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PSYCHIATRIC-MENTAL HEALTH NURSING 9TH EDITION BY VIDEBECK TEST BANK
PSYCHIATRIC-MENTAL HEALTH NURSING 9TH EDITION BY VIDEBECK TEST BANK
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7/13/23,51:335PM Psychiatric5mental5health5nursing58th5edition5by5videbeck5test5bank[51389]Psychiatric-Mental5 Health5 Nursing5 9th5 edition5 by5Videbeck5 Test5 Bank
Chapter51
1. The5 nurse5 is5 assessing5 the5 factors5 contributing5 to5 the5 well-
being5 of5 a5 newly5 admitted5client.5 Which5 of5 the5 following5 would5 the5 nurse5 identify5 as
5 having5 a5 positive5 impact5 on5the5 individual's5 mental5 health?
A) Not5 needing5 others5 for5 companionship
B) The5 ability5 to5 effectively5 manage5stress
C) A5 family5 history5 of5 mental5 illness
D) Striving5 for5total5self-
reliance5Ans:5 B
Feedback:
Individual5 factors5 influencing5 mental5 health5 include5biologic5 makeup,5autonomy,5indep
endence,5 self-
esteem,5 capacity5 for5 growth,5 vitality,5 ability5 to5 find5 meaning5 in5 life,5emotional5 resilienc
e5 or5 hardiness,5 sense5of5 belonging,5 reality5 orientation,5 and5 coping5 or5stress5 managemen
t5abilities.5 Interpersonal5 factors5such5 as5intimacy5and5 a5balance5of5separateness5 and5 con
nectedness5 are5 both5 needed5 for5 good5 mental5 health,5 and5 therefore5 a5healthy5 person5 wou
ld5 need5 others5 for5 companionship.5 A5 family5 history5 of5 mental5 illness5could5 relate5 to5 the
5 biologic5 makeup5 of5 an5 individual,5 which5 may5 have5 a5 negative5 impact5on5 an5 individual'
s5 mental5 health,5as5well5as5a5negative5 impact5on5an5 individual's5interpersonal5 and5 social
ñcultural5 factors5 of5 health.5 Total5 self-
reliance5 is5 not5 possible,5and5a5positive5social/cultural5factor5is5access5to5adequate5resour
ces.
2. Which5 of5 the5 following5 statements5about5 mental5 illness5 are5true?5Select5 all5 that5 apply.
A) Mental5 illness5 can5 cause5 significant5 distress,5 impaired5 functioning,5 or5 both.
B) Mental5 illness5is5 only5 due5to5 social/cultural5 factors.
C) Social/cultural5 factors5 that5 relate5 to5 mental5 illness5 include5 excessive5 dependenc
y5on5or5withdrawal5from5relationships.
D) Individuals5 suffering5 from5 mental5 illness5 are5 usually5 able5 to5 cope5 effectively5 wit
h5daily5life.
E) Individuals5 suffering5 from5 mental5 illness5 may5 experience5 dissatisfaction5 wit
h5relationships5and5self.
Ans:5 A,5D,5E
Feedback:
Mental5 illness5 can5cause5 significant5 distress,5impaired5 functioning,5 or5both.5 Mental5illn
ess5 may5 be5 related5 to5 individual,5 interpersonal,5 or5 social/cultural5 factors.5 Excessive5de
pendency5 on5 or5 withdrawal5 from5 relationships5 are5 interpersonal5 factors5 that5 relate5 to5m
ental5 illness.5 Individuals5 suffering5 from5 mental5 illness5 can5 feel5 overwhelmed5 with5dail
y5 life.5 Individuals5 suffering5 from5 mental5 illness5 may5 experience5 dissatisfaction5 with5rel
ationships5and5self.
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,7/13/23,51:335PM Psychiatric5mental5health5nursing58th5edition5by5videbeck5test5bank[51389]
3. Which5 of5 the5 following5 are5 true5 regarding5 mental5 health5 and5 mental5 illness?
A) Behavior5 that5 may5 be5 viewed5 as5 acceptable5 in5 one5 culture5 is5 always5 unacceptabl
e5in5other5cultures.
B) It5 is5easy5 to5determine5 if5a5 person5 is5 mentally5 healthy5or5 mentally5 ill.
