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lOM oA R c P S D| 11 70 059 1

TEST BANK FOR `!`r `!`r

Psychiatric–Mental Health Nursing 9th Edition by Sheila `!`r `!`r `!`r `!`r `!`r `!`r

L.Videbeck
`!`r `!r̀

All Chapters (1-24)
`!`r `!`r

Table Of Contents `!`r `!`r

, lOM oA R c P S D| 11 70 059 1

UNIT 1 Current Theories and Practice
` ! ` r ` ! ` r ` ! ` r ` ! ` r ` ! ` r

Chapter 1. Foundations of Psychiatric–Mental Health
`! ` r `!`r `!`r `!`r `!`r

Nursing Chapter 2.
`!`r Neurobiologic Theories and
`!`r `!`r ` ! ` r `!`r `!`r `!`r

Psychopharmacology Chapter 3. Psychosocial Theories
`!` r `!`r `!`r `!`r `!`r

and Therapy
`!`r `!`r

Chapter 4. Treatment Settings
`!`r and Therapeutic ` ! ` r `!`r ` ! ` r ` ! ` r

Programs UNIT
`!` r 2 Building the Nurse–
`!`r ` ! ` r ` ! ` r ` ! ` r ` ! ` r

Client Relationship Chapter 5. Therapeutic
` ! ` r `!`r `!`r `!`r

Relationships
`!`r

Chapter 6. Therapeutic Communication
`!`r `!`r `!`r

Chapter 7. Client’s Response to Illness
`!`r `!`r `!`r `!`r `!`r `!`r

Chapter 8. Assessment
`!`r `!`r `!`r

UNIT 3 Current Social
` ! ` r and Emotional Concerns
` ! ` r ` ! ` r ` ! ` r ` ! ` r ` ! ` r

Chapter 9. Legal and Ethical ` ! ` r ` ! ` r ` ! ` r ` ! ` r

IssuesChapter 10. Grief and Loss
` ! ` r `!r̀ `!`r `!`r `!`r `! `r

Chapter 11. Anger, Hostility, and
` ! ` r `!`r ` ! ` r `!`r

AggressionChapter 12. Abuse and
`!`r `!r̀ `!`r `!`r `!`r

Violence
` ! ` r

UNIT 4 Nursing Practice for Psychiatric
`!`r `!`r `!`r `!`r `!`r

DisordersChapter 13. Trauma and Stressor-Related
`!`r `!r̀ `!`r `!`r `!`r `!`r

Disorders Chapter 14. Anxiety and Anxiety
`!`r `!`r `!`r ` ! ` r `!`r ` ! ` r

Disorders
`! ` r

Chapter 15. Obsessive–Compulsive and Related Disorders
`!`r `!`r `!`r `!`r `!`r

Chapter 16. Schizophrenia
`!`r `!`r `!`r

Chapter 17. Mood Disorders and
`!`r `!`r `!`r `!`r

SuicideChapter
`!`r 18. Personality
`!r̀ ` ! ` r ` ! ` r

` Disorders Chapter 19. Addiction
! ` r `!`r `!`r `!`r

Chapter 20. Eating Disorders` ! ` r ` ! ` r ` ! ` r

Chapter 21. Somatic Symptom Illnesses
`!`r `!`r `!`r `!`r

Chapter 22. Neurodevelopmental
`!`r `!`r ` ! ` r

Disorders Chapter
`!`r 23. Disruptive `!`r ` ! ` r `!`r

Behavior Disorders Chapter 24. Cognitive
`!`r `!`r `!`r `!`r `!`r

Disorders
` ! ` r

Chapter 1 `!`r

1. The nurse is assessing the factors contributing to the well-being of a newly
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

admitted client. Which of the following would the nurse identify as having a
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

positive impact onthe individual's mental health?
`!`r `!`r `!`r `!r̀ `!`r `!`r `!`r

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
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

life, emotional resilience or hardiness, sense of belonging, reality orientation, and
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

coping or stress management abilities. Interpersonal factors such as intimacy and a
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

balance of separateness and connectedness are both needed for good mental health,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

and therefore a
`!`r `!`r `!`r

, lOM oA R c P S D| 11 70 059 1

healthy person would need others for companionship. A family history of mental
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

illnesscould relate to the biologic makeup of an individual, which may have a
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

negative impacton an individual's mental health, as well as a negative impact on
`!`r `!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

an individual's interpersonal and socialñcultural factors of health. Total self-
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

reliance is not possible, and a positive social/cultural factor is access to adequate
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

resources.
`!`r

2. Which of the following statements about mental illness are true? Select all that apply.
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

