,Psychiatric Mental Health Nursing 7th Edition Test Bank
Chapter 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 ahealthy
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 negativeimpact on an individual's mental health, as well as a negative
impact on an individual's interpersonal and socialñcultural factors of health. Total self-reliance is not possible,
and a positive social/cultural factor is access to adequate resources.
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 dependencyon or withdrawal
from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively withdaily life.
E) Individuals suffering from mental illness may experience dissatisfaction withrelationships 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. Excessivedependency on or withdrawal from relationships
are interpersonal factors that relate tomental illness. Individuals suffering from mental illness can feel
overwhelmed with daily life. Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
,Page 1
, 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 alwaysunacceptable 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 socialwellness evidenced by
satisfying interpersonal relationships, effective behaviorand coping, positive self-concept, and
emotional stability.
D) Persons who engage in fantasies are mentallyill.☺Ans : C
Feedback:
What one society may view as acceptable and appropriate behavior, another society maysee that as maladaptive,
and inappropriate. Mental health and mental illness are difficultto 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 fantasyis an individual factor that may
contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentallyill 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 muchpain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you haveexperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband'sdeath?î
D) ìTry not to worry about that right now. You never know what the future brings.îAns: 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'sconcerns.
Chapter 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 ahealthy
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 negativeimpact on an individual's mental health, as well as a negative
impact on an individual's interpersonal and socialñcultural factors of health. Total self-reliance is not possible,
and a positive social/cultural factor is access to adequate resources.
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 dependencyon or withdrawal
from relationships.
D) Individuals suffering from mental illness are usually able to cope effectively withdaily life.
E) Individuals suffering from mental illness may experience dissatisfaction withrelationships 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. Excessivedependency on or withdrawal from relationships
are interpersonal factors that relate tomental illness. Individuals suffering from mental illness can feel
overwhelmed with daily life. Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
,Page 1
, 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 alwaysunacceptable 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 socialwellness evidenced by
satisfying interpersonal relationships, effective behaviorand coping, positive self-concept, and
emotional stability.
D) Persons who engage in fantasies are mentallyill.☺Ans : C
Feedback:
What one society may view as acceptable and appropriate behavior, another society maysee that as maladaptive,
and inappropriate. Mental health and mental illness are difficultto 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 fantasyis an individual factor that may
contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is becoming mentallyill 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 muchpain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you haveexperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband'sdeath?î
D) ìTry not to worry about that right now. You never know what the future brings.îAns: 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'sconcerns.
