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,7/13/23,ci1:33ciP Psychiatriccimentalcihealthcinursingci9thcieditioncibycividebeckcitestcibank[ci138
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Psychiatric-Mentalc i Healthc i Nursingc i 8thcieditionc i byciVidebeckc i Testc i Bank
Chapterci1
1. Theci nurseci isci assessingci theci factorsci contributingci toci theci well-
beingci ofci aci newlyci admittedciclient.ci Whichci ofci theci followingci wouldci theci nurseci identi
fyci asci havingci aci positiveci impactci oncitheciindividual's ci mentalcihealth?
A) Notci needingc i othersci forc i companionship
B) Theci abilityci toci effectivelyci managecistress
C) Aci familyci historyci ofci mentalci illness
D) Strivingci forci totalciself-
relianceciAns:ci B
Feedback:
Individualci factors ci influencingci mentalci healthci includeci biologicci makeup,ciautonomy, ciin
dependence, ci self-
esteem,ci capacityci forci growth,ci vitality,ci abilityci toci findci meaningci inci life,ciemotionalci resi
lienceci orci hardiness,ci senseciofci belonging,ci realityci orientation,ci andci copingci orcistressci m
anagementciabilities.ci Interpersonalci factorscisuchci asci intimacyciandci acibalanceci ofciseparat
enessci andci connectednessci areci bothci neededci forci goodci mentalci health,ci andci thereforeci acih
ealthyci personci wouldci needci othersci forci companionship. ci Aci familyci historyci ofci mentalci ill
nesscicouldci relateci toci theci biologicci makeupci ofci anci individual,ci whichci mayci haveci aci negat
iveci impactcioncianci individual'sci mentalci health,ciasciwellciasciaci negativeci impactci oncianci indi
vidual'sciinterpersonalci andc i socialñculturalc i factorsci ofci health.ci Totalci self-
relianceci isci notci possible,ciandciacipositivecisocial/culturalcifactorciisciaccess citociadequatecir
esources.
2. Whichci ofci theci followingci statementsciaboutci mentalci illnessci arecitrue?ci Selectci allci thatci apply.
A) Mentalci illness ci canci causeci significantci distress,ci impairedci functioning,ci orci both.
B) Mentalci illness ciisci onlyci duecitoci social/culturalci factors.
C) Social/culturalci factorsci thatci relateci toci mentalci illnessci includeci excessiveci depend
encycionciorciwithdrawalcifromcirelationships.
D) Individualsci sufferingci fromci mentalci illnessci areci usuallyci ableci toci copeci effectively
ci withcidailycilife.
E) Individualsci sufferingci fromci mentalci illnessci mayci experienceci dissatisfactionci
withcirelationshipsciandciself.
Ans:ci A,ciD,ci E
Feedback:
Mentalci illnessci cancicauseci significantci distress,ci impairedci functioning,ci orciboth.ci Mentalc
iillness ci mayci beci related ci to ci individual, ci interpersonal,ci orci social/culturalci factors. ci Exces
sivecidependencyci onci orci withdrawalci fromci relationships ci areci interpersonalci factors ci thatc
i relate ci to cimentalci illness.ci Individualsci sufferingci fromci mentalci illnessci canci feelci overwhe
lmedci withcidailyci life.ci Individualsci sufferingci fromci mentalci illnessci mayci experienceci diss
atisfactionci withcirelationshipsciandciself.
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3. Whichci ofci theci followingci areci trueci regardingci mentalci healthci andci mentalci illness?
A) Behaviorci thatci mayci beci viewedci asci acceptable ci inci oneci cultureci isci alwaysci unacce
ptableciinciothercicultures.
B) Itci iscieasyci tocidetermineci ifci aci personci isci mentallyci healthyci orci mentallyci ill.
C) Inci mostci cases,ci mentalci healthci isci aci stateciofci emotional,cipsychological,ci andciso
cialciwellnessci evidencedci byci satisfyingc i interpersonalci relationships,ci effectiveci
behaviorciandcicoping,cipositiveciself-concept,ciandciemotionalcistability.
