Chapter 1 v
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
v v v v v v v v v v v v v
client. Which of the following would the nurse identify as having a positive impact on the
v v v v v v v v v v v v v v v v
individual's mental health?
v v v
A) Not needing others for companionship v v v v
B) The ability to effectively manage stress v v v v v
C) A family history of mental illness
v v v v v
D) Striving for total self-reliance v v v
Ans: B
v v
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
v v v v v v v v
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
v v v v v v v v v v v v
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
v v v v v v v v v v v v
stress management abilities. Interpersonal factors such as intimacy and a balance of
v v v v v v v v v v v v
separateness and connectedness are both needed for good mental health, and therefore a
v v v v v v v v v v v v v
healthy person would need others for companionship. A family history of mental illness
v v v v v v v v v v v v v
could relate to the biologic makeup of an individual, which may have a negative impact on
v v v v v v v v v v v v v v v v
an individual's mental health, as well as a negative impact on an individual's interpersonal
v v v v v v v v v v v v v v
and socialñcultural factors of health. Total self-reliance is not possible, and a positive
v v v v v v v v v v v v v
social/cultural factor is access to adequate resources.
v v v v v v v
2. Which of the following statements about mental illness are true? Select all that apply.
v v v v v v v v v v v v v
A) Mental illness can cause significant distress, impaired functioning, or both.
v v v v v v v v v
B) Mental illness is only due to social/cultural factors. v v v v v v v
C) Social/cultural factors that relate to mental illness include excessive dependency on v v v v v v v v v v
or withdrawal from relationships.
v v v v
D) Individuals suffering from mental illness are usually able to cope effectively with v v v v v v v v v v v
daily life.
v v
E) Individuals suffering from mental illness may experience dissatisfaction with v v v v v v v v
relationships and self.
v v v
Ans: A, D, Ev v v
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
v v v v v v v v v v v
Page 1 v
,may be related to individual, interpersonal, or social/cultural factors. Excessive
v v v v v v v v v v
dependency on or withdrawal from relationships are interpersonal factors that relate to
v v v v v v v v v v v v
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
v v v v v v v v v v v v
life. Individuals suffering from mental illness may experience dissatisfaction with
v v v v v v v v v v
relationships and self.
v v v
Page 2 v
,3. Which of the following are true regarding mental health and mental illness?
v v v v v v v v v v v
A) Behavior that may be viewed as acceptable in one culture is always unacceptable in v v v v v v v v v v v v v
other cultures. v v
B) It is easy to determine if a person is mentally healthy or mentally ill.
v v v v v v v v v v v v v
C) In most cases, mental health is a state of emotional, psychological, and social
v v v v v v v v v v v v
wellness evidenced bysatisfying interpersonal relationships, effective behavior
v v v v v v v v
and coping, positive self-concept, and emotional stability.
v v v v v v v
D) Persons who engage in fantasies are mentallyill. v v v v v v v
Ans: C
v v
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
v v v v v v v v v v v v v
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
v v v v v v v v v v v v v
define precisely. In most cases, mental health is a state of emotional, psychological, and
v v v v v v v v v v v v v v
social wellness evidenced by satisfying interpersonal relationships, effective behavior and
v v v v v v v v v v
coping, positive self-concept, and emotional stability. Persons who engage in fantasies
v v v v v v v v v v v
may be mentally healthy, but the inability to distinguish reality from fantasy is an
v v v v v v v v v v v v v v
individual factor that may contribute to mental illness.
v v v v v v v v
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
v v v v v v v v v v v v v v v
because she is so sad. The nurse's best response would be,
v v v v v v v v v v v
A) ìYou may have a temporary mental illness because you are experiencing so much
v v v v v v v v v v v v
pain.î v
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
v v v v v v v v v v v v v v
experienced.î v
C) ìWere you generallydissatisfied with your relationship before your husband's
v v v v v v v v v
death?î v
D) ìTry not to worry about that right now. You never know what the future brings.î
v v v v v v v v v v v v v v
Ans: B
v v
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
v v v v v v v v
ineffective coping, and lack of personal growth. Additionally the behavior must not be
v v v v v v v v v v v v v
culturally expected. Acute grief reactions are expected and therefore not considered mental
v v v v v v v v v v v v
illness. False reassurance or overanalysis does not accurately address the client's concerns.
