TEST BANK For Psychiatric Mental Health Nursing,
9th Edition by Sheila L. Videbeck | Verified
Chapter\\\\\\\'s 1 - 24 | Complete
,
,Chapter 1, Foundations ofPsychiatric–Mental Health Nursing
1. The registered nurse is assessing a newly admitted patient with cholecystitis.
When performing the admission assessment, which statement by the patient is an
indicator of optimal mental health?
A. “I don’t need anyone in my life, I manage well on my own.”
B. “I practice yoga regularly since it helps manage any stress I am feeling.”
C. “My family has several people with mental health problems.”
D. “I had a history of alcohol use disorder and have been sober for 2 months.”
Answer: B
Rationale: Individual factors influencing mental health include coping or stress
management abilities. Interpersonal factors such as intimacy and a balance of
separateness and connectedness are both needed for good mental health, and
therefore a healthy person would need others for companionship. A family history
of mental illness could relate to the biologic makeup of an individual, which may
have a negative impact on an individual’s mental health. A recent history of the use
of maladaptive coping mechanisms such as alcohol does not indicate that the
patient is mentally healthy.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Apply
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness,
2. The registered nurse is performing an admission assessment for a patient
admitted to the behavioral health unit. Which social/cultural category will the
registered nurse document that
,may be contributing to the patient’s degree of mental illness? Select all that apply.
A. The patient is unable to find work and does not have enough money for housing.
B. The patient states that they are discriminated against due to their country
of origin.
C. The patient attributes life’s problems to being without family support.
D. The patient reports being unable to find anything meaningful within their life.
E. The patient reports not belonging anywhere and is without family support.
Answer: A, B
Rationale: Social or cultural categories relate to a lack of resources, poverty,
negative view of the world, and discrimination and may result in isolation and
violent or criminal behavior. The patient that attributes life’s problems to being
without family support is not able to find meaning in life. Being without support is
interpersonal determinant of mental illness.
Question format: Multiple Select
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Analyze
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Learning Objective: 1
Reference: p. 2, Mental Illness
3. A patient grieving the recent loss of a spouse, asks, “Am I becoming mentally ill?
I feel so sad” Which is the registered nurse’s best response?
A. “You may have a temporary mental illness because you are experiencing so
much pain.”
B. “You are not mentally ill. This is an expected reaction to the loss you have
experienced.”
C. “Were you generally dissatisfied with your relationship before your husband’s
death?”
D. “Try not to worry about that right now. You never know what the future brings.”
,
,Answer: B
Rationale: Acute grief reactions are expected and therefore not considered mental
illness. Downplaying the patient’s grief does not appropriately address the
patient’s concerns. The quality of the relationship does not determine the presence
of absence of mental illness.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Apply
Patient Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Learning Objective: 1
Reference: p. 2, Mental Health and Mental Illness
4. The registered nurse is using the DSM-5-TR for a newly admitted patient
diagnosed with bipolar I disorder. Which information will the registered nurse
obtain to assist with the use of this resource?
A. Devise a plan of care for a newly admitted patient
B. Predict the patient’s prognosis of treatment outcomes
C. Document the appropriate diagnostic code in the patient’s medical record
D. Use as a guide for patient assessment
Answer: D
Rationale: The DSM-5-TR provides standard nomenclature, presents defining
characteristics, and identifies underlying causes of mental disorders. It does not
provide care plans or prognostic outcomes of treatment. The DSM-5-TR does not
provide coding for record-keeping or billing purposes.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Apply
Patient Needs: Safe and Effective Care Environment: Management of Care
,Integrated Process: Communication and Documentation
Learning Objective: 2
Reference: p. 2, Mental Illness
5. A patient with the inability to work due to relapsing schizophrenia is receiving
Social Security Benefits. Which benefit will this provide to the patient
experiencing serious mental illness?
A. The patient will be able to maintain some level of independence financially.
B. The patient will have the option to only obtain inpatient treatment.
C. The patient will be able to pay all of their bills as well as purchase medication.
D. The patient will have the ability to obtain psychiatric service regardless of setting.
Answer: A
Rationale: Federal legislation was passed to provide an income for disabled
persons: supplemental security income (SSI) and Social Security disability income
(SSDI). This allowed people with severe and persistent mental illness to be more
independent financially and to not rely on family for money. This does not prevent
the patient in acute crisis from a relapse from being admitted to the inpatient
setting if they are at risk of harm to self or others. Social security is limited and the
patient may still have some degree of financial difficulty. The patient may be
limited to state owned facilities and not be able to seek treatment at a private
facility. This does not dictate to the patient the level of care offered to the patient.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Apply
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Learning Objective: 3
Reference: p. 4, Development of Psychopharmacology
,6. The registered nurse working in the ED of an urban hospital notifies the manager
that there are several patients with mental health disorders still present in the ED
that have been there over 48 hours. Which issue related to this phenomenon does
the registered nurse discuss with the manager?
A. Temporary detaining orders for patients
B. Decision to practice boarding
C. The revolving door for patients
D. The cost of holding patients in the ED for over 48 hours
Answer: B
Rationale: The practice of boarding is frustrating to health care personnel in EDs
since it may interfere with the acute care and emergencies that are required in that
setting. Patients become dissatisfied with care, and their families feel as though
patients are not receiving the care needed to move through the crisis and some
believe an increase in suicide. Provision of an adequate number of psychiatric
inpatient beds could better meet the needs of patients and might even decrease
homelessness, incarceration, and violence. The revolving door phenomenon is the
increase in short-stay admissions repeatedly. Having to obtain a temporary
detaining order improves the transition into inpatient care. Cost is not the
immediate issue of the registered nurse.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Apply
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Communication and Documentation
Learning Objective: 4
Reference: p. 3–4, Mental Illness in the 21st Century
7. The registered nurse is working in an inpatient mental health facility and caring
for several patients. Which patient is most likely to experience the revolving door
phenomenon?
A. A patient living with both parents that adheres to prescribed medication regimen
, B. A patient with a dual diagnosis of heroin use disorder and bipolar I disorder
C. A patient that has depression on antidepressants receiving
electroconvulsive therapy.
D. A patient with an acute situational crisis due to a natural disaster
Answer: B
Rationale: A patient with a dual diagnosis including a substance use disorder and a
mood disorder is most likely to continue to require inpatient services. Many people
have a dual problem of both severe mental illness and a substance use disorder.
Use of alcohol and drugs exacerbates symptoms of mental illness, again making
rehospitalization more likely. Substance use disorders cannot be dealt within 3 to 5
days typical for admissions in the current managed care environment. A patient
adhering to a medication regiment and having family support will not likely require
readmission frequently. A patient with depression and receiving electroconvulsive
therapy may receive this on an outpatient basis and not require admission. An
acute situational crisis will pass over a period of time with appropriate cognitive
behavioral therapy that is used on an outpatient basis.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Analyze
Patient Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Learning Objective: 4
Reference: p. 4, Revolving Door
8. The registered nurse is caring for patients in an outpatient facility for those that
have persistent or severe mental health disorders. Which factor(s) does the
registered nurse assess that indicates the outcome of nontreatment of this patient
population? Select all that apply.
A. Seeking assistance from other mental health providers
B. Criminal behavior and incarceration
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