TEST BANK PSYCHIATRIC MENTAL HEA
s s s s
LTH NURSING 8TH EDITION, WANDA
s s s s s
MOHR
,1. Chapters1.Thesnursesissassessingsthesfactorsscontributingstostheswell-
beingsofsasnewlysadmittedsclient.sWhichsofsthesfollowingswouldsthesnursesidentifysasshavi
ngsaspositivesimpactsonsthesindividual'ssmentalshealth?
A) Notsneedingsotherssforscompanionship
B) Thesabilitystoseffectivelysmanagesstress
C) Asfamilyshistorysofsmentalsillness
D) Strivingsforstotalsself-
reliancesAns:s B
Feedback:
Individualsfactorssinfluencingsmentalshealthsincludesbiologicsmakeup,sautonomy,sindepen
dence,sself-
esteem,scapacitysforsgrowth,svitality,sabilitystosfindsmeaningsinslife,semotionalsresilienceso
rshardiness,ssensesofsbelonging,srealitysorientation,sandscopingsorsstresssmanagementsabilit
ies.sInterpersonalsfactorsssuchsassintimacysandsasbalancesofsseparatenesssandsconnectednes
ssaresbothsneededsforsgoodsmentalshealth,sandsthereforesashealthyspersonswouldsneedsotherss
forscompanionship.sAsfamilyshistorysofsmentalsillnessscouldsrelatestosthesbiologicsmakeups
ofsansindividual,swhichsmayshavesasnegativesimpactsonsansindividual'ssmentalshealth,sasswe
llsassasnegativesimpactsonsansindividual'ssinterpersonalsandssocialñculturalsfactorssofshealth
.sTotalsself-
reliancesissnotspossible,sandsaspositivessocial/culturalsfactorsissaccessstosadequatesresources
.
2. Whichsofsthesfollowingsstatementssaboutsmentalsillnesssarestrue?sSelectsallsthatsapply.
A) Mentalsillnessscanscausessignificantsdistress,simpairedsfunctioning,sorsboth.
B) Mentalsillnesssissonlysduestossocial/culturalsfactors.
C) Social/culturalsfactorssthatsrelatestosmentalsillnesssincludesexcessivesdependencyso
nsorswithdrawalsfromsrelationships.
D) Individualsssufferingsfromsmentalsillnesssaresusuallysablestoscopeseffectivelyswithsda
ilyslife.
E) Individualsssufferingsfromsmentalsillnesssmaysexperiencesdissatisfactionswithsr
elationshipssandsself.
Ans:s A,sD,sE
Feedback:
Mentalsillnessscanscausessignificantsdistress,simpairedsfunctioning,sorsboth.sMentalsillnesss
maysbesrelatedstosindividual,sinterpersonal,sorssocial/culturalsfactors.sExcessivesdependenc
ysonsorswithdrawalsfromsrelationshipssaresinterpersonalsfactorssthatsrelatestosmentalsillness.s
Individualsssufferingsfromsmentalsillnessscansfeelsoverwhelmedswithsdailyslife.sIndividuals
ssufferingsfromsmentalsillnesssmaysexperiencesdissatisfactionswithsrelationshipssandsself.
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,3. Whichsofsthesfollowingsarestruesregardingsmentalshealthsandsmentalsillness?
A) Behaviorsthatsmaysbesviewedsassacceptablesinsonesculturesissalwayssunacceptablesins
otherscultures.
B) Itsisseasystosdeterminesifsaspersonsissmentallyshealthysorsmentallysill.
C) Insmostscases,smentalshealthsissasstatesofsemotional,spsychological,sandssocialswel
lnesssevidencedsbyssatisfyingsinterpersonalsrelationships,seffectivesbehaviorsandsc
oping,spositivesself-concept,sandsemotionalsstability.
