Psychiatric-Mental gtHealth gtNursing gt8th gtedition gtby gtVidebeck gtTest gtBank
Chapter gt1
1. The gtnurse gtis gtassessing gtthe gtfactors gtcontributing gtto gtthe gtwell-being gtof gta gtnewly
gtadmitted gtclient. gtWhich gtof gtthe gtfollowing gtwould gtthe gtnurse gtidentify gtas gthaving gta
gtpositive gtimpact gton gtthe gtindividual's gtmental gthealth?
A) Not gtneeding gtothers gtfor gtcompanionship
B) The gtability gtto gteffectively gtmanage gtstress
C) A gtfamily gthistory gtof gtmental gtillness
D) Striving gtfor gttotal gtself-
reliance gtAns: g t B
Feedback:
Individual gtfactors gtinfluencing gtmental gthealth gtinclude gtbiologic gtmakeup, gtautonomy,
gtindependence, gtself-esteem, gtcapacity gtfor gtgrowth, gtvitality, gtability gtto gtfind gtmeaning gtin
gtlife, gtemotional gtresilience gtor gthardiness, gtsense gtof gtbelonging, gtreality gtorientation, gtand
gtcoping gtor gtstress gtmanagement gtabilities. gtInterpersonal gtfactors gtsuch gtas gtintimacy gtand
gta gtbalance gtof gtseparateness gtand gtconnectedness gtare gtboth gtneeded gtfor gtgood gtmental
gthealth, gtand gttherefore gta gthealthy gtperson gtwould gtneed gtothers gtfor gtcompanionship. gtA
gtfamily gthistory gtof gtmental gtillness gtcould gtrelate gtto gtthe gtbiologic gtmakeup gtof gtan
gtindividual, gtwhich gtmay gthave gta gtnegative gtimpact gton gtan gtindividual's gtmental gthealth, gtas
gtwell gtas gta gtnegative gtimpact gton gtan gtindividual's gtinterpersonal gtand gtsocialñcultural
gtfactors gtof gthealth. gtTotal gtself-reliance gtis gtnot gtpossible, gtand gta gtpositive gtsocial/cultural
gtfactor gtis gtaccess gtto gtadequate gtresources.
2. Which gtof gtthe gtfollowing gtstatements gtabout gtmental gtillness gtare gttrue? gtSelect gtall gtthat gtapply.
A) Mental gtillness gtcan gtcause gtsignificant gtdistress, gtimpaired gtfunctioning, gtor gtboth.
B) Mental gtillness gtis gtonly gtdue gtto gtsocial/cultural gtfactors.
C) Social/cultural gtfactors gtthat gtrelate gtto gtmental gtillness gtinclude gtexcessive
gtdependency gton gtor gtwithdrawal gtfrom gtrelationships.
D) Individuals gtsuffering gtfrom gtmental gtillness gtare gtusually gtable gtto gtcope gteffectively
gtwith gtdaily gtlife.
E) Individuals gtsuffering gtfrom gtmental gtillness gtmay gtexperience gtdissatisfaction
gtwith gtrelationships gtand gtself.
Ans: g t A, gtD, gtE
Feedback:
Mental gtillness gtcan gtcause gtsignificant gtdistress, gtimpaired gtfunctioning, gtor gtboth. gtMental
gtillness gtmay gtbe gtrelated gtto gtindividual, gtinterpersonal, gtor gtsocial/cultural gtfactors.
gtExcessive gtdependency gt on gtor gtwithdrawal gtfrom gtrelationships gtare gtinterpersonal
gtfactors gtthat gtrelate gtto gtmental gtillness. gtIndividuals gtsuffering gtfrom gtmental gtillness gtcan
gtfeel gtoverwhelmed gtwith gtdaily gtlife. gtIndividuals gtsuffering gtfrom gtmental gtillness gtmay
gtexperience gtdissatisfaction gtwith gtrelationships gtand gtself.
,3. Which gtof gtthe gtfollowing gtare gttrue gtregarding gtmental gthealth gtand gtmental gtillness?
A) Behavior gtthat gtmay gtbe gtviewed gtas gtacceptable gtin gtone gtculture gtis gtalways
gtunacceptable gtin gtother gtcultures.
B) It gtis gteasy gtto gtdetermine gtif gta gtperson gtis gtmentally gthealthy gtor gtmentally gtill.
C) In gtmost gtcases, gtmental gthealth gtis gta gtstate gtof gtemotional, gtpsychological, gtand
gtsocial gtwellness gtevidenced gtby gtsatisfying gtinterpersonal gtrelationships, gteffective
gtbehavior gtand gtcoping, gtpositive gtself-concept, gtand gtemotional gtstability.