D) Personsciwhociengageci inci fantasiesciareci mentallyc
i ill.ciAns:ci C
Feedback:
Whatci oneci societyci mayci viewci asci acceptableci andci appropriateci behavior,ci anotherci society
ci mayciseeci that ci asci maladaptive,ci and ci inappropriate. ci Mentalci healthci and ci mentalci illness ci a
reci difficultcitocidefineci precisely.ci Inci mostci cases,ci mentalci healthci isci aci stateci ofci emotional,
ci psychological, ciand ci socialci wellness ci evidenced ci byci satisfyingci interpersonalci relationshi
ps,ci effectivecibehaviorci andci coping,ci positiveci self-
concept,ci andci emotionalci stability.ci Personsci whoci engageciinci fantasiesci mayci beci mentally
ci healthy,ci butci the ci inabilityci to ci distinguishci realityci fromci fantasyciiscianciindividualcifactorc
ithatcimaycicontribute cito ci mentalciillness.
4. Aci clientci grievingci theci recentci lossci ofci herci husbandci asksci ifci sheci isci becomingci ment
allyci illcibecausecisheciiscisocisad.ciThecinurse'scibestciresponseciwouldcibe,
A) ìYouci mayci haveci aci temporaryci mentalci illnessci becauseci youci areci experiencingci soci
muchcipain.î
B) ìYouciareci notci mentallyci ill.ci Thisci isci anci expectedci reactionci toci theci lossci yo
uci haveciexperienced.î
C) ìWereci youci generallyci dissatisfiedci withci yourci relationshipci beforeci yourci husb
and'scideath?î
D) ìTryci notci toci worryci aboutci thatci rightci now.ci Youci neverci knowci whatci theci futureci
brings.îciAns:ci B
Feedback:
Mentalci illness ci includesci generalcidissatisfactionci withciself,ci ineffectivecirelationships, ciine
ffectiveci coping, ci andci lackci ofci personalci growth.ci Additionallyci theci behaviorci mustci notci b
eciculturallyci expected.ci Acuteci griefci reactionsci areciexpectedci andci thereforeci notci consider
edcimentalci illness.ci Falseci reassuranceci orci overanalysisci doesci notci accuratelyci addressci the
ci client'scic oncerns.
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5. Theci nurseci consultsci theci DSMci forci whichci ofci theci followingci purposes?
A) Toci deviseciaci planciofci careci forci aci newlyciadmittedci client
B) Toci predictci theci client'sci prognosisci ofci treatmentci outcomes
C) Toci documentci theci appropriateci diagnosticci codeci inci theci client'sci medicalci record
D) Tociserveciasciaci guideci forciclientciassessm
entciAns:ci D
Feedback:
TheciDSMciprovidescistandardci nomenclature,cipresentscidefiningci characteristics, ciandciide
ntifiesci underlyingci causesciofci mentalcidisorders.ci Itcidoesci notciprovidecicareciplans ci orcipro
gnosticcioutcomes ci ofcitreatment.ciDiagnosisciofci mentalci illnessci isci notciwithincithecigenera
listci RN'sci scopeci ofci practice,ci soci documentingci theci codeci inci theci medicalci recordci wouldci
beciinappropriate.
6. Whichciwouldcibeciacireasonci forciaci studentci nursecitoci usecitheci DSM?
A) Identifyingci theci medicalci diagnosis
B) Treatci clients
C) Evaluateci treatments
D) Understandci theci reasonci forci theci admissionci andci theci natureci ofci psychiatricci illn
esses.ciAns:ci D
Feedback:
Althoughcistudentci nursescidoci notci usecitheci DSMcitocidiagnoseciclients,citheyciwillci findci itc
ia cihelpfulci resource ci to ci understand cithe cireasonci forci the ciadmissionciand cito cibeginci buildin
gciknowledgeci aboutci theci natureci ofci psychiatricci illnesses.ci Identifyingci theci medicalci diag
nosis,citreating,ciandcievaluatingcitreatmentsci arecinotciacipartciofcithecinursingciprocess.
7. Theci legislationci enactedci inci 1963ci wasci largelyci responsibleci forci whichci ofci theci following
c i shiftsciincicare ci forcithe ci mentallyciill?
A) Theci widespreadci useci ofcicommunity-basedci services
B) Thec i advancementc i inci pharmacotherapies
C) Increasedci accessci toci hospitalization
D) Improvedci rightsci forci clientsci inci long-
termci institutionalci careciAns:ci A
Feedback:
Theci Communityci Mentalci Healthci Centersci Constructionci Actci ofci 1963ci accomplishedci th
ecireleaseciofci individuals ci fromci long-
termcistaysci incistateci institutions,citheci decreaseci inciadmissionsci toci hospitals,ci andci theci de
velopmentci ofci community-basedci servicesci asci ancialternativecitocihospitalcicare.
