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Chapter.1
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.havi
ng.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.
Ans:.B
Feedback:
Individual.factors.influencing.mental.health.include.biologic.makeup,.autonomy,.independe
nce,.self-
esteem,.capacity.for.growth,.vitality,.ability.to.find.meaning.in.life,.emotional.resilience.or.h
ardiness,.sense.of.belonging,.reality.orientation,.and.coping.or.stress.management.abilities..I
nterpersonal.factors.such.as.intimacy.and.a.balance.of.separateness.and.connectedness.are.bo
th.needed.for.good.mental.health,.and.therefore.a
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healthy.person.would.need.others.for.companionship..A.family.history.of.mental.illness.co
uld.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.an
d.socialñcultural.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.o
n.or.withdrawal.from.relationships.
D) Individuals.suffering.from.mental.illness.are.usually.able.to.cope.effectively.with.d
aily.life.
E) Individuals.suffering.from.mental.illness.may.experience.dissatisfaction.with.r
elationships.and.self.
Ans:. 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.dependen
cy.on.or.withdrawal.from.relationships.are.interpersonal.factors.that.relate.to.mental.illnes
s..Individuals.suffering.from.mental.illness.can.feel.overwhelmed.with.daily.life..Individu
als.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.wel
lness.evidenced.by.satisfying.interpersonal.relationships,.effective.behavior.and.
coping,.positive.self-concept,.and.emotional.stability.
D) Persons.who.engage.in.fantasies.are.mentally.ill..
Ans:.C
Feedback:
What.one.society.may.view.as.acceptable.and.appropriate.behavior,.another.society.may.se
e.that.as.maladaptive,.and.inappropriate..Mental.health.and.mental.illness.are.difficult.to.de
fine.precisely..In.most.cases,.mental.health.is.a.state.of.emotional,.psychological,.and.socia
l.wellness.evidenced.by.satisfying.interpersonal.relationships,.effective.behavior.and.copi
ng,.positive.self-
concept,.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.contrib
ute.to.mental.illness.
4. A.client.grieving.the.recent.loss.of.her.husband.asks.if.she.is.becoming.mentally.ill.be
cause.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.pai
n.
B)
You.are.not.mentally.ill..This.is.an.expected.reaction.to.the.loss.you.have.exp
erienced.
C)
Were.you.generally.dissatisfied.with.your.relationship.before.your.husband's.de
ath?
D) Try.not.to.worry.about.that.right.now..You.never.know.what.the.future.brings..
Ans:.B
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Feedback:
Mental.illness.includes.general.dissatisfaction.with.self,.ineffective.relationships,.ineffective
.coping,.and.lack.of.personal.growth..Additionally.the.behavior.must.not.be