C) In5 most5 cases,5mental5 health5 is5 a5 state5of5 emotional,5psychological,5 and5 social5
wellness5 evidenced5 by5 satisfying5 interpersonal5 relationships,5 effective5 behavio
r5and5coping, 5positive5self-concept,5and5emotional5stability.
D) Persons5 who5engage5 in5 fantasies5are5 mentally5 ill
.5Ans:5 C
Feedback:
What5 one5 society5 may5 view5 as5 acceptable5 and5 appropriate5 behavior,5 another5 society5 ma
y5see5 that5 as5 maladaptive,5 and5 inappropriate.5 Mental5 health5 and5 mental5 illness5 are5 diffic
ult5to5define5 precisely.5 In5 most5 cases,5 mental5 health5 is5 a5state5 of5 emotional,5 psychologic
al,5and5 social5 wellness5 evidenced5 by5 satisfying5 interpersonal5 relationships,5 effective5beh
avior5 and5 coping,5 positive5 self-
concept,5 and5 emotional5 stability.5 Persons5 who5 engage5in5 fantasies5 may5 be5 mentally5 heal
thy,5 but5 the5 inability5 to5 distinguish5 reality5 from5 fantasy5is5an5individual5factor5that5may5
contribute5to5mental5illness.
4. A5 client5 grieving5 the5 recent5 loss5 of5 her5 husband5 asks5 if5 she5 is5 becoming5 mentally5 i
ll5because5she5is5so5sad.5The5nurse's5best5response5would5be,
A) ìYou5 may5 have5 a5 temporary5 mental5 illness5 because5 you5 are5 experiencing5 so5 muc
h5pain.î
B) ìYou5are5 not5 mentally5 ill.5 This5 is5 an5 expected5 reaction5 to5 the5 loss5 you5 hav
e5experienced.î
C) ìWere5 you5 generally5 dissatisfied5 with5 your5 relationship5 before5 your5 husband'
s5death?î
D) ìTry5 not5 to5 worry5 about5 that5 right5 now.5 You5 never5 know5 what5 the5 future5 brings
.î5Ans:5 B
Feedback:
Mental5 illness5 includes5 general5dissatisfaction5 with5self,5 ineffective5relationships,5ineffe
ctive5 coping,5 and5 lack5 of5 personal5 growth.5 Additionally5 the5 behavior5 must5 not5 be5cultur
ally5 expected.5 Acute5 grief5 reactions5 are5expected5 and5 therefore5 not5 considered5mental5 il
lness.5 False5 reassurance5 or5 overanalysis5 does5 not5 accurately5 address5 the5 client's5concern
s.
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5. The5 nurse5 consults5 the5 DSM5 for5 which5 of5 the5 following5 purposes?
A) To5devise5a5 plan5of5 care5 for5 a5 newly5admitted5 client
B) To5 predict5 the5 client's5 prognosis5 of5 treatment5 outcomes
C) To5 document5 the5 appropriate5 diagnostic5 code5 in5 the5 client's5 medical5 record
D) To5serve5as5a5guide5for5client5assessmen
t5Ans:5 D
Feedback:
The5DSM5provides5standard5 nomenclature,5presents5defining5 characteristics,5and5identi
fies5underlying5causes5of5 mental5disorders.5It5does5not5provide5care5plans5or5prognostic
5 outcomes5 of5 treatment.5 Diagnosis5 of5 mental5 illness5 is5 not5 within5 the5 generalist5 RN's5 sc
ope5 of5 practice,5 so5 documenting5 the5 code5 in5 the5 medical5 record5 would5be5inappropriate.
6. Which5 would5be5a5reason5 for5a5 student5 nurse5to5use5the5 DSM?
A) Identifying5 the5 medical5 diagnosis
B) Treat5 clients
C) Evaluate5 treatments
D) Understand5 the5 reason5 for5 the5 admission5 and5 the5 nature5 of5 psychiatric5 illnesses
.5Ans:5 D
Feedback:
Although5student5 nurses5do5 not5 use5the5DSM5to5diagnose5clients,5they5will5 find5 it5a5hel
pful5resource5to5 understand5the5 reason5 for5the5admission5and5to5begin5building5knowle
dge5 about5 the5 nature5 of5 psychiatric5 illnesses.5 Identifying5 the5 medical5 diagnosis,5treating
,5and5evaluating5treatments5are5not5a5part5of5the5nursing5process.
