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TEST BANK FOR PSYCHIATRIC
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MENTAL HEALTH NURSING 7TH m m m
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EDITION BY VIDEBECK LATEST m m m
Psychiatric Mental Health Nursing 7th EditionTest Bank
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Chapterm1
1. Themnursemismassessingmthemfactorsmcontributingmtomthemwell-
beingmofmamnewlymadmittedmclient.mWhichmofmthemfollowingmwouldmthemnursemidentif
ymasmhavingmampositivemimpactmonmthemindividual'smmentalmhealth?
A) Notmneedingothersmformcompanionship
B) Themabilitymtomeffectivelymanagemstress
C) Afamilymhistorymofmmentalmillness
D) Strivingmfortotalmself-
reliancemAns:m B
Feedback:
Individualmfactorsminfluencingmmentalmhealthmincludembiologicmmakeup,mautonomy,m
independence,mself-
esteem,mcapacitymformgrowth,mvitality,mabilitymtomfindmmeaningminmlife,memotionalresilien
ceormhardiness,msensemofmbelonging,mrealitymorientation,mandmcopingmormstressmmanage
mentmabilities.mInterpersonalmfactorsmsuchmasmintimacymandmambalancemofmseparatenes
smandmconnectednessmarembothneededmforgoodmentalmhealth,mandmthereforemamhealthymp
ersonmwouldmneedmothersmformcompanionship.mAmfamilymhistorymofmmentalmillnessmco
uldrelatemtomthembiologicmmakeupmofmanindividual,mwhichmaymhavemamnegativemimpact
onmanmindividual'smmentalhealth,masmwellmasmamnegativemimpactmonmanmindividual'sminter
personalmandmsocialñculturalmfactorsmofmhealth.mTotalmself-
reliancemismnotmpossible,mandmampositivemsocial/culturalmfactormismaccessmtomadequatemre
sources.
2. Whichofmthemfollowingmstatementsaboutmentalillnessmaremtrue?mSelectmallmthatmapply.
A) Mentalillnessmcancausesignificantdistress,mimpairedmfunctioning,mormboth.
B) Mentalillnessmismonlymduemtomsocial/culturalmfactors.
C) Social/culturalfactorsmthatmrelatemtommentalmillnessmincludemexcessivemdependenc
ymonmormwithdrawalmfrommrelationships.
D) Individualssufferingfrommentalmillnessmaremusuallymablemtomcopemeffectivelymwit
hmdailymlife.
E) Individualssufferingmfrommentalillnessmmaymexperiencedissatisfactionmwith
relationshipsmandmself.
Ans:mA,mD,mE
Feedback:
Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.mMentalmi
llnessmmaymbemrelatedmtomindividual,minterpersonal,mormsocial/culturalmfactors.mExcessivemd
ependencymonmormwithdrawalmfrommrelationshipsmareminterpersonalmfactorsmthatmrelatemtom
mentalmillness.mIndividualsmsufferingmfrommmentalmillnessmcanmfeelmoverwhelmedmwithm
dailymlife.mIndividualsmsufferingmfrommentalmillnessmmaymexperiencemdissatisfactionmwithmr
elationshipsmandmself.
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3. Aclientmgrievingmthemrecentmlossmofmhermhusbandmasksmifmshemismbecomingmmenta
llymillmbecausemshemismsomsad.mThemnurse'smbestmresponsemwouldmbe,
A) ìYoummaymhavemamtemporarymmentalmillnessmbecausemyoumaremexperiencingmsommu
chmpain.î
B) ìYouaremnotmmentallymill.mThismismanmexpectedmreactionmtomthemlossmyoumha
vemexperienced.î
C) ìWeremyoumgenerallymdissatisfiedmwithmyourmrelationshipmbeforemyourmhusband
'smdeath?î
D) ìTrynotmtomworrymaboutmthatmrightmnow.mYoumnevermknowwhatmthemfuturembring
s.îmAns:m B
Feedback:
Mentalmillnessmincludesmgeneralmdissatisfactionmwithmself,mineffectivemrelationships,min
effectivemcoping,mandmlackmofmpersonalmgrowth.mAdditionallymthembehaviormmustmnotmbemc
ulturallymexpected.mAcutemgriefmreactionsmaremexpectedmandmthereforemnotmconsideredm
mentalillness.mFalsemreassuranceormoveranalysismdoesmnotmaccuratelymaddressmthemclient'smc
oncerns.
