Psychiatric-Mental vHealth vNursing v8th vedition vby
vVidebeck vTest vBank. vLATEST vUPDATE v2022
Psychiatric-Mental vHealth vNursing v8th vedition vby vVidebeck vTest vBank
vChapter v1
1. The vnurse vis vassessing vthe vfactors vcontributing vto vthe vwell-being vof va vnewly
vadmitted vclient. vWhich vof vthe vfollowing vwould vthe vnurse videntify vas vhaving va
vpositive vimpact von vthe vindividual's vmental vhealth?
A) Not vneeding vothers vfor vcompanionship
B) The vability vto veffectively vmanage vstress
C) A vfamily vhistory vof vmental villness
D) Striving vfor vtotal vself-
reliance vAns: vB
Feedback:
Individual vfactors vinfluencing vmental vhealth vinclude vbiologic vmakeup, vautonomy,
vindependence, vself-esteem, vcapacity vfor vgrowth, vvitality, vability vto vfind vmeaning
vin vlife, vemotional vresilience vor vhardiness, vsense vof vbelonging, vreality vorientation,
vand vcoping vor vstress vmanagement vabilities. vInterpersonal vfactors vsuch vas
vintimacy vand va vbalance vof vseparateness vand vconnectedness vare vboth vneeded vfor
vgood vmental vhealth, vand vtherefore va vhealthy vperson vwould vneed vothers vfor
vcompanionship. vA vfamily vhistory vof vmental villness vcould vrelate vto vthe vbiologic
vmakeup vof van vindividual, vwhich vmay vhave va vnegative vimpact von van vindividual's
vmental vhealth, vas vwell vas va vnegative vimpact von van vindividual's vinterpersonal vand
vsocialñcultural vfactors vof vhealth. vTotal vself-reliance vis vnot vpossible, vand va
vpositive vsocial/cultural vfactor vis vaccess vto vadequate vresources.
2. Which vof vthe vfollowing vstatements vabout vmental villness vare vtrue? vSelect vall vthat
v apply.
A) Mental villness vcan vcause vsignificant vdistress, vimpaired vfunctioning, vor vboth.
B) Mental villness vis vonly vdue vto vsocial/cultural vfactors.
C) Social/cultural vfactors vthat vrelate vto vmental villness vinclude vexcessive
vdependency von vor vwithdrawal vfrom vrelationships.
D) Individuals vsuffering vfrom vmental villness vare vusually vable vto vcope
veffectively vwith vdaily vlife.
E) Individuals vsuffering vfrom vmental villness vmay vexperience vdissatisfaction
vwith vrelationships vand vself.
Ans: vA, vD, vE
Feedback:
Mental villness vcan vcause vsignificant vdistress, vimpaired vfunctioning, vor vboth.
vMental villness vmay vbe vrelated vto vindividual, vinterpersonal, vor vsocial/cultural
vfactors. vExcessive vdependency von vor vwithdrawal vfrom vrelationships vare
vinterpersonal vfactors vthat vrelate vto vmental villness. vIndividuals vsuffering vfrom
vmental villness vcan vfeel voverwhelmed vwith vdaily vlife. vIndividuals vsuffering vfrom
vmental villness vmay vexperience vdissatisfaction vwith vrelationships vand vself.
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3. Which vof vthe vfollowing vare vtrue vregarding vmental vhealth vand vmental villness?
A) Behavior vthat vmay vbe vviewed vas vacceptable vin vone vculture vis valways
vunacceptable vin vother vcultures.
B) It vis veasy vto vdetermine vif va vperson vis vmentally vhealthy vor vmentally vill.
C) In vmost vcases, vmental vhealth vis va vstate vof vemotional, vpsychological, vand
vsocial vwellness vevidenced vby vsatisfying vinterpersonal vrelationships,
veffective vbehavior vand vcoping, vpositive vself-concept, vand vemotional
vstability.
D) Persons vwho vengage vin vfantasies vare vmentally
vill. vAns: vC
Feedback:
What vone vsociety vmay vview vas vacceptable vand vappropriate vbehavior, vanother
vsociety vmay vsee vthat vas vmaladaptive, vand vinappropriate. vMental vhealth vand vmental
villness vare vdifficult vto vdefine vprecisely. vIn vmost vcases, vmental vhealth vis va vstate
vof vemotional, vpsychological, vand vsocial vwellness vevidenced vby vsatisfying
vinterpersonal vrelationships, veffective vbehavior vand vcoping, vpositive vself-concept,
vand vemotional vstability. vPersons vwho vengage vin vfantasies vmay vbe vmentally
vhealthy, vbut vthe vinability vto vdistinguish vreality vfrom vfantasy vis van vindividual
vfactor vthat vmay vcontribute vto vmental villness.
4. A vclient vgrieving vthe vrecent vloss vof vher vhusband vasks vif vshe vis vbecoming
vmentally vill vbecause vshe vis vso vsad. vThe vnurse's vbest vresponse vwould vbe,
A) ìYou vmay vhave va vtemporary vmental villness vbecause vyou vare vexperiencing vso
vmuch vpain.î
B) ìYou vare vnot vmentally vill. vThis vis van vexpected vreaction vto vthe vloss
vyou vhave vexperienced.î
C) ìWere vyou vgenerally vdissatisfied vwith vyour vrelationship vbefore vyour
vhusband's vdeath?î
D) ìTry vnot vto vworry vabout vthat vright vnow. vYou vnever vknow vwhat vthe vfuture
vbrings.î vAns: vB
Feedback:
Mental villness vincludes vgeneral vdissatisfaction vwith vself, vineffective vrelationships,
vineffective vcoping, vand vlack vof vpersonal vgrowth. vAdditionally vthe vbehavior vmust
vnot vbe vculturally vexpected. vAcute vgrief vreactions vare vexpected vand vtherefore vnot
vconsidered vmental villness. vFalse vreassurance vor voveranalysis vdoes vnot vaccurately
vaddress vthe vclient's vconcerns.
