,Psychiatric-Mental ,.Health ,.Nursing ,.8th ,.edition ,.by ,.Videbeck ,.Test ,.Bank
Chapter ,.1
1. The ,.nurse ,.is ,.assessing ,.the ,.factors ,.contributing ,.to ,.the ,.well-being ,.of ,.a ,.newly
,.admitted ,.client. ,.Which ,.of ,.the ,.following ,.would ,.the ,.nurse ,.identify ,.as ,.having ,.a
,.positive ,.impact ,.on ,.the ,.individual's ,.mental ,.health?
A) Not ,.needing ,.others ,.for ,.companionship
B) The ,.ability ,.to ,.effectively ,.manage ,.stress
C) A ,.family ,.history ,.of ,.mental ,.illness
D) Striving ,.for ,.total ,.self-reliance
,.Ans: , . 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 ,.or ,.stress ,.management ,.abilities. ,.Interpersonal ,.factors ,.such ,.as ,.intimacy ,.and ,.a
,.balance ,.of ,.separateness ,.and ,.connectedness ,.are ,.both ,.needed ,.for ,.good ,.mental ,.health,
,.and ,.therefore ,.a ,.healthy ,.person ,.would ,.need ,.others ,.for ,.companionship. ,.A ,.family ,.history
,.of ,.mental ,.illness ,.could ,.relate ,.to ,.the ,.biologic ,.makeup ,.of ,.an ,.individual, ,.which ,.may
,.have ,.a ,.negative ,.impact ,.on ,.an ,.individual's ,.mental ,.health, ,.as ,.well ,.as ,.a ,.negative ,.impact
,.on ,.an ,.individual's ,.interpersonal ,.and ,.socialñcultural ,.factors ,.of ,.health. ,.Total ,.self-
reliance ,.is ,.not ,.possible, ,.and ,.a ,.positive ,.social/cultural ,.factor ,.is ,.access ,.to ,.adequate
,.resources.
2. Which ,.of ,.the ,.following ,.statements ,.about ,.mental ,.illness ,.are ,.true? ,.Select ,.all ,.that ,.apply.
A) Mental ,.illness ,.can ,.cause ,.significant ,.distress, ,.impaired ,.functioning, ,.or ,.both.
B) Mental ,.illness ,.is ,.only ,.due ,.to ,.social/cultural ,.factors.
C) Social/cultural ,.factors ,.that ,.relate ,.to ,.mental ,.illness ,.include ,.excessive
,.dependency ,.on ,.or ,.withdrawal ,.from ,.relationships.
D) Individuals ,.suffering ,.from ,.mental ,.illness ,.are ,.usually ,.able ,.to ,.cope ,.effectively
,.with ,.daily ,.life.
E) Individuals ,.suffering ,.from ,.mental ,.illness ,.may ,.experience ,.dissatisfaction ,.with
,.relationships ,.and ,.self.
Ans: , . A, ,.D, ,.E
Feedback:
Mental ,.illness ,.can ,.cause ,.significant ,.distress, ,.impaired ,.functioning, ,.or ,.both. ,.Mental
,.illness ,.may ,.be ,.related ,.to ,.individual, ,.interpersonal, ,.or ,.social/cultural ,.factors. ,.Excessive
,.dependency ,.on ,.or ,.withdrawal ,.from ,.relationships ,.are ,.interpersonal ,.factors ,.that ,.relate
,.to ,.mental ,.illness. ,.Individuals ,.suffering ,.from ,.mental ,.illness ,.can ,.feel ,.overwhelmed
,.with ,.daily ,.life. ,.Individuals ,.suffering ,.from ,.mental ,.illness ,.may ,.experience ,.dissatisfaction
,.with ,.relationships ,.and ,.self.
,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
,.unacceptable ,.in ,.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 ,.social
,.wellness ,.evidenced ,.by ,.satisfying ,.interpersonal ,.relationships, ,.effective
,.behavior ,.and ,.coping, ,.positive ,.self-concept, ,.and ,.emotional ,.stability.
D) Persons ,.who ,.engage ,.in ,.fantasies ,.are ,.mentally ,.ill.
