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Test Bank for
Psychiatric–Mental Health Nursing 9th Edition by Sheila L.
Videbeck
All Chapters (1-24)
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Table Of Contents
UNIT 1 Current Theories and Practice
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Chapter 1. Foundations of Psychiatric–Mental Health Nursing
Chapter 2. Neurobiologic Theories and Psychopharmacology
Chapter 3. Psychosocial Theories and Therapy
Chapter 4. Treatment Settings and Therapeutic Programs
UNIT 2 Building the Nurse–Client Relationship
Chapter 5. Therapeutic Relationships
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Chapter 6. Therapeutic Communication
Chapter 7. Client’s Response to Illness
Chapter 8. Assessment
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UNIT 3 Current Social and Emotional Concerns
Chapter 9. Legal and Ethical Issues
Chapter 10. Grief and Loss
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Chapter 11. Anger, Hostility, and Aggression
Chapter 12. Abuse and Violence
UNIT 4 Nursing Practice for Psychiatric Disorders
Chapter 13. Trauma and Stressor-Related Disorders
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Chapter 14. Anxiety and Anxiety Disorders
Chapter 15. Obsessive–Compulsive and Related Disorders
Chapter 16. Schizophrenia
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Chapter 17. Mood Disorders and Suicide
Chapter 18. Personality Disorders
Chapter 19. Addiction
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Chapter 20. Eating Disorders
Chapter 21. Somatic Symptom Illnesses
Chapter 22. Neurodevelopmental Disorders
Chapter 23. Disruptive Behavior Disorders
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Chapter 24. Cognitive Disorders
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 on
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the individual's mental health?
A) Not needing others for companionship
B) The ability to effectively manage stress
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C) A family history of mental illness
D) Striving for total self-reliance
Ans: 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 a
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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, 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 dependency
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on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively with
daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with
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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. Excessive
dependency on or withdrawal from relationships are interpersonal factors that relate to
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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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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 unacceptable
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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
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wellness evidenced by satisfying interpersonal relationships, effective behavior
and coping, positive self-concept, and emotional stability.
D) Persons who engage in fantasies are mentally ill.
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Ans: C
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
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
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in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy
is 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 ill
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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 much
pain.î
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B) ìYou are not mentally ill. This is an expected reaction to the loss you have
experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
death?î
D) ìTry not to worry about that right now. You never know what the future brings.î
Ans: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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
mental illness. False reassurance or overanalysis does not accurately address the client's
concerns.
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 assessment
Ans: D
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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
generalist RN's scope of practice, so documenting the code in the medical record would
be inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
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D) Understand the reason for the admission and the nature of psychiatric illnesses.
Ans: D
Feedback:
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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,
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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
in care for the mentally ill?
A) The widespread use of community-based services
B) The advancement in pharmacotherapies
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C) Increased access to hospitalization
D) Improved rights for clients in long-term institutional care
Ans: A
Feedback:
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The Community Mental Health Centers Construction Act of 1963 accomplished the
release 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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8. Which one of the following is a result of federal legislation?
A) Making it easier to commit people for mental health treatment against their will.
B) Making it more difficult to commit people for mental health treatment against
their will.
C) State mental institutions being the primary source of care for mentally ill persons.
D) Improved care for mentally ill persons.
Ans: B
Feedback:
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Commitment laws changed in the early 1970s, making it more difficult to commit
people for mental health treatment against their will. Deinstitutionalization
accomplished the release of individuals from long-term stays in state institutions.
Deinstitutionalization also had negative effects in that some mentally ill persons are
subjected to the revolving door effect, which may limit care for mentally ill persons.
9. The goal of the 1963 Community Mental Health Centers Act was to
A) ensure patients' rights for the mentally ill.
B) deinstitutionalize state hospitals.
C) provide funds to build hospitals with psychiatric units.
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D) treat people with mental illness in a humane fashion.
Ans: 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
resulted in the shift of clients with mental illness from large state institutions to care
based in the community. Answer choices A, C, and D were not purposes of the 1963
Community Mental Health Centers Act.
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10. The creation of asylums during the 1800s was meant to
A) improve treatment of mental disorders.
B) provide food and shelter for the mentally ill.
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C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community.
Ans: B
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Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment for
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
created to remove the dangerously mentally ill from the community.
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11. The major problems with large state institutions are: Select all that apply.
A) attendants were accused of abusing the residents.
B) stigma associated with residence in an insane asylum.
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C) clients were geographically isolated from family and community.
D) increasing financial costs to individual residents.
Ans: A, C
Feedback:
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Clients were often far removed from the local community, family, and friends because
state institutions were usually in rural or remote settings. Choices B and D were not
major problems associated with large state instructions.
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12. A significant change in the treatment of people with mental illness occurred in the 1950s
when
A) community support services were established.
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B) legislation dramatically changed civil commitment procedures.
C) the Patient's Bill of Rights was enacted.
D) psychotropic drugs became available for use.
Ans: D
Feedback:
The development of psychotropic drugs, or drugs used to treat mental illness, began in
the 1950s. Answer choices A, B, and C did not occur in the 1950s.
13. Before the period of the enlightenment, treatment of the mentally ill included
