,
,Test Bank For Psychiatric Mental Health Nursing 10th Edition
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Chapter 1 P!
1. The nurse is assessing the factors contributing to the well
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being of a newly admitted client. Which of the followin
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g would the nurse identify as having a positive impact ont
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he individual's mental health?
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A) Not needing others for companionship P! P! P! P!
B) The ability to effectively manage stress P! P! P! P! P!
C) A family history of mental illness P! P! P! P! P!
D) Striving for total self- P! P! P!
reliance Ans: B P! P !
Feedback:
Individual factors influencing mental health include biolog
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ic makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find meanin
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g in life, emotional resilience or hardiness, sense of belong
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ing, reality orientation, and coping or stress management a
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bilities. Interpersonal factors such as intimacy and a balan
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ce of separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for compani
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onship. A family history of mental illnesscould relate to the biologic makeup of an in
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dividual, which may have a negative impacton an individual's mental health, as well a
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s a negative impact on an individual's interpersonal and socialñcultural factors of healt
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h. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate reso
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urces.
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. P! P! P! P! P! P! P!
C) Social/cultural factors that relate to mental illness include excessive dependency P! P! P! P! P! P! P! P! P!
on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively wit P! P! P! P! P! P! P! P! P! P! P!
h daily life. P! P!
E) Individuals suffering from mental illness may experience dissatisfaction with P! P! P! P! P! P! P! P!
relationships and self.
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Ans: A, D, E P! P! P!
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental ill
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ness may be related to individual, interpersonal, or social/cultural factors. Excessive d
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ependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals suffering from mental illness can feel overwhelmed with d
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aily life. Individuals suffering from mental illness may experience dissatisfaction with r
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elationships and self. P! P!
, 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 unacceptabl
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e in other cultures. P! P! P!
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 behavio
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r and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. P! P! P! P! P! P! P!
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 difficu
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lt to define precisely. In most cases, mental health is a state of emotional, psychologica
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l, and social wellness evidenced by satisfying interpersonal relationships, effective beh
P! P! P! P! P! P! P! P! P! P!
avior and coping, positive self-
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concept, and emotional stability. Persons who engage in fantasies may be mentally heal
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thy, but the inability to distinguish reality from fantasy is an individual factor that may
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contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally il
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l 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 muc
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h pain.î P!
B) ìYou are not mentally ill. This is an expected reaction to the loss you hav
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e experienced.î P!
C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î P!
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, ineff
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ective coping, and lack of personal growth. Additionally the behavior must not be cult
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urally expected. Acute grief reactions are expected and therefore not considered mental
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illness. False reassurance or overanalysis does not accurately address the client's concer
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ns.
,Test Bank For Psychiatric Mental Health Nursing 10th Edition
P! P! P! P! P! P! P!
Chapter 1 P!
1. The nurse is assessing the factors contributing to the well
P! P! P! P! P! P! P! P! P!
-
being of a newly admitted client. Which of the followin
P! P! P! P! P! P! P! P! P! P!
g would the nurse identify as having a positive impact ont
P! P! P! P! P! P! P! P! P! P!
he individual's mental health?
P! P! P!
A) Not needing others for companionship P! P! P! P!
B) The ability to effectively manage stress P! P! P! P! P!
C) A family history of mental illness P! P! P! P! P!
D) Striving for total self- P! P! P!
reliance Ans: B P! P !
Feedback:
Individual factors influencing mental health include biolog
P! P! P! P! P! P!
ic makeup, autonomy, independence, self-
P! P! P! P!
esteem, capacity for growth, vitality, ability to find meanin
P! P! P! P! P! P! P! P!
g in life, emotional resilience or hardiness, sense of belong
P! P! P! P! P! P! P! P! P!
ing, reality orientation, and coping or stress management a
P! P! P! P! P! P! P! P!
bilities. Interpersonal factors such as intimacy and a balan
P! P! P! P! P! P! P! P!
ce of separateness and connectedness are both needed
P! P! P! P! P! P! P!
for good mental health, and therefore ahealthy person would need others for compani
P! P! P! P! P! P! P! P! P! P! P! P!
onship. A family history of mental illnesscould relate to the biologic makeup of an in
P! P! P! P! P! P! P! P! P! P! P! P! P! P!
dividual, which may have a negative impacton an individual's mental health, as well a
P! P! P! P! P! P! P! P! P! P! P! P! P!
s a negative impact on an individual's interpersonal and socialñcultural factors of healt
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h. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate reso
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urces.
