TEST BANK
Psychiatric Mental Health Nursing, 9th Edition
by Sheila Videbeck, Chapters 1 - 24 Complete
,TABLE OF CONTENTS bt bt bt
UNIT 1 Current Theories and Practice
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Chapter 1. Foundations of Psychiatric–Mental Health Nursing
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Chapter 2. Neurobiologic Theories and Psychopharmacology
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Chapter 3. Psychosocial Theories and Therapy
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Chapter 4. Treatment Settings and Therapeutic Programs
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UNIT 2 Building the Nurse–Client Relationship
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Chapter 5. Therapeutic Relationships
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Chapter 6. Therapeutic Communication
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Chapter 7. Client’s Response to Illness
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Chapter 8. Assessment
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UNIT 3 Current Social and Emotional Concerns
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Chapter 9. Legal and Ethical Issues
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Chapter 10. Grief and Loss
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Chapter 11. Anger, Hostility, and Aggression
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Chapter 12. Abuse and Violence
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UNIT 4 Nursing Practice for Psychiatric Disorders
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Chapter 13. Trauma and Stressor-Related Disorders
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Chapter 14. Anxiety and Anxiety Disorders
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Chapter 15. Obsessive–Compulsive and Related Disorders
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Chapter 16. Schizophrenia
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Chapter 17. Mood Disorders and Suicide
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Chapter 18. Personality Disorders
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Chapter 19. Addiction
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Chapter 20. Eating Disorders
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Chapter 21. Somatic Symptom Illnesses
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Chapter 22. Neurodevelopmental Disorders
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Chapter 23. Disruptive Behavior Disorders
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Chapter 24. Cognitive Disorders
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,Chapter 1 Foundations of Psychiatric–Mental Health Nursing
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1. The nurse is assessing the factors contributing to the well-
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being of a newly admittedclient. Which of the following would the nurse ide
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ntify as having a positive impact on the individual's mental health?
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A) Not needing others for companionship bt bt bt bt
B) The ability to effectively manage stress bt bt bt bt bt
C) A family history of mental illness
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D) Striving for total self- bt bt bt
relianceAns: B t
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Feedback:
Individual factors influencing mental health include biologic makeup, autono
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my, independence, self-
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esteem, capacity for growth, vitality, ability to find meaning in life,emotional
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resilience or hardiness, sense of belonging, reality orientation, and coping or st
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ress management abilities. Interpersonal factors such as intimacy and a balan
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ce of separateness and connectedness are both needed for good mental health,
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and therefore ahealthy person would need others for companionship. A family
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history of mental illness could relate to the biologic makeup of an individual, w
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hich may have a negativeimpact on an individual's mental health, as well as a ne
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gative impact on an individual's interpersonal and socialñcultural factors of he
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alth. Total self- bt bt
reliance is not possible, and a positive social/cultural factor is access to adeq
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uate resources. bt
2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both. bt bt bt bt bt bt bt bt bt
B) Mental illness is only due to social/cultural factors. bt bt bt bt bt bt bt
C) Social/cultural factors that relate to mental illness include excessive dep bt bt bt bt bt bt bt bt bt
endencyon or withdrawal from relationships. tb bt bt bt bt
D) Individuals suffering from mental illness are usually able to cope effective bt bt bt bt bt bt bt bt bt bt
ly withdaily life. bt tb bt
E) Individuals suffering from mental illness may experience dissatisfactio bt bt bt bt bt bt bt
n withrelationships and self.bt tb bt bt
Ans: A, D, E bt bt bt
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Men
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tal illness may be related to individual, interpersonal, or social/cultural factors
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. Excessivedependency on or withdrawal from relationships are interpersonal fa
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ctors that relate tomental illness. Individuals suffering from mental illness can f
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eel overwhelmed with daily life. Individuals suffering from mental illness may ex
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perience dissatisfaction withrelationships and self.bt bt tb bt bt
, 3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is a bt bt bt bt bt bt bt bt bt bt bt
lwaysunacceptable in other cultures. tb bt bt bt
B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, an
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d socialwellness evidenced by satisfying interpersonal relationships, eff
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ective behaviorand coping, positive self- bt tb bt bt bt
concept, and emotional stability. bt bt bt
D) Persons who engage in fantasies are ment bt bt bt bt bt bt
allyill. Ans: C tb bt bt
Feedback:
What one society may view as acceptable and appropriate behavior, another soci
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ety maysee that as maladaptive, and inappropriate. Mental health and mental i
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llness are difficultto define precisely. In most cases, mental health is a state of
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emotional, psychological, and social wellness evidenced by satisfying interper
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sonal relationships, effective behavior and coping, positive self-
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concept, and emotional stability. Persons who engage in fantasies may be menta
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lly healthy, but the inability to distinguish reality from fantasyis an individual fa
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ctor 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 me
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ntallyill because she is so sad. The nurse's best response would be,
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A) You may have a temporary mental illness because you are experiencing so
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muchpain. bt tb
B) You are not mentally ill. This is an expected reaction to the loss yo
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u haveexperienced. bt tb
C) Were you generally dissatisfied with your relationship before your hus
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band'sdeath? tb
D) Try not to worry about that right now. You never know what the future b
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rings.Ans: B tb bt
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationshi
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ps, ineffective coping, and lack of personal growth. Additionally the behavior m
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ust not be culturally expected. Acute grief reactions are expected and therefor
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e not considered mental illness. False reassurance or overanalysis does not accur
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ately address the client'sconcerns.
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