,
,Chapter 1 N#
FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING N# N# N# N#
1. The nurse is assessing the factors contributing to the w
N# N# N# N# N# N# N# N# N#
ell-
being of a newly admitted client. Which of the followi
N# N# N# N# N# N# N# N# N#
ng would the nurse identify as having a positive impact
N# N# N# N# N# N# N# N# N#
onthe individual's mental health?
N# N# N# N#
A) Not needing others for companionship
N# N# N# N#
B) The ability to effectively manage stress
N# N# N# N# N#
C) A family history of mental illness
N# N# N# N# N#
D) Striving for total self- N# N# N#
reliance Ans: B N# N #
Feedback:
Individual factors influencing mental health include biol
N# N# N# N# N# N#
ogic makeup, autonomy, independence, self-
N# N# N# N#
esteem, capacity for growth, vitality, ability to find mean
N# N# N# N# N# N# N# N#
ing in life, emotional resilience or hardiness, sense of be
N# N# N# N# N# N# N# N# N#
longing, reality orientation, and coping or stress manage
N# N# N# N# N# N# N#
ment abilities. Interpersonal factors such as intimacy and
N# N# N# N# N# N# N#
a balance of separateness and connectedness are both ne
N# N# N# N# N# N# N# N# N#
eded
for good mental health, and therefore ahealthy person would need others for comp
N# N# N# N# N# N# N# N# N# N# N# N#
anionship. A family history of mental illnesscould relate to the biologic makeup of
N# N# N# N# N# N# N# N# N# N# N# N#
an individual, which may have a negative impacton an individual's mental health,
N# N# N# N# N# N# N# N# N# N# N# N# N#
as well as a negative impact on an individual's interpersonal and socialñcultural fac
N# N# N# N# N# N# N# N# N# N# N# N#
tors of health. Total self-
N# N# N# N#
reliance is not possible, and a positive social/cultural factor is access to adequate r
N# N# N# N# N# N# N# N# N# N# N# N# N#
esources.
2. Which of the following statements about mental illness are true? Select all that apply.
N# N# N# N# N# N# N# N# N# N# N# N# N#
A) Mental illness can cause significant distress, impaired functioning, or both.
N# N# N# N# N# N# N# N# N#
B) Mental illness is only due to social/cultural factors.
N# N# N# N# N# N# N#
C) Social/cultural factors that relate to mental illness include excessive depende N# N# N# N# N# N# N# N# N#
ncy on or withdrawal from relationships.
N# N# N# N# N#
D) Individuals suffering from mental illness are usually able to cope effectively
N# N# N# N# N# N# N# N# N# N# N#
with daily life. N# N#
E) Individuals suffering from mental illness may experience dissatisfaction w
N# N# N# N# N# N# N# N#
ith relationships and self.
N# N# N#
Ans: A, D, E N# N# N#
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
N# N# N# N# N# N# N# N# N# N# N
#illness may be related to individual, interpersonal, or social/cultural factors. Exces
N# N# N# N# N# N# N# N# N# N#
sive dependency on or withdrawal from relationships are interpersonal factors that
N# N# N# N# N# N# N# N# N# N# N#
relate to mental illness. Individuals suffering from mental illness can feel overwhel
N# N# N# N# N# N# N# N# N# N# N#
med with daily life. Individuals suffering from mental illness may experience dissati
N# N# N# N# N# N# N# N# N# N# N#
sfaction with relationships and self.
N# N# N# N#
, 3. Which of the following are true regarding mental health and mental illness?
N# N# N# N# N# N# N# N# N# N# N#
A) Behavior that may be viewed as acceptable in one culture is always unaccept
N# N# N# N# N# N# N# N# N# N# N# N#
able in other cultures. N# N# N#
B) It is easy to determine if a person is mentally healthy or mentally ill.
N# N# N# N# N# N# N# N# N# N# N# N# N#
C) In most cases, mental health is a state of emotional, psychological, and so
N# N# N# N# N# N# N# N# N# N# N# N#
cial wellness evidenced by satisfying interpersonal relationships, effective be
N# N# N# N# N# N# N# N#
havior and coping, positive self-concept, and emotional stability.
