Psychiatric-Mental Health Nursing 9th edition by Videbeck Test Bank
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,Psychiatric-Mental Health Nursing 9th edition by Videbeck Test Bank
Psychiatric-Mental Health
Nursing 9th edition
Chapter 1
1. The nurse is assessing the factors contributing to the well-being of a newly admitted client. Which of the
following would the nurse identify as having a positive impact onthe individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
C) A family history of mental illness
D) Striving for total self-relianceANSWER: B
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, independence, self-esteem,
capacity for growth, vitality, ability to find meaning in life, emotional resilience or hardiness, sense of belonging,
reality orientation, and 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 ahealthy
person would need others for companionship. A family history of mental illnesscould relate to the biologic
makeup of an individual, which may have a negative impacton an individual's mental health, as well as a negative
impact on an individual's interpersonal and socialñcultural factors of health. Total self-reliance is not possible,
and a positive social/cultural factor is access to adequate resources.
2. Which of the following statements about mental illness are true? Select all that apply.
A) Mental illness can cause significant distress, impaired functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include excessive dependencyon or withdrawal
from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively withdaily life.
E) Individuals suffering from mental illness may experience dissatisfaction withrelationships and
self.
ANSWER: A, D, E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related to
individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from relationships
are interpersonal factors that relate to mental illness. Individuals suffering from mental illness can feel
overwhelmed with daily life. Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
3. Which of the following are true regarding mental health and mental illness?
A) Behavior that may be viewed as acceptable in one culture is always unacceptablein other cultures.
B) It is easy to determine if a person is mentally healthy or mentally ill.
C) In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behaviorand coping, positive self-concept, and
emotional stability.
D) Persons who engage in fantasies are mentally ill.ANSWER: C
Feedback:
What one society may view as acceptable and appropriate behavior, another society maysee that as
maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In most cases,
mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal
relationships, effective behavior and coping, positive self-concept, and emotional stability. Persons who engage
in fantasies may be mentally healthy, but the inability to distinguish reality from fantasyis an individual factor
that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentally illbecause she is so sad.
The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing so muchpain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you haveexperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband'sdeath?î
D) ìTry not to worry about that right now. You never know what the future brings.îANSWER: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffective coping, and lack of
personal growth. Additionally the behavior must not be culturally expected. Acute grief reactions are expected
and therefore not considered mental illness. False reassurance or overanalysis does not accurately address
the client'sconcerns.
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, Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
5. The nurse consults the DSM for which of the following purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's medical record
D) To serve as a guide for client assessmentANSWER: D
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies underlying causes
of mental disorders. It does not provide care plANSWER or prognostic outcomes of treatment. Diagnosis of
mental illness is not within the generalist RN's scope of practice, so documenting the code in the medical
record wouldbe inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesses.ANSWER: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful resource to
understand the reason for the admission and to begin building knowledge about the nature of psychiatric
illnesses. Identifying the medical diagnosis,treating, and evaluating treatments are not a part of the nursing
process.
7. The legislation enacted in 1963 was largely responsible for which of the following shiftsin care for the mentally
ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional careANSWER: A
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished therelease of individuals
from long-term stays in state institutions, the decrease in admissions to hospitals, and the development of
community-based services as an alternative to hospital care.
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