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Test Bank For Psychiatric Mental Health Nursing, 9th Edition by Sheila L. Videbeck All Chapters 1-24 LATEST
Test Bank For Psychiatric Mental Health Nursing, 9th Edition by Sheila L. Videbeck All Chapters 1-24 LATEST
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Test Bank For Psychiatric Mental Health Nursing 9th Editionoo oo oo oo oo oo oo oo
Chapter 1 oo
1. The nurse is assessing the factors contributing to the
oo oo oo oo oo oo oo oo
well-being of a newly admitted client. Which of the
oo o oo oo oo oo oo oo oo oo
following would the nurse identify as having a
oo oo oo oo oo oo oo oo
positive impact ontheindividual's mental health?
oo oo oo o oo oo
A) Not needing others for companionship oo oo oo oo
B) The ability to effectively manage stress
oo oo oo oo oo
C) A family history of mental illness
oo oo oo oo oo
D) Striving for total self- oo oo oo
relianceAns: B o o o
Feedback:
Individual factors influencing mental health include
oo oo oo oo oo
biologic makeup, autonomy, independence, self-esteem,
oo oo oo oo oo
capacity for growth, vitality, ability to find meaning in
oo oo oo oo oo oo oo oo oo
life,emotional resilience or hardiness, sense of
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belonging, reality orientation, and coping or stress
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management abilities. Interpersonal factors such as
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intimacy and a balance of separateness and
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connectedness are both needed
oo oo oo oo
for good mental health, and therefore ahealthy person would need others for
oo oo oo oo oo oo oo oo oo oo oo
companionship. A family history of mental illnesscould relate to the biologic
oo oo oo oo oo oo oo oo oo oo oo
makeup of an individual, which may have a negative impacton an individual's
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mental health, aswell as a negative impact on an individual's interpersonal and
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socialñcultural factors ofhealth. Total self-reliance is not possible, and a positive
oo oo oo o oo oo oo oo oo oo oo oo
social/cultural factor is access to adequate resources.
oo oo oo oo oo oo oo
2. Which of the following statements about mental illness are true? Select all that apply.
oo oo oo oo oo oo oo oo oo oo oo oo oo
A) Mental illness can cause significant distress, impaired functioning, or both.
oo oo oo oo oo oo oo oo oo
B) Mental illness is only due to social/cultural factors.
oo oo oo oo oo oo oo
C) Social/cultural factors that relate to mental illness include excessive oo oo oo oo oo oo oo oo
dependencyon or withdrawal from relationships.
oo o oo oo oo oo
D) Individuals suffering from mental illness are usually able to cope effectively
oo oo oo oo oo oo oo oo oo oo
withdaily life.
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E) Individuals suffering from mental illness may experience dissatisfaction oo oo oo oo oo oo oo
withrelationships and self.
oo o oo oo
Ans: A, D, E oo oo oo
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
oo oo oo oo oo oo oo oo oo oo
illness may be related to individual, interpersonal, or social/cultural factors.
oo oo oo oo oo oo oo oo oo oo
Excessive dependency on or withdrawal from relationships are interpersonal
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factors that relate to mental illness. Individuals suffering from mental illness can
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feel overwhelmed with daily life. Individuals suffering from mental illness may
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experience dissatisfaction withrelationships and self.
oo oo oo o oo oo
,3. Which of the following are true regarding mental health and mental illness?
oo oo oo oo oo oo oo oo oo oo oo
A) Behavior that may be viewed as acceptable in one culture is always oo oo oo oo oo oo oo oo oo oo oo
unacceptablein other cultures.
oo o oo oo
B) It is easy to determine if a person is mentally healthy or mentally ill.
