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TEST BANK FOR
Psychiatric–Mental Health Nursing 9th Edition by Sheila L.
Videbeck
All Chapters (1-24)
Table Of Contents kr kr
UNIT 1 Current Theories and Practicek r k r k r k r k r
Chapter 1. Foundations of Psychiatric– k r k r k r k r
Mental Health Nursing Chapter 2. Neurobiologic Theories and
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rPsychopharmacology Chapter 3. Psychosocial Theories and Th kr k r k r k r k r k r
erapy
Chapter 4. Treatment Settings and Therapeutic Program
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s UNIT 2 Building the Nurse–
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Client Relationship Chapter 5. Therapeutic Relationsh
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ips
Chapter 6. Therapeutic Communication C kr kr kr kr
hapter 7. Client’s Response to Illness Chap
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ter 8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical Issues Chapt kr kr kr kr kr k r
er 10. Grief and Loss
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Chapter 11. Anger, Hostility, and Aggression
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Chapter 12. Abuse and Violence k r k r k r k r
UNIT 4 Nursing Practice for Psychiatric Disorders
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Chapter 13. Trauma and Stressor- k r k r k r k r
Related Disorders Chapter 14. Anxiety and Anxiety Dis
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orders
Chapter 15. Obsessive– k r k r
Compulsive and Related Disorders Chapter 16. Schizophrenia k r k r k r kr kr kr
Chapter 17. Mood Disorders and Suicide kr kr kr kr kr k
rChapter 18. Personality Disorders C k r k r k r k r
hapter 19. Addiction kr kr
Chapter 20. Eating Disorders k r k r k r
Chapter 21. Somatic Symptom Illnesses Chap kr kr kr kr k r
ter 22. Neurodevelopmental Disorders Chapte
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r 23. Disruptive Behavior Disorders Chapter
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24. Cognitive Disorders
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Chapter 1 kr
1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following would the nurse identify as ha
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ving a positive impact on the individual's mental health?
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A) Not needing others for companionship kr kr kr kr
B) The ability to effectively manage stress kr kr kr kr kr
C) A family history of mental illness kr kr kr kr kr
D) Striving for total self- kr kr kr
reliance Ans: B kr kr
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independkr kr kr kr kr kr kr kr kr
ence, self- kr
esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or
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hardiness, sense of belonging, reality orientation, and coping or stress management abilities
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. Interpersonal factors such as intimacy and a balance of separateness and connectedness are
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both needed for good mental health, and therefore a
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healthy person would need others for companionship. A family history of mental illness c
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ould relate to the biologic makeup of an individual, which may have a negative impact on
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an individual's mental health, as well as a negative impact on an individual's interperson
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al and socialñcultural factors of health. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate resourc
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es.
2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both. kr kr kr kr kr kr kr kr kr
B) Mental illness is only due to social/cultural factors. kr kr kr kr kr kr kr
C) Social/cultural factors that relate to mental illness include excessive dependency kr kr kr kr kr kr kr kr kr kr
on or withdrawal from relationships. kr kr kr kr
D) Individuals suffering from mental illness are usually able to cope effectively with d kr kr kr kr kr kr kr kr kr kr kr kr
aily life. kr
E) Individuals suffering from mental illness may experience dissatisfaction with r kr kr kr kr kr kr kr kr kr
elationships and self. kr kr
Ans: A, D, E kr kr kr
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illnes
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s may be related to individual, interpersonal, or social/cultural factors. Excessive depend
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ency on or withdrawal from relationships are interpersonal factors that relate to mental ill
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ness. Individuals suffering from mental illness can feel overwhelmed with daily life. Indi
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viduals suffering from mental illness may experience dissatisfaction with relationships an
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d 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 always unacceptable i kr kr kr kr kr kr kr kr kr kr kr kr kr
n other cultures. kr kr
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, psychological, and social w
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ellness evidenced by satisfying interpersonal relationships, effective behavior an kr kr kr kr kr kr kr kr
d coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. kr kr kr kr kr kr kr kr
Ans: C kr
Feedback:
What one society may view as acceptable and appropriate behavior, another society may s
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ee that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
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define precisely. In most cases, mental health is a state of emotional, psychological, and s
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ocial wellness evidenced by satisfying interpersonal relationships, effective behavior and
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coping, positive self- kr kr
concept, and emotional stability. Persons who engage in fantasies may be mentally health
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y, but the inability to distinguish reality from fantasy is an individual factor that may contr
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ibute to mental illness. kr kr kr
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill b
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ecause she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so much p
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ain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have e
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xperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's d kr kr kr kr kr kr kr kr kr kr
eath?î
D) ìTry not to worry about that right now. You never know what the future brings.î A
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ns: B kr
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffectiv
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e coping, and lack of personal growth. Additionally the behavior must not be
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culturally expected. Acute grief reactions are expected and therefore not considered men
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tal illness. False reassurance or overanalysis does not accurately address the client's conce
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rns.
5. The nurse consults the DSM for which of the following purposes?
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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 record
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D) To serve as a guide for client assessment kr kr kr kr kr kr kr kr
Ans: D kr
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifi
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es underlying causes of mental disorders. It does not provide care plans or prognostic out
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comes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of
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practice, so documenting the code in the medical record would be inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis kr kr kr
B) Treat clients kr
C) Evaluate treatments kr
D) Understand the reason for the admission and the nature of psychiatric illnesses. kr kr kr kr kr kr kr kr kr kr kr kr
Ans: D kr
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpfu
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l resource to understand the reason for the admission and to begin building knowledge ab
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out the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and eva
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luating 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 following shifts i
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n care for the mentally ill?
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A) The widespread use of community-based services kr kr kr kr kr
B) The advancement in pharmacotherapies kr kr kr
C) Increased access to hospitalization kr kr kr
D) Improved rights for clients in long- kr kr kr kr kr
term institutional care Ans: Akr kr kr kr
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the relea
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se of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the developm
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ent of community-based services as an alternative to hospital care.
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8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will. kr kr kr kr kr kr kr kr kr kr kr kr
B) Making it more difficult to commit people for mental health treatment against t kr kr kr kr kr kr kr kr kr kr kr kr
heir will. kr
C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentally ill persons. kr kr kr kr kr kr
Ans: B kr
Feedback:
