Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank

Chapter 1

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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

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.

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) ìYou may have a temporary mental illness because you are experiencing so much

pain.î

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

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.

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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.

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.