+ k[cx1389]
Psychiatric-
MentalcxHealthcxNursingcx8thcxeditioncxbycxVidebeckcxTestcxBankc x Chapt
ercx1
1. Thecxnursecxiscxassessingcxthecxfactorscxcontributingcxtocxthecxwell-
beingcxofcxacxnewlycxadmittedc x client.cxWhichcxofcxthecxfollowingcxwouldcxthecx
nursecxidentifycxascxhavingcxacxpositivecximpactcxonc x thecxindividual'scxmentalcxh
ealth?
A) Notcxneedingcxotherscxforcxcompanionship
B) Thecxabilitycxtocxeffectivelycxmanagecxstress
C) Acxfamilycxhistorycxofcxmentalcxillness
D) Strivingcxforcxtotalcxself-
reliancec x Ans:cxB
Feedback:
Individualcxfactorscxinfluencingcxmentalcxhealthcxincludecxbiologiccxmakeup,cxauton
omy,c x independence,cxself-
esteem,cxcapacitycxforcxgrowth,cxvitality,cxabilitycxtocxfindcxmeaningcxincxlife,c x em
otionalcxresiliencecxorcxhardiness,cxsensecxofcxbelonging,cxrealitycxorientation,cxandc
xcopingcxorc x stresscxmanagementcxabilities.cxInterpersonalcxfactorscxsuchcxascxinti
macycxandcxacxbalancecxofc x separatenesscxandcxconnectednesscxarecxbothcxneededcx
forcxgoodcxmentalcxhealth,cxandcxthereforecxac x healthycxpersoncxwouldcxneedcxother
scxforcxcompanionship.cxAcxfamilycxhistorycxofcxmentalcxillnessc x couldcxrelatecxtocx
thecxbiologiccxmakeupcxofcxancxindividual,cxwhichcxmaycxhavecxacxnegativecximpact
c x oncxancxindividual'scxmentalcxhealth,cxascxwellcxascxacxnegativecximpactcxoncxan
cxindividual'sc x interpersonalcxandcxsocialñculturalcxfactorscxofcxhealth.cxTotalcxself
-
reliancecxiscxnotcxpossible,c x andcxacxpositivecxsocial/culturalcxfactorcxiscxaccesscxto
cxadequatecxresources.
2. Whichcxofcxthecxfollowingcxstatementscxaboutcxmentalcxillnesscxarecxtrue?cxSelectcxallcxthatcxapply.
A) Mentalcxillnesscxcancxcausecxsignificantcxdistress,cximpairedcxfunctioning,cxorcxboth.
B) Mentalcxillnesscxiscxonlycxduecxtocxsocial/culturalcxfactors.
C) Social/culturalcxfactorscxthatcxrelatecxtocxmentalcxillnesscxincludecxexcessivecx
dependencyc x oncxorcxwithdrawalcxfromcxrelationships.
D) Individualscxsufferingcxfromcxmentalcxillnesscxarecxusuallycxablecxtocxcopecxeff
ectivelycxwithc x dailycxlife.
E) Individualscxsufferingcxfromcxmentalcxillnesscxmaycxexperiencecxdissatisfac
tioncxwithc x relationshipscxandcxself.
Ans:cxA,cxD,cxE
Feedback:
Mentalcxillnesscxcancxcausecxsignificantcxdistress,cximpairedcxfunctioning,cxorcxboth.
cxMentalc x illnesscxmaycxbecxrelatedcxtocxindividual,cxinterpersonal,cxorcxsocial/cult
uralcxfactors.cxExcessivec x dependencycxoncxorcxwithdrawalcxfromcxrelationshipscxa
recxinterpersonalcxfactorscxthatcxrelatecxtoc x mentalcxillness.cxIndividualscxsufferingc
xfromcxmentalcxillnesscxcancxfeelcxoverwhelmedcxwithc x dailycxlife.cxIndividuals cxs
ufferingcxfromcxmentalcxillnesscxmaycxexperiencecxdissatisfactioncxwithc x relationshi
pscxandcxself.
3. Whichcxofcxthecxfollowingcxarecxtruecxregardingcxmentalcxhealthcxandcxmentalcxillness?
F) Behaviorcxthatcxmaycxbecxviewedcxascxacceptablecxincxonecxculturecxiscxalway
scxunacceptablec x incxothercxcultures.
G) Itcxiscxeasycxtocxdeterminecxifcxacxpersoncxiscx mentallycxhealthycxorcxmentallycxill.
