,
,Test Bank For Psychiatric Mental Health Nursing 9th Edition
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Chapter 1 n!
1. The nurse is assessing the factors contributing to the well-
n! n! n! n! n! n! n! n! n!
being of a newly admitted client. Which of the following
n! n! n! n! n! n! n! n! n! n!
would the nurse identify as having a positive impact onth
n! n! n! n! n! n! n! n! n! n!
e individual's mental health?
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 biolog
n! n! n! n! n! n!
ic makeup, autonomy, independence, self-
n! n! n! n!
esteem, capacity for growth, vitality, ability to find meanin
n! n! n! n! n! n! n! n!
g in life, emotional resilience or hardiness, sense of belong
n! n! n! n! n! n! n! n! n!
ing, reality orientation, and coping or stress management a
n! n! n! n! n! n! n! n!
bilities. Interpersonal factors such as intimacy and a balanc
n! n! n! n! n! n! n! n!
e of separateness and connectedness are both needed
n! n! n! n! n! n! n!
for good mental health, and therefore ahealthy person would need others for companio
n! n! n! n! n! n! n! n! n! n! n! n!
nship. A family history of mental illnesscould relate to the biologic makeup of an indi
n! n! n! n! n! n! n! n! n! n! n! n! n! n!
vidual, which may have a negative impacton an individual's mental health, as well as a
n! n! n! n! n! n! n! n! n! n! n! n! n! n! n
negative impact on an individual's interpersonal and socialñcultural factors of health. T
! n! n! n! n! n! n! n! n! n! n! n!
otal self- n!
reliance is not possible, and a positive social/cultural factor is access to adequate reso
n! n! n! n! n! n! n! n! n! n! n! n! n!
urces.
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.
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 dependency n! n! n! n! n! n! n! n! n! n
on or withdrawal from relationships.
! n! n! n! n!
D) Individuals suffering from mental illness are usually able to cope effectively with n! n! n! n! n! n! n! n! n! n! n! n
daily life. ! n!
E) Individuals suffering from mental illness may experience dissatisfaction with n! n! n! n! n! n! n! n! n
relationships and self.! n! n!
Ans: A, D, E n! n! n!
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illn
n! n! n! n! n! n! n! n! n! n! n!
ess may be related to individual, interpersonal, or social/cultural factors. Excessive de
n! n! n! n! n! n! n! n! n! n! n!
pendency on or withdrawal from relationships are interpersonal factors that relate to m
n! n! n! n! n! n! n! n! n! n! n! n!
ental illness. Individuals suffering from mental illness can feel overwhelmed with dail
n! n! n! n! n! n! n! n! n! n! n!
y life. Individuals suffering from mental illness may experience dissatisfaction with rela
n! n! n! n! n! n! n! n! n! n! n!
tionships and self. 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 unacceptable n! n! n! n! n! n! n! n! n! n! n! n!
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 social
n! n! n! n! n! n! n! n! n! n! n! n! n!
wellness evidenced by satisfying interpersonal relationships, effective behavior n! n! n! n! n! n! n! n
and coping, positive self-concept, and emotional stability.
! n! n! n! n! n! n!
D) Persons who engage in fantasies are mentally ill. n! n! n! n! n! n! n! n
Ans: C
! n !
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
n! n! n! n! n! n! n! n! n! n! n! n! n
see that as maladaptive, and inappropriate. Mental health and mental illness are difficul
! n! n! n! n! n! n! n! n! n! n! n! n!
t to define precisely. In most cases, mental health is a state of emotional, psychological,
n! n! n! n! n! n! n! n! n! n! n! n! n! n!
and social wellness evidenced by satisfying interpersonal relationships, effective behav
n! n! n! n! n! n! n! n! n! n!
ior and coping, positive self-
n! n! n! n!
concept, and emotional stability. Persons who engage in fantasies may be mentally healt
n! n! n! n! n! n! n! n! n! n! n! n!
hy, but the inability to distinguish reality from fantasy is an individual factor that may c
n! n! n! n! n! n! n! n! n! n! n! n! n! n! n!
ontribute to mental illness. n! n! n!
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
n! n! n! n! n! n! n! n! n! n! n!
A) ìYou may have a temporary mental illness because you are experiencing so much
n! n! n! n! n! n! n! n! n! n! n! n! n
pain.î !
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
n! n! n! n! n! n! n! n! n! n! n! n! n! n!
experienced.î n!
C) ìWere you generally dissatisfied with your relationship before your husband's
n! n! n! n! n! n! n! n! n! n
death?î !
D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B n !
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffe
n! n! n! n! n! n! n! n! n!
ctive coping, and lack of personal growth. Additionally the behavior must not be cultur
n! n! n! n! n! n! n! n! n! n! n! n! n!
ally expected. Acute grief reactions are expected and therefore not considered mental ill
n! n! n! n! n! n! n! n! n! n! n! n!
ness. False reassurance or overanalysis does not accurately address the client's concerns.
n! n! n! n! n! n! n! n! n! n! n!
,Test Bank For Psychiatric Mental Health Nursing 9th Edition
n! n! n! n! n! n! n! n!
Chapter 1 n!