,.Ans: , . C
Feedback:
What ,.one ,.society ,.may ,.view ,.as ,.acceptable ,.and ,.appropriate ,.behavior, ,.another ,.society
,.may ,.see ,.that ,.as ,.maladaptive, ,.and ,.inappropriate. ,.Mental ,.health ,.and ,.mental ,.illness ,.are
,.difficult ,.to ,.define ,.precisely. ,. In ,.most ,.cases, ,.mental ,.health ,.is ,.a ,.state ,.of ,.emotional,
,.psychological, ,.and ,.social ,.wellness ,.evidenced ,.by ,.satisfying ,.interpersonal ,.relationships,
,.effective ,.behavior ,.and ,.coping, ,.positive ,.self-concept, ,.and ,.emotional ,.stability. ,.Persons
,.who ,.engage ,.in ,.fantasies ,.may ,.be ,.mentally ,.healthy, ,.but ,.the ,.inability ,.to ,.distinguish
,.reality ,.from ,.fantasy ,.is ,.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
,.ill ,.because ,.she ,.is ,.so ,.sad. ,.The ,.nurse's ,.best ,.response ,.would ,.be,
A) ìYou ,.may ,.have ,.a ,.temporary ,.mental ,.illness ,.because ,.you ,.are ,.experiencing ,.so
,.much ,.pain.î
B) ìYou ,.are ,.not ,.mentally ,.ill. ,.This ,.is ,.an ,.expected ,.reaction ,.to ,.the ,.loss ,.you
,.have ,.experienced.î
C) ìWere ,.you ,.generally ,.dissatisfied ,.with ,.your ,.relationship ,.before ,.your ,.husband's
,.death?î
D) ìTry ,.not ,.to ,.worry ,.about ,.that ,.right ,.now. ,.You ,.never ,.know ,.what ,.the ,.future
,.brings.î ,.Ans: , . B
Feedback:
Mental ,.illness ,.includes ,.general ,.dissatisfaction ,.with ,.self, ,.ineffective ,.relationships,
,.ineffective ,.coping, ,.and ,.lack ,.of ,.personal ,.growth. ,.Additionally ,.the ,.behavior ,.must ,.not
,.be ,.culturally ,.expected. ,.Acute ,.grief ,.reactions ,.are ,.expected ,.and ,.therefore ,.not
,.considered ,.mental ,.illness. ,.False ,.reassurance ,.or ,.overanalysis ,.does ,.not ,.accurately
,.address ,.the ,.client's ,.concerns.
, 5. 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.
6. 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.
7. The ,.legislation ,.enacted ,.in ,.1963 ,.was ,.largely ,.responsible ,.for ,.which ,.of ,.the ,.following
,.shifts ,.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.
Chapter ,.1
1. The ,.nurse ,.is ,.assessing ,.the ,.factors ,.contributing ,.to ,.the ,.well-being ,.of ,.a ,.newly
,.admitted ,.client. ,.Which ,.of ,.the ,.following ,.would ,.the ,.nurse ,.identify ,.as ,.having ,.a
,.positive ,.impact ,.on ,.the ,.individual's ,.mental ,.health?
A) Not ,.needing ,.others ,.for ,.companionship
B) The ,.ability ,.to ,.effectively ,.manage ,.stress
C) A ,.family ,.history ,.of ,.mental ,.illness
D) Striving ,.for ,.total ,.self-reliance
,.Ans: , . 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 ,.or ,.stress ,.management ,.abilities. ,.Interpersonal ,.factors ,.such ,.as ,.intimacy ,.and ,.a
,.balance ,.of ,.separateness ,.and ,.connectedness ,.are ,.both ,.needed ,.for ,.good ,.mental ,.health,
,.and ,.therefore ,.a ,.healthy ,.person ,.would ,.need ,.others ,.for ,.companionship. ,.A ,.family ,.history
,.of ,.mental ,.illness ,.could ,.relate ,.to ,.the ,.biologic ,.makeup ,.of ,.an ,.individual, ,.which ,.may
,.have ,.a ,.negative ,.impact ,.on ,.an ,.individual's ,.mental ,.health, ,.as ,.well ,.as ,.a ,.negative ,.impact
,.on ,.an ,.individual's ,.interpersonal ,.and ,.socialñcultural ,.factors ,.of ,.health. ,.Total ,.self-
reliance ,.is ,.not ,.possible, ,.and ,.a ,.positive ,.social/cultural ,.factor ,.is ,.access ,.to ,.adequate
,.resources.
2. Which ,.of ,.the ,.following ,.statements ,.about ,.mental ,.illness ,.are ,.true? ,.Select ,.all ,.that ,.apply.
A) Mental ,.illness ,.can ,.cause ,.significant ,.distress, ,.impaired ,.functioning, ,.or ,.both.
B) Mental ,.illness ,.is ,.only ,.due ,.to ,.social/cultural ,.factors.
