TEST BANK PSYCHIATRIC MENTAL
m m m m
HEALTH NURSING 8TH EDITION,
m m m m
WANDA MOHR
m
,1. Chapterm1.Themnursemismassessingmthemfactorsmcontributingmtomthemwell-
beingmofmamnewlymadmittedmclient.mWhichmofmthemfollowingmwouldmthemnursemidentifyma
smhavingmampositivemimpactmonmthemindividual'smmentalmhealth?
A) Notmneedingmothersmformcompanionship
B) Themabilitymtomeffectivelymmanagemstress
C) Amfamilymhistorymofmmentalmillness
D) Strivingmformtotalmself-
reliancemAns:m B
Feedback:
Individualmfactorsminfluencingmmentalmhealthmincludembiologicmmakeup,mautonomy,minde
pendence,mself-
esteem,mcapacitymformgrowth,mvitality,mabilitymtomfindmmeaningminmlife,memotionalmresilie
ncemormhardiness,msensemofmbelonging,mrealitymorientation,mandmcopingmormstressmmanage
mentmabilities.mInterpersonalmfactorsmsuchmasmintimacymandmambalancemofmseparatenessman
dmconnectednessmarembothmneededmformgoodmmentalmhealth,mandmthereforemamhealthympers
onmwouldmneedmothersmformcompanionship.mAmfamilymhistorymofmmentalmillnessmcouldmrel
atemtomthembiologicmmakeupmofmanmindividual,mwhichmmaymhavemamnegativemimpactmonmanm
individual'smmentalmhealth,masmwellmasmamnegativemimpactmonmanmindividual'sminterperson
almandmsocialñculturalmfactorsmofmhealth.mTotalmself-
reliancemismnotmpossible,mandmampositivemsocial/culturalmfactormismaccessmtomadequatemreso
urces.
2. Whichmofmthemfollowingmstatementsmaboutmmentalmillnessmaremtrue?mSelectmallmthatmapply.
A) Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.
B) Mentalmillnessmismonlymduemtomsocial/culturalmfactors.
C) Social/culturalmfactorsmthatmrelatemtommentalmillnessmincludemexcessivemdependen
cymonmormwithdrawalmfrommrelationships.
D) Individualsmsufferingmfrommmentalmillnessmaremusuallymablemtomcopemeffectivelymw
ithmdailymlife.
E) Individualsmsufferingmfrommmentalmillnessmmaymexperiencemdissatisfactionmwi
thmrelationshipsmandmself.
Ans:m A,mD,mE
Feedback:
Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.mMentalmill
nessmmaymbemrelatedmtomindividual,minterpersonal,mormsocial/culturalmfactors.mExcessivem
dependencymonmormwithdrawalmfrommrelationshipsmareminterpersonalmfactorsmthatmrelatemt
ommentalmillness.mIndividualsmsufferingmfrommmentalmillnessmcanmfeelmoverwhelmedmwith
mdailymlife.m Individualsmsufferingmfrommmentalmillnessmmaym experiencemdissatisfactionmw
ithmrelationshipsmandmself.
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,3. Whichmofmthemfollowingmaremtruemregardingmmentalmhealthmandmmentalmillness?
A) Behaviormthatmmaymbemviewedmasmacceptableminmonemculturemismalwaysmunaccepta
bleminmothermcultures.
B) Itmismeasymtomdeterminemifmampersonmismmentallymhealthymormmentallymill.
C) Inmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsocia
lmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffectivembeha
viormandmcoping,mpositivemself-concept,mandmemotionalmstability.
D) Personsmwhomengageminmfantasiesmaremmentallymil
l.mAns:mC
Feedback:
Whatmonemsocietymmaymviewmasmacceptablemandmappropriatembehavior,manothermsocietymm
aymseemthatmasmmaladaptive,mandminappropriate.mMentalmhealthmandmmentalmillnessmaremdiff
icultmtomdefinemprecisely.mInmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsycholo
gical,mandmsocialmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffective
mbehaviormandmcoping,mpositivemself-
concept,mandmemotionalmstability.mPersonsmwhomengageminmfantasiesmmaymbemmentallymhea
lthy,mbutmtheminabilitymtomdistinguishmrealitymfrommfantasymismanmindividualmfactormthatmma
ymcontributemtommentalmillness.
