Psychiatric-Mental yyHealth yyNursing yy8th yyedition yyby yyVidebeck yyTest yyBank
y y Chapter yy1
1. The yynurse yyis yyassessing yythe yyfactors yycontributing yyto yythe yywell-being yyof yya yynewly
yyadmitted y y client. yyWhich yyof yythe yyfollowing yywould yythe yynurse yyidentify yyas yyhaving
yya yypositive yyimpact yyon y y the yyindividual's yy mental yyhealth?
A) Not yyneeding yyothers yy for yycompanionship
B) The yyability y y to yyeffectively yy manage yystress
C) A yyfamily yy history yyof yy mental yy illness
D) Striving yyfor yytotal yyself-
reliance y y Ans: yyB
Feedback:
Individual yyfactors yyinfluencing yymental yyhealth yyinclude yybiologic yymakeup, yyautonomy,
y y independence, yyself-esteem, yycapacity yyfor yygrowth, yyvitality, yyability yyto yyfind yy meaning
yyin yylife, y y emotional yyresilience yyor yyhardiness, yysense yyof yybelonging, yyreality
yyorientation, yyand yycoping yyor y y stress yymanagement yyabilities. yyInterpersonal yy factors
yysuch yyas yyintimacy yyand yya yybalance yyof y y separateness yyand yyconnectedness yyare yyboth
yyneeded yyfor yygood yy mental yyhealth, yyand yytherefore yya y y healthy yyperson yywould yy need
yyothers yyfor yycompanionship. yyA yyfamily yyhistory yyof yy mental yyillness y y could yyrelate yyto
yythe yybiologic yy makeup yyof yyan yyindividual, yywhich yy may yyhave yya yynegative yyimpact y y on
yyan yyindividual's yy mental yy health, yyas yywell yyas yya yynegative yyimpact yyon yyan yyindividual's
y y interpersonal y y and y y socialñcultural y y factors y y of y y health. y y Total y y self-reliance y y is
y y not y y possible, y y and yya yypositive yysocial/cultural yy factor yyis yyaccess yyto yyadequate
yyresources.
2. Which yyof yythe yy following yystatements yyabout yy mental yyillness yyare yytrue? yySelect yyall yythat
yy apply.
A) Mental yyillness yycan yycause yysignificant yydistress, yyimpaired yy functioning, yy or y y both.
B) Mental yyillness yyis yyonly yydue yyto yysocial/cultural yy factors.
C) Social/cultural yyfactors yythat yyrelate yyto yymental yyillness yyinclude yyexcessive
yydependency y y on yyor yywithdrawal yyfrom yyrelationships.
D) Individuals yysuffering yyfrom yymental yyillness yyare yyusually yyable yyto yycope
yyeffectively yywith y y daily yylife.
E) Individuals yysuffering yyfrom yymental yyillness yymay yyexperience yydissatisfaction
yywith y y relationships yyand yyself.
Ans: yy A, yyD, yyE
Feedback:
Mental yyillness yycan yycause yysignificant yydistress, yyimpaired yyfunctioning, yyor yyboth.
yyMental y y illness yy may yybe yyrelated yyto yyindividual, yyinterpersonal, yyor yysocial/cultural
yyfactors. yyExcessive y y dependency yyon yyor yywithdrawal yyfrom yyrelationships yyare
yyinterpersonal yy factors yythat yyrelate yyto y y mental yyillness. yyIndividuals yysuffering yy from
yymental yyillness yycan yyfeel yyoverwhelmed yywith y y daily yylife. yyIndividuals yysuffering
yyfrom yy mental yyillness yy may yyexperience yydissatisfaction yywith y y relationships yyand yyself.
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3. Which yyof yythe yy following yyare yytrue yyregarding yy mental y y health yyand yy mental yyillness?
A) Behavior yythat yymay yybe yyviewed yyas yyacceptable yyin yyone yyculture yyis yyalways
yyunacceptable y y in yyother yycultures.
B) It yyis yyeasy yyto yydetermine yyif yya yyperson yyis yymentally yyhealthy yyor yy mentally yyill.
C) In yymost yycases, yymental yyhealth yyis yya yystate yyof yyemotional, yypsychological, yyand
yysocial y y wellness yyevidenced yyby yysatisfying yyinterpersonal yyrelationships,
yyeffective yybehavior y y and yycoping, yypositive yyself-concept, yyand yyemotional
yystability.
D) Persons yywho yyengage yyin yyfantasies yyare
yymentally yy ill. y y Ans: yyC
Feedback:
What yyone yysociety yymay yyview yyas yyacceptable yyand yyappropriate yybehavior, yyanother
yysociety yy may y y see yythat yyas yymaladaptive, yyand yyinappropriate. yyMental yyhealth yyand
yymental yyillness yyare yydifficult y y to yydefine yyprecisely. yyIn yy most yycases, yymental yyhealth yyis
yya yystate yyof yyemotional, yypsychological, y y and yysocial yywellness yyevidenced yyby
yysatisfying yyinterpersonal yyrelationships, yyeffective y y behavior yyand yycoping, yypositive
yyself-concept, yy and yyemotional yystability. yyPersons yywho yyengage y y in yy fantasies yy may yybe
yymentally yy healthy, yybut yythe yyinability yyto yydistinguish yyreality yy from yy fantasy y y is yyan
yyindividual yyfactor yythat yy may yycontribute yyto yy mental yy illness.
