Psychiatric-Mental Health Nursing 8th Edition by
Videbeck Test Bank Latest 2021-2022
[Type text]
Psychiatric-MentalHealthNursing8thedition
Chapter1
1. The nurse is assessing the factors contributing to the well-being of a newly
admittedclient. Which of the following would the nurse identify as having a positive
impact onthe individual's mental health?
A) Notneeding othersfor companionship
B) Theabilitytoeffectivelymanagestress
C) Afamily history of mental illness
D) Striving for total self-
relianceAns:B
Feedback:
Individual factors influencing mental health include biologic makeup,
autonomy,independence, self-esteem, capacity for growth, vitality, ability to find
meaning in life,emotional resilience or hardiness, sense of belonging, reality
orientation, and coping orstress management abilities. Interpersonal factors such as
intimacy and a balance ofseparateness and connectedness are both needed for good
mental health, and therefore ahealthy person would need others for companionship. A
family history of mental illnesscould relate to the biologic makeup of an individual,
which may have a negative impacton an individual's mental health, as well as a
negative impact on an individual'sinterpersonal and socialñcultural factors of health.
Total self-reliance is not possible,anda positive social/culturalfactor is accessto
adequate resources.
2. Whichofthefollowingstatementsaboutmentalillnessaretrue?Selectallthatapply.
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth.
B) Mentalillnessisonlyduetosocial/culturalfactors.
C) Social/cultural factors that relate to mental illness include excessive
dependencyonor withdrawalfrom relationships.
D) Individuals suffering from mental illness are usually able to cope effectively
withdaily life.
E) Individuals suffering from mental illness may experience dissatisfaction
withrelationshipsand self.
Ans:A,D,E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both.
Mentalillness may be related to individual, interpersonal, or social/cultural factors.
Excessivedependency on or withdrawal from relationships are interpersonal factors
that relate tomental illness. Individuals suffering from mental illness can feel
overwhelmed withdaily life. Individuals suffering from mental illness may experience
Page1
, Psychiatric-Mental Health Nursing 8th Edition by
Videbeck Test Bank Latest 2021-2022
[Type text]
dissatisfaction withrelationshipsand self.
Page2
, Psychiatric-Mental Health Nursing 8th Edition by
Videbeck Test Bank Latest 2021-2022
[Type text]
3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always
unacceptablein other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and
socialwellness evidenced by satisfying interpersonal relationships, effective
behaviorandcoping, positiveself-concept, and emotionalstability.
D) Persons who engage in fantasies are mentally
ill.Ans:C
Feedback:
What one society may view as acceptable and appropriate behavior, another society
maysee that as maladaptive, and inappropriate. Mental health and mental illness are
difficultto define precisely. In most cases, mental health is a state of emotional,
psychological,and social wellness evidenced by satisfying interpersonal relationships,
effectivebehavior and coping, positive self-concept, and emotional stability. Persons
who engagein fantasies may be mentally healthy, but the inability to distinguish reality
from fantasyis an individual factor that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentally
illbecausesheis sosad.Thenurse'sbest response wouldbe,
A) ìYou may have a temporary mental illness because you are experiencing so
muchpain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you
haveexperienced.î
C) ìWere you generally dissatisfied with your relationship before your
husband'sdeath?î
D) ìTry not to worry about that right now. You never know what the future
brings.îAns:B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective
relationships,ineffective coping, and lack of personal growth. Additionally the behavior
must not beculturally expected. Acute grief reactions are expected and therefore not
consideredmental illness. False reassurance or overanalysis does not accurately address
the client'sconcerns.
Page3
, Psychiatric-Mental Health Nursing 8th Edition by
Videbeck Test Bank Latest 2021-2022
[Type text]
5. Thenurseconsults theDSMforwhichofthe followingpurposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client'sprognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client'smedical record
D) To serve as a guide for client
assessmentAns:D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics,
andidentifies underlying causes of mental disorders. It does not provide care plans
orprognostic outcomes of treatment. Diagnosis of mental illness is not within
thegeneralist RN's scope of practice, so documenting the code in the medical record
wouldbe inappropriate.
6. WhichwouldbeareasonforastudentnursetousetheDSM?
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
ahelpful resource to understand the reason for the admission and to begin
buildingknowledge about the nature of psychiatric illnesses. Identifying the medical
diagnosis,treating, and evaluating treatments are nota part of the nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the following
shiftsin care for the mentally ill?
A) Thewidespreaduseofcommunity-basedservices
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional
careAns:A
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
therelease of individuals from long-term stays in state institutions, the decrease
inadmissions to hospitals, and the development of community-based services as
analternative to hospital care.
