psychiatric mental health

a




Chapter 1: Foundations of psychiatric- mental health nursing

1. 1. The nurse is assessing the factors contributing to the well-being of a

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



,a




access to adequate resources.

2. 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.

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.




,a




3. 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. 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