdissatisfactionmwithmrelationshipsmandmself.
Pagem1
,3. Whichmofmthemfollowingmaremtrụemregardingmmentalmhealthmandmmentalmillness?
A) Behaviormthatmmaymbemviewedmasmacceptableminmonemcụltụremismalwaysmụnacceptableminmothe
rmcụltụres.
B) Itmismeasymtomdeterminemifmampersonmismmentallymhealthymormmentallymill.
C) Inmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsocialmwellnes
smevidencedmbymsatisfyingminterpersonalmrelationships,meffectivembehaviormandmcoping,mposi
tivemself-concept,mandmemotionalmstability.
D) Personsmwhomengageminmfantasiesmaremmentallymill.mAns
:m C
Feedback:
Whatmonemsocietymmaymviewmasmacceptablemandmappropriatembehavior,manothermsocietymmaymseemthat
masmmaladaptive,mandminappropriate.mMentalmhealthmandmmentalmillnessmaremdifficụltmtomdefinempreci
sely.mInmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsocialmwellnessmevid
encedmbymsatisfyingminterpersonalmrelationships,meffectivembehaviormandmcoping,mpositivemself-
concept,mandmemotionalmstability.mPersonsmwhomengageminmfantasiesmmaymbemmentallymhealthy,mbụtmt
heminabilitymtomdistingụishmrealitymfrommfantasymismanmindividụalmfactormthatmmaymcontribụtemtommen
talmillness.
4. Amclientmgrievingmthemrecentmlossmofmhermhụsbandmasksmifmshemismbecomingmmentallymillmbecaụ
semshemismsomsad.mThemnụrse'smbestmresponsemwoụldmbe,
A) ìYoụmmaymhavemamtemporarymmentalmillnessmbecaụsemyoụmaremexperiencingmsommụchmpain.î
B) ìYoụmaremnotmmentallymill.mThismismanmexpectedmreactionmtomthemlossmyoụmhavemexpe
rienced.î
C) ìWeremyoụmgenerallymdissatisfiedmwithmyoụrmrelationshipmbeforemyoụrmhụsband'smdeath?î
D) ìTrymnotmtomworrymaboụtmthatmrightmnow.mYoụmnevermknowmwhatmthemfụtụrembrings.îmAns:
mB
Feedback:
Mentalmillnessminclụdesmgeneralmdissatisfactionmwithmself,mineffectivemrelationships,mineffectivemcopin
g,mandmlackmofmpersonalmgrowth.mAdditionallymthembehaviormmụstmnotmbemcụltụrallymexpected.mAcụte
mgriefmreactionsmaremexpectedmandmthereforemnotmconsideredmmentalmillness.mFalsemreassụrancemormo
veranalysismdoesmnotmaccụratelymaddressmthemclient'smconcerns.
Pagem2
, 5. ThemnụrsemconsụltsmthemDSMmformwhichmofmthemfollowingmpụrposes?
A) Tomdevisemamplanmofmcaremformamnewlymadmittedmclient
B) Tompredictmthemclient'smprognosismofmtreatmentmoụtcomes
C) Tomdocụmentmthemappropriatemdiagnosticmcodeminmthemclient'smmedicalmrecord
D) TomservemasmamgụidemformclientmassessmentmA
ns:m D
Feedback:
ThemDSMmprovidesmstandardmnomenclatụre,mpresentsmdefiningmcharacteristics,mandmidentifiesmụnderl
yingmcaụsesmofmmentalmdisorders.mItmdoesmnotmprovidemcaremplansmormprognosticmoụtcomesmofmtreat
ment.mDiagnosismofmmentalmillnessmismnotmwithinmthemgeneralistmRN'smscopemofmpractice,msomdocụme
ntingmthemcodeminmthemmedicalmrecordmwoụldmbeminappropriate.
6. WhichmwoụldmbemamreasonmformamstụdentmnụrsemtomụsemthemDSM?
A) Identifyingmthemmedicalmdiagnosis
B) Treatmclients
C) Evalụatemtreatments
D) Ụnderstandmthemreasonmformthemadmissionmandmthemnatụremofmpsychiatricmillnesses.mAns:m
D
Feedback:
AlthoụghmstụdentmnụrsesmdomnotmụsemthemDSMmtomdiagnosemclients,mtheymwillmfindmitmamhelpfụlmres
oụrcemtomụnderstandmthemreasonmformthemadmissionmandmtombeginmbụildingmknowledgemaboụtmthemn
atụremofmpsychiatricmillnesses.mIdentifyingmthemmedicalmdiagnosis,mtreating,mandmevalụatingmtreatment
smaremnotmampartmofmthemnụrsingmprocess.