1. The nurse is assessing the factors contributing to the well-
n! n! n! n! n! n! n! n! n!
being of a newly admitted client. Which of the following
n! n! n! n! n! n! n! n! n! n!
would the nurse identify as having a positive impact onth
n! n! n! n! n! n! n! n! n! n!
e individual's mental health?
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 biolog
n! n! n! n! n! n!
ic makeup, autonomy, independence, self-
n! n! n! n!
esteem, capacity for growth, vitality, ability to find meanin
n! n! n! n! n! n! n! n!
g in life, emotional resilience or hardiness, sense of belong
n! n! n! n! n! n! n! n! n!
ing, reality orientation, and coping or stress management a
n! n! n! n! n! n! n! n!
bilities. Interpersonal factors such as intimacy and a balanc
n! n! n! n! n! n! n! n!
e of separateness and connectedness are both needed
n! n! n! n! n! n! n!
for good mental health, and therefore ahealthy person would need others for companio
n! n! n! n! n! n! n! n! n! n! n! n!
nship. A family history of mental illnesscould relate to the biologic makeup of an indi
n! n! n! n! n! n! n! n! n! n! n! n! n! n!
vidual, which may have a negative impacton an individual's mental health, as well as a
n! n! n! n! n! n! n! n! n! n! n! n! n! n! n
negative impact on an individual's interpersonal and socialñcultural factors of health. T
! n! n! n! n! n! n! n! n! n! n! n!
otal self- n!
reliance is not possible, and a positive social/cultural factor is access to adequate reso
n! n! n! n! n! n! n! n! n! n! n! n! n!
urces.
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 dependency n! n! n! n! n! n! n! n! n! n
on or withdrawal from relationships.
! n! n! n! n!
D) Individuals suffering from mental illness are usually able to cope effectively with n! n! n! n! n! n! n! n! n! n! n! n
daily life. ! n!
E) Individuals suffering from mental illness may experience dissatisfaction with n! n! n! n! n! n! n! n! n
relationships and self.! n! n!
Ans: A, D, E n! n! n!
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illn
n! n! n! n! n! n! n! n! n! n! n!
ess may be related to individual, interpersonal, or social/cultural factors. Excessive de
n! n! n! n! n! n! n! n! n! n! n!
pendency on or withdrawal from relationships are interpersonal factors that relate to m
n! n! n! n! n! n! n! n! n! n! n! n!
ental illness. Individuals suffering from mental illness can feel overwhelmed with dail
n! n! n! n! n! n! n! n! n! n! n!
y life. Individuals suffering from mental illness may experience dissatisfaction with rela
n! n! n! n! n! n! n! n! n! n! n!
tionships and self. 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 unacceptable n! n! n! n! n! n! n! n! n! n! n! n!
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 social
n! n! n! n! n! n! n! n! n! n! n! n! n!
wellness evidenced by satisfying interpersonal relationships, effective behavior n! n! n! n! n! n! n! n
and coping, positive self-concept, and emotional stability.
! n! n! n! n! n! n!
D) Persons who engage in fantasies are mentally ill. n! n! n! n! n! n! n! n
Ans: C
! n !
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
n! n! n! n! n! n! n! n! n! n! n! n! n
see that as maladaptive, and inappropriate. Mental health and mental illness are difficul
! n! n! n! n! n! n! n! n! n! n! n! n!
t to define precisely. In most cases, mental health is a state of emotional, psychological,
n! n! n! n! n! n! n! n! n! n! n! n! n! n!
and social wellness evidenced by satisfying interpersonal relationships, effective behav
n! n! n! n! n! n! n! n! n! n!
ior and coping, positive self-
n! n! n! n!
concept, and emotional stability. Persons who engage in fantasies may be mentally healt
n! n! n! n! n! n! n! n! n! n! n! n!
hy, but the inability to distinguish reality from fantasy is an individual factor that may c
n! n! n! n! n! n! n! n! n! n! n! n! n! n! n!
ontribute to mental illness. n! n! n!
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
n! n! n! n! n! n! n! n! n! n! n! n! n! n! n!
because she is so sad. The nurse's best response would be,
n! n! n! n! n! n! n! n! n! n! n!
A) ìYou may have a temporary mental illness because you are experiencing so much
n! n! n! n! n! n! n! n! n! n! n! n! n
pain.î !
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
n! n! n! n! n! n! n! n! n! n! n! n! n! n!
experienced.î n!
C) ìWere you generally dissatisfied with your relationship before your husband's
n! n! n! n! n! n! n! n! n! n
death?î !
D) ìTry not to worry about that right now. You never know what the future brings.î
n! n! n! n! n! n! n! n! n! n! n! n! n! n! n!
Ans: B n !
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffe
n! n! n! n! n! n! n! n! n!
ctive coping, and lack of personal growth. Additionally the behavior must not be cultur
n! n! n! n! n! n! n! n! n! n! n! n! n!
ally expected. Acute grief reactions are expected and therefore not considered mental ill
n! n! n! n! n! n! n! n! n! n! n! n!
ness. False reassurance or overanalysis does not accurately address the client's concerns.
n! n! n! n! n! n! n! n! n! n! n!