TEST BANK FOR Psychiatric Mental Health Nursing 9th Edition|ISBN 9781975184773| 100% VERIFIED | COMPLETE GUIDE | A+ GRADE ASSURED!!! LATEST UPDATE!!!! GUARANTEED SUCCESS!!!!

TestBank
e
ForPsychiatricMental HealthNursing9thEdition e e e e e e




Chapter1 e




1. Thenurseisassessingthefactorscontributingtothewell-
e e e e e e e e e




being of a newly admitted client. Which of the following
e e e e e e e e e e




wouldthenurseidentifyashavingapositiveimpact onthe
e e e e e e e e e e




individual's mental health?
e e e




A) Notneedingothersforcompanionship e e e




B) Theabilitytoeffectivelymanagestress e e e




C) Afamilyhistoryof mental illness e e e




D) Strivingfortotalself-reliance e e e




Ans: B
e e




Feedback:
Individual factors influencing mental health include biologic e e e e e e




makeup, autonomy, independence, self-esteem, capacity for
e e e e e e




growth, vitality, ability to find meaning in life,emotional
e e e e e e e e




resilience or hardiness, sense of belonging, reality orientation,
e e e e e e e e




and coping or stress management abilities. Interpersonal
e e e e e e e




factors such as intimacy and a balanceofseparatenessand
e e e e e e e e e e




connectednessarebothneeded
e e e e




for good mental health, and therefore ahealthy person would need others for companionship.
e e e e e e e e e e e e




Afamilyhistoryofmental illnesscould relateto thebiologic makeup of an individual, which
e e e e e e e e e e e e e e e




may have a negative impacton an individual's mental health, aswell as a negative impact on
e e e e e e e e e e e e e e e




an individual's interpersonal and socialñcultural factorsofhealth.Totalself-relianceisnot
e e e e e e e e e e




possible,andapositivesocial/culturalfactor is access to adequate resources.
e e e e e e e e e e e




2. Whichofthefollowingstatementsaboutmentalillnessaretrue? Selectallthatapply.
e e e e e e e e e e e e




A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. e e e e e e e e e




B) Mentalillnessisonlyduetosocial/cultural factors. e e e e e e e




C) Social/cultural factors thatrelateto mental illness includeexcessivedependency on or e e e e e e e e e e e




withdrawal from relationships. e e e




D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectivelywith e e e e e e e e e




dailylife. e e




E) Individuals sufferingfrommental illness mayexperiencedissatisfaction with e e e e e e e




relationships and self. e e e




Ans:A,D, E e e e




Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
e e e e e e e e e e e




maybe related to individual, interpersonal, or social/cultural factors. Excessive dependency
e e e e e e e e e e e




on orwithdrawal from relationships areinterpersonal factors that relateto mental illness.
e e e e e e e e e e e e e




Individuals suffering from mental illness can feel overwhelmed with dailylife.Individuals
e e e e e e e e e e e e




sufferingfrommentalillnessmayexperiencedissatisfaction with relationships and self.
e e e e e e e e e e e

,3. Whichofthefollowingaretrueregardingmental healthandmentalillness?
e e e e e e e e e e




A) Behavior that maybe viewed as acceptable in one culture is always unacceptable in e e e e e e e e e e e e




other cultures. e e




B) Itiseasytodetermineif apersonismentallyhealthyor mentallyill.
e e e e e e e e e e e




C) In most cases, mental health is a state of emotional, psychological, and social
e e e e e e e e e e e e




wellness evidenced bysatisfyinginterpersonal relationships, effective behavior and
e e e e e e e e




coping, positive self-concept, and emotional stability.
e e e e e e




D) Persons who engage in fantasies are mentallyill. e e e e e e




Ans: C
e e




Feedback:
Whatonesocietymayviewasacceptable and appropriatebehavior, another societymay see
e e e e e e e e e e e e




thatasmaladaptive,andinappropriate.Mental healthandmentalillnessaredifficult to define
e e e e e e e e e e e e e e




precisely. In most cases, mental health is a state of emotional, psychological, and social
e e e e e e e e e e e e e e




wellness evidenced by satisfying interpersonal relationships, effective behavior and coping,
e e e e e e e e e e




positive self-concept, and emotional stability. Persons who engagein fantasies maybe
e e e e e e e e e e e




mentallyhealthy, but the inabilityto distinguish realityfrom fantasyis an individual factor that
e e e e e e e e e e e e e e




may contribute to mental illness.
e e e e e




4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentallyill
e e e e e e e e e e e e e e




because she is so sad. The nurse's best response would be,
e e e e e e e e e e e




A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuch e e e e e e e e e e




pain.î e




B) ìYouarenotmentallyill.Thisisanexpectedreactiontothelossyouhave e e e e e e e e e e e e




experienced.î e




C) ìWereyougenerallydissatisfiedwith yourrelationshipbeforeyourhusband's e e e e e e e




death?î e




D) ìTrynottoworryaboutthatrightnow.Youneverknowwhatthefuturebrings.î Ans: e e e e e e e e e e e e