4. Amclientmgrievingmthemrecentmlossmofmhermhusbandmasksmifmshemismbecomingmmentally
millm
becausemshemismsomsad.mThemnurse'smbestmresponsemwouldmbe,
A) ìYoummaymhavemamtemporarymmentalmillnessmbecausemyoumaremexperiencingmsommu
chmpain.î
B) ìYoumaremnotmmentallymill.mThismismanmexpectedmreactionmtomthemlossmyoumh
avemexperienced.î
C) ìWeremyoumgenerallymdissatisfiedmwithmyourmrelationshipmbeforemyourmhusban
d'smdeath?î
D) ìTrymnotmtomworrymaboutmthatmrightmnow.mYoumnevermknowmwhatmthemfuturembrin
gs.îmAns:m B
Feedback:
Mentalmillnessmincludesmgeneralmdissatisfactionmwithmself,mineffectivemrelationships,minef
fectivemcoping,mandmlackmofmpersonalmgrowth.mAdditionallymthembehaviormmustmnotmbemc
ulturallymexpected.mAcutemgriefmreactionsmaremexpectedmandmthereforemnotmconsideredmm
entalmillness.mFalsemreassurancemormoveranalysismdoesmnotmaccuratelymaddressmthemclient's
concerns.
m
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, 5. ThemnursemconsultsmthemDSMmformwhichmofmthemfollowingmpurposes?
A) Tomdevisemamplanmofmcaremformamnewlymadmittedmclient
B) Tompredictmthemclient'smprognosismofmtreatmentmoutcomes
C) Tomdocumentmthemappropriatemdiagnosticmcodeminmthemclient'smmedicalmrecord
D) Tomservemasmamguidemformclientmassessme
ntmAns:m D
Feedback:
ThemDSMmprovidesmstandardmnomenclature,mpresentsmdefiningmcharacteristics,mandmiden
tifiesmunderlyingmcausesmofmmentalmdisorders.mItmdoesmnotmprovidemcaremplansmormprogno
sticmoutcomesmofmtreatment.mDiagnosismofmmentalmillnessmismnotmwithinmthemgeneralistmR
N'smscopemofmpractice,msomdocumentingmthemcodeminmthemmedicalmrecordmwouldmbeminappr
opriate.
6. WhichmwouldmbemamreasonmformamstudentmnursemtomusemthemDSM?
A) Identifyingmthemmedicalmdiagnosis
B) Treatmclients
C) Evaluatemtreatments
D) Understandmthemreasonmformthemadmissionmandmthemnaturemofmpsychiatricmillness
es.mAns:m D
Feedback:
AlthoughmstudentmnursesmdomnotmusemthemDSMmtomdiagnosemclients,mtheymwillmfindmitmam
helpfulmresourcemtomunderstandmthemreasonmformthemadmissionmandmtombeginmbuildingmk
nowledgemaboutmthemnaturemofmpsychiatricmillnesses.mIdentifyingmthemmedicalmdiagnosis
,mtreating,mandmevaluatingmtreatmentsmaremnotmampartmofmthemnursingmprocess.
7. Themlegislationmenactedminm1963mwasmlargelymresponsiblemformwhichmofmthemfollowingmshi
ftsminmcaremformthemmentallymill?
A) Themwidespreadmusemofmcommunity-basedmservices
B) Themadvancementminmpharmacotherapies
C) Increasedmaccessmtomhospitalization
D) Improvedmrightsmformclientsminmlong-
termminstitutionalmcaremAns:m A
Feedback:
ThemCommunitymMentalmHealthmCentersmConstructionmActmofm1963maccomplishedmt
hemreleasemofmindividualsmfrommlong-
termmstaysminmstateminstitutions,mthemdecreaseminmadmissionsmtomhospitals,mandmthemde
velopmentmofmcommunity-basedmservicesmasmanmalternativemtomhospitalmcare.
