,
,Test Bank For Psychiatric Mental Health Nursing 9th Edition
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Chapter 1 n3
1. The nurse is assessing the factors contributing to the wel
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l-
being of a newly admitted client. Which of the followi
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ng would the nurse identify as having a positive impact o
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
nthe individual's mental health?
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A) Not needing others for companionship n3 n3 n3 n3
B) The ability to effectively manage stress n3 n3 n3 n3 n3
C) A family history of mental illness
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D) Striving for total self- n3 n3 n3
reliance Ans: B n3 n 3
Feedback:
Individual factors influencing mental health include biolo
n3 n3 n3 n3 n3 n3
gic makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find meani
n3 n3 n3 n3 n3 n3 n3 n3
ng in life, emotional resilience or hardiness, sense of belo
n3 n3 n3 n3 n3 n3 n3 n3 n3
nging, reality orientation, and coping or stress manageme
n3 n3 n3 n3 n3 n3 n3
nt abilities. Interpersonal factors such as intimacy and a b
n3 n3 n3 n3 n3 n3 n3 n3 n3
alance of separateness and connectedness are both needed
n3 n3 n3 n3 n3 n3 n3
for good mental health, and therefore ahealthy person would need others for compan
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ionship. A family history of mental illnesscould relate to the biologic makeup of an
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
individual, which may have a negative impacton an individual's mental health, as wel
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l as a negative impact on an individual's interpersonal and socialñcultural factors of h
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ealth. Total self- n3 n3
reliance is not possible, and a positive social/cultural factor is access to adequate res
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ources.
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. n3 n3 n3 n3 n3 n3 n3
C) Social/cultural factors that relate to mental illness include excessive dependenc n3 n3 n3 n3 n3 n3 n3 n3 n3
y on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively wit n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
h daily life. n3 n3
E) Individuals suffering from mental illness may experience dissatisfaction wit n3 n3 n3 n3 n3 n3 n3 n3
h relationships and self. n3 n3 n3
Ans: A, D, E n3 n3 n3
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
lness may be related to individual, interpersonal, or social/cultural factors. Excessive
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n
3dependency 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 wit
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
h daily life. Individuals suffering from mental illness may experience dissatisfaction
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
with 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 unacceptab
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le in other cultures. n3 n3 n3
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 socia
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
l wellness evidenced by satisfying interpersonal relationships, effective behavi
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or and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill n3 n3 n3 n3 n3 n3 n3
. Ans: C
n3 n 3
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
cult to define precisely. In most cases, mental health is a state of emotional, psycholo
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
gical, and social wellness evidenced by satisfying interpersonal relationships, effective
n3 n3 n3 n3 n3 n3 n3 n3 n3
behavior and coping, positive self-
n3 n3 n3 n3 n3
concept, and emotional stability. Persons who engage in fantasies may be mentally he
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
althy, but the inability to distinguish reality from fantasy is an individual factor that
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
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
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ill because she is so sad. The nurse's best response would be,
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
A) ìYou may have a temporary mental illness because you are experiencing so muc
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
h pain.î n3
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ve experienced.î n3
C) ìWere you generally dissatisfied with your relationship before your husband'
n3 n3 n3 n3 n3 n3 n3 n3 n3
s death?î n3
D) ìTry not to worry about that right now. You never know what the future brings
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
.î Ans: B
n3 n 3
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
n3 n3 n3 n3 n3 n3 n3 n3 n3
ective coping, and lack of personal growth. Additionally the behavior must not be cul
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
turally expected. Acute grief reactions are expected and therefore not considered ment
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
al illness. False reassurance or overanalysis does not accurately address the client's con
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
cerns.
,Test Bank For Psychiatric Mental Health Nursing 9th Edition
n3 n3 n3 n3 n3 n3 n3 n3
Chapter 1 n3
1. The nurse is assessing the factors contributing to the wel
n3 n3 n3 n3 n3 n3 n3 n3 n3
l-
being of a newly admitted client. Which of the followi
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ng would the nurse identify as having a positive impact o
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
nthe individual's mental health?
