Test Bank For Psychiatric Mental Health Nursing, 9th Edition by Sheila L. Videbeck All Chapters 1-24 LATEST

Test Bank For Psychiatric Mental Health Nursing 9th Edition
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Chapter 1 t




1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following
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would the nurse identify as having a positive impact onthe
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individual's mental health?
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A) Not needing others for companionship
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B) The ability to effectively manage stress
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C) A family history of mental illness
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D) Striving for total self-reliance t t t




Ans: B
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Feedback:
Individual factors influencing mental health include t t t t t




biologic makeup, autonomy, independence, self-esteem,
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capacity for growth, vitality, ability to find meaning in life,
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emotional resilience or hardiness, sense of belonging,
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reality orientation, and coping or stress management
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abilities. Interpersonal factors such as intimacy and a
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balance of separateness and connectedness are both
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needed
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for good mental health, and therefore ahealthy person would need others for
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companionship. A family history of mental illnesscould relate to the biologic makeup
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of an individual, which may have a negative impacton an individual's mental health, as
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well as a negative impact on an individual's interpersonal and socialñcultural factors of
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health. Total self-reliance is not possible, and a positive social/cultural factor is access
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to adequate resources.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both.
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B) Mental illness is only due to social/cultural factors. t t t t t t t

,C) Social/cultural factors that relate to mental illness include excessive dependency
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on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with
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daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self.
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Ans: A, D, E
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Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate
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to mental illness. Individuals suffering from mental illness can feel overwhelmed with
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daily life. Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self.
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,3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always unacceptable
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in other cultures.
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B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and social
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wellness evidenced by satisfying interpersonal relationships, effective behavior
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and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. t t t t t t t




Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
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see that as maladaptive, and inappropriate. Mental health and mental illness are
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difficult to define precisely. In most cases, mental health is a state of emotional,
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psychological, and social wellness evidenced by satisfying interpersonal relationships,
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effective behavior and coping, positive self-concept, and emotional stability. Persons
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who engage in fantasies may be mentally healthy, but the inability to distinguish reality
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from fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so much
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pain.î
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B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î
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C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î
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D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must not be
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, culturally expected. Acute grief reactions are expected and therefore not considered
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mental illness. False reassurance or overanalysis does not accurately address the client's
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concerns.
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