oo oo oo oo oo oo oo oo oo oo oo oo oo
C) In most cases, mental health is a state of emotional, psychological, and
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social wellness evidenced by satisfying interpersonal relationships, effective
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behaviorand coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally oo oo oo oo oo oo
ill.Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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maysee that as maladaptive, and inappropriate. Mental health and mental illness
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are difficultto define precisely. In most cases, mental health is a state of
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emotional, psychological, and social wellness evidenced by satisfying interpersonal
oo oo oo oo oo oo oo oo oo
relationships, effective behavior and coping, positive self-concept, and emotional
oo oo oo oo oo oo oo oo oo
stability. Persons who engagein fantasies may be mentally healthy, but the
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inability to distinguish reality from fantasyis an individual factor that may
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contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming
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mentally illbecause 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
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muchpain.î oo o
B) ìYou are not mentally ill. This is an expected reaction to the loss you
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haveexperienced.îoo o
C) ìWere you generally dissatisfied with your relationship before your
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husband'sdeath?î oo o
D) ìTry not to worry about that right now. You never know what the future
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brings.îAns: B
oo o o o
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
oo oo oo oo oo oo oo oo
ineffective coping, and lack of personal growth. Additionally the behavior must
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not be culturally expected. Acute grief reactions are expected and therefore not
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considered mental illness. False reassurance or overanalysis does not accurately
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address the client'sconcerns.
oo oo oo o
,5. The nurse consults the DSM for which of the following
o o oo oo oo oo oo oo oo oo oo
purposes?
oo A) To devise a plan of care for a newly admitted client
oo oo oo oo oo oo oo oo oo oo
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
oo oo oo oo oo oo oo oo oo
recordTo
oo D)serve as a guide for client
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Ans: Dassessment oo oo
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
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wouldbe inappropriate.
oo o oo
6. Which would be a reason for a student nurse to use the
o o oo oo oo oo oo oo oo oo oo oo oo
ooA) Identifying the medical diagnosis
DSM? oo oo oo
B) Treat clients oo
C) Evaluate
treatments
oo D)
Understand the reason for the admission and the nature of psychiatric
o oo oo oo oo oo oo oo oo oo oo
Ans: Dillnesses. oo oo
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find
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it a helpful resource to understand the reason for the admission and to begin
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building knowledge about the nature of psychiatric illnesses. Identifying the
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medical diagnosis,treating, and evaluating treatments are not a part of the
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nursing process.
oo oo
7. The legislation enacted in 1963 was largely responsible for which of the following
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shiftsin 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 oo oo oo
D) Improved rights for clients in long-term institutional oo oo oo oo oo oo
careAns: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished
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therelease of individuals from long-term stays in state institutions, the
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decrease in admissions to hospitals, and the development of community-based
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services as an 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
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againsttheir will.
oo o oo
C) State mental institutions being the primary source of care for mentally ill persons.
oo oo oo oo oo oo oo oo oo oo oo oo
D) Improved care for mentally ill oo oo oo oo
persons.Ans: B
oo o o o
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to
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commit people for mental health treatment against their will.
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Deinstitutionalization accomplished the release of individuals from long-term
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stays in state institutions. Deinstitutionalization also had negative effects in
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that some mentally ill persons aresubjected to the revolving door effect, which
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may limit care for mentally ill persons.
oo oo oo oo oo oo oo
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.
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B) deinstitutionalize state hospitals. oo oo
C) provide funds to build hospitals with psychiatric units.
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D) treat people with mental illness in a humane
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fashion.Ans: B
oo o o o
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement
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toward treating those with mental illness in a less restrictive environment.
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This legislation resulted in the shift of clients with mental illness from large
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state institutions to carebased in the community. Answer choices A, C, and D
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were not purposes of the 1963Community Mental Health Centers Act.
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10. The creation of asylums during the 1800s was meant to
oo oo oo oo oo oo oo oo oo
A) improve treatment of mental disorders. oo oo oo oo
B) provide food and shelter for the mentally ill. oo oo oo oo oo oo oo
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
oo oo oo oo oo oo oo
community.Ans: B
oo o o o
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane
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treatment forthe mentally ill. Asylums were not used to improve treatment of
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mental disorders or topunish mentally ill people who were believed to be
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possessed. The asylum was not created to remove the dangerously mentally ill
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from the community.
oo oo oo
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