4. Whichmofmthemfollowingmaremtruemregardingmmentalhealthmandmentalmillness?
A) Behaviormthatmmaymbemviewedmasmacceptableminmonemculturemismalwa
ysmunacceptableminmothermcultures.
B) Itmismeasymtomdeterminemifmampersonmismmentallymhealthymormmentallymill.
C) Inmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsoc
ialmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffectivembeha
viormandmcoping,mpositivemself-concept,mandmemotionalmstability.
D) Personswhomengageinmfantasiesmaremmentall
ymill.mAns:m C
Feedback:
Whatmonemsocietymmaymviewmasmacceptableandmappropriatembehavior,manothermsocietymmay
mseemthatmasmmaladaptive,mandminappropriate.mMentalmhealthmandmmentalmillnessmaremdiffic
ultmtomdefinemprecisely.mInmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsycholo
gical,mandmsocialmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffecti
vembehaviormandmcoping,mpositivemself-
concept,mandmemotionalmstability.mPersonsmwhomengageminmfantasiesmaymbemmentallymhealt
hy,mbuttheminabilitymtomdistinguishrealitymfrommfantasyismanmindividualmfactormthatmmaymc
ontributemtommentalmillness.
5. ThemnurseconsultsmthemDSMmforwhichmofmthemfollowingmpurposes?
A) Todevisemamplanmofmcaremformamnewlymadmittedmclient
B) Topredictmthemclient'smprognosismofmtreatmentmoutcomes
C) Todocumentmthemappropriatemdiagnosticmcodeminmthemclient'smmedicalmrecord
D) Tomservemasmamguidemformclientmassessme
ntmAns:m D
Feedback:
ThemDSMmprovidesmstandardmnomenclature,mpresentsmdefiningmcharacteristics,mandmide
ntifiesmunderlyingmcausesmofmmentalmdisorders.mItmdoesmnotmprovidemcaremplansmormprog
nosticmoutcomesmofmtreatment.mDiagnosismofmmentalmillnessmismnotmwithinmthemgeneralis
tmRN'smscopemofmpractice,msomdocumentingmthemcodeminmthemmedicalmrecordmwouldbeminappr
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6. WhichmwouldmbemamreasonmformamstudentmnursemtomusemthemDSM?
A) Identifyingmthemmedicalmdiagnosis
B) Treatclients
C) Evaluatetreatments
D) Understandmthemreasonformthemadmissionandmthemnaturemofmpsychiatr
icmillnesses.mAns:mD
Feedback:
AlthoughmstudentmnursesmdomnotmusemthemDSMmtomdiagnosemclients,mtheymwillmfindmi
tmamhelpfulmresourcemtomunderstandmthemreasonmformthemadmissionmandmtombeginmbuil
dingmknowledgeaboutmthemnatureofmpsychiatricmillnesses.mIdentifyingmthemmedicaldia
gnosis,mtreating,mandmevaluatingmtreatmentsmaremnotmampartmofmthemnursingmprocess.
7. Themlegislationmenactedminm1963mwaslargelymresponsibleforwhichmofmthemfollowi
ngmshiftsminmcaremformthemmentallymill?
A) Thewidespreaduseofmcommunity-basedmservices
B) Themadvancementminmpharmacotherapies
C) Increasedaccessmtomhospitalization
D) Improvedrightsforclientsminmlong-
terminstitutionalmcaremAns:m A
Feedback:
ThemCommunitymMentalHealthmCentersmConstructionmActofm1963maccomplishedmth
emreleasemofmindividualsmfrommlong-
termmstaysminmstateminstitutions,mthemdecreaseminmadmissionsmtomhospitals,mandmthe
mdevelopmentmofmcommunity-basedmservicesmasmanm alternativemtomhospitalmcare.
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