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Chapter 1 lk
1. The nurse is assessing the factors contributing to the
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lk well- being of a newly admitted client. Which of the
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lk following would the nurse identify as having a positive
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lk impact onthe individual's mental health?
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A) Not needing others for companionship
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B) The ability to effectively manage stress
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C) A family history of mental illness
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D) Striving for total self-reliance lk lk lk
lk Ans: B l k
Feedback:
Individual factors influencing mental health include
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lk biologic makeup, autonomy, independence, self-esteem,
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lk capacity for growth, vitality, ability to find meaning in
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lk life, emotional resilience or hardiness, sense of
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lk belonging, reality orientation, and coping or stress
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lk management abilities. Interpersonal factors such as lk lk lk lk lk
lk intimacy and a balance of separateness and
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lk connectedness are both needed lk lk lk
for good mental health, and therefore ahealthy person would need others for
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lk companionship. A family history of mental illnesscould relate to the biologic lk lk lk lk lk lk lk lk lk lk
lk makeup of an individual, which may have a negative impacton an individual's
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lk mental health, as well as a negative impact on an individual's interpersonal and
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lk socialñcultural factors of health. Total self-reliance is not possible, and a positive
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lk social/cultural factor is access to adequate resources. lk lk lk lk lk lk
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.
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C) Social/cultural factors that relate to mental illness include excessive
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dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively
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with daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction with
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lk relationships and self. lk lk
Ans: A, D, E
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Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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lk illness may be related to individual, interpersonal, or social/cultural factors.
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lk Excessive dependency on or withdrawal from relationships are interpersonal
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lk factors that relate to mental illness. Individuals suffering from mental illness can
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lk feel overwhelmed with daily life. Individuals suffering from mental illness may
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experience dissatisfaction with 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
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lk unacceptable in other cultures. lk lk lk
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
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lk social wellness evidenced by satisfying interpersonal relationships, effective
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lk behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally lk lk lk lk lk lk
ill. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society
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may see that as maladaptive, and inappropriate. Mental health and mental illness
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lk are difficult to define precisely. In most cases, mental health is a state of emotional,
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lk psychological, and social wellness evidenced by satisfying interpersonal lk lk lk lk lk lk lk
lk relationships, effective behavior and coping, positive self-concept, and emotional
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lk stability. Persons who engage in fantasies may be mentally healthy, but the inability
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to distinguish reality from fantasy is an individual factor that may contribute to
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lk mental illness. lk
4. A client grieving the recent loss of her husband asks if she is becoming mentally
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ill 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
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lk much pain.î lk
B) ìYou are not mentally ill. This is an expected reaction to the loss you
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lk have experienced.î lk
C) ìWere you generally dissatisfied with your relationship before your
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lk husband's death?î lk
D) ìTry not to worry about that right now. You never know what the future
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brings.î Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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