v v v v v v v v v v v v
Page 3 v
, 5. The nurse consults the DSM for which of the following purposes?
v v v v v v v v v v
A) To devise a plan of care for a newly admitted client
v v v v v v v v v v
B) To predict the client's prognosis of treatment outcomes
v v v v v v v
C) To document the appropriate diagnostic code in the client's medical record
v v v v v v v v v v
D) To serve as a guide for client assessment
v v v v v v v
Ans: D
v v
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
v v v v v v v v
identifies underlying causes of mental disorders. It does not provide care plans or
v v v v v v v v v v v v v
prognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
v v v v v v v v v v v v v
RN's scope of practice, so documenting the code in the medical record would be
v v v v v v v v v v v v v v
inappropriate.
v
6. Which would be a reason for a student nurse to use the DSM?
v v v v v v v v v v v v
A) Identifying the medical diagnosis v v v
B) Treat clients v
C) Evaluate treatments v
D) Understand the reason for the admission and the nature of psychiatric illnesses. v v v v v v v v v v v
Ans: D
v v
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
v v v v v v v v v v v v v v v v
resource to understand the reason for the admission and to begin building knowledge about
v v v v v v v v v v v v v v
the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and
v v v v v v v v v v v
evaluating treatments are not a part of the nursing process.
v v v v v v v v v v
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
v v v v v v v v v v v v v v
care for the mentally ill?
v v v v v
A) The widespread use of community-based services
v v v v v
B) The advancement in pharmacotherapies v v v
C) Increased access to hospitalization v v v
D) Improved rights for clients in long-term institutional care v v v v v v v
Ans: A
v v
Feedback:
The CommunityMental Health Centers Construction Act of 1963 accomplished the release
v v v v v v v v v v v
of individuals from long-term stays in state institutions, the decrease in admissions to
v v v v v v v v v v v v v
hospitals, and the development of community-based services as an alternative to hospital
v v v v v v v v v v v v
care.
v
Page 4 v
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
v v v v v v v v v v v v v
client. Which of the following would the nurse identify as having a positive impact on the
v v v v v v v v v v v v v v v v
individual's mental health?
v v v
A) Not needing others for companionship v v v v
B) The ability to effectively manage stress v v v v v
C) A family history of mental illness
v v v v v
D) Striving for total self-reliance v v v
Ans: B
v v
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
v v v v v v v v
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
v v v v v v v v v v v v
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
v v v v v v v v v v v v
stress management abilities. Interpersonal factors such as intimacy and a balance of
v v v v v v v v v v v v
separateness and connectedness are both needed for good mental health, and therefore a
v v v v v v v v v v v v v
healthy person would need others for companionship. A family history of mental illness
v v v v v v v v v v v v v
could relate to the biologic makeup of an individual, which may have a negative impact on
v v v v v v v v v v v v v v v v
an individual's mental health, as well as a negative impact on an individual's interpersonal
v v v v v v v v v v v v v v
and socialñcultural factors of health. Total self-reliance is not possible, and a positive
v v v v v v v v v v v v v
social/cultural factor is access to adequate resources.
v v v v v v v
2. Which of the following statements about mental illness are true? Select all that apply.
v v v v v v v v v v v v v
A) Mental illness can cause significant distress, impaired functioning, or both.
v v v v v v v v v
B) Mental illness is only due to social/cultural factors. v v v v v v v
C) Social/cultural factors that relate to mental illness include excessive dependency on v v v v v v v v v v
or withdrawal from relationships.
v v v v
D) Individuals suffering from mental illness are usually able to cope effectively with v v v v v v v v v v v
daily life.
v v
E) Individuals suffering from mental illness may experience dissatisfaction with v v v v v v v v
relationships and self.
v v v
Ans: A, D, Ev v v
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
v v v v v v v v v v v
Page 1 v
,may be related to individual, interpersonal, or social/cultural factors. Excessive
v v v v v v v v v v
dependency on or withdrawal from relationships are interpersonal factors that relate to
v v v v v v v v v v v v
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
v v v v v v v v v v v v
life. Individuals suffering from mental illness may experience dissatisfaction with
v v v v v v v v v v
relationships and self.