N# N# N# N# N# N# N#
D) Persons who engage in fantasies are mentally i N# N# N# N# N# N# N#
ll. Ans: C
N# N #
Feedback:
What one society may view as acceptable and appropriate behavior, another society
N# N# N# N# N# N# N# N# N# N# N# N#
may see that as maladaptive, and inappropriate. Mental health and mental illness ar
N# N# N# N# N# N# N# N# N# N# N# N#
e difficult to define precisely. In most cases, mental health is a state of emotional,
N# N# N# N# N# N# N# N# N# N# N# N# N# N# N#
psychological, and social wellness evidenced by satisfying interpersonal relationship
N# N# N# N# N# N# N# N#
s, effective behavior and coping, positive self-
N# N# N# N# N# N#
concept, and emotional stability. Persons who engage in fantasies may be mentally
N# N# N# N# N# N# N# N# N# N# N# N#
healthy, but the inability to distinguish reality from fantasy is an individual factor t
N# N# N# N# N# N# N# N# N# N# N# N# N#
hat may contribute to mental illness.
N# N# N# N# N#
4. A client grieving the recent loss of her husband asks if she is becoming mental
N# N# N# N# N# N# N# N# N# N# N# N# N# N#
ly ill because she is so sad. The nurse's best response would be,
N# N# N# N# N# N# N# N# N# N# N# N#
A) ìYou may have a temporary mental illness because you are experiencing so m
N# N# N# N# N# N# N# N# N# N# N# N#
uch pain.î N#
B) ìYou are not mentally ill. This is an expected reaction to the loss you
N# N# N# N# N# N# N# N# N# N# N# N# N# N#
have experienced.î N#
C) ìWere you generally dissatisfied with your relationship before your husban
N# N# N# N# N# N# N# N# N#
d's death?î N#
D) ìTry not to worry about that right now. You never know what the future bri
N# N# N# N# N# N# N# N# N# N# N# N# N# N#
ngs.î Ans: B N# N #
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ine
N# N# N# N# N# N# N# N# N#
ffective coping, and lack of personal growth. Additionally the behavior must not be
N# N# N# N# N# N# N# N# N# N# N# N#
culturally expected. Acute grief reactions are expected and therefore not considered
N# N# N# N# N# N# N# N# N# N# N#
mental illness. False reassurance or overanalysis does not accurately address the cli
N# N# N# N# N# N# N# N# N# N# N# N#
ent's concerns. N#
,Chapter 1 N#
FOUNDATIONS OF PSYCHIATRIC-MENTAL HEALTH NURSING N# N# N# N#
1. The nurse is assessing the factors contributing to the w
N# N# N# N# N# N# N# N# N#
ell-
being of a newly admitted client. Which of the followi
N# N# N# N# N# N# N# N# N#
ng would the nurse identify as having a positive impact
N# N# N# N# N# N# N# N# N#
onthe individual's mental health?
N# N# N# N#
A) Not needing others for companionship
N# N# N# N#
B) The ability to effectively manage stress
N# N# N# N# N#
C) A family history of mental illness
N# N# N# N# N#
D) Striving for total self- N# N# N#
reliance Ans: B N# N #
Feedback:
Individual factors influencing mental health include biol
N# N# N# N# N# N#
ogic makeup, autonomy, independence, self-
N# N# N# N#
esteem, capacity for growth, vitality, ability to find mean
N# N# N# N# N# N# N# N#
ing in life, emotional resilience or hardiness, sense of be
N# N# N# N# N# N# N# N# N#
longing, reality orientation, and coping or stress manage
N# N# N# N# N# N# N#
ment abilities. Interpersonal factors such as intimacy and
N# N# N# N# N# N# N#
a balance of separateness and connectedness are both ne
N# N# N# N# N# N# N# N# N#
eded
for good mental health, and therefore ahealthy person would need others for comp
N# N# N# N# N# N# N# N# N# N# N# N#
anionship. A family history of mental illnesscould relate to the biologic makeup of
N# N# N# N# N# N# N# N# N# N# N# N#
an individual, which may have a negative impacton an individual's mental health,
N# N# N# N# N# N# N# N# N# N# N# N# N#
as well as a negative impact on an individual's interpersonal and socialñcultural fac
N# N# N# N# N# N# N# N# N# N# N# N#
tors of health. Total self-
N# N# N# N#
reliance is not possible, and a positive social/cultural factor is access to adequate r
N# N# N# N# N# N# N# N# N# N# N# N# N#
esources.
2. Which of the following statements about mental illness are true? Select all that apply.
N# N# N# N# N# N# N# N# N# N# N# N# N#
A) Mental illness can cause significant distress, impaired functioning, or both.
