Psychiatric-Mental Health 9th
TEST BANK/Study Guide
Wolters Kluwer by Videbeck Test
Bank/Study Guide
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 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
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, negative impact on an individual's interpersonal and social and cultural 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 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.!
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.!
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, 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 so much!
pain.!
B) You are not mentally ill. This is an expected reaction to the loss you have!
experienced.!
C) Were you generally dissatisfied with your relationship before your husband's!
death?!
D) Try not to worry about that right now. You never know what the future brings.!
Ans: 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's concerns.!
5. The nurse consults the DSM for which of the following
purposes?! A) To devise a plan of care for a newly admitted
client!
B) To predict the client's prognosis of treatment outcomes!
C) To document the appropriate diagnostic code in the client's medical record!
D) To serve as a guide for client assessment!
Ans: D!
Feedback:!
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
generalist RN's scope of practice, so documenting the code in the medical record
would be inappropriate.!
6. Which would be a reason for a student nurse to use the
DSM?! A) Identifying the medical diagnosis! B) Treat
clients!
C) Evaluate treatments!
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!
about:blank 3/225
, 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. 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 so much!
pain.!
B) You are not mentally ill. This is an expected reaction to the loss you have!
experienced.!
C) Were you generally dissatisfied with your relationship before your husband's!
death?!
D) Try not to worry about that right now. You never know what the future brings.!
Ans: 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's concerns.!
5. The nurse consults the DSM for which of the following
purposes?! A) To devise a plan of care for a newly admitted
client!
B) To predict the client's prognosis of treatment outcomes!
C) To document the appropriate diagnostic code in the client's medical record!
D) To serve as a guide for client assessment!
Ans: D!
Feedback:!
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
about:blank 4/225
TEST BANK/Study Guide
Wolters Kluwer by Videbeck Test
Bank/Study Guide
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 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
about:blank 1/225
, negative impact on an individual's interpersonal and social and cultural 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 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.!
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.!
about:blank 2/225
, 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 so much!
pain.!
B) You are not mentally ill. This is an expected reaction to the loss you have!
experienced.!
C) Were you generally dissatisfied with your relationship before your husband's!
death?!
D) Try not to worry about that right now. You never know what the future brings.!
Ans: 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's concerns.!
5. The nurse consults the DSM for which of the following
purposes?! A) To devise a plan of care for a newly admitted
client!
B) To predict the client's prognosis of treatment outcomes!
C) To document the appropriate diagnostic code in the client's medical record!
D) To serve as a guide for client assessment!
Ans: D!
Feedback:!
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
prognostic outcomes of treatment. Diagnosis of mental illness is not within the
generalist RN's scope of practice, so documenting the code in the medical record
would be inappropriate.!
6. Which would be a reason for a student nurse to use the
DSM?! A) Identifying the medical diagnosis! B) Treat
clients!
C) Evaluate treatments!
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!
about:blank 3/225
, 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. 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 so much!
pain.!
B) You are not mentally ill. This is an expected reaction to the loss you have!
experienced.!
C) Were you generally dissatisfied with your relationship before your husband's!
death?!
D) Try not to worry about that right now. You never know what the future brings.!
Ans: 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's concerns.!
5. The nurse consults the DSM for which of the following
purposes?! A) To devise a plan of care for a newly admitted
client!
B) To predict the client's prognosis of treatment outcomes!
C) To document the appropriate diagnostic code in the client's medical record!
D) To serve as a guide for client assessment!
Ans: D!
Feedback:!
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
about:blank 4/225