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,7/13/23,ci1:33ciP Psychiatriccimentalcihealthcinursingci9thcieditioncibycividebeckcitestcibank[ci138
M 9]
Psychiatric-Mentalc i Healthc i Nursingc i 8thcieditionc i byciVidebeckc i Testc i Bank
Chapterci1
1. Theci nurseci isci assessingci theci factorsci contributingci toci theci well-
beingci ofci aci newlyci admittedciclient.ci Whichci ofci theci followingci wouldci theci nurseci identi
fyci asci havingci aci positiveci impactci oncitheciindividual's ci mentalcihealth?
A) Notci needingc i othersci forc i companionship
B) Theci abilityci toci effectivelyci managecistress
C) Aci familyci historyci ofci mentalci illness
D) Strivingci forci totalciself-
relianceciAns:ci B
Feedback:
Individualci factors ci influencingci mentalci healthci includeci biologicci makeup,ciautonomy, ciin
dependence, ci self-
esteem,ci capacityci forci growth,ci vitality,ci abilityci toci findci meaningci inci life,ciemotionalci resi
lienceci orci hardiness,ci senseciofci belonging,ci realityci orientation,ci andci copingci orcistressci m
anagementciabilities.ci Interpersonalci factorscisuchci asci intimacyciandci acibalanceci ofciseparat
enessci andci connectednessci areci bothci neededci forci goodci mentalci health,ci andci thereforeci acih
ealthyci personci wouldci needci othersci forci companionship. ci Aci familyci historyci ofci mentalci ill
nesscicouldci relateci toci theci biologicci makeupci ofci anci individual,ci whichci mayci haveci aci negat
iveci impactcioncianci individual'sci mentalci health,ciasciwellciasciaci negativeci impactci oncianci indi
vidual'sciinterpersonalci andc i socialñculturalc i factorsci ofci health.ci Totalci self-
relianceci isci notci possible,ciandciacipositivecisocial/culturalcifactorciisciaccess citociadequatecir
esources.
2. Whichci ofci theci followingci statementsciaboutci mentalci illnessci arecitrue?ci Selectci allci thatci apply.
A) Mentalci illness ci canci causeci significantci distress,ci impairedci functioning,ci orci both.
B) Mentalci illness ciisci onlyci duecitoci social/culturalci factors.
C) Social/culturalci factorsci thatci relateci toci mentalci illnessci includeci excessiveci depend
encycionciorciwithdrawalcifromcirelationships.
D) Individualsci sufferingci fromci mentalci illnessci areci usuallyci ableci toci copeci effectively
ci withcidailycilife.
E) Individualsci sufferingci fromci mentalci illnessci mayci experienceci dissatisfactionci
withcirelationshipsciandciself.
Ans:ci A,ciD,ci E
Feedback:
Mentalci illnessci cancicauseci significantci distress,ci impairedci functioning,ci orciboth.ci Mentalc
iillness ci mayci beci related ci to ci individual, ci interpersonal,ci orci social/culturalci factors. ci Exces
sivecidependencyci onci orci withdrawalci fromci relationships ci areci interpersonalci factors ci thatc
i relate ci to cimentalci illness.ci Individualsci sufferingci fromci mentalci illnessci canci feelci overwhe
lmedci withcidailyci life.ci Individualsci sufferingci fromci mentalci illnessci mayci experienceci diss
atisfactionci withcirelationshipsciandciself.
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M 9]
3. Whichci ofci theci followingci areci trueci regardingci mentalci healthci andci mentalci illness?
A) Behaviorci thatci mayci beci viewedci asci acceptable ci inci oneci cultureci isci alwaysci unacce
ptableciinciothercicultures.
B) Itci iscieasyci tocidetermineci ifci aci personci isci mentallyci healthyci orci mentallyci ill.
C) Inci mostci cases,ci mentalci healthci isci aci stateciofci emotional,cipsychological,ci andciso
cialciwellnessci evidencedci byci satisfyingc i interpersonalci relationships,ci effectiveci
behaviorciandcicoping,cipositiveciself-concept,ciandciemotionalcistability.
D) Personsciwhociengageci inci fantasiesciareci mentallyc
i ill.ciAns:ci C
Feedback:
Whatci oneci societyci mayci viewci asci acceptableci andci appropriateci behavior,ci anotherci society
ci mayciseeci that ci asci maladaptive,ci and ci inappropriate. ci Mentalci healthci and ci mentalci illness ci a
reci difficultcitocidefineci precisely.ci Inci mostci cases,ci mentalci healthci isci aci stateci ofci emotional,
ci psychological, ciand ci socialci wellness ci evidenced ci byci satisfyingci interpersonalci relationshi
ps,ci effectivecibehaviorci andci coping,ci positiveci self-
concept,ci andci emotionalci stability.ci Personsci whoci engageciinci fantasiesci mayci beci mentally
ci healthy,ci butci the ci inabilityci to ci distinguishci realityci fromci fantasyciiscianciindividualcifactorc
ithatcimaycicontribute cito ci mentalciillness.