D) Personsswhosengagesinsfantasiessaresmentallysill.s
Ans:s C
Feedback:
Whatsonessocietysmaysviewsassacceptablesandsappropriatesbehavior,sanotherssocietysmaysse
esthatsassmaladaptive,sandsinappropriate.sMentalshealthsandsmentalsillnesssaresdifficultstosde
finesprecisely.sInsmostscases,smentalshealthsissasstatesofsemotional,spsychological,sandssocial
swellnesssevidencedsbyssatisfyingsinterpersonalsrelationships,seffectivesbehaviorsandscopin
g,spositivesself-
concept,sandsemotionalsstability.sPersonsswhosengagesinsfantasiessmaysbesmentallyshealthy,
sbutsthesinabilitystosdistinguishsrealitysfromsfantasysissansindividualsfactorsthatsmayscontribu
testosmentalsillness.
4. Asclientsgrievingsthesrecentslosssofshershusbandsaskssifsshesissbecomingsmentallysillsbe
causesshesisssossad.sThesnurse'ssbestsresponseswouldsbe,
A) ìYousmayshavesastemporarysmentalsillnesssbecausesyousaresexperiencingssosmuchspa
in.î
B) ìYousaresnotsmentallysill.sThississansexpectedsreactionstostheslosssyoushavesex
perienced.î
C) ìWeresyousgenerallysdissatisfiedswithsyoursrelationshipsbeforesyourshusband'ssd
eath?î
D) ìTrysnotstosworrysaboutsthatsrightsnow.sYousneversknowswhatsthesfuturesbrings.îsAn
s:s B
Feedback:
Mentalsillnesssincludessgeneralsdissatisfactionswithsself,sineffectivesrelationships,sineffect
ivescoping,sandslacksofspersonalsgrowth.sAdditionallysthesbehaviorsmustsnotsbesculturallyse
xpected.sAcutesgriefsreactionssaresexpectedsandsthereforesnotsconsideredsmentalsillness.sFa
lsesreassurancesorsoveranalysissdoessnotsaccuratelysaddresssthesclient'ssconcerns.
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, 5. ThesnursesconsultssthesDSMsforswhichsofsthesfollowingspurposes?
A) Tosdevisesasplansofscaresforsasnewlysadmittedsclient
B) Tospredictsthesclient'ssprognosissofstreatmentsoutcomes
C) Tosdocumentsthesappropriatesdiagnosticscodesinsthesclient'ssmedicalsrecord
D) Tosservesassasguidesforsclientsassessments
Ans:s D
Feedback:
ThesDSMsprovidessstandardsnomenclature,spresentssdefiningscharacteristics,sandsidentifie
ssunderlyingscausessofsmentalsdisorders.sItsdoessnotsprovidescaresplanssorsprognosticsoutco
messofstreatment.sDiagnosissofsmentalsillnesssissnotswithinsthesgeneralistsRN'ssscopesofspra
ctice,ssosdocumentingsthescodesinsthesmedicalsrecordswouldsbesinappropriate.
6. WhichswouldsbesasreasonsforsasstudentsnursestosusesthesDSM?
A) Identifyingsthesmedicalsdiagnosis
B) Treatsclients
C) Evaluatestreatments
D) Understandsthesreasonsforsthesadmissionsandsthesnaturesofspsychiatricsillnesses.sA
ns:s D
Feedback:
AlthoughsstudentsnursessdosnotsusesthesDSMstosdiagnosesclients,stheyswillsfindsitsashelpfuls
resourcestosunderstandsthesreasonsforsthesadmissionsandstosbeginsbuildingsknowledgesabou
tsthesnaturesofspsychiatricsillnesses.sIdentifyingsthesmedicalsdiagnosis,streating,sandsevaluat
ingstreatmentssaresnotsaspartsofsthesnursingsprocess.
7. Theslegislationsenactedsins1963swasslargelysresponsiblesforswhichsofsthesfollowingsshiftssins
caresforsthesmentallysill?
A) Theswidespreadsusesofscommunity-basedsservices
B) Thesadvancementsinspharmacotherapies
C) Increasedsaccessstoshospitalization
D) Improvedsrightssforsclientssinslong-
termsinstitutionalscaresAns:s A
Feedback:
ThesCommunitysMentalsHealthsCenterssConstructionsActsofs1963saccomplishedsthesreleas
esofsindividualssfromslong-
termsstayssinsstatesinstitutions,sthesdecreasesinsadmissionsstoshospitals,sandsthesdevelopme
ntsofscommunity-basedsservicessassansalternativestoshospitalscare.