2. Which of the following statements about mental illness are true? Select all that apply.
P! P! P! P! P! P! P! P! P! P! P! P! P!
A) Mental illness can cause significant distress, impaired functioning, or both.
P! P! P! P! P! P! P! P! P!
B) Mental illness is only due to social/cultural factors. P! P! P! P! P! P! P!
C) Social/cultural factors that relate to mental illness include excessive dependency P! P! P! P! P! P! P! P! P!
on or withdrawal from relationships.
P! P! P! P! P!
D) Individuals suffering from mental illness are usually able to cope effectively wit P! P! P! P! P! P! P! P! P! P! P!
h daily life. P! P!
E) Individuals suffering from mental illness may experience dissatisfaction with P! P! P! P! P! P! P! P!
relationships and self.
P! P! P!
Ans: A, D, E P! P! P!
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental ill
P! P! P! P! P! P! P! P! P! P! P!
ness may be related to individual, interpersonal, or social/cultural factors. Excessive d
P! P! P! P! P! P! P! P! P! P! P!
ependency on or withdrawal from relationships are interpersonal factors that relate to
P! P! P! P! P! P! P! P! P! P! P! P!
mental illness. Individuals suffering from mental illness can feel overwhelmed with d
P! P! P! P! P! P! P! P! P! P! P!
aily life. Individuals suffering from mental illness may experience dissatisfaction with r
P! P! P! P! P! P! P! P! P! P! P!
elationships and self. P! P!
, 3. Which of the following are true regarding mental health and mental illness?
P! P! P! P! P! P! P! P! P! P! P!
A) Behavior that may be viewed as acceptable in one culture is always unacceptabl
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e in other cultures. P! P! P!
B) It is easy to determine if a person is mentally healthy or mentally ill.
P! P! P! P! P! P! P! P! P! P! P! P! P!
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 behavio
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r and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. P! P! P! P! P! P! P!
Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
P! P! P! P! P! P! P! P! P! P! P! P!
see that as maladaptive, and inappropriate. Mental health and mental illness are difficu
P! P! P! P! P! P! P! P! P! P! P! P! P!
lt to define precisely. In most cases, mental health is a state of emotional, psychologica
P! P! P! P! P! P! P! P! P! P! P! P! P! P!
l, and social wellness evidenced by satisfying interpersonal relationships, effective beh
P! P! P! P! P! P! P! P! P! P!
avior and coping, positive self-
P! P! P! P!
concept, and emotional stability. Persons who engage in fantasies may be mentally heal
P! P! P! P! P! P! P! P! P! P! P! P!
thy, but the inability to distinguish reality from fantasy is an individual factor that may
P! P! P! P! P! P! P! P! P! P! P! P! P! P! P
contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally il
P! P! P! P! P! P! P! P! P! P! P! P! P! P! P!
l because she is so sad. The nurse's best response would be,
P! P! P! P! P! P! P! P! P! P! P!
A) ìYou may have a temporary mental illness because you are experiencing so muc
P! P! P! P! P! P! P! P! P! P! P! P!
h pain.î P!
B) ìYou are not mentally ill. This is an expected reaction to the loss you hav
P! P! P! P! P! P! P! P! P! P! P! P! P! P!
e experienced.î P!
C) ìWere you generally dissatisfied with your relationship before your husband's
P! P! P! P! P! P! P! P! P!
death?î P!
D) ìTry not to worry about that right now. You never know what the future brings.î
P! P! P! P! P! P! P! P! P! P! P! P! P! P!
Ans: B
P! P !
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
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ective coping, and lack of personal growth. Additionally the behavior must not be cult
P! P! P! P! P! P! P! P! P! P! P! P! P!
urally expected. Acute grief reactions are expected and therefore not considered mental
P! P! P! P! P! P! P! P! P! P! P!
illness. False reassurance or overanalysis does not accurately address the client's concer
P! P! P! P! P! P! P! P! P! P! P! P!
ns.
