9/24/23, 9:55AM Psychiatricmentalhealthnursing8theditionbyvidebecktestbank[1389]
TEST BANK For Psychiatric Mental Health Nursing, 9th
Edition by Sheila L. Videbeck | Verified Chapter's 1 - 24 |
Complete
Psychiatric-MentalHealthNursing8theditionby VidebeckTestBank
Chapter1
1. The nurse is assessing the factors contributing to the well-being of a newly
admittedclient.Whichofthefollowingwouldthenurseidentifyashavingapositiveimpacto
ntheindividual'smentalhealth?
A) Notneedingothersforcompanionship
B) Theabilitytoeffectivelymanagestress
C) Afamilyhistoryofmentalillness
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 ofseparatenessandconnectedness
arebothneededforgoodmentalhealth,andthereforeahealthy person would need others for
companionship. A family history of mental
illnesscouldrelatetothebiologicmakeupofanindividual,whichmayhaveanegativeimpacton
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,andapositivesocial/culturalfactor isaccess toadequateresources.
2. Whichofthefollowingstatementsaboutmentalillnessaretrue?Selectallthatapply.
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth.
B) Mentalillnessisonlyduetosocial/culturalfactors.
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyonor
withdrawalfromrelationships.
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywithdailyl
ife.
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwithrelat
ionships and 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 withdailylife.Individuals
sufferingfrommentalillnessmayexperiencedissatisfactionwithrelationships and self.
3. Whichofthefollowingaretrueregardingmentalhealthandmentalillness?
A) Behaviorthatmaybeviewedasacceptableinonecultureis
alwaysunacceptableinother cultures.
B) Itiseasytodetermineifapersonismentallyhealthyormentallyill.
C) In most cases, mental health is a state of emotional, psychological, and
socialwellness
evidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,p
ositiveself-concept,andemotionalstability.
D) Personswhoengageinfantasiesarementallyill.An
s: C
Feedback:
Whatonesocietymayviewas acceptableandappropriatebehavior,anothersocietymaysee
that as maladaptive, and inappropriate. Mental health and mental illness are difficultto
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define precisely. In most cases, mental health is a state of emotional, psychological,and
social wellness evidenced by satisfying interpersonal relationships,
effectivebehaviorandcoping,positiveself-
concept,andemotionalstability.Personswhoengagein fantasies may be mentally healthy,
but the inability to distinguish reality from fantasyis anindividualfactor
thatmaycontributetomentalillness.
4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyillbecause
sheissosad. The nurse'sbestresponsewould be,
A) ìYoumayhaveatemporarymentalillness becauseyou areexperiencingsomuchpain.î
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyouhaveexperie
nced.î
C) ìWereyou generallydissatisfiedwithyourrelationshipbeforeyourhusband's
death?î
D) ìTrynottoworryaboutthatrightnow. Younever knowwhatthefuturebrings.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
consideredmentalillness.Falsereassuranceoroveranalysisdoesnotaccuratelyaddres sthecli
ent'sconcerns.
5. ThenurseconsultstheDSMforwhichofthefollowingpurposes?
A) Todeviseaplanofcareforanewlyadmittedclient
B) Topredicttheclient'sprognosisoftreatmentoutcomes
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
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
thegeneralistRN's scopeofpractice,sodocumenting thecodeinthemedicalrecord
wouldbeinappropriate.
6. Whichwouldbe a reasonfora student nurse touse the DSM?
A) Identifyingthemedicaldiagnosis
B) Treatclients
C) Evaluatetreatments
D) Understandthereasonfortheadmissionandthenatureofpsychiatricillnesses.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
buildingknowledgeaboutthenatureofpsychiatricillnesses.Identifyingthemedicaldiagno
sis,treating,and evaluatingtreatmentsarenotapartofthenursing process.
7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowing
shiftsincarefor thementallyill?
A) Thewidespreaduseofcommunity-based services
B) Theadvancementinpharmacotherapies
C) Increasedaccesstohospitalization
D) Improvedrightsforclientsinlong-
terminstitutionalcareAns: A
Feedback:
TheCommunityMentalHealthCenters
ConstructionActof1963accomplishedtherelease of individuals from long-term stays
in state institutions, the decrease inadmissions to hospitals, and the development of
community-based services as analternativetohospitalcare.
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8. Whichoneofthefollowingisaresultoffederallegislation?
A) Makingiteasiertocommitpeopleformentalhealthtreatmentagainsttheirwill.
B) Makingitmoredifficulttocommitpeopleformentalhealthtreatmentagainsttheir
will.
C) Statementalinstitutionsbeingtheprimarysourceofcareformentallyillpersons.
D) Improvedcareformentallyillpersons.A
ns: B
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to
commitpeople for mental health treatment against their will.
Deinstitutionalizationaccomplished the release of individuals from long-term stays
in state institutions.Deinstitutionalizationalsohadnegativeeffects
inthatsomementallyillpersonsaresubjectedtotherevolvingdooreffect,whichmaylimit
careformentallyillpersons.