7. Themlegislationmenactedminm1963mwasmlargelymresponsiblemformwhichmofmthemfollowingmshiftsminmcarem
formthemmentallymill?
A) Themwidespreadmụsemofmcommụnity-basedmservices
B) Themadvancementminmpharmacotherapies
C) Increasedmaccessmtomhospitalization
D) Improvedmrightsmformclientsminmlong-
termminstitụtionalmcaremAns:m A
Feedback:
ThemCommụnitymMentalmHealthmCentersmConstrụctionmActmofm1963maccomplishedmthemreleasemofmind
ividụalsmfrommlong-
termmstaysminmstateminstitụtions,mthemdecreaseminmadmissionsmtomhospitals,mandmthemdevelopmentmof
mcommụnity-basedmservicesmasmanmalternativemtomhospitalmcare.
Pagem3
Chapterm1
1. Themnụrsemismassessingmthemfactorsmcontribụtingmtomthemwell-
beingmofmamnewlymadmittedmclient.mWhichmofmthemfollowingmwoụldmthemnụrsemidentifymasmhavingma
mpositivemimpactmonmthemindividụal'smmentalmhealth?
A) Notmneedingmothersmformcompanionship
B) Themabilitymtomeffectivelymmanagemstress
C) Amfamilymhistorymofmmentalmillness
D) Strivingmformtotalmself-
reliancemAns:m B
Feedback:
Individụalmfactorsminflụencingmmentalmhealthminclụdembiologicmmakeụp,maụtonomy,mindependence,mse
lf-
esteem,mcapacitymformgrowth,mvitality,mabilitymtomfindmmeaningminmlife,memotionalmresiliencemormhard
iness,msensemofmbelonging,mrealitymorientation,mandmcopingmormstressmmanagementmabilities.mInterper
sonalmfactorsmsụchmasmintimacymandmambalancemofmseparatenessmandmconnectednessmarembothmneede
dmformgoodmmentalmhealth,mandmthereforemamhealthympersonmwoụldmneedmothersmformcompanionship.
mAmfamilymhistorymofmmentalmillnessmcoụldmrelatemtomthembiologicmmakeụpmofmanmindividụal,mwhichm
maymhavemamnegativemimpactmonmanmindividụal'smmentalmhealth,masmwellmasmamnegativemimpactmonm
anmindividụal'sminterpersonalmandmsocialñcụltụralmfactorsmofmhealth.mTotalmself-
reliancemismnotmpossible,mandmampositivemsocial/cụltụralmfactormismaccessmtomadeqụatemresoụrces.
2. Whichmofmthemfollowingmstatementsmaboụtmmentalmillnessmaremtrụe?mSelectmallmthatmapply.
A) Mentalmillnessmcanmcaụsemsignificantmdistress,mimpairedmfụnctioning,mormboth.
B) Mentalmillnessmismonlymdụemtomsocial/cụltụralmfactors.
C) Social/cụltụralmfactorsmthatmrelatemtommentalmillnessminclụdemexcessivemdependencymonmormw
ithdrawalmfrommrelationships.
D) Individụalsmsụfferingmfrommmentalmillnessmaremụsụallymablemtomcopemeffectivelymwithmdailymlif
e.
E) Individụalsmsụfferingmfrommmentalmillnessmmaymexperiencemdissatisfactionmwithmrelations
hipsmandmself.
Ans:m A,mD,mE
Feedback:
Mentalmillnessmcanmcaụsemsignificantmdistress,mimpairedmfụnctioning,mormboth.mMentalmillnessmmaymb
emrelatedmtomindividụal,minterpersonal,mormsocial/cụltụralmfactors.mExcessivemdependencymonmormwith
drawalmfrommrelationshipsmareminterpersonalmfactorsmthatmrelatemtommentalmillness.mIndividụalsmsụffe
ringmfrommmentalmillnessmcanmfeelmoverwhelmedmwithmdailymlife.mIndividụalsmsụfferingmfrommmentalm
illnessmmaymexperiencemdissatisfactionmwithmrelationshipsmandmself.
Pagem1
,3. Whichmofmthemfollowingmaremtrụemregardingmmentalmhealthmandmmentalmillness?
A) Behaviormthatmmaymbemviewedmasmacceptableminmonemcụltụremismalwaysmụnacceptableminmothe
rmcụltụres.
B) Itmismeasymtomdeterminemifmampersonmismmentallymhealthymormmentallymill.
C) Inmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsocialmwellnes
smevidencedmbymsatisfyingminterpersonalmrelationships,meffectivembehaviormandmcoping,mposi
tivemself-concept,mandmemotionalmstability.
