Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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Psychiatric-MentalsHealthsNursings8thseditions
Chapters1
1. Thesnursesissassessingsthesfactorsscontributingstostheswell-
beingsofsasnewlysadmittedsclient.sWhichsofsthesfollowingswouldsthesnursesidentifysasshav
ingsaspositivesimpactsonsthesindividual'ssmentalshealth?
A) Notsneedingsotherssforscompanionship
B) Thesabilitystoseffectivelysmanagesstress
C) Asfamilyshistorysofsmentalsillness
D) Strivingsforstotalsself-
reliancesAns:sB
Feedback:
Individualsfactorssinfluencingsmentalshealthsincludesbiologicsmakeup,sautonomy,sindepen
dence,sself-
esteem,scapacitysforsgrowth,svitality,sabilitystosfindsmeaningsinslife,semotionalsresiliencesor
shardiness,ssensesofsbelonging,srealitysorientation,sandscopingsorsstresssmanagementsabiliti
es.sInterpersonalsfactorsssuchsassintimacysandsasbalancesofsseparatenesssandsconnectedness
saresbothsneededsforsgoodsmentalshealth,sandsthereforesashealthyspersonswouldsneedsotherssf
orscompanionship.sAsfamilyshistorysofsmentalsillnessscouldsrelatestosthesbiologicsmakeupsof
sansindividual,swhichsmays havesasnegativesimpactsonsansindividual'ssmentalshealth,sasswells
assasnegativesimpactsonsansindividual'ssinterpersonalsandssocialñculturalsfactorssofshealth.s
Totalsself-
reliancesissnotspossible,sandsaspositivessocial/culturalsfactorsissaccessstosadequatesresources
.
2. Whichsofsthesfollowingsstatementssaboutsmentalsillnesssarestrue?sSelectsallsthatsapply.
A) Mentalsillnessscanscausessignificantsdistress,simpairedsfunctioning,sorsboth.
B) Mentalsillnesssissonlysduestossocial/culturalsfactors.
C) Social/culturalsfactorssthatsrelatestosmentalsillnesssincludesexcessivesdependencyso
nsorswithdrawalsfromsrelationships.
D) Individualsssufferingsfromsmentalsillnesssaresusuallysablestoscopeseffectivelyswithsda
ilyslife.
E) Individualsssufferingsfromsmentalsillnesssmaysexperiencesdissatisfactionswithsr
elationshipssandsself.
Ans:sA,sD,sE
Feedback:
Mentalsillnessscanscausessignificantsdistress,simpairedsfunctioning,sorsboth.sMentalsillness
smaysbesrelatedstosindividual,sinterpersonal,sorssocial/culturalsfactors.sExcessivesdependen
cysonsorswithdrawalsfromsrelationshipssaresinterpersonalsfactorssthatsrelatestosmentalsillnes
s.sIndividualsssufferingsfromsmentalsillnessscansfeelsoverwhelmedswithsdailyslife.sIndividu
alsssufferingsfromsmentalsillnesssmaysexperiencesdissatisfactionswithsrelationshipssandssel
f.
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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3. Whichsofsthesfollowingsarestruesregardingsmentalshealthsandsmentalsillness?
A) Behaviorsthatsmaysbesviewedsassacceptablesinsonesculturesissalwayssunacceptablesins
otherscultures.
B) Itsisseasystosdeterminesifsaspersonsissmentallyshealthysorsmentallysill.
C) Insmostscases,smentalshealthsissasstatesofsemotional,spsychological,sandssocialswel
lnesssevidencedsbyssatisfyingsinterpersonalsrelationships,seffectivesbehaviorsandsc
oping,spositivesself-concept,sandsemotionalsstability.
D) Personsswhosengagesinsfantasiessaresmentallysill.s
Ans:sC
Feedback:
Whatsonessocietysmaysviewsassacceptablesandsappropriatesbehavior,sanotherssocietysmaysse
esthatsassmaladaptive,sandsinappropriate.sMentalshealthsandsmentalsillnesssaresdifficultstosde
finesprecisely.sInsmostscases,smentalshealthsissasstatesofsemotional,spsychological,sandssocia
lswellnesssevidencedsbyssatisfyingsinterpersonalsrelationships,seffectivesbehaviorsandscopin
g,spositivesself-
concept,sandsemotionalsstability.sPersonsswhosengagesinsfantasiessmaysbesmentallyshealthy,s
butsthesinabilitystosdistinguishsrealitysfromsfantasysissansindividualsfactorsthatsmayscontribut
estosmentalsillness.