4. Aci clientci grievingci theci recentci lossci ofci herci husbandci asksci ifci sheci isci becomingci ment
allyci illcibecausecisheciiscisocisad.ciThecinurse'scibestciresponseciwouldcibe,
A) ìYouci mayci haveci aci temporaryci mentalci illnessci becauseci youci areci experiencingci soci
muchcipain.î
B) ìYouciareci notci mentallyci ill.ci Thisci isci anci expectedci reactionci toci theci lossci yo
uci haveciexperienced.î
C) ìWereci youci generallyci dissatisfiedci withci yourci relationshipci beforeci yourci husb
and'scideath?î
D) ìTryci notci toci worryci aboutci thatci rightci now.ci Youci neverci knowci whatci theci futureci
brings.îciAns:ci B
Feedback:
Mentalci illness ci includesci generalcidissatisfactionci withciself,ci ineffectivecirelationships, ciine
ffectiveci coping, ci andci lackci ofci personalci growth.ci Additionallyci theci behaviorci mustci notci b
eciculturallyci expected.ci Acuteci griefci reactionsci areciexpectedci andci thereforeci notci consider
edcimentalci illness.ci Falseci reassuranceci orci overanalysisci doesci notci accuratelyci addressci the
ci client'scic oncerns.
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, 7/13/23,ci1:33ciP Psychiatriccimentalcihealthcinursingci9thcieditioncibycividebeckcitestcibank[ci138
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5. Theci nurseci consultsci theci DSMci forci whichci ofci theci followingci purposes?
A) Toci deviseciaci planciofci careci forci aci newlyciadmittedci client
B) Toci predictci theci client'sci prognosisci ofci treatmentci outcomes
C) Toci documentci theci appropriateci diagnosticci codeci inci theci client'sci medicalci record
D) Tociserveciasciaci guideci forciclientciassessm
entciAns:ci D
Feedback:
TheciDSMciprovidescistandardci nomenclature,cipresentscidefiningci characteristics, ciandciide
ntifiesci underlyingci causesciofci mentalcidisorders.ci Itcidoesci notciprovidecicareciplans ci orcipro
gnosticcioutcomes ci ofcitreatment.ciDiagnosisciofci mentalci illnessci isci notciwithincithecigenera
listci RN'sci scopeci ofci practice,ci soci documentingci theci codeci inci theci medicalci recordci wouldci
beciinappropriate.
6. Whichciwouldcibeciacireasonci forciaci studentci nursecitoci usecitheci DSM?
A) Identifyingci theci medicalci diagnosis
B) Treatci clients
C) Evaluateci treatments
D) Understandci theci reasonci forci theci admissionci andci theci natureci ofci psychiatricci illn
esses.ciAns:ci D
Feedback:
Althoughcistudentci nursescidoci notci usecitheci DSMcitocidiagnoseciclients,citheyciwillci findci itc
ia cihelpfulci resource ci to ci understand cithe cireasonci forci the ciadmissionciand cito cibeginci buildin
gciknowledgeci aboutci theci natureci ofci psychiatricci illnesses.ci Identifyingci theci medicalci diag
nosis,citreating,ciandcievaluatingcitreatmentsci arecinotciacipartciofcithecinursingciprocess.
7. Theci legislationci enactedci inci 1963ci wasci largelyci responsibleci forci whichci ofci theci following
c i shiftsciincicare ci forcithe ci mentallyciill?
A) Theci widespreadci useci ofcicommunity-basedci services
B) Thec i advancementc i inci pharmacotherapies
C) Increasedci accessci toci hospitalization
D) Improvedci rightsci forci clientsci inci long-
termci institutionalci careciAns:ci A
Feedback:
Theci Communityci Mentalci Healthci Centersci Constructionci Actci ofci 1963ci accomplishedci th
ecireleaseciofci individuals ci fromci long-
termcistaysci incistateci institutions,citheci decreaseci inciadmissionsci toci hospitals,ci andci theci de
velopmentci ofci community-basedci servicesci asci ancialternativecitocihospitalcicare.
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