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m m m m
HEALTH NURSING 8TH EDITION,
m m m m
WANDA MOHR
m
,1. Chapterm1.Themnursemismassessingmthemfactorsmcontributingmtomthemwell-
beingmofmamnewlymadmittedmclient.mWhichmofmthemfollowingmwouldmthemnursemidentifyma
smhavingmampositivemimpactmonmthemindividual'smmentalmhealth?
A) Notmneedingmothersmformcompanionship
B) Themabilitymtomeffectivelymmanagemstress
C) Amfamilymhistorymofmmentalmillness
D) Strivingmformtotalmself-
reliancemAns:m B
Feedback:
Individualmfactorsminfluencingmmentalmhealthmincludembiologicmmakeup,mautonomy,minde
pendence,mself-
esteem,mcapacitymformgrowth,mvitality,mabilitymtomfindmmeaningminmlife,memotionalmresilie
ncemormhardiness,msensemofmbelonging,mrealitymorientation,mandmcopingmormstressmmanage
mentmabilities.mInterpersonalmfactorsmsuchmasmintimacymandmambalancemofmseparatenessman
dmconnectednessmarembothmneededmformgoodmmentalmhealth,mandmthereforemamhealthympers
onmwouldmneedmothersmformcompanionship.mAmfamilymhistorymofmmentalmillnessmcouldmrel
atemtomthembiologicmmakeupmofmanmindividual,mwhichmmaymhavemamnegativemimpactmonmanm
individual'smmentalmhealth,masmwellmasmamnegativemimpactmonmanmindividual'sminterperson
almandmsocialñculturalmfactorsmofmhealth.mTotalmself-
reliancemismnotmpossible,mandmampositivemsocial/culturalmfactormismaccessmtomadequatemreso
urces.
2. Whichmofmthemfollowingmstatementsmaboutmmentalmillnessmaremtrue?mSelectmallmthatmapply.
A) Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.
B) Mentalmillnessmismonlymduemtomsocial/culturalmfactors.
C) Social/culturalmfactorsmthatmrelatemtommentalmillnessmincludemexcessivemdependen
cymonmormwithdrawalmfrommrelationships.
D) Individualsmsufferingmfrommmentalmillnessmaremusuallymablemtomcopemeffectivelymw
ithmdailymlife.
E) Individualsmsufferingmfrommmentalmillnessmmaymexperiencemdissatisfactionmwi
thmrelationshipsmandmself.
Ans:m A,mD,mE
Feedback:
Mentalmillnessmcanmcausemsignificantmdistress,mimpairedmfunctioning,mormboth.mMentalmill
nessmmaymbemrelatedmtomindividual,minterpersonal,mormsocial/culturalmfactors.mExcessivem
dependencymonmormwithdrawalmfrommrelationshipsmareminterpersonalmfactorsmthatmrelatemt
ommentalmillness.mIndividualsmsufferingmfrommmentalmillnessmcanmfeelmoverwhelmedmwith
mdailymlife.m Individualsmsufferingmfrommmentalmillnessmmaym experiencemdissatisfactionmw
ithmrelationshipsmandmself.
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,3. Whichmofmthemfollowingmaremtruemregardingmmentalmhealthmandmmentalmillness?
A) Behaviormthatmmaymbemviewedmasmacceptableminmonemculturemismalwaysmunaccepta
bleminmothermcultures.
B) Itmismeasymtomdeterminemifmampersonmismmentallymhealthymormmentallymill.
C) Inmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsychological,mandmsocia
lmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffectivembeha
viormandmcoping,mpositivemself-concept,mandmemotionalmstability.
D) Personsmwhomengageminmfantasiesmaremmentallymil
l.mAns:mC
Feedback:
Whatmonemsocietymmaymviewmasmacceptablemandmappropriatembehavior,manothermsocietymm
aymseemthatmasmmaladaptive,mandminappropriate.mMentalmhealthmandmmentalmillnessmaremdiff
icultmtomdefinemprecisely.mInmmostmcases,mmentalmhealthmismamstatemofmemotional,mpsycholo
gical,mandmsocialmwellnessmevidencedmbymsatisfyingminterpersonalmrelationships,meffective
mbehaviormandmcoping,mpositivemself-
concept,mandmemotionalmstability.mPersonsmwhomengageminmfantasiesmmaymbemmentallymhea
lthy,mbutmtheminabilitymtomdistinguishmrealitymfrommfantasymismanmindividualmfactormthatmma
ymcontributemtommentalmillness.
