Test Bank For Psychiatric Mental Health Nursing,
9th Edition By Sheila L. Videbeck
, Chapter 1, Foundations Of Psychiatric–Mental Health
Nursing
1. The Nurse Is Assessing A Newly Admitted Client With Cholecystitis. When
Performing The Admission Assessment, Which Statement By The Client Is An
IndicatorOf Optimal Mental Health?
A. “I Don’t Need Anyone In My Life, I Manage Well On My Own.”
B. “I Practice Yoga Regularly Since It Helps Manage Any Stress I Am Feeling.”
C. “My Family Has Several People With Mental Health Problems.”
D. “I Had A History Of Alcohol Use Disorder And Have Been Sober For 2 Months.”
Answer: B
Rationale: Individual Factors Influencing Mental Health Include 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. A Recent
History Of The UseOf Maladaptive Coping Mechanisms Such As Alcohol Does Not
Indicate That The ClientIs Mentally Healthy.
Question Format: Multiple Choice
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing
Cognitive Level: Apply
Client Needs: Safe And Effective Care Environment: Management Of Care
Integrated Process: Communication And Documentation
Learning Objective: 1
Reference: P. 2, Mental Health And Mental Illness,
2. The Nurse Is Performing An Admission Assessment For A Client Admitted To
The Behavioral Health Unit. Which Social/Cultural Category Will The Nurse
Document That
,May Be Contributing To The Client’s Degree Of Mental Illness? Select All That Apply.
A. The Client Is Unable To Find Work And Does Not Have Enough Money For Housing.
B. The Client States That They Are Discriminated Against Due To Their
Country OfOrigin.
C. The Client Attributes Life’s Problems To Being Without Family Support.
D. The Client Reports Being Unable To Find Anything Meaningful Within Their Life.
E. The Client Reports Not Belonging Anywhere And Is Without Family Support.
Answer: A, B
Rationale: Social Or Cultural Categories Relate To A Lack Of Resources,
Poverty, Negative View Of The World, And Discrimination And May Result In
Isolation AndViolent Or Criminal Behavior. The Client That Attributes Life’s
Problems To Being
Without Family Support Is Not Able To Find Meaning In Life. Being Without
Support IsInterpersonal Determinant Of Mental Illness.
Question Format: Multiple Select
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing
Cognitive Level: Analyze
Client Needs: Safe And Effective Care Environment: Management Of Care
Integrated Process: Nursing Process
Learning Objective: 1
Reference: P. 2, Mental
Illness
3. A Client Grieving The Recent Loss Of A Spouse, Asks, “Am I Becoming Mentally
Ill? IFeel So Sad” Which Is The Nurse’s Best Response?
A. “You May Have A Temporary Mental Illness Because You Are Experiencing
SoMuch Pain.”
B. “You Are Not Mentally Ill. This Is An Expected Reaction To The Loss You
HaveExperienced.”
C. “Were You Generally Dissatisfied With Your Relationship Before Your
Husband’sDeath?”
D. “Try Not To Worry About That Right Now. You Never Know What The Future Brings.”
, Answer: B
Rationale: Acute Grief Reactions Are Expected And Therefore Not Considered
MentalIllness. Downplaying The Client’s Grief Does Not Appropriately Address The
Client’s Concerns. The Quality Of The Relationship Does Not Determine The
Presence Of Absence Of Mental Illness.
Question Format: Multiple Choice
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Communication And Documentation
Learning Objective: 1
Reference: P. 2, Mental Health And Mental Illness
4. The Nurse Is Using The DSM-5-TR For A Newly Admitted Client Diagnosed
With Bipolar I Disorder. Which Information Will The Nurse Obtain To Assist With
The Use OfThis Resource?
A. Devise A Plan Of Care For A Newly Admitted Client
B. Predict The Client’s Prognosis Of Treatment Outcomes
C. Document The Appropriate Diagnostic Code In The Client’s Medical Record
D. Use As A Guide For Client Assessment
Answer: D
Rationale: The DSM-5-TR Provides Standard Nomenclature, Presents Defining
Characteristics, And Identifies Underlying Causes Of Mental Disorders. It Does
NotProvide Care Plans Or Prognostic Outcomes Of Treatment. The DSM-5-TR Does
NotProvide Coding For Record-Keeping Or Billing Purposes.
Question Format: Multiple Choice
Chapter 1: Foundations Of Psychiatric–Mental Health Nursing
Cognitive Level: Apply
Client Needs: Safe And Effective Care Environament: Management Of Care
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