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Test Bank for Psychiatric-Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters (1-24)
Test Bank for Psychiatric-Mental Health Nursing 9th Edition by Sheila L. Videbeck All Chapters (1-24)
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Test BankPsychiatric-Mental Health Nursing
9th Edition By Sheila L. Videbeck
,Psychiatric Mental Health Nursing 9th Editiontest Bank
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 ImpactOn The Individual's Mental Health?
A) Not Needingothers For Companionship
B) The Ability To Effectivelymanage Stress
C) Afamily History Of Mental Illness
D) Striving Fortotal Self-
RelianceAns: B
Feedback:
Individual Factors Influencing Mental Health Include Biologic Makeup,
Autonomy, Independence, Self-Esteem, Capacity For Growth, Vitality, Ability To
Find Meaning In Life,Emotionalresilienceor Hardiness, Sense Of Belonging, Reality
Orientation, And Coping Or Stress Management Abilities. Interpersonal Factors
Such As Intimacy And A Balance OfSeparateness And Connectedness Are
Bothneeded Forgoodmental Health, And Therefore A Healthy Person Would Need
Others For Companionship. A Family History Of Mental Illness Couldrelate To The
Biologic Makeup Of Anindividual, Whichmay Have A Negative Impacton An
Individual's Mentalhealth, 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. Whichof The Following Statementsaboutmentalillness Are True? Select All That Apply.
A) Mentalillness Cancausesignificantdistress, Impaired Functioning, Or Both.
B) Mentalillness Is Only Due To Social/Cultural Factors.
C) Social/Culturalfactors That Relate To Mental Illness Include Excessive
DependencyOn Or Withdrawal From Relationships.
D) Individualssufferingfrommental Illness Are Usually Able To Cope Effectively
WithDaily Life.
E) Individualssuffering Frommentalillness May Experiencedissatisfaction With
Relationships And Self.
Ans: 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.
ExcessiveDependency On Or Withdrawal From Relationships Are Interpersonal Factors
That Relate ToMental Illness. Individuals Suffering From Mental Illness Can Feel
Overwhelmed WithDaily Life. Individuals Suffering Frommental Illness May
Experience Dissatisfaction With Relationships And Self.
,3. Aclient Grieving The Recent Loss Of Her Husband Asks If She Is Becoming
MentallyIll Because 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) Ìyouare 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) Ìtrynot To Worry About That Right Now. You Never Knowwhat The Future
Brings.ÎAns: B
Feedback:
Mental Illness Includes General Dissatisfaction With Self, Ineffective Relationships,
Ineffective Coping, And Lack Of Personal Growth. Additionally The Behavior Must Not
BeCulturally Expected. Acute Grief Reactions Are Expected And Therefore Not
ConsideredMentalillness. False Reassuranceor Overanalysis Does Not Accurately
Address The Client's Concerns.
4. Which Of The Following Are True Regarding Mentalhealth Andmental Illness?
A) Behavior That May Be Viewed As Acceptable In One Culture Is
AlwaysUnacceptable In 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) Personswho Engagein Fantasies Are
MentallyIll. Ans: C
Feedback:
What One Society May View As Acceptableand Appropriate Behavior, Another Society
May See 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 EngageIn Fantasiesmay Be Mentally Healthy,
Butthe Inability To Distinguishreality From Fantasyis An Individual Factor That May
Contribute To Mental Illness.
5. The Nurseconsults The DSM Forwhich Of The Following Purposes?
A) Todevise A Plan Of Care For A Newly Admitted Client
B) Topredict The Client's Prognosis Of Treatment Outcomes
C) Todocument The Appropriate Diagnostic Code In The Client's Medical Record
D) To Serve As A Guide For Client
AssessmentAns: D
Feedback:
The DSM Provides Standard Nomenclature, Presents Defining Characteristics, And
Identifies Underlying Causes Of Mental Disorders. It Does Not Provide Care Plans
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 WouldbeInappropriate.
6. Which Would Be A Reason For A Student Nurse To Use The DSM?
A) Identifying The Medical Diagnosis
B) Treatclients
C) Evaluatetreatments
D) Understand The Reasonfor The Admissionand The Nature Of
PsychiatricIllnesses. Ans: D
Feedback:
Although Student Nurses Do Not Use The DSM To Diagnose Clients, They Will
Find It AHelpful Resource To Understand The Reason For The Admission And
To Begin Building Knowledgeabout The Natureof Psychiatric Illnesses. Identifying
The Medicaldiagnosis,Treating, And Evaluating Treatments Are Not A Part Of The
Nursing Process.
7. The Legislation Enacted In 1963 Waslargely Responsibleforwhich Of The
FollowingShifts In Care For The Mentally Ill?
A) Thewidespreaduseof Community-Based Services
B) The Advancement In Pharmacotherapies
C) Increasedaccess To Hospitalization
D) Improvedrightsforclients In Long-Terminstitutional
CareAns: A
Feedback:
The Community Mentalhealth Centers Construction Actof 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 AnAlternative To Hospital Care.
8. Whichone Of The Following Is A Result Of Federal Legislation?
A) Making It Easier To Commitpeople Formentalhealthtreatmentagainst Their Will.
B) Making It More Difficult To Commitpeople Formental Health Treatment
AgainstTheir Will.
C) State Mental Institutions Being The Primary Source Of Care Formentally Ill Persons.
D) Improvedcare Formentally Ill
Persons.Ans: B
Feedback:
Commitment Laws Changed In The Early 1970s, Making It More Difficult To
CommitPeople For Mental Health Treatment Against Their Will.
Deinstitutionalization Accomplished The Release Of Individuals From Long-Term
Stays In State Institutions.Deinstitutionalizationalso Hadnegative Effects In That
Some Mentally Ill Persons Are Subjected To The Revolving Door Effect, Which May
Limit Careformentally Ill Persons.
9. The Goal Of The 1963 Community Mental Health Centers Act Was To
A) Ensurepatients' Rights For The Mentally Ill.
B) Deinstitutionalizestate Hospitals.
C) Provide Funds To Build Hospitals With Psychiatric Units.
D) Treat Peoplewithmentalillness In A Humane
Fashion.Ans: B
Feedback:
The 1963 Community Mental Health Centers Act Intimated The Movement Toward
Treating Those With Mental Illness In A Less Restrictive Environment. This
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