9. Thegoalofthe1963 CommunityMentalHealthCentersActwasto
A) ensurepatients'rightsforthementallyill.
B) deinstitutionalizestatehospitals.
C) providefundstobuildhospitalswithpsychiatricunits.
D) treatpeoplewithmentalillnessinahumanefashion.Ans
:B
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement
towardtreating those with mental illness in a less restrictive environment. This
legislationresulted in the shift of clients with mental illness from large state
institutions to carebased in the community. Answer choices A, C, and D were not
purposes of the 1963CommunityMentalHealthCentersAct.
10. Thecreationofasylumsduring the1800swasmeantto
A) improvetreatmentofmentaldisorders.
B) providefoodandshelterforthementallyill.
C) punishpeoplewithmentalillness whowerebelieved tobepossessed.
D) removedangerouspeoplewithmentalillnessfromthecommunity.Ans
:B
Feedback:
Theasylumwas meanttobeasafehavenwithfood,
shelter,andhumanetreatmentforthementallyill.Asylumswerenotusedtoimprovetreatmen
tofmentaldisorders ortopunish mentally ill people who were believed to be possessed.
The asylum was notcreatedtoremovethedangerouslymentallyillfromthecommunity.
11. Themajorproblemswithlargestateinstitutionsare:Selectallthatapply.
A) attendantswereaccused ofabusingtheresidents.
B) stigmaassociatedwithresidenceinaninsaneasylum.
C) clients weregeographicallyisolatedfromfamilyandcommunity.
D) increasingfinancialcoststoindividualresidents.A
ns: A, C
Feedback:
Clientswereoftenfarremovedfromthelocalcommunity,family,andfriendsbecausestate
institutions were usually in rural or remote settings. Choices B and D were
notmajorproblemsassociated withlargestateinstructions.
12. Asignificantchangeinthetreatmentofpeoplewithmentalillnessoccurredinthe1950swhen
A) communitysupportservices wereestablished.
B) legislationdramaticallychangedcivilcommitmentprocedures.
C) thePatient'sBillofRightswasenacted.
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D) psychotropicdrugsbecameavailableforuse.A
ns: D
Feedback:
Thedevelopmentofpsychotropicdrugs,or drugs used
totreatmentalillness,beganinthe1950s. Answer choicesA, B, and C did notoccur
inthe1950s.
13. Beforetheperiodoftheenlightenment,treatmentofthementallyillincluded
A) creatinglargeinstitutionstoprovidecustodialcare.
B) focusingonreligiouseducationtoimprovetheirsouls.
C) placingthementallyillondisplayforthepublic'samusement.
D) providingasaferefugeorhavenofferingprotection.An
s: C
Feedback:
In 1775, visitors at St. Mary's of Bethlehem were charged a fee for viewing
andridiculing the mentally ill, who were seen as animals, less than human. Custodial
carewas not often provided as persons who were considered harmless were allowed
towander in the countryside or live in rural communities, and more dangerous
lunaticswere imprisoned, chained, and starved. In early Christian times, primitive
beliefs andsuperstitions were strong. The mentally ill were viewed as evil or possessed.
Priestsperformedexorcisms
toridevilspirits,andinthecolonies,witchhuntswereconductedwith offenders burned at the
stake. It was not until the period of enlightenment whenpersons who were mentally ill
were offered asylum as a safe refuge or haven offeringprotectionatinstitutions.
14. Thefirsttrainingofnurses toworkwithpersons withmentalillness was
in1882inwhichstate?
A) California
B) Illinois
C) Massachusetts
D) New
YorkAns:
CFeedback:
Thefirsttrainingfornurses toworkwithpersons withmentalillnesswas
in1882atMcLeanHospitalinBelmont, Massachusetts.
15. Whatismeantbythetermìrevolvingdooreffectîinmentalhealthcare?
A) Anoverallreductioninincidenceofseverementalillness
B) Shorterandmorefrequenthospitalstays forpersons
withsevereandpersistentmentalillness
C) Flexibletreatmentsettingsformentallyill
D) MosteffectiveandleastexpensivetreatmentsettingsAn
s: B
Feedback:
Therevolvingdooreffectreferstoshorter,butmorefrequent,hospitalstays.Clients arequickly
discharged into the community where services are not adequate; withoutadequate
community services, clients become acutely ill and require
rehospitalization.Therevolvingdooreffectdoesnotrefertoflexibletreatmentsettingsformen
tallyill.
Even though hospitalization is more expensive than outpatient treatment, if
utilizedappropriatelycouldresultinstabilizationandlessneedforemergencydepartmentvisi
tsand/or rehospitalization. The revolving door effect does not relate to the incidence
ofseverementalillness.
16. WhichofthefollowingstatementsistrueoftreatmentofpeoplewithmentalillnessintheUnit
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