Page4
Videbeck Test Bank Latest 2021-2022
[Type text]
Psychiatric-MentalHealthNursing8thedition
Chapter1
1. The nurse is assessing the factors contributing to the well-being of a newly
admittedclient. Which of the following would the nurse identify as having a positive
impact onthe individual's mental health?
A) Notneeding othersfor companionship
B) Theabilitytoeffectivelymanagestress
C) Afamily history of mental illness
D) Striving for total self-
relianceAns:B
Feedback:
Individual factors influencing mental health include biologic makeup,
autonomy,independence, self-esteem, capacity for growth, vitality, ability to find
meaning in life,emotional resilience or hardiness, sense of belonging, reality
orientation, and coping orstress management abilities. Interpersonal factors such as
intimacy and a balance ofseparateness and connectedness are both needed for good
mental health, and therefore ahealthy person would need others for companionship. A
family history of mental illnesscould relate to the biologic makeup of an individual,
which may have a negative impacton an individual's mental health, as well as a
negative impact on an individual'sinterpersonal and socialñcultural factors of health.
Total self-reliance is not possible,anda positive social/culturalfactor is accessto
adequate resources.
2. Whichofthefollowingstatementsaboutmentalillnessaretrue?Selectallthatapply.
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth.
B) Mentalillnessisonlyduetosocial/culturalfactors.
C) Social/cultural factors that relate to mental illness include excessive
dependencyonor withdrawalfrom relationships.
D) Individuals suffering from mental illness are usually able to cope effectively
withdaily life.
E) Individuals suffering from mental illness may experience dissatisfaction
withrelationshipsand self.
Ans:A,D,E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both.
Mentalillness may be related to individual, interpersonal, or social/cultural factors.
Excessivedependency on or withdrawal from relationships are interpersonal factors
that relate tomental illness. Individuals suffering from mental illness can feel
overwhelmed withdaily life. Individuals suffering from mental illness may experience
Page1
, Psychiatric-Mental Health Nursing 8th Edition by
Videbeck Test Bank Latest 2021-2022
[Type text]
dissatisfaction withrelationshipsand self.
Page2
, Psychiatric-Mental Health Nursing 8th Edition by
Videbeck Test Bank Latest 2021-2022
[Type text]
3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always
unacceptablein other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and
socialwellness evidenced by satisfying interpersonal relationships, effective
behaviorandcoping, positiveself-concept, and emotionalstability.
D) Persons who engage in fantasies are mentally
ill.Ans:C
Feedback:
What one society may view as acceptable and appropriate behavior, another society
maysee that as maladaptive, and inappropriate. Mental health and mental illness are
difficultto define precisely. In most cases, mental health is a state of emotional,
psychological,and social wellness evidenced by satisfying interpersonal relationships,
effectivebehavior and coping, positive self-concept, and emotional stability. Persons
who engagein fantasies may be mentally healthy, but the inability to distinguish reality
from fantasyis an individual factor that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentally
illbecausesheis sosad.Thenurse'sbest response wouldbe,
A) ìYou may have a temporary mental illness because you are experiencing so
muchpain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you
haveexperienced.î
C) ìWere you generally dissatisfied with your relationship before your
husband'sdeath?î
D) ìTry not to worry about that right now. You never know what the future
brings.îAns:B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective
relationships,ineffective coping, and lack of personal growth. Additionally the behavior
must not beculturally expected. Acute grief reactions are expected and therefore not
consideredmental illness. False reassurance or overanalysis does not accurately address
the client'sconcerns.
Page3
, Psychiatric-Mental Health Nursing 8th Edition by
Videbeck Test Bank Latest 2021-2022
[Type text]
5. Thenurseconsults theDSMforwhichofthe followingpurposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client'sprognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client'smedical record
D) To serve as a guide for client
assessmentAns:D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics,
andidentifies underlying causes of mental disorders. It does not provide care plans
orprognostic outcomes of treatment. Diagnosis of mental illness is not within
thegeneralist RN's scope of practice, so documenting the code in the medical record
wouldbe inappropriate.
6. WhichwouldbeareasonforastudentnursetousetheDSM?
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
ahelpful resource to understand the reason for the admission and to begin
buildingknowledge about the nature of psychiatric illnesses. Identifying the medical
diagnosis,treating, and evaluating treatments are nota part of the nursing process.
7. The legislation enacted in 1963 was largely responsible for which of the following
shiftsin care for the mentally ill?
A) Thewidespreaduseofcommunity-basedservices
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional
careAns:A
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
therelease of individuals from long-term stays in state institutions, the decrease
inadmissions to hospitals, and the development of community-based services as
analternative to hospital care.
Page4
