TEST BANK PSYCHIATRIC MENTAL HEALTH NURSING 8TH EDITION BY SHEL
A VIDEBECK | CHAPTERS 1-24 | COMPLETE SOLUTION | A, GUIDE
Table of contents
UNIT 1 Current Theories and Practice
1. Foundations of Psychiatric–Mental Health Nursing
2. Neurobiologic Theories and Psychopharmacology
3. Psychosocial Theories and Therapy
4. Treatment Settings and Therapeutic Programs
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,UNIT 2 Building the Nurse–Client Relationship
5. Therapeutic Relationships
6. Therapeutic Communication
7. Client’s Response to Illness
8. Assessment
UNIT 3 Current Social and Emotional Concerns
9. Legal and Ethical Issues
10. Grief and Loss
11. Anger, Hostility, and Aggression
12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders
13. Trauma and Stressor-Related Disorders
14. Anxiety and Anxiety Disorders
15. Obsessive–Compulsive and Related Disorders
16. Schizophrenia
17. Mood Disorders and Suicide
18. Personality Disorders
19. Addiction
20. Eating Disorders
21. Somatic Symptom Illnesses
22. Neurodevelopmental Disorders
23 Disruptive Behavior Disorders
24 Cognitive Disorders
Chapter 1 Foundations of Psychiatric–Mental Health Nursing
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
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, 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
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, C) ìWere nyou ngenerally ndissatisfied nwith nyour nrelationship nbefore nyour
nhusband's ndeath?î
D) ìTry nnot nto nworry nabout nthat nright nnow. nYou nnever nknow nwhat nthe nfuture
nbrings.î nAns: nB
Feedback:
Mental nillness nincludes ngeneral ndissatisfaction nwith nself, nineffective nrelationships,
nineffective ncoping, nand nlack nof npersonal ngrowth. nAdditionally nthe nbehavior nmust nnot
nbe nculturally nexpected. nAcute ngrief nreactions nare nexpected nand ntherefore nnot
nconsidered nmental nillness. nFalse nreassurance nor noveranalysis ndoes nnot naccurately
naddress nthe nclient's nconcerns.
5. The nnurse nconsults nthe nDSM nfor nwhich nof nthe nfollowing npurposes?
A) To ndevise na nplan nof ncare nfor na nnewly nadmitted nclient
B) To npredict nthe nclient's nprognosis nof ntreatment noutcomes
C) To ndocument nthe nappropriate ndiagnostic ncode nin nthe nclient's nmedical n record
D) To nserve nas na nguide nfor nclient
nassessment nAns: nD
Feedback:
The nDSM nprovides nstandard nnomenclature, npresents ndefining ncharacteristics, nand
nidentifies nunderlying ncauses nof nmental ndisorders. nIt ndoes nnot nprovide ncare nplans nor
nprognostic noutcomes nof ntreatment. nDiagnosis nof nmental nillness nis nnot nwithin nthe
ngeneralist nRN's nscope nof npractice, nso ndocumenting nthe ncode nin nthe nmedical nrecord
nwould nbe ninappropriate.
6. Which nwould nbe na nreason nfor na nstudent nnurse nto nuse nthe nDSM?
A) Identifying nthe nmedical ndiagnosis
B) Treat nclients
C) Evaluate ntreatments
D) Understand nthe nreason nfor nthe nadmission nand nthe nnature nof npsychiatric
nillnesses. nAns: nD
Feedback:
Although nstudent nnurses ndo nnot nuse nthe nDSM nto ndiagnose nclients, nthey nwill nfind nit na
nhelpful nresource nto nunderstand nthe nreason nfor nthe nadmission nand nto nbegin nbuilding
nknowledge nabout nthe nnature nof npsychiatric nillnesses. nIdentifying nthe nmedical ndiagnosis,
ntreating, nand nevaluating ntreatments nare nnot na npart nof nthe nnursing nprocess.
7. The nlegislation nenacted nin n1963 nwas nlargely nresponsible nfor nwhich nof nthe nfollowing
nshifts nin ncare nfor nthe nmentally nill?
A) The nwidespread nuse nof ncommunity-based nservices
B) The nadvancement nin npharmacotherapies
C) Increased naccess nto nhospitalization
D) Improved nrights nfor nclients nin nlong-term ninstitutional
ncare nAns: nA
Feedback:
The nCommunity nMental nHealth nCenters nConstruction nAct nof n1963 naccomplished nthe
nrelease nof nindividuals nfrom nlong-term nstays nin nstate ninstitutions, nthe ndecrease nin
nadmissions nto nhospitals, nand nthe ndevelopment nof ncommunity-based nservices nas nan
nalternative nto nhospital ncare.
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