H) Incxmostcxcases,cxmentalcxhealthcxiscxacxstatecxofcxemotional,cxpsychologica
l,cxandcxsocialc x wellnesscxevidencedcxbycxsatisfyingcxinterpersonalcxrelation
ships,cxeffectivecxbehaviorc x andcxcoping, cxpositivecxself-
concept,cxandcxemotionalcxstability.
I) Personscxwhocxengagecxincxfantasiescxarecxment
allycxill.c x Ans:cxC
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+ k[cx1389]
3. Whichcxofcxthecxfollowingcxarecxtruecxregardingcxmentalcxhealthcxandcxmentalcxillness?
A) Behaviorcxthatcxmaycxbecxviewedcxascxacceptablecxincxonecxculturecxiscxalway
scxunacceptablec x incxothercxcultures.
B) Itcxiscxeasycxtocxdeterminecxifcxacxpersoncxiscx mentallycxhealthycxorcxmentallycxill.
C) Incxmostcxcases,cxmentalcxhealthcxiscxacxstatecxofcxemotional,cxpsychologica
l,cxandcxsocialc x wellnesscxevidencedcxbycxsatisfyingcxinterpersonalcxrelation
ships,cxeffectivecxbehaviorc x andcxcoping, cxpositivecxself-
concept,cxandcxemotionalcxstability.
D) Personscxwhocxengagecxincxfantasiescxarecxment
allycxill.c x Ans:cxC
Feedback:
Whatcxonecxsocietycxmaycxviewcxascxacceptablecxandcxappropriatecxbehavior,cxanother
cxsocietycxmayc x seecxthatcxascxmaladaptive,cxandcxinappropriate.cxMentalcxhealthcxa
ndcxmentalcxillnesscxarecxdifficultc x tocxdefinecxprecisely.cxIncxmostcxcases,cxmental
cxhealthcxiscxacxstatecxofcxemotional,cxpsychological,c x andcxsocialcxwellnesscxevide
ncedcxbycxsatisfyingcxinterpersonalcxrelationships,cxeffectivec x behaviorcxandcxcopin
g,cxpositivecxself-
concept,cxandcxemotionalcxstability.cxPersonscxwhocxengagec x incxfantasiescxmaycxbe
cxmentallycxhealthy,cxbutcxthecxinabilitycxtocxdistinguishcxrealitycxfromcxfantasyc x isc
xancxindividualcxfactorcxthatcxmaycxcontributecxtocxmentalcxillness.
4. Acxclientcxgrievingcxthecxrecentcxlosscxofcxhercxhusbandcxaskscxifcxshecxiscxbeco
mingcxmentallycxillc x becausecxshecxiscxsocxsad.cxThecxnurse'scxbestcxresponsec
xwouldcxbe,
A) ìYoucxmaycxhavecxacxtemporarycxmentalcxillnesscxbecausecxyoucxarecxexperien
cingcxsocxmuchc x pain.î
B) ìYoucxarecxnotcxmentallycxill.cxThiscxiscxancxexpectedcxreactioncxtocxthe
cxlosscxyoucxhavec x experienced.î
C) ìWerecxyoucxgenerallycxdissatisfiedcxwithcxyourcxrelationshipcxbeforecxyour
cxhusband'sc x death?î
D) ìTrycxnotcxtocxworrycxaboutcxthatcxrightcxnow.cxYoucxnevercxknowcxwhatcxth
ecxfuturecxbrings.îc x Ans:cxB
Feedback:
Mentalcxillnesscxincludescxgeneralcxdissatisfactioncxwithcxself,cxineffectivecxrelations
hips,c x ineffectivecxcoping,cxandcxlackcxofcxpersonalcxgrowth.cxAdditionallycxthecxb
ehaviorcxmustcxnotcxbec x culturallycxexpected.cxAcutecxgriefcxreactionscxarecxexpec
tedcxandcxthereforecxnotcxconsideredc x mentalcxillness.cxFalsecxreassurancecxorcxover
analysiscxdoescxnotcxaccuratelycxaddresscxthecxclient'sc x concerns.
