,
,Chapter 1 fk
FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING fk fk fk fk
1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following
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would the nurse identify as having a positive impact onthe i
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ndividual's mental health? fk fk
A) Not needing others for companionship fk fk fk fk
B) The ability to effectively manage stress fk fk fk fk fk
C) A family history of mental illness fk fk fk fk fk
D) Striving for total self- fk fk fk
reliance Ans: B fk f k
Feedback:
Individual factors influencing mental health include biologi fk fk fk fk fk fk
c makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find meaning
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in life, emotional resilience or hardiness, sense of belonging
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, reality orientation, and coping or stress management abiliti
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es. Interpersonal factors such as intimacy and a balance of se
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parateness and connectedness are both needed fk fk fk fk fk
for good mental health, and therefore ahealthy person would need others for companion
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ship. A family history of mental illnesscould relate to the biologic makeup of an individ
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ual, which may have a negative impacton an individual's mental health, as well as a negat
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ive impact on an individual's interpersonal and socialñcultural factors of health. Total sel
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f-
reliance is not possible, and a positive social/cultural factor is access to adequate resourc
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es.
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. fk fk fk fk fk fk fk fk fk
B) Mental illness is only due to social/cultural factors. fk fk fk fk fk fk fk
C) Social/cultural factors that relate to mental illness include excessive dependency o fk fk fk fk fk fk fk fk fk fk
n or withdrawal from relationships.fk fk fk fk
D) Individuals suffering from mental illness are usually able to cope effectively with d fk fk fk fk fk fk fk fk fk fk fk fk
aily life. fk
E) Individuals suffering from mental illness may experience dissatisfaction with r fk fk fk fk fk fk fk fk fk
elationships and self. fk fk
Ans: A, D, E fk fk fk
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illne
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ss may be related to individual, interpersonal, or social/cultural factors. Excessive depen
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dency on or withdrawal from relationships are interpersonal factors that relate to mental
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illness. Individuals suffering from mental illness can feel overwhelmed with daily life. I
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ndividuals suffering from mental illness may experience dissatisfaction with relationship
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s 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 unacceptable i fk fk fk fk fk fk fk fk fk fk fk fk fk
n other cultures. fk fk
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 w
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ellness evidenced by satisfying interpersonal relationships, effective behavior an
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d coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. fk fk fk fk fk fk fk fk
Ans: C f k
Feedback:
What one society may view as acceptable and appropriate behavior, another society may se
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e that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
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define precisely. In most cases, mental health is a state of emotional, psychological, and s
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ocial wellness evidenced by satisfying interpersonal relationships, effective behavior and
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coping, positive self- fk fk
concept, and emotional stability. Persons who engage in fantasies may be mentally health
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y, but the inability to distinguish reality from fantasy is an individual factor that may contr
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ibute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally ill b
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ecause 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 much p
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ain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have e
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xperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's d
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eath?î
D) ìTry not to worry about that right now. You never know what the future brings.î A
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ns: B f k
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffect
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ive coping, and lack of personal growth. Additionally the behavior must not be culturally
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
expected. Acute grief reactions are expected and therefore not considered mental illness.
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False reassurance or overanalysis does not accurately address the client's concerns.
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,Chapter 1 fk
FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING fk fk fk fk
1. The nurse is assessing the factors contributing to the well-
fk fk fk fk fk fk fk fk fk
being of a newly admitted client. Which of the following
fk fk fk fk fk fk fk fk fk fk
would the nurse identify as having a positive impact onthe i
fk fk fk fk fk fk fk fk fk fk
ndividual's mental health? fk fk
A) Not needing others for companionship fk fk fk fk
B) The ability to effectively manage stress fk fk fk fk fk
C) A family history of mental illness fk fk fk fk fk
D) Striving for total self- fk fk fk
reliance Ans: B fk f k
Feedback:
Individual factors influencing mental health include biologi fk fk fk fk fk fk
c makeup, autonomy, independence, self-
fk fk fk fk
esteem, capacity for growth, vitality, ability to find meaning
fk fk fk fk fk fk fk fk fk
in life, emotional resilience or hardiness, sense of belonging
fk fk fk fk fk fk fk fk
, reality orientation, and coping or stress management abiliti
fk fk fk fk fk fk fk fk
es. Interpersonal factors such as intimacy and a balance of se
fk fk fk fk fk fk fk fk fk fk
parateness and connectedness are both needed fk fk fk fk fk
for good mental health, and therefore ahealthy person would need others for companion
fk fk fk fk fk fk fk fk fk fk fk fk
ship. A family history of mental illnesscould relate to the biologic makeup of an individ
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ual, which may have a negative impacton an individual's mental health, as well as a negat
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ive impact on an individual's interpersonal and socialñcultural factors of health. Total sel
fk fk fk fk fk fk fk fk fk fk fk fk
f-
reliance is not possible, and a positive social/cultural factor is access to adequate resourc
fk fk fk fk fk fk fk fk fk fk fk fk fk
es.
