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,Chapter 1
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,1. The nurse is assessing the factors contributing to the well
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-
being of a newly admitted client. Which of the followin
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g would the nurse identify as having a positive impact on
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the individual's mental health?
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A) Not needing others for companionship cx cx cx cx
B) The ability to effectively manage stress cx cx cx cx cx
C) A family history of mental illness
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D) Striving for total self- cx cx cx
reliance Ans: B cx c x
Feedback:
Individual factors influencing mental health include biolo
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gic makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find meanin
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g in life, emotional resilience or hardiness, sense of belon
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ging, reality orientation, and coping or stress management
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xabilities. Interpersonal factors such as intimacy and a bala
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nce of separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for compani
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onship. A family history of mental illnesscould relate to the biologic makeup of an in
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dividual, which may have a negative impacton an individual's mental health, as well a
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s a negative impact on an individual's interpersonal and socialñcultural factors of heal
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th. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate res
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ources.
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.
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B) Mental illness is only due to social/cultural factors. cx cx cx cx cx cx cx
C) Social/cultural factors that relate to mental illness include excessive dependenc cx cx cx cx cx cx cx cx cx
y on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively wit cx cx cx cx cx cx cx cx cx cx cx
h daily life. cx cx
E) Individuals suffering from mental illness may experience dissatisfaction wit cx cx cx cx cx cx cx cx
h relationships and self.cx cx cx
Ans: A, D, E cx cx cx
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental ill
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ness may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate t
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o mental illness. Individuals suffering from mental illness can feel overwhelmed with
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daily life. Individuals suffering from mental illness may experience dissatisfaction wit
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h relationships 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 unacceptabl
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e in other cultures. cx cx cx
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 socia
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l wellness evidenced by satisfying interpersonal relationships, effective behavi
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or and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill cx cx cx cx cx cx cx
. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
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y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
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cult to define precisely. In most cases, mental health is a state of emotional, psycholo
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gical, and social wellness evidenced by satisfying interpersonal relationships, effective
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xbehavior and coping, positive self- cx cx cx cx
concept, and emotional stability. Persons who engage in fantasies may be mentally hea
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lthy, but the inability to distinguish reality from fantasy is an individual factor that ma
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y contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally i
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ll because 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 muc
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h pain.î cx
B) ìYou are not mentally ill. This is an expected reaction to the loss you hav
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e experienced.î cx
C) ìWere you generally dissatisfied with your relationship before your husband'
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s death?î cx
D) ìTry not to worry about that right now. You never know what the future brings.
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î Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
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ective coping, and lack of personal growth. Additionally the behavior must not be cult
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urally expected. Acute grief reactions are expected and therefore not considered menta
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l illness. False reassurance or overanalysis does not accurately address the client's conc
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erns.