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,Test Bank For Psychiatric Mental Health Nursing 9th Edition
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Chapter 1 $v
1. The nurse is assessing the factors contributing to the wel
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l-
being of a newly admitted client. Which of the followi
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ng would the nurse identify as having a positive impact o
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nthe individual's mental health?
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A) Not needing others for companionship $v $v $v $v
B) The ability to effectively manage stress $v $v $v $v $v
C) A family history of mental illness
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D) Striving for total self- $v $v $v
reliance Ans: B $v $ v
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 meani
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ng in life, emotional resilience or hardiness, sense of belo
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nging, reality orientation, and coping or stress manageme
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nt abilities. Interpersonal factors such as intimacy and a b
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alance of separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for compan
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ionship. A family history of mental illnesscould relate to the biologic makeup of an
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individual, which may have a negative impacton an individual's mental health, as wel
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l as a negative impact on an individual's interpersonal and socialñcultural factors of h
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ealth. Total self- $v $v
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. $v $v $v $v $v $v $v
C) Social/cultural factors that relate to mental illness include excessive dependenc $v $v $v $v $v $v $v $v $v
y on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively wit $v $v $v $v $v $v $v $v $v $v $v
h daily life. $v $v
E) Individuals suffering from mental illness may experience dissatisfaction wit $v $v $v $v $v $v $v $v
h relationships and self. $v $v $v
Ans: A, D, E $v $v $v
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
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lness may be related to individual, interpersonal, or social/cultural factors. Excessive
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vdependency on or withdrawal from relationships are interpersonal factors that relate
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to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
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h daily life. Individuals suffering from mental illness may experience dissatisfaction
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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 unacceptab
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le in other cultures. $v $v $v
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 $v $v $v $v $v $v $v
. 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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behavior and coping, positive self-
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concept, and emotional stability. Persons who engage in fantasies may be mentally he
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althy, but the inability to distinguish reality from fantasy is an individual factor that
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may contribute to mental illness.
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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 muc
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h pain.î $v
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
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ve experienced.î $v
C) ìWere you generally dissatisfied with your relationship before your husband'
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s death?î $v
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 cul
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turally expected. Acute grief reactions are expected and therefore not considered ment
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al illness. False reassurance or overanalysis does not accurately address the client's con
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cerns.
,Test Bank For Psychiatric Mental Health Nursing 9th Edition
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Chapter 1 $v
1. The nurse is assessing the factors contributing to the wel
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l-
being of a newly admitted client. Which of the followi
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ng would the nurse identify as having a positive impact o
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nthe individual's mental health?
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A) Not needing others for companionship $v $v $v $v
B) The ability to effectively manage stress $v $v $v $v $v
C) A family history of mental illness
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D) Striving for total self- $v $v $v
reliance Ans: B $v $ v
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 meani
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ng in life, emotional resilience or hardiness, sense of belo
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nging, reality orientation, and coping or stress manageme
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nt abilities. Interpersonal factors such as intimacy and a b
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alance of separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for compan
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ionship. A family history of mental illnesscould relate to the biologic makeup of an
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individual, which may have a negative impacton an individual's mental health, as wel
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l as a negative impact on an individual's interpersonal and socialñcultural factors of h
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ealth. Total self- $v $v
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. $v $v $v $v $v $v $v
C) Social/cultural factors that relate to mental illness include excessive dependenc $v $v $v $v $v $v $v $v $v
y on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively wit $v $v $v $v $v $v $v $v $v $v $v
h daily life. $v $v
E) Individuals suffering from mental illness may experience dissatisfaction wit $v $v $v $v $v $v $v $v
h relationships and self. $v $v $v
Ans: A, D, E $v $v $v
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
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lness may be related to individual, interpersonal, or social/cultural factors. Excessive
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vdependency on or withdrawal from relationships are interpersonal factors that relate
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to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
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h daily life. Individuals suffering from mental illness may experience dissatisfaction
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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 unacceptab
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le in other cultures. $v $v $v
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 $v $v $v $v $v $v $v
. 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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behavior and coping, positive self-
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concept, and emotional stability. Persons who engage in fantasies may be mentally he
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althy, but the inability to distinguish reality from fantasy is an individual factor that
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may contribute to mental illness.
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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 muc
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h pain.î $v
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
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ve experienced.î $v
C) ìWere you generally dissatisfied with your relationship before your husband'
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s death?î $v
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 cul
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turally expected. Acute grief reactions are expected and therefore not considered ment
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al illness. False reassurance or overanalysis does not accurately address the client's con
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cerns.
