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p Chapter 1 p
1. Thepnursepispassessingpthepfactorspcontributingptopthepwell-
beingpofpapnewlypadmittedpclient.pWhichpofpthepfollowingpwouldpthepnursepidentifypasphavingpa
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ppositivepimpactponpthepindividual'spmentalphealth?
A) Notpneedingpotherspforpcompanionship
B) Thepabilityptopeffectivelypmanagepstress
C) Apfamilyphistorypofpmentalpillness
D) Strivingpforptotalpself-reliancepANSWER-
p BpFeedback:
Individualpfactorspinfluencingpmentalphealthpincludepbiologicpmakeup,pautonomy,pindependence,ps
elf-
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esteem,pcapacitypforpgrowth,pvitality,pabilityptopfindpmeaningpinplife,pemotionalpresilienceporphardi
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ness,psensepofpbelonging,prealityporientation,pandpcopingporpstresspmanagementpabilities.
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Interpersonalpfactorspsuchpaspintimacypandpapbalancepofpseparatenesspandpconnectednessparepbothpnee
dedpforpgoodpmentalphealth,pandpthereforepaphealthyppersonpwouldpneedpotherspforpcompanionship.pAp
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familyphistorypofpmentalpillness
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couldprelateptopthepbiologicpmakeuppofpanpindividual,pwhichpmayphavepapnegativepimpactponpanpindi
vidual'spmentalphealth,paspwellpaspapnegativepimpactponpanpindividual'spinterpersonalpandpsocialñcult
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uralpfactorspofphealth.pTotalpself-
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reliancepispnotppossible,pandpappositivepsocial/culturalpfactorpispaccessptopadequatepresources.
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2. Whichpofpthepfollowingpstatementspaboutpmentalpillnesspareptrue?pSelectpallpthatpapply.
A) Mentalpillnesspcanpcausepsignificantpdistress,pimpairedpfunctioning,porpboth.
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B) Mentalpillnesspisponlypdueptopsocial/culturalpfactors.
C) Social/culturalpfactorspthatprelateptopmentalpillnesspincludepexcessivepdependencyponporp
withdrawalpfromprelationships.
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D) Individualspsufferingpfrompmentalpillnessparepusuallypableptopcopepeffectivelypwithpdailypli
fe.
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E) Individualspsufferingpfrompmentalpillnesspmaypexperiencepdissatisfactionpwithpr
elationshipspandpself.
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ANSWER-p A,pD,pE s s
Feedback:
Mentalpillnesspcanpcausepsignificantpdistress,pimpairedpfunctioning,porpboth.pMentalpillnesspmaypb
eprelatedptopindividual,pinterpersonal,porpsocial/culturalpfactors.pExcessivepdependencyponporpwit
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hdrawalpfromprelationshipsparepinterpersonalpfactorspthatprelateptopmentalpillness.pIndividualspsuff
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eringpfrompmentalpillnesspcanpfeelpoverwhelmedpwithpdailyplife.pIndividualspsufferingpfrompment
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alpillnesspmaypexperiencepdissatisfactionpwithprelationshipspandpself.
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3. Whichpofpthepfollowingpareptruepregardingpmentalphealthpandpmentalpillness?
A) Behaviorpthatpmaypbepviewedpaspacceptablepinponepculturepispalwayspunacceptablepinpotherpc
ultures.
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B) Itpispeasyptopdeterminepifpappersonpispmentallyphealthyporpmentallypill.
C) Inpmostpcases,pmentalphealthpispapstatepofpemotional,ppsychological,pandpsocialpwellnesspev
idencedpbypsatisfyingpinterpersonalprelationships,peffectivepbehaviorpandpcoping,ppositivepself-
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pconcept,pandpemotionalpstability.
D) Personspwhopengagepinpfantasiesparepmentallypill.pANSWER-
p s s CpFeedback:
Whatponepsocietypmaypviewpaspacceptablepandpappropriatepbehavior,panotherpsocietypmaypseepthatpa
spmaladaptive,pandpinappropriate.pMentalphealthpandpmentalpillnessparepdifficultptopdefinepprecisely
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.pInpmostpcases,pmentalphealthpispapstatepofpemotional,ppsychological,pandpsocialpwellnesspevidencedp
bypsatisfyingpinterpersonalprelationships,peffectivepbehaviorpandpcoping,ppositivepself-
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pconcept,pandpemotionalpstability.pPersonspwhopengagepinpfantasiespmaypbepmentallyphealthy,pbutpth
epinabilityptopdistinguishprealitypfrompfantasypispanpindividualpfactorpthatpmaypcontributeptopmentalpi
llness.
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4. Apclientpgrievingptheprecentplosspofpherphusbandpaskspifpshepispbecomingpmentallypillpb
ecausepshepispsopsad.pThepnurse'spbestpresponsepwouldpbe,
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A) ìYoupmayphavepaptemporarypmentalpillnesspbecausepyouparepexperiencingpsopmuchppain.î
B) ìYouparepnotpmentallypill.pThispispanpexpectedpreactionptoptheplosspyouphavepexperienced.î
C) ìWerepyoupgenerallypdissatisfiedpwithpyourprelationshippbeforepyourphusband'spdeath?î
D) ìTrypnotptopworrypaboutpthatprightpnow.pYoupneverpknowpwhatpthepfuturepbrings.î
ANSWER-p B s s
Feedback:
Mentalpillnesspincludespgeneralpdissatisfactionpwithpself,pineffectiveprelationships,pineffectivepcopi
ng,pandplackpofppersonalpgrowth.pAdditionallypthepbehaviorpmustpnotpbepculturallypexpected.pAcutep
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griefpreactionsparepexpectedpandpthereforepnotpconsideredpmentalpillness.pFalsepreassuranceporpovera
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nalysispdoespnotpaccuratelypaddresspthepclient'spconcerns.
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5. ThepnursepconsultspthepDSMpforpwhichpofpthepfollowingppurposes?
A) Topdevisepapplanpofpcarepforpapnewlypadmittedpclient
B) Toppredictpthepclient'spprognosispofptreatmentpoutcomes
C) Topdocumentpthepappropriatepdiagnosticpcodepinpthepclient'spmedicalprecord
D) TopservepaspapguidepforpclientpassessmentpANSWER-
p DpFeedback:
ThepDSMpprovidespstandardpnomenclature,ppresentspdefiningpcharacteristics,pandpidentifiespunderl
yingpcausespofpmentalpdisorders.pItpdoespnotpprovidepcarepplansporpprognosticpoutcomespofptreatment
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.pDiagnosispofpmentalpillnesspispnotpwithinpthepgeneralistpRN'spscopepofppractice,psopdocumentingpth
epcodepinpthepmedicalprecordpwouldpbepinappropriate.
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6. WhichpwouldpbepapreasonpforpapstudentpnurseptopusepthepDSM?
A) Identifyingpthepmedicalpdiagnosis