C) Social/cultural ,.factors ,.that ,.relate ,.to ,.mental ,.illness ,.include ,.excessive
,.dependency ,.on ,.or ,.withdrawal ,.from ,.relationships.
D) Individuals ,.suffering ,.from ,.mental ,.illness ,.are ,.usually ,.able ,.to ,.cope ,.effectively
,.with ,.daily ,.life.
E) Individuals ,.suffering ,.from ,.mental ,.illness ,.may ,.experience ,.dissatisfaction ,.with
,.relationships ,.and ,.self.
Ans: , . A, ,.D, ,.E
Feedback:
Mental ,.illness ,.can ,.cause ,.significant ,.distress, ,.impaired ,.functioning, ,.or ,.both. ,.Mental
,.illness ,.may ,.be ,.related ,.to ,.individual, ,.interpersonal, ,.or ,.social/cultural ,.factors. ,.Excessive
,.dependency ,.on ,.or ,.withdrawal ,.from ,.relationships ,.are ,.interpersonal ,.factors ,.that ,.relate
,.to ,.mental ,.illness. ,.Individuals ,.suffering ,.from ,.mental ,.illness ,.can ,.feel ,.overwhelmed
,.with ,.daily ,.life. ,.Individuals ,.suffering ,.from ,.mental ,.illness ,.may ,.experience ,.dissatisfaction
,.with ,.relationships ,.and ,.self.
,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
,.unacceptable ,.in ,.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 ,.social
,.wellness ,.evidenced ,.by ,.satisfying ,.interpersonal ,.relationships, ,.effective
,.behavior ,.and ,.coping, ,.positive ,.self-concept, ,.and ,.emotional ,.stability.
D) Persons ,.who ,.engage ,.in ,.fantasies ,.are ,.mentally ,.ill.
,.Ans: , . C
Feedback:
What ,.one ,.society ,.may ,.view ,.as ,.acceptable ,.and ,.appropriate ,.behavior, ,.another ,.society
,.may ,.see ,.that ,.as ,.maladaptive, ,.and ,.inappropriate. ,.Mental ,.health ,.and ,.mental ,.illness ,.are
,.difficult ,.to ,.define ,.precisely. ,. In ,.most ,.cases, ,.mental ,.health ,.is ,.a ,.state ,.of ,.emotional,
,.psychological, ,.and ,.social ,.wellness ,.evidenced ,.by ,.satisfying ,.interpersonal ,.relationships,
,.effective ,.behavior ,.and ,.coping, ,.positive ,.self-concept, ,.and ,.emotional ,.stability. ,.Persons
,.who ,.engage ,.in ,.fantasies ,.may ,.be ,.mentally ,.healthy, ,.but ,.the ,.inability ,.to ,.distinguish
,.reality ,.from ,.fantasy ,.is ,.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
,.ill ,.because ,.she ,.is ,.so ,.sad. ,.The ,.nurse's ,.best ,.response ,.would ,.be,
A) ìYou ,.may ,.have ,.a ,.temporary ,.mental ,.illness ,.because ,.you ,.are ,.experiencing ,.so
,.much ,.pain.î
B) ìYou ,.are ,.not ,.mentally ,.ill. ,.This ,.is ,.an ,.expected ,.reaction ,.to ,.the ,.loss ,.you
,.have ,.experienced.î
C) ìWere ,.you ,.generally ,.dissatisfied ,.with ,.your ,.relationship ,.before ,.your ,.husband's
,.death?î
D) ìTry ,.not ,.to ,.worry ,.about ,.that ,.right ,.now. ,.You ,.never ,.know ,.what ,.the ,.future
,.brings.î ,.Ans: , . B
Feedback:
Mental ,.illness ,.includes ,.general ,.dissatisfaction ,.with ,.self, ,.ineffective ,.relationships,
,.ineffective ,.coping, ,.and ,.lack ,.of ,.personal ,.growth. ,.Additionally ,.the ,.behavior ,.must ,.not
,.be ,.culturally ,.expected. ,.Acute ,.grief ,.reactions ,.are ,.expected ,.and ,.therefore ,.not
,.considered ,.mental ,.illness. ,.False ,.reassurance ,.or ,.overanalysis ,.does ,.not ,.accurately
,.address ,.the ,.client's ,.concerns.
, 5. 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.
6. 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.
7. The ,.legislation ,.enacted ,.in ,.1963 ,.was ,.largely ,.responsible ,.for ,.which ,.of ,.the ,.following
,.shifts ,.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.