4. Asclientsgrievingsthesrecentslosssofshershusbandsaskssifsshesissbecomingsmentallysillsbe
causesshesisssossad.sThesnurse'ssbestsresponseswouldsbe,
A) ìYousmayshavesastemporarysmentalsillnesssbecausesyousaresexperiencingssosmuchspa
in.î
B) ìYousaresnotsmentallysill.sThississansexpectedsreactionstostheslosssyoushavesex
perienced.î
C) ìWeresyousgenerallysdissatisfiedswithsyoursrelationshipsbeforesyourshusband'ssd
eath?î
D) ìTrysnotstosworrysaboutsthatsrightsnow.sYousneversknowswhatsthesfuturesbrings.îsAn
s:sB
Feedback:
Mentalsillnesssincludessgeneralsdissatisfactionswithsself,sineffectivesrelationships,sineffect
ivescoping,sandslacksofspersonalsgrowth.sAdditionallysthesbehaviorsmustsnotsbesculturallyse
xpected.sAcutesgriefsreactionssaresexpectedsandsthereforesnotsconsideredsmentalsillness.sFa
lsesreassurancesorsoveranalysissdoessnotsaccuratelysaddresssthesclient'ssconcerns.
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5. ThesnursesconsultssthesDSMsforswhichsofsthesfollowingspurposes?
A) Tosdevisesasplansofscaresforsasnewlysadmittedsclient
B) Tospredictsthesclient'ssprognosissofstreatmentsoutcomes
C) Tosdocumentsthesappropriatesdiagnosticscodesinsthesclient'ssmedicalsrecord
D) Tosservesassasguidesforsclientsassessments
Ans:sD
Feedback:
ThesDSMsprovidessstandardsnomenclature,spresentssdefiningscharacteristics,sandsidentifie
ssunderlyingscausessofsmentalsdisorders.sItsdoessnotsprovidescaresplanssorsprognosticsoutco
messofstreatment.sDiagnosissofsmentalsillnesssissnotswithinsthesgeneralistsRN'ssscopesofspra
ctice,ssosdocumentingsthescodesinsthesmedicalsrecordswouldsbesinappropriate.
6. WhichswouldsbesasreasonsforsasstudentsnursestosusesthesDSM?
A) Identifyingsthesmedicalsdiagnosis
B) Treatsclients
C) Evaluatestreatments
D) Understandsthesreasonsforsthesadmissionsandsthesnaturesofspsychiatricsillnesses.sA
ns:sD
Feedback:
AlthoughsstudentsnursessdosnotsusesthesDSMstosdiagnosesclients,stheyswillsfindsitsashelpfu
lsresourcestosunderstandsthesreasonsforsthesadmissionsandstosbeginsbuildingsknowledgesab
outsthesnaturesofspsychiatricsillnesses.sIdentifyingsthesmedicalsdiagnosis,streating,sandsev
aluatingstreatmentssaresnotsaspartsofsthesnursingsprocess.
7. Theslegislationsenactedsins1963swasslargelysresponsiblesforswhichsofsthesfollowingsshiftssins
caresforsthesmentallysill?
A) Theswidespreadsusesofscommunity-basedsservices
B) Thesadvancementsinspharmacotherapies
C) Increasedsaccessstoshospitalization
D) Improvedsrightssforsclientssinslong-
termsinstitutionalscaresAns:sA
Feedback:
ThesCommunitysMentalsHealthsCenterssConstructionsActsofs1963saccomplishedsthesre
leasesofsindividualssfromslong-
termsstayssinsstatesinstitutions,sthesdecreasesinsadmissionsstoshospitals,sandsthesdevelop
mentsofscommunity-basedsservicessassansalternativestoshospitalscare.
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