TEST BANK FOR PSYCHIATRIC
MENTAL HEALTH NURSING 6TH
EDITION BY VIDEBECK
1. The nurse is assessing the factors contributing to the well-being of a
... [Show More] newly
admitted client. Which of the following would the nurse identify 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,
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
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 social–cultural 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 on or withdrawal from relationships.
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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 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 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.
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 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 behavior and coping, positive self-concept, and emotional
stability.
D) Persons who engage in fantasies are mentally ill.
Ans C
:
Feedback:
What one society may view as acceptable and 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 engage in
fantasies may be mentally healthy, but the inability to distinguish reality
from fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming
mentally 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
husband's death?”
D) “Try not to worry about that right now. You never know what the
future brings.”
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 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
:
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 would be inappropriate.
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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.
Ans 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 shifts in 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 care Ans A
Feedback:
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.
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.
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C) State mental institutions being the primary source of care for mentally
ill persons.
D) Improved care for mentally ill persons. Ans B Feedback:
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 longterm 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.
D) treat people with mental illness 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 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.
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.
C) punish people with mental illness who were believed to be possessed.
D) remove dangerous people with mental illness from the community.
Ans B 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 punish mentally ill people who were believed to
be possessed. The asylum was not created to remove the dangerously
mentally ill from the community [Show Less]