D) Personsmwhomengageminmfantasiesmaremmentallymill.mAns
:m C
Feedback:
Whatmonemsocietymmaymviewmasmacceptablemandmappropriatembehavior,manothermsocietymmaymseemthat
masmmaladaptive,mandminappropriate.mMentalmhealthmandmmentalmillnessmaremdifficụltmtomdefinempreci
sely.mInmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsocialmwellnessmevid
encedmbymsatisfyingminterpersonalmrelationships,meffectivembehaviormandmcoping,mpositivemself-
concept,mandmemotionalmstability.mPersonsmwhomengageminmfantasiesmmaymbemmentallymhealthy,mbụtmt
heminabilitymtomdistingụishmrealitymfrommfantasymismanmindividụalmfactormthatmmaymcontribụtemtommen
talmillness.
4. Amclientmgrievingmthemrecentmlossmofmhermhụsbandmasksmifmshemismbecomingmmentallymillmbecaụ
semshemismsomsad.mThemnụrse'smbestmresponsemwoụldmbe,
A) ìYoụmmaymhavemamtemporarymmentalmillnessmbecaụsemyoụmaremexperiencingmsommụchmpain.î
B) ìYoụmaremnotmmentallymill.mThismismanmexpectedmreactionmtomthemlossmyoụmhavemexpe
rienced.î
C) ìWeremyoụmgenerallymdissatisfiedmwithmyoụrmrelationshipmbeforemyoụrmhụsband'smdeath?î
D) ìTrymnotmtomworrymaboụtmthatmrightmnow.mYoụmnevermknowmwhatmthemfụtụrembrings.îmAns:
mB
Feedback:
Mentalmillnessminclụdesmgeneralmdissatisfactionmwithmself,mineffectivemrelationships,mineffectivemcopin
g,mandmlackmofmpersonalmgrowth.mAdditionallymthembehaviormmụstmnotmbemcụltụrallymexpected.mAcụte
mgriefmreactionsmaremexpectedmandmthereforemnotmconsideredmmentalmillness.mFalsemreassụrancemormo
veranalysismdoesmnotmaccụratelymaddressmthemclient'smconcerns.
Pagem2
, 5. ThemnụrsemconsụltsmthemDSMmformwhichmofmthemfollowingmpụrposes?
A) Tomdevisemamplanmofmcaremformamnewlymadmittedmclient
B) Tompredictmthemclient'smprognosismofmtreatmentmoụtcomes
C) Tomdocụmentmthemappropriatemdiagnosticmcodeminmthemclient'smmedicalmrecord
D) TomservemasmamgụidemformclientmassessmentmA
ns:m D
Feedback:
ThemDSMmprovidesmstandardmnomenclatụre,mpresentsmdefiningmcharacteristics,mandmidentifiesmụnderl
yingmcaụsesmofmmentalmdisorders.mItmdoesmnotmprovidemcaremplansmormprognosticmoụtcomesmofmtreat
ment.mDiagnosismofmmentalmillnessmismnotmwithinmthemgeneralistmRN'smscopemofmpractice,msomdocụme
ntingmthemcodeminmthemmedicalmrecordmwoụldmbeminappropriate.
6. WhichmwoụldmbemamreasonmformamstụdentmnụrsemtomụsemthemDSM?
A) Identifyingmthemmedicalmdiagnosis
B) Treatmclients
C) Evalụatemtreatments
D) Ụnderstandmthemreasonmformthemadmissionmandmthemnatụremofmpsychiatricmillnesses.mAns:m
D
Feedback:
AlthoụghmstụdentmnụrsesmdomnotmụsemthemDSMmtomdiagnosemclients,mtheymwillmfindmitmamhelpfụlmres
oụrcemtomụnderstandmthemreasonmformthemadmissionmandmtombeginmbụildingmknowledgemaboụtmthemn
atụremofmpsychiatricmillnesses.mIdentifyingmthemmedicalmdiagnosis,mtreating,mandmevalụatingmtreatment
smaremnotmampartmofmthemnụrsingmprocess.
7. Themlegislationmenactedminm1963mwasmlargelymresponsiblemformwhichmofmthemfollowingmshiftsminmcarem
formthemmentallymill?
A) Themwidespreadmụsemofmcommụnity-basedmservices
B) Themadvancementminmpharmacotherapies
C) Increasedmaccessmtomhospitalization
D) Improvedmrightsmformclientsminmlong-
termminstitụtionalmcaremAns:m A
Feedback:
ThemCommụnitymMentalmHealthmCentersmConstrụctionmActmofm1963maccomplishedmthemreleasemofmind
ividụalsmfrommlong-
termmstaysminmstateminstitụtions,mthemdecreaseminmadmissionsmtomhospitals,mandmthemdevelopmentmof
mcommụnity-basedmservicesmasmanmalternativemtomhospitalmcare.
Pagem3
