Test Bank For Psychiatric Mental Health Nursing 9th Edition
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Chapter 1 b
1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following
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bwould the nurse identify as having a positive impact onthe
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individual's mental health?
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A) Not needing others for companionship b b b b
B) The ability to effectively manage stress b b b b b
C) A family history of mental illness b b b b b
D) Striving for total self-reliance b b b
Ans: B
b b
Feedback:
Individual factors influencing mental health include b b b b b
bbiologic makeup, autonomy, independence, self-esteem,
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bcapacity for growth, vitality, ability to find meaning in
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blife,emotional resilience or hardiness, sense of belonging,
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breality orientation, and coping or stress management
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babilities. Interpersonal factors such as intimacy and a
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bbalance of separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for
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bcompanionship. A family history of mental illnesscould relate to the biologic makeup b b b b b b b b b b b
bof an individual, which may have a negative impacton an individual's mental health,
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baswell as a negative impact on an individual's interpersonal and socialñcultural factors
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bofhealth. Total self-reliance is not possible, and a positive social/cultural factor is
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baccess to adequate resources. b b b
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.b b b b b b b b b
B) Mental illness is only due to social/cultural factors. b b b b b b b
C) Social/cultural factors that relate to mental illness include excessive dependency b b b b b b b b b
on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with b b b b b b b b b b b
daily life. b b
E) Individuals suffering from mental illness may experience dissatisfaction with b b b b b b b b
relationships and self.
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Ans: A, D, E b b b
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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billness may be related to individual, interpersonal, or social/cultural factors. Excessive
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bdependency on or withdrawal from relationships are interpersonal factors that relate to
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bmental illness. Individuals suffering from mental illness can feel overwhelmed with
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bdaily life. Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self.
b b b
,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 unacceptable b b b b b b b b b b b b
in other cultures.
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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 behavior
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and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. b b b b b b b
Ans: C
b b
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
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see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
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to define precisely. In most cases, mental health is a state of emotional, psychological,
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band social wellness evidenced by satisfying interpersonal relationships, effective
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bbehavior and coping, positive self-concept, and emotional stability. Persons who
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bengagein fantasies may be mentally healthy, but the inability to distinguish reality from
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bfantasyis 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 ill
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because 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 much
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pain.î b
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î b
C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î b
D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B
b b
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.
b b
,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 assessment
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Ans: D b
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 would
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be inappropriate.
b b
6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis b b b
B) Treat clients b
C) Evaluate treatments b
D) Understand the reason for the admission and the nature of psychiatric illnesses.
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Ans: D b
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 shifts
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in care for the mentally ill?
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A) The widespread use of community-based services
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B) The advancement in pharmacotherapies
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C) Increased access to hospitalization b b b
D) Improved rights for clients in long-term institutional care b b b b b b b
Ans: A
b b
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
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release 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.
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B) Making it more difficult to commit people for mental health treatment against
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their will. b b
C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentally ill persons. b b b b b
Ans: B
b b
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit
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people for mental health treatment against their will. Deinstitutionalization
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accomplished the release of individuals from long-term stays in state institutions.
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Deinstitutionalization also had negative effects in that some mentally ill persons
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aresubjected to the revolving door effect, which may limit care for mentally ill
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persons.
b
9. The goal of the 1963 Community Mental Health Centers Act was to
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A) ensure patients' rights for the mentally ill. b b b b b b
B) deinstitutionalize state hospitals. b b
C) provide funds to build hospitals with psychiatric units. b b b b b b b
D) treat people with mental illness in a humane fashion.
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Ans: B
b b
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
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treating those with mental illness in a less restrictive environment. This legislation
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resulted in the shift of clients with mental illness from large state institutions to
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carebased in the community. Answer choices A, C, and D were not purposes of the
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1963Community Mental Health Centers Act.
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10. The creation of asylums during the 1800s was meant to
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A) improve treatment of mental disorders. b b b b
B) provide food and shelter for the mentally ill. b b b b b b b
C) punish people with mental illness who were believed to be possessed.
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D) remove dangerous people with mental illness from the community. b b b b b b b b
Ans: B
b b
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
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the mentally ill. Asylums were not used to improve treatment of mental disorders or to
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punish mentally ill people who were believed to be possessed. The asylum was not
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bcreated to remove the dangerously mentally ill from the community.
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