5. ThecxnursecxconsultscxthecxDSMcxforcxwhichcxofcxthecxfollowingcxpurposes?
E) Tocxdevisecxacxplancxofcxcarecxforcxacxnewlycxadmittedcxclient
F) Tocxpredictcxthecxclient'scxprognosiscxofcxtreatmentcxoutcomes
G) Tocxdocumentcxthecxappropriatecxdiagnosticcxcodecxincxthecxclient'scx medicalcxrecord
H) Tocxservecxascxacxguidecxforcxclientcxas
sessmentc x Ans:cxD
Feedback:
ThecxDSMcxprovidescxstandardcxnomenclature,cxpresentscxdefiningcxcharacteristics, c
xandc x identifiescxunderlyingcxcausescxofcxmentalcxdisorders.cxItcxdoescxnotcxprovid
ecxcarecxplanscxor
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+ k[cx1389]
5. Thecxnursecxconsults cxthecxDSMcxforcxwhichcxofcxthecxfollowingcxpurposes?
A) Tocxdevisecxacxplancxofcxcarecxforcxacxnewlycxadmittedcxclient
B) Tocxpredictcxthecxclient'scxprognosiscxofcxtreatmentcxoutcomes
C) Tocxdocumentcxthecxappropriatecxdiagnosticcxcodecxincxthecxclient'scx medicalcxrecord
D) Tocxservecxascxacxguidecxforcxclientcxas
sessmentc x Ans:cxD
Feedback:
ThecxDSMcxprovidescxstandardcxnomenclature,cxpresentscxdefiningcxcharacteristics, c
xandc x identifiescxunderlyingcxcausescxofcxmentalcxdisorders.cxItcxdoescxnotcxprovid
ecxcarecxplanscxorc x prognosticcxoutcomescxofcxtreatment.cxDiagnosiscxofcxmentalcx
illnesscxiscxnotcxwithincxthec x generalistcxRN'scxscopecxofcxpractice,cxsocxdocumenti
ngcxthecxcodecxincxthecxmedicalcxrecordcxwouldc x becxinappropriate.
6. WhichcxwouldcxbecxacxreasoncxforcxacxstudentcxnursecxtocxusecxthecxDSM?
A) Identifyingcxthecxmedicalcxdiagnosis
B) Treatcxclients
C) Evaluatecxtreatments
D) Understandcxthecxreasoncxforcxthecxadmissioncxandcxthecxnaturecxofcxpsychiat
riccxillnesses.c x Ans:cxD
Feedback:
AlthoughcxstudentcxnursescxdocxnotcxusecxthecxDSMcxtocxdiagnosecxclients,cxtheycx
willcxfindcxitcxac x helpfulcxresourcecxtocxunderstandcxthecxreasoncxforcxthecxadmissi
oncxandcxtocxbegincxbuildingc x knowledgecxaboutcxthecxnaturecxofcxpsychiatriccxillne
sses.cxIdentifyingcxthecxmedicalcxdiagnosis,c x treating,cxandcxevaluatingcxtreatmentsc
xarecxnotcxacxpartcxofcxthecxnursingcxprocess.
7. Thecxlegislationcxenactedcxincx1963cxwascxlargelycxresponsiblecxforcxwhichcxofcxthecx
followingcxshiftsc x incxcarecxforcxthecxmentallycxill?
A) Thecxwidespreadcxusecxofcxcommunity-basedcxservices
B) Thecxadvancementcxincxpharmacotherapies
C) Increasedcxaccesscxtocxhospitalization
D) Improvedcxrightscxforcxclientscxincxlong-
termcxinstitutionalcxcarec x Ans:cxA
Feedback:
ThecxCommunitycxMentalcxHealthcxCenterscxConstructioncxActcxofcx1963cxaccomplis
hedcxthec x releasecxofcxindividualscxfromcxlong-
termcxstayscxincxstatecxinstitutions,cxthecxdecreasecxinc x admissionscxtocxhospitals,cx
andcxthecxdevelopmentcxofcxcommunity-
basedcxservicescxascxanc x alternativecxtocxhospitalcxcare.
8. Whichcxonecxofcxthecxfollowingcxiscxacxresultcxofcxfederalcxlegislation?
A) Makingcxitcxeasiercxtocxcommitcxpeoplecxforcxmentalcxhealthcxtreatmentcxagainstcxtheircxwill.
B) Makingcxitcxmorecxdifficultcxtocxcommitcxpeoplecxforcxmentalcxhealthcxtreat
mentcxagainstc x theircxwill.
C) Statecxmentalcxinstitutionscxbeingcxthecxprimarycxsourcecxofcxcarecxforcxmentallycxillcxpersons.
D) Improvedcxcarecxforcxmentallycxillcxpe
rsons.c x Ans:cxB
Feedback:
Commitmentcxlawscxchangedcxincxthecxearlycx1970s,cxmakingcxitcxmorecxdifficultcxtocxcommit
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