2. Which of the following statements about mental illness are true? Select all that apply.
fk fk fk fk fk fk fk fk fk fk fk fk fk
A) Mental illness can cause significant distress, impaired functioning, or both. fk fk fk fk fk fk fk fk fk
B) Mental illness is only due to social/cultural factors. fk fk fk fk fk fk fk
C) Social/cultural factors that relate to mental illness include excessive dependency o fk fk fk fk fk fk fk fk fk fk
n or withdrawal from relationships.fk fk fk fk
D) Individuals suffering from mental illness are usually able to cope effectively with d fk fk fk fk fk fk fk fk fk fk fk fk
aily life. fk
E) Individuals suffering from mental illness may experience dissatisfaction with r fk fk fk fk fk fk fk fk fk
elationships and self. fk fk
Ans: A, D, E fk fk fk
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illne
fk fk fk fk fk fk fk fk fk fk fk
ss may be related to individual, interpersonal, or social/cultural factors. Excessive depen
fk fk fk fk fk fk fk fk fk fk fk
dency on or withdrawal from relationships are interpersonal factors that relate to mental
fk fk fk fk fk fk fk fk fk fk fk fk fk
illness. Individuals suffering from mental illness can feel overwhelmed with daily life. I
fk fk fk fk fk fk fk fk fk fk fk fk
ndividuals suffering from mental illness may experience dissatisfaction with relationship
fk fk fk fk fk fk fk fk fk
s and self.
fk fk
, 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 unacceptable i fk fk fk fk fk fk fk fk fk fk fk fk fk
n other cultures. fk fk
B) It is easy to determine if a person is mentally healthy or mentally ill.
fk fk fk fk fk fk fk fk fk fk fk fk fk
C) In most cases, mental health is a state of emotional, psychological, and social w
fk fk fk fk fk fk fk fk fk fk fk fk fk
ellness evidenced by satisfying interpersonal relationships, effective behavior an
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d coping, positive self-concept, and emotional stability.
fk fk fk fk fk fk
D) Persons who engage in fantasies are mentally ill. fk fk fk fk fk fk fk fk
Ans: C f k
Feedback:
What one society may view as acceptable and appropriate behavior, another society may se
fk fk fk fk fk fk fk fk fk fk fk fk fk
e that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
define precisely. In most cases, mental health is a state of emotional, psychological, and s
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ocial wellness evidenced by satisfying interpersonal relationships, effective behavior and
fk fk fk fk fk fk fk fk fk fk
coping, positive self- fk fk
concept, and emotional stability. Persons who engage in fantasies may be mentally health
fk fk fk fk fk fk fk fk fk fk fk fk
y, but the inability to distinguish reality from fantasy is an individual factor that may contr
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ibute to mental illness.
fk fk fk
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill b
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ecause she is so sad. The nurse's best response would be,
fk fk fk fk fk fk fk fk fk fk
A) ìYou may have a temporary mental illness because you are experiencing so much p
fk fk fk fk fk fk fk fk fk fk fk fk fk
ain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have e
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
xperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's d
fk fk fk fk fk fk fk fk fk fk
eath?î
D) ìTry not to worry about that right now. You never know what the future brings.î A
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ns: B f k
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffect
fk fk fk fk fk fk fk fk fk
ive coping, and lack of personal growth. Additionally the behavior must not be culturally
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
expected. Acute grief reactions are expected and therefore not considered mental illness.
fk fk fk fk fk fk fk fk fk fk fk fk
False reassurance or overanalysis does not accurately address the client's concerns.
fk fk fk fk fk fk fk fk fk fk
