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TEST BANK FOR `r `r
Psychiatric–Mental Health Nursing 9th Edition by Sheila
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L.Videbeck
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All Chapters (1-24)
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Table Of Contents
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UNIT 1 Current Theories and Practice
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Chapter 1. Foundations of Psychiatric–Mental Health Nursing
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Chapter 2. Neurobiologic Theories and Psychopharmacology
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Chapter 3. Psychosocial Theories and Therapy
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Chapter 4. Treatment Settings and Therapeutic
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Programs UNIT 2 Building the Nurse–Client
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Relationship Chapter 5. Therapeutic Relationships
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Chapter 6. Therapeutic Communication
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Chapter 7. Client’s Response to Illness
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Chapter 8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical
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IssuesChapter 10. Grief and Loss
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Chapter 11. Anger, Hostility, and
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AggressionChapter 12. Abuse and Violence
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UNIT 4 Nursing Practice for Psychiatric
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DisordersChapter 13. Trauma and Stressor-Related
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Disorders Chapter 14. Anxiety and Anxiety Disorders
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Chapter 15. Obsessive–Compulsive and Related Disorders
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Chapter 16. Schizophrenia
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Chapter 17. Mood Disorders and
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SuicideChapter 18. Personality
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` Disorders Chapter 19. Addiction
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Chapter 20. Eating Disorders
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Chapter 21. Somatic Symptom Illnesses
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Chapter 22. Neurodevelopmental Disorders
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Chapter 23. Disruptive Behavior Disorders
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Chapter 24. Cognitive Disorders
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Chapter 1 `r
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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client. Which of the following would the nurse identify as having a positive impact
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onthe individual's mental health?
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A) Not needing others for companionship `r `r `r `r
B) The ability to effectively manage stress `r `r `r `r `r
C) A family history of mental illness `r `r `r `r `r
D) Striving for total self- `r `r `r
relianceAns: B r̀ `r
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, `r `r `r `r `r `r `r `r
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
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emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
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stress management abilities. Interpersonal factors such as intimacy and a balance of
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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
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illnesscould relate to the biologic makeup of an individual, which may have a negative
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impacton an individual's mental health, as well as a negative impact on an individual's
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interpersonal and socialñcultural factors of health. Total self-reliance is not possible,
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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. `r `r `r `r `r `r `r `r `r
B) Mental illness is only due to social/cultural factors. `r `r `r `r `r `r `r
C) Social/cultural factors that relate to mental illness include excessive `r `r `r `r `r `r `r `r
dependencyon or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively `r `r `r `r `r `r `r `r `r `r
withdaily life. `r r̀ `r
E) Individuals suffering from mental illness may experience dissatisfaction `r `r `r `r `r `r `r
withrelationships and self. `r r̀ `r `r
Ans: A, D, E `r `r `r
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals suffering from mental illness can feel overwhelmed with
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daily life. Individuals suffering from mental illness may experience dissatisfaction
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withrelationships and self.
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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 `r `r `r `r `r `r `r `r `r `r `r
unacceptablein other cultures. `r r̀ `r `r
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
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wellness evidenced by satisfying interpersonal relationships, effective
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behaviorand coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally `r `r `r `r `r `r
ill.Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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maysee that as maladaptive, and inappropriate. Mental health and mental illness are
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difficult to define precisely. In most cases, mental health is a state of emotional,
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psychological, and social wellness evidenced by satisfying interpersonal relationships,
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effective behavior and coping, positive self-concept, and emotional stability. Persons
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who engagein fantasies may be mentally healthy, but the inability to distinguish reality
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from fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally
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illbecause 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 `r `r `r `r `r `r `r `r `r `r `r
muchpain.î `r r̀
B) ìYou are not mentally ill. This is an expected reaction to the loss you `r `r `r `r `r `r `r `r `r `r `r `r `r
haveexperienced.î `r r̀
C) ìWere you generally dissatisfied with your relationship before your `r `r `r `r `r `r `r `r
husband'sdeath?î `r r̀
D) ìTry not to worry about that right now. You never know what the future `r `r `r `r `r `r `r `r `r `r `r `r `r
brings.îAns: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must not be
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culturally expected. Acute grief reactions are expected and therefore not considered
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mental illness. False reassurance or overanalysis does not accurately address the
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client'sconcerns.
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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 `r `r `r `r `r `r
assessmentAns: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the
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generalist RN's scope of practice, so documenting the code in the medical record
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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 `r `r `r
B) Treat clients `r
C) Evaluate treatments `r
D) Understand the reason for the admission and the nature of psychiatric `r `r `r `r `r `r `r `r `r `r
illnesses.Ans: D
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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helpful resource to understand the reason for the admission and to begin building
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knowledge about the nature of psychiatric illnesses. Identifying the medical
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diagnosis,treating, and evaluating 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
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shiftsin care for the mentally ill?
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A) The widespread use of community-based services `r `r `r `r `r
B) The advancement in pharmacotherapies `r `r `r
C) Increased access to hospitalization `r `r `r
D) Improved rights for clients in long-term institutional `r `r `r `r `r `r
careAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
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therelease of individuals from long-term stays in state institutions, the decrease in
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admissions to hospitals, and the development of community-based services as an
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alternative to hospital care.
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8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will. `r `r `r `r `r `r `r `r `r `r `r `r
B) Making it more difficult to commit people for mental health treatment `r `r `r `r `r `r `r `r `r `r
againsttheir will. `r r̀ `r
C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentally ill `r `r `r r̀
persons.Ans: B
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