Chapter 1: Foundations of
psychiatric- mental health nursing
Exam Study Guide – Practice
Questions with Answers.
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 - Resolution Result Verified Answers ✔✔-
Resolution Result Verified Answers : 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 negative impact on an individual's
,interpersonal and social-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. - Resolution Result Verified Answers ✔✔-Resolution
Result Verified Answers : 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. - Resolution Result Verified
Answers ✔✔-Resolution Result Verified Answers : 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
selfconcept, 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." - Resolution Result Verified Answers ✔✔-Resolution Result Verified
Answers : 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?
psychiatric- mental health nursing
Exam Study Guide – Practice
Questions with Answers.
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 - Resolution Result Verified Answers ✔✔-
Resolution Result Verified Answers : 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 negative impact on an individual's
,interpersonal and social-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. - Resolution Result Verified Answers ✔✔-Resolution
Result Verified Answers : 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. - Resolution Result Verified
Answers ✔✔-Resolution Result Verified Answers : 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
selfconcept, 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." - Resolution Result Verified Answers ✔✔-Resolution Result Verified
Answers : 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?