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s s s s
LTH NURSING 8TH EDITION, WANDA
s s s s s
MOHR
,1. Chapters1.Thesnursesissassessingsthesfactorsscontributingstostheswell-
beingsofsasnewlysadmittedsclient.sWhichsofsthesfollowingswouldsthesnursesidentifysasshavi
ngsaspositivesimpactsonsthesindividual'ssmentalshealth?
A) Notsneedingsotherssforscompanionship
B) Thesabilitystoseffectivelysmanagesstress
C) Asfamilyshistorysofsmentalsillness
D) Strivingsforstotalsself-
reliancesAns:s B
Feedback:
Individualsfactorssinfluencingsmentalshealthsincludesbiologicsmakeup,sautonomy,sindepen
dence,sself-
esteem,scapacitysforsgrowth,svitality,sabilitystosfindsmeaningsinslife,semotionalsresilienceso
rshardiness,ssensesofsbelonging,srealitysorientation,sandscopingsorsstresssmanagementsabilit
ies.sInterpersonalsfactorsssuchsassintimacysandsasbalancesofsseparatenesssandsconnectednes
ssaresbothsneededsforsgoodsmentalshealth,sandsthereforesashealthyspersonswouldsneedsotherss
forscompanionship.sAsfamilyshistorysofsmentalsillnessscouldsrelatestosthesbiologicsmakeups
ofsansindividual,swhichsmayshavesasnegativesimpactsonsansindividual'ssmentalshealth,sasswe
llsassasnegativesimpactsonsansindividual'ssinterpersonalsandssocialñculturalsfactorssofshealth
.sTotalsself-
reliancesissnotspossible,sandsaspositivessocial/culturalsfactorsissaccessstosadequatesresources
.
2. Whichsofsthesfollowingsstatementssaboutsmentalsillnesssarestrue?sSelectsallsthatsapply.
A) Mentalsillnessscanscausessignificantsdistress,simpairedsfunctioning,sorsboth.
B) Mentalsillnesssissonlysduestossocial/culturalsfactors.
C) Social/culturalsfactorssthatsrelatestosmentalsillnesssincludesexcessivesdependencyso
nsorswithdrawalsfromsrelationships.
D) Individualsssufferingsfromsmentalsillnesssaresusuallysablestoscopeseffectivelyswithsda
ilyslife.
E) Individualsssufferingsfromsmentalsillnesssmaysexperiencesdissatisfactionswithsr
elationshipssandsself.
Ans:s A,sD,sE
Feedback:
Mentalsillnessscanscausessignificantsdistress,simpairedsfunctioning,sorsboth.sMentalsillnesss
maysbesrelatedstosindividual,sinterpersonal,sorssocial/culturalsfactors.sExcessivesdependenc
ysonsorswithdrawalsfromsrelationshipssaresinterpersonalsfactorssthatsrelatestosmentalsillness.s
Individualsssufferingsfromsmentalsillnessscansfeelsoverwhelmedswithsdailyslife.sIndividuals
ssufferingsfromsmentalsillnesssmaysexperiencesdissatisfactionswithsrelationshipssandsself.
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,3. Whichsofsthesfollowingsarestruesregardingsmentalshealthsandsmentalsillness?
A) Behaviorsthatsmaysbesviewedsassacceptablesinsonesculturesissalwayssunacceptablesins
otherscultures.
B) Itsisseasystosdeterminesifsaspersonsissmentallyshealthysorsmentallysill.
C) Insmostscases,smentalshealthsissasstatesofsemotional,spsychological,sandssocialswel
lnesssevidencedsbyssatisfyingsinterpersonalsrelationships,seffectivesbehaviorsandsc
oping,spositivesself-concept,sandsemotionalsstability.
