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Chapter 1 kk
1. The nurse is assessing the factors contributing to the
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kk well- being of a newly admitted client. Which of the
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kk following would the nurse identify as having a positive
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kk 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 kk kk kk
kk Ans: B k k
Feedback:
Individual factors influencing mental health include
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kk biologic makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find
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kk meaning in life, emotional resilience or hardiness,
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kk sense of belonging, reality orientation, and coping or
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kk stress management abilities. Interpersonal factors such
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kk as intimacy and a balance of separateness and
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kk connectedness are both needed kk kk kk
for good mental health, and therefore ahealthy person would need others for
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kk companionship. A family history of mental illnesscould relate to the biologic
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, kk makeup of an individual, which may have a negative impacton an individual's
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kk mental health, as well as a negative impact on an individual's interpersonal and
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socialñcultural factors of health. Total self-reliance is not possible, and a positive
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kk social/cultural factor is access to adequate resources.
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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
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with relationships and self.
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Ans: A, D, E
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Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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kk illness may be related to individual, interpersonal, or social/cultural factors.
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kk Excessive dependency on or withdrawal from relationships are interpersonal
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kk factors that relate to mental illness. Individuals suffering from mental illness can
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kk 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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unacceptable in other cultures.
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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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kk social wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally
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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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kk are difficult to define precisely. In most cases, mental health is a state of
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kk emotional, psychological, and social wellness evidenced by satisfying interpersonal
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kk relationships, effective behavior and coping, positive self-concept, and emotional
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kk stability. Persons who engage in fantasies may be mentally healthy, but the
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kk inability to distinguish reality from fantasy is an individual factor that may
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kk contribute to mental illness. kk kk kk
4. A client grieving the recent loss of her husband asks if she is becoming
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kk mentally 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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much pain.î
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B) ìYou are not mentally ill. This is an expected reaction to the loss you
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, have experienced.î
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C) ìWere you generally dissatisfied with your relationship before your
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husband's death?î
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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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kk ineffective coping, and lack of personal growth. Additionally the behavior must
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kk not be culturally expected. Acute grief reactions are expected and therefore not
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kk considered mental illness. False reassurance or overanalysis does not accurately
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address the client's concerns.
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