4. A yyclient yygrieving yythe yyrecent yyloss yyof yyher yyhusband yyasks yyif yyshe yyis yybecoming
yymentally yy ill y y because yyshe yyis yyso yysad. yyThe yynurse's yybest yyresponse yywould yybe,
A) ìYou yymay yyhave yya yytemporary yymental yyillness yybecause yyyou yyare yyexperiencing
yyso yy much y y pain.î
B) ìYou yyare yynot yymentally yyill. yyThis yyis yyan yyexpected yyreaction yyto yythe yyloss
yyyou yyhave y y experienced.î
C) ìWere yyyou yygenerally yydissatisfied yywith yyyour yyrelationship yybefore yyyour
yyhusband's y y death?î
D) ìTry yynot yyto yyworry yyabout yythat yyright yynow. yyYou yynever yyknow yywhat yythe yyfuture
yybrings.î y y Ans: yyB
Feedback:
Mental yyillness yyincludes yygeneral yydissatisfaction yywith yyself, yyineffective yyrelationships,
y y ineffective yycoping, yyand yylack yyof yypersonal yy growth. yy Additionally yythe yybehavior
yymust yynot yybe y y culturally yyexpected. yyAcute yygrief yyreactions yyare yyexpected yyand
yytherefore yynot yy considered y y mental yyillness. yyFalse yyreassurance yyor yyoveranalysis yydoes
yynot yyaccurately yyaddress yythe yyclient's y y concerns.
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8. Which yyone yyof yythe yyfollowing yyis yya yyresult yyof yyfederal yylegislation?
A) Making yy it yyeasier yyto yycommit yypeople yy for yymental yy health yytreatment yyagainst yytheir
yy will.
B) Making yyit yymore yydifficult yyto yycommit yypeople yyfor yymental yyhealth yytreatment
yyagainst y y their yywill.
C) State yy mental yy institutions yybeing yythe yyprimary yysource yyof yycare yy for yy mentally yy ill
yy persons.
D) Improved yycare yyfor yymentally yyill
yypersons. y y Ans: yyB
Feedback:
Commitment yylaws yychanged yyin yythe yyearly yy1970s, yymaking yyit yymore yydifficult yyto
yycommit y y people yy for yy mental yyhealth yytreatment yyagainst yytheir yywill.
yyDeinstitutionalization y y accomplished yythe yyrelease yyof yyindividuals yyfrom yy long-term
yystays yyin yystate yyinstitutions. y y Deinstitutionalization yyalso yy had yynegative yyeffects yyin
yythat yysome yy mentally yyill yypersons yyare y y subjected yy to yy the yy revolving yy door yy effect,
yy which yy may yy limit yy care yy for yy mentally yy ill y y persons.
9. The yygoal yyof yythe yy1963 yyCommunity yyMental yyHealth yyCenters yyAct yywas yyto
A) ensure yypatients' yyrights yy for y y the yy mentally y yill.
B) deinstitutionalize y y state y y hospitals.
C) provide yy funds y y to yybuild y y hospitals yywith y ypsychiatric yy units.
D) treat yypeople yywith yymental yyillness yyin yya yyhumane
yyfashion. y y Ans: yyB
Feedback:
The yy1963 yyCommunity yyMental yyHealth yyCenters yyAct yyintimated yythe yymovement
yytoward y y treating yythose yywith yy mental yyillness yyin yya yyless yyrestrictive yyenvironment.
yyThis yylegislation y y resulted yyin yythe yyshift yyof yyclients yywith yy mental yy illness yyfrom yy large
yystate yyinstitutions yyto yycare y y based yyin yythe yycommunity. yyAnswer yychoices yyA, yy C, yyand
yyD yywere yynot yypurposes yyof yythe yy1963 y y Community yyMental yyHealth yyCenters yy Act.
10. The yycreation yyof yyasylums yyduring yythe yy1800s yywas yy meant yyto
A) improve yy treatment y y of y y mental yydisorders.
B) provide yy food yyand yyshelter yy for yythe yymentally yy ill.
C) punish yypeople yywith yy mental yyillness yywho y ywere yybelieved yyto yybe yypossessed.
D) remove yydangerous yypeople yywith yymental yyillness yyfrom yythe
yycommunity. y y Ans: yyB
Feedback:
The yyasylum yywas yymeant yyto yybe yya yysafe yyhaven yywith yyfood, yyshelter, yyand yyhumane
yytreatment yyfor y y the yy mentally yyill. yyAsylums yywere yynot yyused yyto yyimprove yytreatment
yyof yy mental yydisorders yyor yyto y y punish yy mentally yyill yypeople yywho yywere yybelieved yyto
yybe yypossessed. yyThe yyasylum yywas yynot y y created yyto yyremove yythe yydangerously
yymentally yy ill yy from yythe yycommunity.
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