N# N# N# N# N# N# N# N# N#
B) Mental illness is only due to social/cultural factors.
N# N# N# N# N# N# N#
C) Social/cultural factors that relate to mental illness include excessive depende N# N# N# N# N# N# N# N# N#
ncy on or withdrawal from relationships.
N# N# N# N# N#
D) Individuals suffering from mental illness are usually able to cope effectively
N# N# N# N# N# N# N# N# N# N# N#
with daily life. N# N#
E) Individuals suffering from mental illness may experience dissatisfaction w
N# N# N# N# N# N# N# N#
ith relationships and self.
N# N# N#
Ans: A, D, E N# N# N#
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
N# N# N# N# N# N# N# N# N# N# N
#illness may be related to individual, interpersonal, or social/cultural factors. Exces
N# N# N# N# N# N# N# N# N# N#
sive dependency on or withdrawal from relationships are interpersonal factors that
N# N# N# N# N# N# N# N# N# N# N#
relate to mental illness. Individuals suffering from mental illness can feel overwhel
N# N# N# N# N# N# N# N# N# N# N#
med with daily life. Individuals suffering from mental illness may experience dissati
N# N# N# N# N# N# N# N# N# N# N#
sfaction with relationships and self.
N# N# N# N#
, 3. Which of the following are true regarding mental health and mental illness?
N# N# N# N# N# N# N# N# N# N# N#
A) Behavior that may be viewed as acceptable in one culture is always unaccept
N# N# N# N# N# N# N# N# N# N# N# N#
able in other cultures. N# N# N#
B) It is easy to determine if a person is mentally healthy or mentally ill.
N# N# N# N# N# N# N# N# N# N# N# N# N#
C) In most cases, mental health is a state of emotional, psychological, and so
N# N# N# N# N# N# N# N# N# N# N# N#
cial wellness evidenced by satisfying interpersonal relationships, effective be
N# N# N# N# N# N# N# N#
havior and coping, positive self-concept, and emotional stability.
N# N# N# N# N# N# N#
D) Persons who engage in fantasies are mentally i N# N# N# N# N# N# N#
ll. Ans: C
N# N #
Feedback:
What one society may view as acceptable and appropriate behavior, another society
N# N# N# N# N# N# N# N# N# N# N# N#
may see that as maladaptive, and inappropriate. Mental health and mental illness ar
N# N# N# N# N# N# N# N# N# N# N# N#
e difficult to define precisely. In most cases, mental health is a state of emotional,
N# N# N# N# N# N# N# N# N# N# N# N# N# N# N#
psychological, and social wellness evidenced by satisfying interpersonal relationship
N# N# N# N# N# N# N# N#
s, effective behavior and coping, positive self-
N# N# N# N# N# N#
concept, and emotional stability. Persons who engage in fantasies may be mentally
N# N# N# N# N# N# N# N# N# N# N# N#
healthy, but the inability to distinguish reality from fantasy is an individual factor t
N# N# N# N# N# N# N# N# N# N# N# N# N#
hat may contribute to mental illness.
N# N# N# N# N#
4. A client grieving the recent loss of her husband asks if she is becoming mental
N# N# N# N# N# N# N# N# N# N# N# N# N# N#
ly ill because she is so sad. The nurse's best response would be,
N# N# N# N# N# N# N# N# N# N# N# N#
A) ìYou may have a temporary mental illness because you are experiencing so m
N# N# N# N# N# N# N# N# N# N# N# N#
uch pain.î N#
B) ìYou are not mentally ill. This is an expected reaction to the loss you
N# N# N# N# N# N# N# N# N# N# N# N# N# N#
have experienced.î N#
C) ìWere you generally dissatisfied with your relationship before your husban
N# N# N# N# N# N# N# N# N#
d's death?î N#
D) ìTry not to worry about that right now. You never know what the future bri
N# N# N# N# N# N# N# N# N# N# N# N# N# N#
ngs.î Ans: B N# N #
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ine
N# N# N# N# N# N# N# N# N#
ffective coping, and lack of personal growth. Additionally the behavior must not be
N# N# N# N# N# N# N# N# N# N# N# N#
culturally expected. Acute grief reactions are expected and therefore not considered
N# N# N# N# N# N# N# N# N# N# N#
mental illness. False reassurance or overanalysis does not accurately address the cli
N# N# N# N# N# N# N# N# N# N# N# N#
ent's concerns. N#