D) Personsswhosengagesinsfantasiessaresmentallysill.s
Ans:s C
Feedback:
Whatsonessocietysmaysviewsassacceptablesandsappropriatesbehavior,sanotherssocietysmaysse
esthatsassmaladaptive,sandsinappropriate.sMentalshealthsandsmentalsillnesssaresdifficultstosde
finesprecisely.sInsmostscases,smentalshealthsissasstatesofsemotional,spsychological,sandssocial
swellnesssevidencedsbyssatisfyingsinterpersonalsrelationships,seffectivesbehaviorsandscopin
g,spositivesself-
concept,sandsemotionalsstability.sPersonsswhosengagesinsfantasiessmaysbesmentallyshealthy,
sbutsthesinabilitystosdistinguishsrealitysfromsfantasysissansindividualsfactorsthatsmayscontribu
testosmentalsillness.
4. Asclientsgrievingsthesrecentslosssofshershusbandsaskssifsshesissbecomingsmentallysillsbe
causesshesisssossad.sThesnurse'ssbestsresponseswouldsbe,
A) ìYousmayshavesastemporarysmentalsillnesssbecausesyousaresexperiencingssosmuchspa
in.î
B) ìYousaresnotsmentallysill.sThississansexpectedsreactionstostheslosssyoushavesex
perienced.î
C) ìWeresyousgenerallysdissatisfiedswithsyoursrelationshipsbeforesyourshusband'ssd
eath?î
D) ìTrysnotstosworrysaboutsthatsrightsnow.sYousneversknowswhatsthesfuturesbrings.îsAn
s:s B
Feedback:
Mentalsillnesssincludessgeneralsdissatisfactionswithsself,sineffectivesrelationships,sineffect
ivescoping,sandslacksofspersonalsgrowth.sAdditionallysthesbehaviorsmustsnotsbesculturallyse
xpected.sAcutesgriefsreactionssaresexpectedsandsthereforesnotsconsideredsmentalsillness.sFa
lsesreassurancesorsoveranalysissdoessnotsaccuratelysaddresssthesclient'ssconcerns.
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, 5. ThesnursesconsultssthesDSMsforswhichsofsthesfollowingspurposes?
A) Tosdevisesasplansofscaresforsasnewlysadmittedsclient
B) Tospredictsthesclient'ssprognosissofstreatmentsoutcomes
C) Tosdocumentsthesappropriatesdiagnosticscodesinsthesclient'ssmedicalsrecord
D) Tosservesassasguidesforsclientsassessments
Ans:s D
Feedback:
ThesDSMsprovidessstandardsnomenclature,spresentssdefiningscharacteristics,sandsidentifie
ssunderlyingscausessofsmentalsdisorders.sItsdoessnotsprovidescaresplanssorsprognosticsoutco
messofstreatment.sDiagnosissofsmentalsillnesssissnotswithinsthesgeneralistsRN'ssscopesofspra
ctice,ssosdocumentingsthescodesinsthesmedicalsrecordswouldsbesinappropriate.
6. WhichswouldsbesasreasonsforsasstudentsnursestosusesthesDSM?
A) Identifyingsthesmedicalsdiagnosis
B) Treatsclients
C) Evaluatestreatments
D) Understandsthesreasonsforsthesadmissionsandsthesnaturesofspsychiatricsillnesses.sA
ns:s D
Feedback:
AlthoughsstudentsnursessdosnotsusesthesDSMstosdiagnosesclients,stheyswillsfindsitsashelpfuls
resourcestosunderstandsthesreasonsforsthesadmissionsandstosbeginsbuildingsknowledgesabou
tsthesnaturesofspsychiatricsillnesses.sIdentifyingsthesmedicalsdiagnosis,streating,sandsevaluat
ingstreatmentssaresnotsaspartsofsthesnursingsprocess.
7. Theslegislationsenactedsins1963swasslargelysresponsiblesforswhichsofsthesfollowingsshiftssins
caresforsthesmentallysill?
A) Theswidespreadsusesofscommunity-basedsservices
B) Thesadvancementsinspharmacotherapies
C) Increasedsaccessstoshospitalization
D) Improvedsrightssforsclientssinslong-
termsinstitutionalscaresAns:s A
Feedback:
ThesCommunitysMentalsHealthsCenterssConstructionsActsofs1963saccomplishedsthesreleas
esofsindividualssfromslong-
termsstayssinsstatesinstitutions,sthesdecreasesinsadmissionsstoshospitals,sandsthesdevelopme
ntsofscommunity-basedsservicessassansalternativestoshospitalscare.
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