v v v
Page 2 v
,3. Which of the following are true regarding mental health and mental illness?
v v v v v v v v v v v
A) Behavior that may be viewed as acceptable in one culture is always unacceptable in v v v v v v v v v v v v v
other cultures. v v
B) It is easy to determine if a person is mentally healthy or mentally ill.
v v v v v v v v v v v v v
C) In most cases, mental health is a state of emotional, psychological, and social
v v v v v v v v v v v v
wellness evidenced bysatisfying interpersonal relationships, effective behavior
v v v v v v v v
and coping, positive self-concept, and emotional stability.
v v v v v v v
D) Persons who engage in fantasies are mentallyill. v v v v v v v
Ans: C
v v
Feedback:
What one society may view as acceptable and appropriate behavior, another society may see
v v v v v v v v v v v v v
that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
v v v v v v v v v v v v v
define precisely. In most cases, mental health is a state of emotional, psychological, and
v v v v v v v v v v v v v v
social wellness evidenced by satisfying interpersonal relationships, effective behavior and
v v v v v v v v v v
coping, positive self-concept, and emotional stability. Persons who engage in fantasies
v v v v v v v v v v v
may be mentally healthy, but the inability to distinguish reality from fantasy is an
v v v v v v v v v v v v v v
individual factor that may contribute to mental illness.
v v v v v v v v
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
v v v v v v v v v v v v v v v
because she is so sad. The nurse's best response would be,
v v v v v v v v v v v
A) ìYou may have a temporary mental illness because you are experiencing so much
v v v v v v v v v v v v
pain.î v
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
v v v v v v v v v v v v v v
experienced.î v
C) ìWere you generallydissatisfied with your relationship before your husband's
v v v v v v v v v
death?î v
D) ìTry not to worry about that right now. You never know what the future brings.î
v v v v v v v v v v v v v v
Ans: B
v v
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
v v v v v v v v
ineffective coping, and lack of personal growth. Additionally the behavior must not be
v v v v v v v v v v v v v
culturally expected. Acute grief reactions are expected and therefore not considered mental
v v v v v v v v v v v v
illness. False reassurance or overanalysis does not accurately address the client's concerns.
v v v v v v v v v v v v
Page 3 v
, 5. The nurse consults the DSM for which of the following purposes?
v v v v v v v v v v
A) To devise a plan of care for a newly admitted client
v v v v v v v v v v
B) To predict the client's prognosis of treatment outcomes
v v v v v v v
C) To document the appropriate diagnostic code in the client's medical record
v v v v v v v v v v
D) To serve as a guide for client assessment
v v v v v v v
Ans: D
v v
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
v v v v v v v v
identifies underlying causes of mental disorders. It does not provide care plans or
v v v v v v v v v v v v v
prognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
v v v v v v v v v v v v v
RN's scope of practice, so documenting the code in the medical record would be
v v v v v v v v v v v v v v
inappropriate.
v
6. Which would be a reason for a student nurse to use the DSM?
v v v v v v v v v v v v
A) Identifying the medical diagnosis v v v
B) Treat clients v
C) Evaluate treatments v
D) Understand the reason for the admission and the nature of psychiatric illnesses. v v v v v v v v v v v
Ans: D
v v
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful
v v v v v v v v v v v v v v v v
resource to understand the reason for the admission and to begin building knowledge about
v v v v v v v v v v v v v v
the nature of psychiatric illnesses. Identifying the medical diagnosis, treating, and
v v v v v v v v v v v
evaluating treatments are not a part of the nursing process.
v v v v v v v v v v
7. The legislation enacted in 1963 was largely responsible for which of the following shifts in
v v v v v v v v v v v v v v
care for the mentally ill?
v v v v v
A) The widespread use of community-based services
v v v v v
B) The advancement in pharmacotherapies v v v
C) Increased access to hospitalization v v v
D) Improved rights for clients in long-term institutional care v v v v v v v
Ans: A
v v
Feedback:
The CommunityMental Health Centers Construction Act of 1963 accomplished the release
v v v v v v v v v v v
of individuals from long-term stays in state institutions, the decrease in admissions to
v v v v v v v v v v v v v
hospitals, and the development of community-based services as an alternative to hospital
v v v v v v v v v v v v
care.
v
Page 4 v