B
e




Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
e e e e e e e e




ineffective coping, and lack of personal growth. Additionally the behavior must not
e e e e e e e e e e e e




beculturallyexpected.Acutegriefreactionsareexpectedandthereforenotconsidered
e e e e e e e e e e e




mental illness. False reassurance or overanalysis does not accurately address the
e e e e e e e e e e e




client'sconcerns.
e

,5. The nurse consults the DSM for which of the following purposes?
vb v vv
e e e e b b b b b b b b b b


A) Todeviseaplan ofcareforanewlyadmittedclient e B




B) To predict theclient'sprognosis oftreatment outcomes v e B e




C) Todocumentthe appropriatediagnosticcodein theclient'smedicalrecord
B B e B




D) To serve as a guide for client assessment
b
b b b b b b b



Ans:D e




Feedback:
TheDSMprovides standardnomenclature,presents definingcharacteristics,and identifies
e e e e e e e e e




underlyingcausesofmentaldisorders.Itdoesnotprovidecareplansor prognosticoutcomes
e e e e e e e e e e e e e e




oftreatment.Diagnosisofmentalillnessisnotwithinthegeneralist
e e e e e e e e e e e




RN'sscopeofpractice,sodocumenting thecodeinthemedicalrecordwouldbe
e B e




inappropriate.
e




6.
vb v v
e e e e




A) Identifyingt hemedicaldiagnosis B e




B) Treatclients e




C) Evaluatetreatments
D) Understand the reason for the admission and the nature of psychiatric illnesses.
b b b b b b b b b b b b


Ans:D e




Feedback:
AlthoughstudentnursesdonotusetheDSMtodiagnoseclients,theywillfinditahelpful
e e e e e e e e e e e e e




resourcetounderstandthereasonfortheadmissionandtobeginbuildingknowledge aboutthe
e e e e e e e e e e e e e e e




natureofpsychiatricillnesses.Identifyingthemedicaldiagnosis,treating,and
e e e e e e e e e




evaluatingtreatments arenot a part of thenursing process.
e e e e B e e




7. Thelegislationenactedin1963waslargelyresponsibleforwhichofthefollowingshiftsin e e




care for the mentallyill?
e e e e e




A) Thewidespread useofcommunity-based services e e




B) Theadvancementin pharmacotherapies e




C) Increasedaccesstohospitalization
D) Improvedrightsforclientsinlong-terminstitutionalcare
Ans: A e e




Feedback:
TheCommunityMental HealthCentersConstructionActof1963accomplishedthe B e e e e e




releaseofindividualsfromlong-termstaysinstateinstitutions,thedecreasein admissions
e e e e e e e e e e e e e




tohospitals,andthedevelopmentofcommunity-basedservicesasan alternative to
e e e e e e e e e e e e




hospital care.e e

, 8. Whichoneofthefollowingisaresultoffederallegislation? B




A) Makingi teasiertocommitpeopleformentalhealthtreatmentagainst theirwill. B e e B




B) Makingi tmoredifficulttocommitpeopleformentalhealthtreatmentagainst B e




theirwill. e e




C) Statementalinstitutionsbeingtheprimarysourceofcareformentallyillpersons.
D) Improvedcareformentallyillpersons.
Ans: B
e e




Feedback:
Commitmentlawschangedintheearly1970s,makingitmoredifficulttocommitpeople for e e e e e e e e e e e e e




mentalhealthtreatmentagainsttheirwill.Deinstitutionalizationaccomplishedthe releaseof
e e e e e e e e e e e




individualsfromlong-termstaysinstateinstitutions.Deinstitutionalization alsohad
e e e e e e e e e e




negativeeffectsinthatsomementallyillpersonsaresubjectedtotherevolving dooreffect,
e e e e e e e e e e e e e e




whichmaylimitcareformentallyillpersons.
e e e e e e e e




9. Thegoalofthe1963CommunityMentalHealth CentersActwas to e e




A) ensurepatients'rightsforthementallyill. e




B) deinstitutionalizestatehospitals.
C) providefunds tobuild hospitalswithpsychiatricunits. B e




D) treatpeoplewithmentalillness in ahumanefashion. B B B




Ans: B
e e




Feedback:
The1963CommunityMentalHealthCentersActintimatedthemovementtowardtreating
e e e e e e e e e




thosewithmentalillnessinalessrestrictiveenvironment.Thislegislationresultedinthe shift
e e e e e e e e e e e e e e




ofclientswithmentalillnessfromlargestateinstitutionstocarebasedinthe community.
e e e e e e e e e e e e e




Answer choices A,C, and Dwerenot purposes of the1963Community MentalHealth
e e e e B e e e e e




CentersAct.
e




10. Thecreationofasylums duringthe1800swasmeant to e e




A) improvetreatment ofmentaldisorders. B




B) providefoodandshelter forthementallyill. e




C) punishpeoplewithmentalillnesswhowerebelievedtobepossessed.
D) removedangerous peoplewithmentalillnessfromthecommunity. B




eAns: B e




Feedback:
Theasylumwasmeant to beasafehaven withfood,shelter,andhumanetreatment for the e B e e e




mentallyill.Asylumswere notusedtoimprovetreatmentofmentaldisordersortopunish
e e e B e e e e e e e




mentallyillpeoplewhowerebelievedtobepossessed.Theasylumwasnotcreatedto remove
e e e e e e e e e e e e e e e e




the dangerouslymentallyill from the community.
e e e e e