4. Amclientmgrievingmthemrecentmlossmofmhermhusbandmasksmifmshemismbecomingmmentally
millm
becausemshemismsomsad.mThemnurse'smbestmresponsemwouldmbe,
A) ìYoummaymhavemamtemporarymmentalmillnessmbecausemyoumaremexperiencingmsommu
chmpain.î
B) ìYoumaremnotmmentallymill.mThismismanmexpectedmreactionmtomthemlossmyoumh
avemexperienced.î
C) ìWeremyoumgenerallymdissatisfiedmwithmyourmrelationshipmbeforemyourmhusban
d'smdeath?î
D) ìTrymnotmtomworrymaboutmthatmrightmnow.mYoumnevermknowmwhatmthemfuturembrin
gs.îmAns:m B
Feedback:
Mentalmillnessmincludesmgeneralmdissatisfactionmwithmself,mineffectivemrelationships,minef
fectivemcoping,mandmlackmofmpersonalmgrowth.mAdditionallymthembehaviormmustmnotmbemc
ulturallymexpected.mAcutemgriefmreactionsmaremexpectedmandmthereforemnotmconsideredmm
entalmillness.mFalsemreassurancemormoveranalysismdoesmnotmaccuratelymaddressmthemclient's
concerns.
m
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, 5. ThemnursemconsultsmthemDSMmformwhichmofmthemfollowingmpurposes?
A) Tomdevisemamplanmofmcaremformamnewlymadmittedmclient
B) Tompredictmthemclient'smprognosismofmtreatmentmoutcomes
C) Tomdocumentmthemappropriatemdiagnosticmcodeminmthemclient'smmedicalmrecord
D) Tomservemasmamguidemformclientmassessme
ntmAns:m D
Feedback:
ThemDSMmprovidesmstandardmnomenclature,mpresentsmdefiningmcharacteristics,mandmiden
tifiesmunderlyingmcausesmofmmentalmdisorders.mItmdoesmnotmprovidemcaremplansmormprogno
sticmoutcomesmofmtreatment.mDiagnosismofmmentalmillnessmismnotmwithinmthemgeneralistmR
N'smscopemofmpractice,msomdocumentingmthemcodeminmthemmedicalmrecordmwouldmbeminappr
opriate.
6. WhichmwouldmbemamreasonmformamstudentmnursemtomusemthemDSM?
A) Identifyingmthemmedicalmdiagnosis
B) Treatmclients
C) Evaluatemtreatments
D) Understandmthemreasonmformthemadmissionmandmthemnaturemofmpsychiatricmillness
es.mAns:m D
Feedback:
AlthoughmstudentmnursesmdomnotmusemthemDSMmtomdiagnosemclients,mtheymwillmfindmitmam
helpfulmresourcemtomunderstandmthemreasonmformthemadmissionmandmtombeginmbuildingmk
nowledgemaboutmthemnaturemofmpsychiatricmillnesses.mIdentifyingmthemmedicalmdiagnosis
,mtreating,mandmevaluatingmtreatmentsmaremnotmampartmofmthemnursingmprocess.
7. Themlegislationmenactedminm1963mwasmlargelymresponsiblemformwhichmofmthemfollowingmshi
ftsminmcaremformthemmentallymill?
A) Themwidespreadmusemofmcommunity-basedmservices
B) Themadvancementminmpharmacotherapies
C) Increasedmaccessmtomhospitalization
D) Improvedmrightsmformclientsminmlong-
termminstitutionalmcaremAns:m A
Feedback:
ThemCommunitymMentalmHealthmCentersmConstructionmActmofm1963maccomplishedmt
hemreleasemofmindividualsmfrommlong-
termmstaysminmstateminstitutions,mthemdecreaseminmadmissionsmtomhospitals,mandmthemde
velopmentmofmcommunity-basedmservicesmasmanmalternativemtomhospitalmcare.
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