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Psychiatric-
Mental nHealthnNursing n8thneditionnby nVidebecknTestnBankn Chaptern1
1. Then nursen is n assessingn then factors n contributingn to n then well-
beingn ofn an newlyn admitted n client.n Which nofnthenfollowingn would nthennursen identifyn
as n havingn an positiven impact n on n then individual's n mental n health?
A) Not n needingn others n forn companionship
B) Then ability n to n effectively n managen stress
C) A n family n history n ofn mental n illness
D) Strivingn forn total n self-
reliancen Ans: n B
Feedback:
Individual n factors ninfluencingn mental nhealth nincludenbiologicn makeup,nautonomy,n ind
ependence,n self-
esteem,n capacity n forn growth,nvitality,n abilityn to nfindn meaningn inn life,n emotional nresili
encen orn hardiness,nsensenofnbelonging,n reality norientation,nand ncopingn orn stress n mana
gement n abilities.n Interpersonaln factors nsuch nas nintimacy n andn anbalancen ofn separatenes
s n and n connectedness naren bothn needed nforn goodn mental nhealth,n andn thereforen an healthy
n person n would nneed nothers nforn companionship.nA nfamily nhistory nofnmental nillness n co
uld n relaten to nthen biologicn makeupn ofn ann individual,nwhich nmay n haven annegativenimpac
t n on n an nindividual's nmentaln health,n as nwelln asn annegativenimpact nonn ann individual's n i
nterpersonal n and n socialñcultural n factors n ofn health.n Total n self-
reliancen is n notn possible,n and nan positiven social/culturaln factorn is naccess n to nadequaten re
sources.
2. Which n ofn then followingn statements n about n mental n illness n aren true?n Select n all n that n apply.
A) Mental n illness n can n causen significant n distress,n impaired n functioning,n orn both.
B) Mental n illness n is n only n duen to n social/cultural n factors.
C) Social/cultural n factors n that nrelaten ton mental nillnessnincludenexcessivendependenc
y n on n orn withdrawal n fromn relationships.
D) Individuals nsufferingn fromn mentaln illnessn aren usually nablen to ncopeneffectivelynwi
th n daily n life.
E) Individuals nsufferingn fromn mentaln illnessn may nexperiencen dissatisfactionnwit
h n relationships n and n self.
Ans: n A,n D,n E
Feedback:
Mental n illness ncan ncausensignificant ndistress,n impaired nfunctioning,n ornboth.nMentaln il
lness n may n ben related nto nindividual,ninterpersonal,n ornsocial/cultural nfactors.nExcessive
n dependency n onn orn withdrawal nfromn relationshipsn areninterpersonal nfactors nthat nrelate
n to n mental nillness.n Individuals nsufferingn fromn mental n illnessn can nfeel noverwhelmed nw
ith n daily nlife.n Individuals nsufferingn fromn mentaln illnessn may nexperiencen dissatisfactio
n n with n relationships n and n self.
3. Which n ofn then followingn aren truen regardingn mental n health n and n mental n illness?
A) Behaviorn that n may nbenviewedn as nacceptablen in nonenculturenis nalways nunaccepta
blen in n othern cultures.
B) It n is n easy n to n determinen ifn an person n is n mentally n healthy n orn mentally n ill.
C) In n most n cases,n mentaln health nis nan statenofnemotional,npsychological,n and nsocial
n wellness nevidenced n by nsatisfyingn interpersonal nrelationships,neffectivenbehav
iorn and n coping,n positiven self-concept,n and n emotional n stability.
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D) Persons ] n who n engagen in nfantasies naren mentallynil
l.n Ans: n C
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3. Which n ofn then followingn aren truen regardingn mental n health n and n mental n illness?
A) Behaviorn that n may nbenviewedn as nacceptablen in nonenculturenis nalways nunaccepta
blen in n othern cultures.
B) It n is n easy n to n determinen ifn an person n is n mentally n healthy n orn mentally n ill.
C) In n most n cases,n mentaln health nis nan statenofnemotional,npsychological,n and nsocial
n wellness nevidenced n by nsatisfyingn interpersonal nrelationships,neffectivenbehav
iorn and n coping,n positiven self-concept,n and n emotional n stability.
D) Persons n who n engagen in nfantasies naren mentallynil
l.n Ans: n C
Feedback:
What n onen society nmay n view nas nacceptablen andn appropriaten behavior,n anothern society n
may n seen that n asn maladaptive,n and ninappropriate.nMental nhealth nand nmental nillness naren
difficult n ton definenprecisely.n Inn most ncases,n mental nhealthn is nan statenofnemotional,npsy
chological,n and n social nwellnessn evidenced nbyn satisfyingn interpersonal nrelationships,n ef
fectiven behaviorn and n coping,n positiven self-
concept,n and n emotional nstability.n Persons nwhon engagen inn fantasiesn may nbenmentally nh
ealthy,n but n theninability nton distinguish nreality nfromn fantasy n is nan nindividual nfactorn that
n may n contributen to n mental n illness.
4. A n client n grievingn thenrecent nloss nofnhern husband nasksn ifn shenis nbecomingn mentally
n ill n becausen shen is n so n sad.n Then nurse's n best n responsen would n be,
A) ìYou n may n havenan temporary n mental nillnessn becausenyoun arenexperiencingn son mu
ch n pain.î
B) ìYou n aren not nmentally nill.nThis nis nan nexpected n reaction nton thenloss nyoun h
aven experienced.î
C) ìWeren you n generally n dissatisfied nwith nyournrelationshipn beforen yournhusband
's n death?î
D) ìTry n not n to nworry nabout nthat nright nnow.n You nnevern known what nthen futurenbrin
gs.î n Ans: n B
Feedback:
Mental n illness nincludes ngeneral n dissatisfaction nwith nself,n ineffectivenrelationships,n ine
ffectiven coping,n and n lack n ofn personaln growth.n Additionally nthenbehaviornmustn not nben
culturally n expected.n Acuten griefn reactionsn arenexpected nandn thereforen not nconsidered n
mental n illness.nFalsenreassurancenornoveranalysis ndoesn not naccuratelyn address nthen clien
t's n concerns.
5. Then nursen consults n then DSMn forn which n ofn then followingn purposes?
A) To n devisen an plan n ofn caren forn an newly n admitted n client
B) To n predict n then client's n prognosis n ofn treatment n outcomes
C) To n document n then appropriaten diagnosticn coden in n then client's n medical n record
D) To n serven as n an guidenfornclient nassessme
nt n Ans: n D
Feedback:
Then DSMn provides n standard nnomenclature,n presents ndefiningn characteristics,n andn ide
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ntifies n underlyingn causes n ofn mental n disorders n It n does n not n providen caren plans n or
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