D) Persons gtwho gtengage gtin gtfantasies gtare gtmentally
gtill. gtAns: g t C
Feedback:
What gtone gtsociety gtmay gtview gtas gtacceptable gtand gtappropriate gtbehavior, gtanother gtsociety
gtmay gtsee gtthat gtas gtmaladaptive, gtand gtinappropriate. gtMental gthealth gtand gtmental gtillness
gtare gtdifficult gtto gtdefine gtprecisely. gt In gtmost gtcases, gtmental gthealth gtis gta gtstate gtof
gtemotional, gtpsychological, gtand gtsocial gtwellness gtevidenced gtby gtsatisfying gtinterpersonal
gtrelationships, gteffective gtbehavior gtand gtcoping, gtpositive gtself-concept, gtand gtemotional
gtstability. gtPersons gtwho gtengage gtin gtfantasies gtmay gtbe gtmentally gthealthy, gtbut gtthe
gtinability gtto gtdistinguish gtreality gtfrom gtfantasy gtis gtan gtindividual gtfactor gtthat gtmay
gtcontribute gtto gtmental gtillness.
4. A gtclient gtgrieving gtthe gtrecent gtloss gtof gther gthusband gtasks gtif gtshe gtis gtbecoming
gtmentally gtill gtbecause gtshe gtis gtso gtsad. gtThe gtnurse's gtbest gtresponse gtwould gtbe,
A) ìYou gtmay gthave gta gttemporary gtmental gtillness gtbecause gtyou gtare gtexperiencing gtso
gtmuch gtpain.î
B) ìYou gtare gtnot gtmentally gtill. gtThis gtis gtan gtexpected gtreaction gtto gtthe gtloss gtyou
gthave gtexperienced.î
C) ìWere gtyou gtgenerally gtdissatisfied gtwith gtyour gtrelationship gtbefore gtyour
gthusband's gtdeath?î
D) ìTry gtnot gtto gtworry gtabout gtthat gtright gtnow. gtYou gtnever gtknow gtwhat gtthe gtfuture
gtbrings.î gtAns: g t B
Feedback:
Mental gtillness gtincludes gtgeneral gtdissatisfaction gtwith gtself, gtineffective gtrelationships,
gtineffective gtcoping, gtand gtlack gtof gtpersonal gtgrowth. gtAdditionally gtthe gtbehavior gtmust
gtnot gtbe gtculturally gtexpected. gtAcute gtgrief gtreactions gtare gtexpected gtand gttherefore gtnot
gtconsidered gtmental gtillness. gtFalse gtreassurance gtor gtoveranalysis gtdoes gtnot gtaccurately
gtaddress gtthe gtclient's gtconcerns.
,5. The gtnurse gtconsults gtthe gtDSM gtfor gtwhich gtof gtthe gtfollowing gtpurposes?
A) To gtdevise gta gtplan gtof gtcare gtfor gta gtnewly gtadmitted gtclient
B) To gtpredict gtthe gtclient's gtprognosis gtof gttreatment gtoutcomes
C) To gtdocument gtthe gtappropriate gtdiagnostic gtcode gtin gtthe gtclient's gtmedical gtrecord
D) To gtserve gtas gta gtguide gtfor gtclient
gtassessment gtAns: g t D
Feedback:
The gtDSM gtprovides gtstandard gtnomenclature, gtpresents gtdefining gtcharacteristics, gtand
gtidentifies gtunderlying gtcauses gtof gtmental gtdisorders. gtIt gtdoes gtnot gtprovide gtcare gtplans gtor
gtprognostic gtoutcomes gtof gttreatment. gtDiagnosis gtof gtmental gtillness gtis gtnot gtwithin gtthe
gtgeneralist gtRN's gtscope gtof gtpractice, gtso gtdocumenting gtthe gtcode gtin gtthe gtmedical gtrecord
gtwould gtbe gtinappropriate.
6. Which gtwould gtbe gta gtreason gtfor gta gtstudent gtnurse gtto gtuse gtthe gtDSM?
A) Identifying gtthe gtmedical gtdiagnosis
B) Treat gtclients
C) Evaluate gttreatments
D) Understand gtthe gtreason gtfor gtthe gtadmission gtand gtthe gtnature gtof gtpsychiatric
gtillnesses. gtAns: g t D
Feedback:
Although gtstudent gtnurses gtdo gtnot gtuse gtthe gtDSM gtto gtdiagnose gtclients, gtthey gtwill gtfind gtit
gta gthelpful gtresource gtto gtunderstand gtthe gtreason gtfor gtthe gtadmission gtand gtto gtbegin
gtbuilding gtknowledge gtabout gtthe gtnature gtof gtpsychiatric gtillnesses. gtIdentifying gtthe
gtmedical gtdiagnosis, gttreating, gtand gtevaluating gttreatments gtare gtnot gta gtpart gtof gtthe
gtnursing gtprocess.
