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Psychiatric-
MentalnHealthnNursingn8thneditionnbynVidebecknTestnBankn Chaptern1
1. Thennursenisnassessingnthenfactorsncontributingntonthenwell-
beingnofnannewlynadmittedn client.nWhichnofnthenfollowingnwouldnthennursenidentifyn
asnhavingnanpositiven impactnonn thenindividual'sn mentalnhealth?
A) Notn needingn othersn forn companionship
B) Then abilityn ton effectivelyn managenstress
C) An familyn historyn ofn mentaln illness
D) Strivingnforntotalnself-
reliancen Ans:nB
Feedback:
Individualnfactorsninfluencingn mentalnhealthnincludenbiologicn makeup,nautonomy,n ind
ependence,nself-
esteem,ncapacitynforngrowth,nvitality,nabilityntonfindn meaningn innlife,n emotionalnresili
encenornhardiness,nsensenofnbelonging,nrealitynorientation,nandncopingnorn stressnmana
gementnabilities.nInterpersonaln factorsnsuchnasnintimacynandnanbalancenofn separatenes
snandnconnectednessnarenbothnneedednforngoodn mentalnhealth,nandnthereforenan healthy
npersonnwouldnneednothersnforncompanionship.nAnfamilyn historynofn mentalnillnessn co
uldnrelatentonthenbiologicn makeupnofnannindividual,nwhichn maynhavenannegativenimpac
tn onnannindividual'sn mentalnhealth,nasnwellnasnannegativenimpactnonnannindividual'sn i
nterpersonalnandnsocialñculturalnfactorsnofnhealth.nTotalnself-
reliancenisnnotnpossible,n andnanpositivensocial/culturalnfactornisnaccessntonadequatenre
sources.
2. Whichn ofn then followingn statementsnaboutn mentaln illnessn arentrue?nSelectn alln thatn apply.
A) Mentaln illnessn cann causen significantn distress,n impairedn functioning,n orn both.
B) Mentaln illnessnisn onlyn duenton social/culturaln factors.
C) Social/culturalnfactorsnthatnrelatenton mentalnillnessnincludenexcessivendependenc
yn onnornwithdrawalnfromnrelationships.
D) Individualsnsufferingn fromn mentalnillnessnarenusuallynablentoncopeneffectivelynwi
thn dailynlife.
E) Individualsnsufferingn fromn mentalnillnessnmaynexperiencendissatisfactionnwit
hn relationshipsnandnself.
Ans:n A,n D,n E
Feedback:
Mentalnillnessncanncausensignificantndistress,nimpairednfunctioning,nornboth.nMentaln il
lnessn maynbenrelatedntonindividual,ninterpersonal,nornsocial/culturalnfactors.nExcessive
n dependencynonnornwithdrawalnfromnrelationshipsnareninterpersonalnfactorsnthatnrelate
nton mentaln illness.nIndividualsnsufferingn fromn mentalnillnessncannfeelnoverwhelmednw
ithn dailyn life.nIndividualsnsufferingn fromn mentalnillnessn maynexperiencendissatisfactio
nnwithn relationshipsnandnself.
3. Whichn ofn then followingn aren truen regardingn mentaln healthn andn mentaln illness?
A) Behaviornthatn maynbenviewednasnacceptableninnonenculturenisnalwaysnunaccepta
blen innotherncultures.
B) Itn isn easyn ton determinen ifn an personn isn mentallyn healthyn orn mentallyn ill.
C) Inn mostncases,n mentalnhealthnisnanstatenofnemotional,npsychological,nandnsocial
n wellnessnevidencednbynsatisfyingn interpersonalnrelationships,neffectivenbehav
iorn andncoping,npositivenself-concept,nandnemotionalnstability.
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D) Persons ] nwhonengageninnfantasiesnarenmentallynil
l.n Ans:nC
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3. Whichn ofn then followingn aren truen regardingn mentaln healthn andn mentaln illness?
A) Behaviornthatn maynbenviewednasnacceptableninnonenculturenisnalwaysnunaccepta
blen innotherncultures.
B) Itn isn easyn ton determinen ifn an personn isn mentallyn healthyn orn mentallyn ill.
C) Inn mostncases,n mentalnhealthnisnanstatenofnemotional,npsychological,nandnsocial
n wellnessnevidencednbynsatisfyingn interpersonalnrelationships,neffectivenbehav
iorn andncoping,npositivenself-concept,nandnemotionalnstability.
D) Personsnwhonengageninnfantasiesnarenmentallyn il
l.n Ans:nC
Feedback:
Whatnonensocietyn maynviewnasnacceptablenandnappropriatenbehavior,nanothernsocietyn
mayn seenthatnasnmaladaptive,nandninappropriate.nMentalnhealthnandn mentaln illnessnaren
difficultn tondefinenprecisely.nInn mostncases,nmentalnhealthnisnanstatenofnemotional,npsy
chological,n andnsocialnwellnessnevidencednbynsatisfyingn interpersonalnrelationships,nef
fectiven behaviornandncoping,npositivenself-
concept,nandnemotionalnstability.nPersonsnwhonengagen inn fantasiesn maynben mentallynh
ealthy,nbutntheninabilityntondistinguishnrealityn fromn fantasyn isnannindividualnfactornthat
nmayncontributentonmentalnillness.
4. Anclientngrievingnthenrecentnlossnofnhernhusbandnasksnifnshenisnbecomingn mentally
nilln becausenshenisnsonsad.nThennurse'snbestnresponsenwouldnbe,
A) ìYoun maynhavenantemporaryn mentalnillnessnbecausenyounarenexperiencingnson mu
chn pain.î
B) ìYounarennotnmentallynill.nThisnisnannexpectednreactionntonthenlossnyounh
aven experienced.î
C) ìWerenyoungenerallyndissatisfiednwithn yournrelationshipnbeforenyournhusband
'sn death?î
D) ìTrynnotntonworrynaboutnthatnrightnnow.nYounnevernknownwhatnthenfuturenbrin
gs.în Ans:nB
Feedback:
Mentalnillnessnincludesngeneralndissatisfactionnwithnself,nineffectivenrelationships,n ine
ffectivencoping,nandnlacknofnpersonalngrowth.nAdditionallynthenbehaviorn mustnnotnben
culturallynexpected.nAcutengriefnreactionsnarenexpectednandnthereforennotnconsideredn
mentalnillness.nFalsenreassurancenornoveranalysisndoesnnotnaccuratelynaddressnthenclien
t'sn concerns.
5. Then nursen consultsn then DSMn forn whichn ofn then followingn purposes?
A) Ton devisen an plann ofn caren forn an newlyn admittedn client
B) Ton predictn then client'sn prognosisn ofn treatmentn outcomes
C) Ton documentn then appropriaten diagnosticn coden inn then client'sn medicaln record
D) Tonservenasnanguidenfornclientnassessme
ntn Ans:nD
Feedback:
ThenDSMnprovidesnstandardnnomenclature,npresentsndefiningncharacteristics,nandn ide
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ntifiesn underlyingn causesn ofn mentaln disordersn Itn doesn notn providen caren plansn or
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