,Test Bank Questions
Chapter 1, Foundations of Psychiatric– Mental Health Nursing
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 having 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,
independence, self-esteem, capacity for growth, vitality, ability to find meaning in
life, emotional resilience or hardiness, sense of belonging, reality orientation, and
coping or stress management abilities. Interpersonal factors such as intimacy and a
balance of separateness and connectedness are both needed for good mental health,
and therefore a healthy person would need others for companionship. A family
history of mental illness could relate to the biological 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 and 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 on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope
effectively with daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with
, relationships 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
dependency on or withdrawal from relationships are interpersonal factors that relate to
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
life. Individuals 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
wellness 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
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
to define precisely. In most cases, mental health is a state of emotional, psychological,
and social wellness evidenced by satisfying interpersonal relationships, effective behavior
and coping, positive self-concept, and emotional stability. Persons who engage in
fantasiesmay be mentally healthy, but the inability to distinguishreality from fantasy is an
individual factor that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is
becoming mentally ill because she is so sad. The nurse's best response would
be,
A) ìYou may have a temporary mental illness because you are experiencing
so much pain.î
B) ìYouare not mentally ill. This is an expected reaction to the loss
you have experienced.î
C) ìWere you generally dissatisfied with your relationship before
your husband's death?î
D) ìTrynot to worry about that right now. You never know what the future
brings. Ans: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
ineffective coping, and lack of personal growth. Additionally the behavior must not be
culturally expected. Acute grief reactions are expected and therefore not considered
mental illness. False reassurance or overanalysis does not accurately address the client's
concerns.
Chapter 1, Foundations of Psychiatric– Mental Health Nursing
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 having 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,
independence, self-esteem, capacity for growth, vitality, ability to find meaning in
life, emotional resilience or hardiness, sense of belonging, reality orientation, and
coping or stress management abilities. Interpersonal factors such as intimacy and a
balance of separateness and connectedness are both needed for good mental health,
and therefore a healthy person would need others for companionship. A family
history of mental illness could relate to the biological 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 and 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 on or withdrawal from relationships.
D) Individuals suffering from mental illness are usually able to cope
effectively with daily life.
E) Individuals suffering from mental illness may experience dissatisfaction with
, relationships 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
dependency on or withdrawal from relationships are interpersonal factors that relate to
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
life. Individuals 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
wellness 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
see that as maladaptive, and inappropriate. Mental health and mental illness are difficult
to define precisely. In most cases, mental health is a state of emotional, psychological,
and social wellness evidenced by satisfying interpersonal relationships, effective behavior
and coping, positive self-concept, and emotional stability. Persons who engage in
fantasiesmay be mentally healthy, but the inability to distinguishreality from fantasy is an
individual factor that may contribute to mental illness.
4. A client grieving the recent loss of her husband asks if she is
becoming mentally ill because she is so sad. The nurse's best response would
be,
A) ìYou may have a temporary mental illness because you are experiencing
so much pain.î
B) ìYouare not mentally ill. This is an expected reaction to the loss
you have experienced.î
C) ìWere you generally dissatisfied with your relationship before
your husband's death?î
D) ìTrynot to worry about that right now. You never know what the future
brings. Ans: B
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
ineffective coping, and lack of personal growth. Additionally the behavior must not be
culturally expected. Acute grief reactions are expected and therefore not considered
mental illness. False reassurance or overanalysis does not accurately address the client's
concerns.
