MENTALHEALTH NURSING 8TH EDITION BY VIDEB
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MENTALHEALTH NURSING 8TH EDITION BY VIDEB
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Chapterg1
1. Thenurseisassessingthefactorscontributingtothegwell-
beingofanewlyadmittedgclient.gWhichgofgthegfollowinggwouldgthegnursegidentifyasghavingg
agpositivegimpactgongthegindividual'sgmentalghealth?
A) Notgneedingothersforcompanionship
B) Thegabilitytogeffectivelymanagestress
C) Afamilyhistoryofmentalillness
D) Strivingfortotalself-relianceANSWER-
BgFeedback:
Individualfactorsinfluencingmentalhealthincludebiologicmakeup,autonomy,independence,gself-
esteem,gcapacityforggrowth,gvitality,gabilitytogfindgmeaninginglife,emotionalgresiliencegorghardi
ness,gsensegofgbelonging,grealitygorientation,gandgcopinggorgstressgmanagementgabilities.
Interpersonalfactorssuchasintimacyandabalanceofseparatenessandconnectednessarebothgneeded
gforggoodgmentalghealth,gandgthereforegaghealthygpersongwouldgneedgothersgforgcompanionship.g
Agfamilyghistorygofgmentalgillness
couldgrelategtogthegbiologicgmakeupgofgangindividual,gwhichgmayhavegagnegativegimpactgongangi
ndividual'sgmentalghealth,gasgwellgasgagnegativegimpactgongangindividual'sginterpersonalgandgsoci
alñculturalfactorsofhealth.Totalself-
relianceisnotpossible,andapositivesocial/culturalgfactorgisgaccessgtogadequategresources.
2. Whichofthefollowingstatementsaboutmentalillnessaretrue?Selectallthatapply.
A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth.
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B) Mentalillnessisonlyduetosocial/culturalfactors.
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessivedependencyonorgwithd
rawalgfromgrelationships.
D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywithdailyglife.
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwithgrela
tionshipsgandgself.
ANSWER-A,D,E
Feedback:
Mentalillnesscancausegsignificantdistress,impairedfunctioning,orboth.Mentalillnessmaygbegrelat
edgtogindividual,ginterpersonal,gorgsocial/culturalgfactors.gExcessivegdependencygongorgwithdra
walfromrelationshipsareinterpersonalfactorsthatrelatetomentalillness.Individualsgsufferinggfrom
gmentalgillnessgcangfeelgoverwhelmedgwithgdailylife.gIndividualsgsufferinggfromgmentalgillnessg
maygexperiencegdissatisfactiongwithgrelationshipsgandgself.
3. Whichofthegfollowingaretrueregardingmentalhealthandmentalillness?
A) Behaviorthatmaybegviewedasacceptableinonecultureisalwaysunacceptableinothergculture
s.
B) Itgiseasytogdetermineifgapersongismentallyhealthyorgmentallyill.
C) Ingmostgcases,gmentalghealthgisgagstategofgemotional,gpsychological,gandgsocialgwellness
gevidencedbysatisfyinginterpersonalrelationships,effectivebehaviorandcoping,positiveself-
gconcept,gandgemotionalgstability.
D) Personswhoengageinfantasiesarementallyill.ANSWER-
CgFeedback:
Whatonegsocietymayviewasacceptableandappropriategbehavior,anothersocietymayseegthatgasgma
ladaptive,gandginappropriate.gMentalghealthgandgmentalgillnessgaregdifficultgtogdefinegprecisely.gI
nmostcases,mentalhealthisastateofemotional,psychological,andsocialwellnessgevidencedgbygsatis
fyingginterpersonalgrelationships,geffectivegbehaviorgandgcoping,gpositivegself-
gconcept,gandgemotionalgstability.gPersonsgwhogengagegingfantasiesgmaygbegmentallyghealthy,gbu
tgtheginabilitygtogdistinguishgrealitygfromgfantasygisgangindividualgfactorgthatgmaygcontributegtog
mentalgillness.
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4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyillgbecause
gshegisgsogsad.gThegnurse'sgbestgresponsegwouldgbe,
A) ìYoumayhaveatemporarymentalgillnessbecauseyougareexperiencingsogmuchgpain.î
B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossgyouhaveexperienced.î
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband'sdeath?î
D) ìTrynotgtoworryaboutthatgrightnow.gYounevergknowwhatgthegfuturebrings.î
ANSWER-B
Feedback:
Mentalgillnessgincludesggeneralgdissatisfactiongwithgself,gineffectivegrelationships,gineffectivegco
ping,gandglackgofgpersonalggrowth.gAdditionallythegbehaviorgmustgnotgbegculturallyexpected.gAc
utegriefreactionsareexpectedandthereforenotconsideredmentalillness.Falsereassurancegorgoveran
alysisgdoesgnotgaccuratelygaddressgthegclient'sgconcerns.
5. ThenursegconsultsthegDSMforwhichofthegfollowingpurposes?
A) Todeviseaplangofcareforanewlyadmittedgclient
B) Topredicttheclient'sprognosisoftreatmentoutcomes
C) Todocumenttheappropriatediagnosticcodeintheclient'smedicalrecord
D) ToserveasaguideforclientassessmentANSWER-
DgFeedback:
ThegDSMgprovidesgstandardgnomenclature,gpresentsgdefininggcharacteristics,gandgidentifiesgunde
rlyingcausesofmentaldisorders.Itdoesnotprovidecareplansorprognosticoutcomesofgtreatment.gDia
gnosisgofgmentalgillnessgisgnotgwithingtheggeneralistgRN'sgscopegofgpractice,gsogdocumentinggtheg
codegingthegmedicalgrecordgwouldgbeginappropriate.
6. WhichwouldbeagreasonforagstudentnursegtousegthegDSM?
A) Identifyingthemedicaldiagnosis