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5. The vnurse vconsults vthe vDSM vfor vwhich vof vthe vfollowing vpurposes?
A) To vdevise va vplan vof vcare vfor va vnewly vadmitted vclient
B) To vpredict vthe vclient's vprognosis vof vtreatment voutcomes
C) To vdocument vthe vappropriate vdiagnostic vcode vin vthe vclient's v medical vrecord
D) To vserve vas va vguide vfor vclient
vassessment vAns: vD
Feedback:
The vDSM vprovides vstandard vnomenclature, vpresents vdefining vcharacteristics, vand
videntifies vunderlying vcauses vof vmental vdisorders. vIt vdoes vnot vprovide vcare vplans
vor vprognostic voutcomes vof vtreatment. vDiagnosis vof vmental villness vis vnot vwithin
vthe vgeneralist vRN's vscope vof vpractice, vso vdocumenting vthe vcode vin vthe vmedical
vrecord vwould vbe vinappropriate.
6. Which vwould vbe va vreason vfor va vstudent vnurse vto vuse vthe vDSM?
A) Identifying vthe vmedical vdiagnosis
B) Treat vclients
C) Evaluate vtreatments
D) Understand vthe vreason vfor vthe vadmission vand vthe vnature vof vpsychiatric
villnesses. vAns: vD
Feedback:
Although vstudent vnurses vdo vnot vuse vthe vDSM vto vdiagnose vclients, vthey vwill vfind
vit va vhelpful vresource vto vunderstand vthe vreason vfor vthe vadmission vand vto vbegin
vbuilding vknowledge vabout vthe vnature vof vpsychiatric villnesses. vIdentifying vthe
vmedical vdiagnosis, vtreating, vand vevaluating vtreatments vare vnot va vpart vof vthe
vnursing vprocess.
7. The vlegislation venacted vin v1963 vwas vlargely vresponsible vfor vwhich vof vthe
vfollowing vshifts vin vcare vfor vthe vmentally vill?
A) The vwidespread vuse vof vcommunity-based vservices
B) The vadvancement vin vpharmacotherapies
C) Increased vaccess vto vhospitalization
D) Improved vrights vfor vclients vin vlong-term vinstitutional
vcare vAns: vA
Feedback:
The vCommunity vMental vHealth vCenters vConstruction vAct vof v1963 vaccomplished
vthe vrelease vof vindividuals vfrom vlong-term vstays vin vstate vinstitutions, vthe vdecrease
vin vadmissions vto vhospitals, vand vthe vdevelopment vof vcommunity-based vservices vas
van valternative vto vhospital vcare.
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8. Which vone vof vthe vfollowing vis va vresult vof vfederal vlegislation?
A) Making vit veasier vto vcommit vpeople vfor vmental vhealth vtreatment vagainst vtheir
vwill.
B) Making vit vmore vdifficult vto vcommit vpeople vfor vmental vhealth vtreatment
vagainst vtheir vwill.
C) State vmental vinstitutions vbeing vthe vprimary vsource vof vcare vfor vmentally vill
vpersons.
D) Improved vcare vfor vmentally vill
vpersons. vAns: vB
Feedback:
Commitment vlaws vchanged vin vthe vearly v1970s, vmaking vit vmore vdifficult vto
vcommit vpeople vfor vmental vhealth vtreatment vagainst vtheir vwill.
vDeinstitutionalization vaccomplished vthe vrelease vof vindividuals vfrom vlong-term
vstays vin vstate vinstitutions. vDeinstitutionalization valso vhad vnegative veffects vin vthat
vsome vmentally vill vpersons vare vsubjected vto vthe vrevolving vdoor veffect, vwhich vmay
vlimit vcare vfor vmentally vill vpersons.
9. The vgoal vof vthe v1963 vCommunity vMental vHealth vCenters vAct vwas vto
A) ensure vpatients' vrights vfor vthe vmentally vill.
B) deinstitutionalize vstate vhospitals.
C) provide vfunds vto vbuild vhospitals vwith vpsychiatric vunits.
D) treat vpeople vwith vmental villness vin va vhumane
vfashion. vAns: vB
Feedback:
The v1963 vCommunity vMental vHealth vCenters vAct vintimated vthe vmovement
vtoward vtreating vthose vwith vmental villness vin va vless vrestrictive venvironment. vThis
vlegislation vresulted vin vthe vshift vof vclients vwith vmental villness vfrom vlarge vstate
vinstitutions vto vcare vbased vin vthe vcommunity. vAnswer vchoices vA, vC, vand vD vwere
vnot vpurposes vof vthe v1963 vCommunity vMental vHealth vCenters vAct.
10. The vcreation vof vasylums vduring vthe v1800s vwas vmeant vto
A) improve vtreatment vof vmental vdisorders.
B) provide vfood vand vshelter vfor vthe vmentally vill.
C) punish vpeople vwith vmental villness vwho vwere vbelieved vto vbe vpossessed.
D) remove vdangerous vpeople vwith vmental villness vfrom vthe
vcommunity. vAns: vB
Feedback:
The vasylum vwas vmeant vto vbe va vsafe vhaven vwith vfood, vshelter, vand vhumane
vtreatment vfor vthe vmentally vill. vAsylums vwere vnot vused vto vimprove vtreatment vof
vmental vdisorders vor vto vpunish vmentally vill vpeople vwho vwere vbelieved vto vbe
vpossessed. vThe vasylum vwas vnot vcreated vto vremove vthe vdangerously vmentally vill
vfrom vthe vcommunity.
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