7. The5 legislation5 enacted5 in5 19635 was5 largely5 responsible5 for5 which5 of5 the5 following5 shift
s5in5care5for5the5mentally5ill?
A) The5 widespread5 use5 of5community-based5 services
B) The5 advancement5 in5 pharmacotherapies
C) Increased5 access5 to5 hospitalization
D) Improved5 rights5 for5 clients5 in5 long-
term5 institutional5 care5Ans:5 A
Feedback:
The5 Community5 Mental5 Health5 Centers5 Construction5 Act5 of5 19635 accomplished5 the5rel
ease5of5 individuals5 from5 long-
term5stays5 in5state5 institutions,5the5decrease5 in5admissions5 to5 hospitals,5 and5 the5 develop
ment5 of5 community-based5 services5 as5 an5alternative5to5hospital5care.
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8. Which5 one5 of5 the5 following5 is5 a5 result5of5 federal5 legislation?
A) Making5 it5 easier5 to5 commit5 people5 for5 mental5 health5 treatment5 against5 their5 will.
B) Making5 it5 more5 difficult5 to5 commit5 people5 for5 mental5 health5 treatment5 agains
t5their5will.
C) State5 mental5 institutions5 being5 the5 primary5source5 of5 care5 for5 mentally5 ill5 persons.
D) Improved5care5 for5 mentally5 ill5persons
.5Ans:5 B
Feedback:
Commitment5 laws5 changed5 in5 the5 early5 1970s,5 making5 it5 more5 difficult5 to5 commit5
people5for5 mental5health5treatment5against5 their5will.5Deinstitutionalization5accompl
ished5 the5 release5 of5 individuals5 from5 long-
term5 stays5 in5 state5 institutions.5Deinstitutionalization5 also5 had5 negative5 effects5 in5 th
at5 some5 mentally5 ill5 persons5 are5subjected5 to5 the5 revolving5 door5 effect,5 which5 may5 l
imit5 care5 for5 mentally5 ill5 persons.
9. The5 goal5 of5 the5 19635 Community5 Mental5 Health5Centers5 Act5 was5to
A) ensure5 patients'5 rights5 for5 the5 mentally5 ill.
B) deinstitutionalize5 state5 hospitals.
C) provide5 funds5 to5 build5 hospitals5 with5 psychiatric5 units.
D) treat5people5with5 mental5 illness5 in5a5 humane5 fashion
.5Ans:5 B
Feedback:
The5 19635 Community5 Mental5 Health5 Centers5 Act5 intimated5 the5 movement5 toward5tr
eating5 those5 with5 mental5 illness5 in5 a5 less5 restrictive5 environment.5 This5 legislation5re
sulted5 in5 the5 shift5 of5 clients5 with5 mental5 illness5 from5 large5 state5 institutions5 to5 care5
based5 in5 the5 community.5 Answer5 choices5 A,5 C,5 and5 D5 were5 not5 purposes5 of5 the5 196
35Community5Mental5Health5Centers5Act.
10. The5 creation5 of5 asylums5 during5 the5 1800s5 was5 meant5 to
A) improve5 treatment5 of5 mental5 disorders.
B) provide5 food5 and5 shelter5 for5 the5mentally5 ill.
C) punish5 people5 with5 mental5 illness5 who5 were5 believed5 to5 be5 possessed.
D) remove5 dangerous5 people5 with5 mental5 illness5 from5 the5 community
.5Ans:5 B
Feedback:
The5 asylum5 was5 meant5 to5 be5 a5 safe5 haven5 with5 food,5 shelter,5 and5 humane5 treatment5 f
or5the5 mentally5 ill.5 Asylums5 were5 not5 used5 to5 improve5 treatment5 of5 mental5 disorders5 o
r5 to5punish5 mentally5 ill5people5 who5were5believed5 to5be5possessed.5The5asylum5was5 no
t5created5to5remove5the5dangerously5 mentally5 ill5from5 the5community.
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