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TEST BANK ’Psychiatric Mental Health Nursing, 9th Edition
’ ’ ’ ’ ’
by Sheila Videbeck, Chapters 1 - 24 Complete
’ ’ ’ ’ ’ ’ ’ ’
,TABLE OF CONTENTS
’ ’ ’
UNIT’1’Current’Theories’and’Practice’
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’
Chapter’6.’Therapeutic’Communication’
Chapter’7.’Client’s’Response’to’Illness’
Chapter’8.’Assessment’
UNIT’3’Current’Social’and’Emotional’Concerns
Chapter’9.’Legal’and’Ethical’Issues’
Chapter’10.’Grief’and’Loss’
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’
Chapter’14.’Anxiety’and’Anxiety’Disorders’
Chapter’15.’Obsessive–Compulsive’and’Related’Disorders’
Chapter’16.’Schizophrenia’
Chapter’17.’Mood’Disorders’and’Suicide’
Chapter’18.’Personality’Disorders’
Chapter’19.’Addiction’
Chapter’20.’Eating’Disorders’
Chapter’21.’Somatic’Symptom’Illnesses’
Chapter’22.’Neurodevelopmental’Disorders’
Chapter’23.’Disruptive’Behavior’Disorders’
Chapter’24.’Cognitive’Disorders’
,Chapter 1 Foundations of Psychiatric–Mental Health Nursing
’ ’ ’ ’ ’ ’
1. The’nurse’is’assessing’the’factors’contributing’to’the’well-
being’of’a’newly’admitted’client.’Which’of’the’following’would’the’nurse’ide
ntify’as’having’a’positive’impact’on’the’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-
reliance’Ans:’B
Feedback:
Individual’factors’influencing’mental’health’include’biologic’makeup,’autono
my,’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’st
ress’management’abilities.’Interpersonal’factors’such’as’intimacy’and’a’balan
ce’of’separateness’and’connectedness’are’both’needed’for’good’mental’health,’
and’therefore’a’healthy’person’would’need’others’for’companionship.’A’family’
history’of’mental’illness’could’relate’to’the’biologic’makeup’of’an’individual,’w
hich’may’have’a’negative’impact’on’an’individual's’mental’health,’as’well’as’a’n
egative’impact’on’an’individual's’interpersonal’and’socialñcultural’factors’of’h
ealth.’Total’self-
reliance’is’not’possible,’and’a’positive’social/cultural’factor’is’access’to’adequ
ate’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’de
pendency’on’or’withdrawal’from’relationships.
D) Individuals’suffering’from’mental’illness’are’usually’able’to’cope’effective
ly’with’daily’life.
E) Individuals’suffering’from’mental’illness’may’experience’dissatisfactio
n’with’relationships’and’self.
Ans:’A,’D,’E
Feedback:
Mental’illness’can’cause’significant’distress,’impaired’functioning,’or’both.’Men
tal’illness’may’be’related’to’individual,’interpersonal,’or’social/cultural’factors
.’Excessive’dependency’on’or’withdrawal’from’relationships’are’interpersonal’fa
ctors’that’relate’to’mental’illness.’Individuals’suffering’from’mental’illness’can’f
eel’overwhelmed’with’daily’life.’Individuals’suffering’from’mental’illness’may’ex
perience’dissatisfaction’with’relationships’and’self.
, 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’a
lways’unacceptable’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,’an
d’social’wellness’evidenced’by’satisfying’interpersonal’relationships,’eff
ective’behavior’and’coping,’positive’self-
concept,’and’emotional’stability.
D) Persons’who’engage’in’fantasies’are’men
tally’ill.’Ans:’C
Feedback:
What’one’society’may’view’as’acceptable’and’appropriate’behavior,’another’soc
iety’may’see’that’as’maladaptive,’and’inappropriate.’Mental’health’and’mental’i
llness’are’difficult’to’define’precisely.’In’most’cases,’mental’health’is’a’state’of’
emotional,’psychological,’and’social’wellness’evidenced’by’satisfying’interper
sonal’relationships,’effective’behavior’and’coping,’positive’self-
concept,’and’emotional’stability.’Persons’who’engage’in’fantasies’may’be’menta
lly’healthy,’but’the’inability’to’distinguish’reality’from’fantasy’is’an’individual’fa
ctor’that’may’contribute’to’mental’illness.
4. A’client’grieving’the’recent’loss’of’her’husband’asks’if’she’is’becoming’me
ntally’ill’because’she’is’so’sad.’The’nurse's’best’response’would’be,
A) You’may’have’a’temporary’mental’illness’because’you’are’experiencing’so’
much’pain.
B) You’are’not’mentally’ill.’This’is’an’expected’reaction’to’the’loss’you
’have’experienced.
C) Were’you’generally’dissatisfied’with’your’relationship’before’your’hus
band's’death?
D) Try’not’to’worry’about’that’right’now.’You’never’know’what’the’future’b
rings.’Ans:’B
Feedback:
Mental’illness’includes’general’dissatisfaction’with’self,’ineffective’relationship
s,’ineffective’coping,’and’lack’of’personal’growth.’Additionally’the’behavior’mus
t’not’be’culturally’expected.’Acute’grief’reactions’are’expected’and’therefore’
not’considered’mental’illness.’False’reassurance’or’overanalysis’does’not’accurat
ely’address’the’client's’concerns.
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