n3 n3 n3
A) Not needing others for companionship n3 n3 n3 n3
B) The ability to effectively manage stress n3 n3 n3 n3 n3
C) A family history of mental illness
n3 n3 n3 n3 n3
D) Striving for total self- n3 n3 n3
reliance Ans: B n3 n 3
Feedback:
Individual factors influencing mental health include biolo
n3 n3 n3 n3 n3 n3
gic makeup, autonomy, independence, self-
n3 n3 n3 n3
esteem, capacity for growth, vitality, ability to find meani
n3 n3 n3 n3 n3 n3 n3 n3
ng in life, emotional resilience or hardiness, sense of belo
n3 n3 n3 n3 n3 n3 n3 n3 n3
nging, reality orientation, and coping or stress manageme
n3 n3 n3 n3 n3 n3 n3
nt abilities. Interpersonal factors such as intimacy and a b
n3 n3 n3 n3 n3 n3 n3 n3 n3
alance of separateness and connectedness are both needed
n3 n3 n3 n3 n3 n3 n3
for good mental health, and therefore ahealthy person would need others for compan
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ionship. A family history of mental illnesscould relate to the biologic makeup of an
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
individual, which may have a negative impacton an individual's mental health, as wel
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
l as a negative impact on an individual's interpersonal and socialñcultural factors of h
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ealth. Total self- n3 n3
reliance is not possible, and a positive social/cultural factor is access to adequate res
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ources.
2. Which of the following statements about mental illness are true? Select all that apply.
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
A) Mental illness can cause significant distress, impaired functioning, or both.
n3 n3 n3 n3 n3 n3 n3 n3 n3
B) Mental illness is only due to social/cultural factors. n3 n3 n3 n3 n3 n3 n3
C) Social/cultural factors that relate to mental illness include excessive dependenc n3 n3 n3 n3 n3 n3 n3 n3 n3
y on or withdrawal from relationships.
n3 n3 n3 n3 n3
D) Individuals suffering from mental illness are usually able to cope effectively wit n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
h daily life. n3 n3
E) Individuals suffering from mental illness may experience dissatisfaction wit n3 n3 n3 n3 n3 n3 n3 n3
h relationships and self. n3 n3 n3
Ans: A, D, E n3 n3 n3
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
lness may be related to individual, interpersonal, or social/cultural factors. Excessive
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n
3dependency on or withdrawal from relationships are interpersonal factors that relate
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
h daily life. Individuals suffering from mental illness may experience dissatisfaction
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
with relationships and self.
n3 n3 n3
, 3. Which of the following are true regarding mental health and mental illness?
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
A) Behavior that may be viewed as acceptable in one culture is always unacceptab
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
le in other cultures. n3 n3 n3
B) It is easy to determine if a person is mentally healthy or mentally ill.
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
C) In most cases, mental health is a state of emotional, psychological, and socia
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
l wellness evidenced by satisfying interpersonal relationships, effective behavi
n3 n3 n3 n3 n3 n3 n3 n3
or and coping, positive self-concept, and emotional stability.
n3 n3 n3 n3 n3 n3 n3
D) Persons who engage in fantasies are mentally ill n3 n3 n3 n3 n3 n3 n3
. Ans: C
n3 n 3
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
cult to define precisely. In most cases, mental health is a state of emotional, psycholo
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
gical, and social wellness evidenced by satisfying interpersonal relationships, effective
n3 n3 n3 n3 n3 n3 n3 n3 n3
behavior and coping, positive self-
n3 n3 n3 n3 n3
concept, and emotional stability. Persons who engage in fantasies may be mentally he
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
althy, but the inability to distinguish reality from fantasy is an individual factor that
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
may contribute to mental illness.
n3 n3 n3 n3
4. A client grieving the recent loss of her husband asks if she is becoming mentally
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ill because she is so sad. The nurse's best response would be,
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
A) ìYou may have a temporary mental illness because you are experiencing so muc
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
h pain.î n3
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
ve experienced.î n3
C) ìWere you generally dissatisfied with your relationship before your husband'
n3 n3 n3 n3 n3 n3 n3 n3 n3
s death?î n3
D) ìTry not to worry about that right now. You never know what the future brings
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
.î Ans: B
n3 n 3
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
n3 n3 n3 n3 n3 n3 n3 n3 n3
ective coping, and lack of personal growth. Additionally the behavior must not be cul
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
turally expected. Acute grief reactions are expected and therefore not considered ment
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
al illness. False reassurance or overanalysis does not accurately address the client's con
n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3 n3
cerns.