7. The gtlegislation gtenacted gtin gt1963 gtwas gtlargely gtresponsible gtfor gtwhich gtof gtthe gtfollowing
gtshifts gtin gtcare gtfor gtthe gtmentally gtill?
A) The gtwidespread gtuse gtof gtcommunity-based gtservices
B) The gtadvancement gtin gtpharmacotherapies
C) Increased gtaccess gtto gthospitalization
D) Improved gtrights gtfor gtclients gtin gtlong-term gtinstitutional
gtcare gtAns: g t A
Feedback:
The gtCommunity gtMental gtHealth gtCenters gtConstruction gtAct gtof gt1963 gtaccomplished gtthe
gtrelease gtof gtindividuals gtfrom gtlong-term gtstays gtin gtstate gtinstitutions, gtthe gtdecrease gtin
gtadmissions gtto gthospitals, gtand gtthe gtdevelopment gtof gtcommunity-based gtservices gtas gtan
gtalternative gtto gthospital gtcare.
, 8. Which gtone gtof gtthe gtfollowing gtis gta gtresult gtof gtfederal gtlegislation?
A) Making gtit gteasier gtto gtcommit gtpeople gtfor gtmental gthealth gttreatment gtagainst gttheir gtwill.
B) Making gtit gtmore gtdifficult gtto gtcommit gtpeople gtfor gtmental gthealth gttreatment
gtagainst gttheir gtwill.
C) State gtmental gtinstitutions gtbeing gtthe gtprimary gtsource gtof gtcare gtfor gtmentally gtill gtpersons.
D) Improved gtcare gtfor gtmentally gtill
gtpersons. gtAns: g t B
Feedback:
Commitment gtlaws gtchanged gtin gtthe gtearly gt1970s, gtmaking gtit gtmore gtdifficult gtto
gtcommit gtpeople gtfor gtmental gthealth gttreatment gtagainst gttheir gtwill.
gtDeinstitutionalization gtaccomplished gtthe gtrelease gtof gtindividuals gtfrom gtlong-term
gtstays gtin gtstate gtinstitutions. gtDeinstitutionalization gtalso gthad gtnegative gteffects gtin
gtthat gtsome gtmentally gtill gtpersons gtare gtsubjected gtto gtthe gtrevolving gtdoor gteffect,
gtwhich gtmay gtlimit gtcare gtfor gtmentally gtill gtpersons.
9. The gtgoal gtof gtthe gt1963 gtCommunity gtMental gtHealth gtCenters gtAct gtwas gtto
A) ensure gtpatients' gtrights gtfor gtthe gtmentally gtill.
B) deinstitutionalize gtstate gthospitals.
C) provide gtfunds gtto gtbuild gthospitals gtwith gtpsychiatric gtunits.
D) treat gtpeople gtwith gtmental gtillness gtin gta gthumane
gtfashion. gtAns: g t B
Feedback:
The gt1963 gtCommunity gtMental gtHealth gtCenters gtAct gtintimated gtthe gtmovement gttoward
gttreating gtthose gtwith gtmental gtillness gtin gta gtless gtrestrictive gtenvironment. gtThis
gtlegislation gtresulted gtin gtthe gtshift gtof gtclients gtwith gtmental gtillness gtfrom gtlarge gtstate
gtinstitutions gtto gtcare gtbased gtin gtthe gtcommunity. gtAnswer gtchoices gtA, gtC, gtand gtD gtwere
gtnot gtpurposes gtof gtthe gt1963 gtCommunity gtMental gtHealth gtCenters gtAct.
10. The gtcreation gtof gtasylums gtduring gtthe gt1800s gtwas gtmeant gtto
A) improve gttreatment gtof gtmental gtdisorders.
B) provide gtfood gtand gtshelter gtfor gtthe gtmentally gtill.
C) punish gtpeople gtwith gtmental gtillness gtwho gtwere gtbelieved gtto gtbe gtpossessed.
D) remove gtdangerous gtpeople gtwith gtmental gtillness gtfrom gtthe
gtcommunity. gtAns: g t B
Feedback:
The gtasylum gtwas gtmeant gtto gtbe gta gtsafe gthaven gtwith gtfood, gtshelter, gtand gthumane
gttreatment gtfor gtthe gtmentally gtill. gtAsylums gtwere gtnot gtused gtto gtimprove gttreatment gtof
gtmental gtdisorders gtor gtto gtpunish gtmentally gtill gtpeople gtwho gtwere gtbelieved gtto gtbe
gtpossessed. gtThe gtasylum gtwas gtnot gtcreated gtto gtremove gtthe gtdangerously gtmentally gtill
gtfrom gtthe gtcommunity.
