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Test Bank For psychiatric mental health nursing 8th edition.Test Bank For psychiatric mental health nursing 8th edition.Test Bank For psychiatric mental health nursing 8th edition.Test Bank For psychiatric mental health nursing 8th edition.Test Bank For psychiatric mental health nursing 8th edition.

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  • March 9, 2025
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Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank b b b b b b b b




Psychiatric-Mental Health Nursing 8th edition b b b b b




Chapter 1 b


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 hav
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ing a positive impact onthe individual's mental health?
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A) Not needing others for companionship b b b b


B) The ability to effectively manage stress b b b b b


C) A family history of mental illness b b b b b


D) Striving for total self- b b b


relianceAns: B b b


Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indepen
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dence, self- b


esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience o
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r hardiness, sense of belonging, reality orientation, and coping or stress management abilit
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ies. Interpersonal factors such as intimacy and a balance of separateness and connectednes
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s are both needed for good mental health, and therefore ahealthy person would need others
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for companionship. A family history of mental illnesscould relate to the biologic makeup
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of an individual, which may have a negative impacton an individual's mental health, as we
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ll as a negative impact on an individual's interpersonal and socialñcultural factors of health
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. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate resources
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.


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.b b b b b b b b b


B) Mental illness is only due to social/cultural factors. b b b b b b b


C) Social/cultural factors that relate to mental illness include excessive dependencyo b b b b b b b b b b


n or withdrawal from relationships. b b b b


D) Individuals suffering from mental illness are usually able to cope effectively withd b b b b b b b b b b b b


aily life. b


E) Individuals suffering from mental illness may experience dissatisfaction withr b b b b b b b b b


elationships and self. b b


Ans: A, D, E b b b


Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
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may be related to individual, interpersonal, or social/cultural factors. Excessive depende
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ncy on or withdrawal from relationships are interpersonal factors that relate to mental illn
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ess. Individuals suffering from mental illness can feel overwhelmed with daily life. Indivi
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duals suffering from mental illness may experience dissatisfaction withrelationships and
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self.



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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank b b b b b b b b




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 unacceptableinb b b b b b b b b b b b b b


other cultures. b


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 wel
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lness evidenced by satisfying interpersonal relationships, effective behaviorand
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coping, positive self-concept, and emotional stability. b b b b b


D) Persons who engage in fantasies are mentally ill. b b b b b b b b


Ans: C b


Feedback:
What one society may view as acceptable and appropriate behavior, another society mayse
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e that as maladaptive, and inappropriate. Mental health and mental illness are difficult to de
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fine precisely. In most cases, mental health is a state of emotional, psychological, and socia
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l wellness evidenced by satisfying interpersonal relationships, effective behavior and copi
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ng, positive self-
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concept, and emotional stability. Persons who engagein fantasies may be mentally healthy,
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bbut the inability to distinguish reality from fantasyis an individual factor that may contribu
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te to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally illbe
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cause 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 muchpa
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in.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you haveex
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perienced.î
C) ìWere you generally dissatisfied with your relationship before your husband'sd
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eath?î
D) ìTry not to worry about that right now. You never know what the future brings.îA
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ns: B b


Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffect
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ive coping, and lack of personal growth. Additionally the behavior must not be culturally e
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xpected. Acute grief reactions are expected and therefore not considered mental illness. F
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alse reassurance or overanalysis does not accurately address the client'sconcerns.
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, Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank b b b b b b b b




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
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Ans: D b


Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifie
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s underlying causes of mental disorders. It does not provide care plans or prognostic outco
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mes of treatment. Diagnosis of mental illness is not within the generalist RN's scope of pra
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ctice, so documenting the code in the medical record wouldbe 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 b b b


B) Treat clients b


C) Evaluate treatments b


D) Understand the reason for the admission and the nature of psychiatric illnesses.A
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ns: Db


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 ev
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aluating 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 shiftsin
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care for the mentally ill?
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A) The widespread use of community-based services
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B) The advancement in pharmacotherapies b b b


C) Increased access to hospitalization b b b


D) Improved rights for clients in long- b b b b b


term institutional careAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished there
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lease of individuals from long-
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term stays in state institutions, the decrease in admissions to hospitals, and the develop
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ment of community-based services as an alternative to hospital care.
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