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.
`!`r `!r̀ `!`r `!`r `!`r `!`r

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
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

illness may be related to individual, interpersonal, or social/cultural factors.
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

Excessive dependency on or withdrawal from relationships are interpersonal
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

factors that relate to mental illness. Individuals suffering from mental illness can
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

feel overwhelmed with daily life. Individuals suffering from mental illness may
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

experience dissatisfaction withrelationships and self.
`!`r `!`r `!`r `!r̀ `!`r `!`r

3. Which of the following are true regarding mental health and mental illness?
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

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.
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

C) In most cases, mental health is a state of emotional, psychological, and
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

social wellness evidenced by satisfying interpersonal relationships,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r

effective behaviorand coping, positive self-concept, and emotional stability.
`!`r `!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r

D) Persons who engage in fantasies are mentally `!`r `!`r `!`r `!`r `!`r `!`r

ill.Ans: C
`!`r `!r̀ `!` r

Feedback:
What one society may view as acceptable and appropriate behavior, another society
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

maysee that as maladaptive, and inappropriate. Mental health and mental illness are
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

difficult to define precisely. In most cases, mental health is a state of emotional,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

psychological, and social wellness evidenced by satisfying interpersonal
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

relationships, effective behavior and coping, positive self-concept, and emotional
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

stability. Persons who engagein fantasies may be mentally healthy, but the inability
`!`r `!`r `!`r `!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

to distinguish reality from fantasy is an individual factor that may contribute to
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

mental illness.
`!`r `!`r

4. A client grieving the recent loss of her husband asks if she is becoming
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

mentally illbecause she is so sad. The nurse's best response would be,
`!`r `!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

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
`!`r `!r̀ ` !`r

Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

ineffective coping, and lack of personal growth. Additionally the behavior must not be
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

, lOM oA R c P S D| 11 70 059 1

culturally expected. Acute grief reactions are expected and therefore not considered
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

mental illness. False reassurance or overanalysis does not accurately address the
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

client'sconcerns.
`!`r `!r̀

5. The nurse consults the DSM for which of the following purposes?
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

A) To devise a plan of care for a newly admitted client `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

B) To predict the client's prognosis of treatment outcomes `!`r `!`r `!`r `!`r `!`r `!`r `!`r

C) To document the appropriate diagnostic code in the client's medical record
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

D) To serve as a guide for client `!`r `!`r `!`r `!`r `!`r `!`r

assessmentAns: D
`!`r `!r̀ `! `r

Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

identifies underlying causes of mental disorders. It does not provide care plans or
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

prognostic outcomes of treatment. Diagnosis of mental illness is not within the
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

generalist RN's scope of practice, so documenting the code in the medical record
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

wouldbe inappropriate.
`!`r `!r̀ `!`r

6. Which would be a reason for a student nurse to use the DSM?
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

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
`!`r `!r̀ `!`r

Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

a helpful resource to understand the reason for the admission and to begin
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

building knowledge about the nature of psychiatric illnesses. Identifying the medical
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

diagnosis,treating, and evaluating treatments are not a part of the nursing process.
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

7. The legislation enacted in 1963 was largely responsible for which of the following
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

shiftsin care for the mentally ill?
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r

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
`!`r `!r̀ `! `r

Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

therelease of individuals from long-term stays in state institutions, the decrease
`!`r `!r̀ `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

in admissions to hospitals, and the development of community-based services
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

as an alternative to hospital care.
`!`r `!`r `!`r `!`r `!`r `!`r

8. Which one of the following is a result of federal legislation?
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

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.
`!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r `!`r

D) Improved care for mentally ill `!`r `!`r `!`r `!r̀

persons.Ans: B
`!`r `!r̀ `! `r

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TEST BANK For: Psychiatric Mental Health Nursing, 9th Edition by Sheila L. Videbeck, 9781975184773 Chapters 1 - 24 Complete study Guide grade A+

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