Chapterr71
1. Ther7nurser7 isr7assessingr7ther7 factorsr7contributingr7tor 7ther7well-
beingr7ofr 7ar7 newlyr7admittedr7client.r7Whichr 7 ofr7ther 7 followingr 7wouldr7ther7 nurser7 identify
about:blank 1/335
, r7 asr7 havingr 7ar7positiver7 impactr7onr7ther7individual'sr7mentalr7health?
A) Notr 7 needingr 7 othersr 7 forr 7 companionship
B) Ther 7 abilityr 7 tor 7 effectivelyr 7 manager7stress
C) Ar7 familyr7 historyr7ofr7 mentalr 7 illness
D) Strivingr7 forr7totalr7self-
reliancer7Ans:r7 B
Feedback:
Individualr7factorsr7influencingr7 mentalr7healthr7includer7biologicr7 makeup,r7autonomy,r7inde
pendence,r 7self-
esteem,r 7capacityr 7 forr 7 growth,r 7 vitality,r7abilityr 7tor 7 findr 7 meaningr 7 inr 7 life,r7emotionalr7 resili
encer 7 orr 7 hardiness,r7senser7ofr 7 belonging,r 7 realityr 7orientation,r 7 andr 7 copingr 7orr7stressr7mana
gementr7abilities.r7Interpersonalr7factorsr7suchr7asr7intimacyr7andr7ar7balancer7ofr7separateness
r7 and r7 connectedness r7 are r7 bothr 7 needed r7 forr7 goodr 7 mentalr7 health,r7 andr 7 therefore r7 ar7healthyr7
personr 7wouldr 7 needr 7othersr7 forr7companionship.r 7 Ar7 familyr 7 historyr 7ofr7 mentalr 7 illnessr7coul
dr7relater 7tor7 ther 7biologicr 7 makeupr7ofr7anr7 individual,r 7whichr7 mayr7 haver 7ar7 negativer 7 impac
tr7onr7anr7individual's r7mentalr7health,r7asr7wellr7asr7ar7negativer7impactr7onr7anr7individual'sr7inte
rpersonalr 7 andr 7 socialñculturalr 7 factorsr 7 ofr 7 health.r 7 Totalr 7 self-
reliancer 7 isr 7 notr 7 possible,r7andr7ar7positiver7social/culturalr7factorr7isr7accessr7tor7adequater7res
ources.
2. Whichr 7ofr7ther 7 followingr 7statementsr7aboutr7 mentalr 7 illnessr 7arer7true?r7Selectr7allr 7 thatr7apply.
A) Mentalr7 illnessr7canr7causer 7significantr7distress,r7impairedr7 functioning,r 7orr7 both.
B) Mentalr7 illnessr7isr7onlyr 7duer7tor7social/culturalr7 factors.
C) Social/culturalr7 factorsr 7thatr7 relater 7tor7 mentalr7 illnessr 7 includer 7excessiver7depende
ncyr7onr7orr7withdrawalr7fromr7relationships.
D) Individualsr7sufferingr7 fromr 7 mentalr 7 illnessr 7 arer7 usuallyr7abler 7tor7coper7effectivelyr 7
withr7dailyr7life.
E) Individualsr7sufferingr 7 fromr 7 mentalr 7 illnessr 7 mayr 7 experiencer 7 dissatisfactionr 7 w
ithr7relationshipsr7andr7self.
Ans:r 7 A,r7D,r7E
Feedback:
Mentalr7illnessr7 canr7causer7significantr7distress,r7impairedr7 functioning,r 7orr7both.r7 Mentalr7il
lnessr 7 mayr 7 ber 7 relatedr 7 tor 7 individual,r 7 interpersonal,r 7 orr7social/culturalr 7 factors.r7 Excessiv
er7dependencyr7 onr7 orr 7withdrawalr 7 fromr 7relationshipsr 7arer 7 interpersonalr7 factorsr 7 thatr 7 rela
ter7tor7mentalr7 illness.r7Individualsr 7sufferingr 7 fromr7 mentalr 7 illnessr7canr7 feelr 7overwhelmedr
7 withr7dailyr7 life. r 7 Individualsr 7 sufferingr 7 fromr 7 mentalr 7 illnessr7 mayr 7 experiencer 7 dissatisfac
tionr 7 withr7relationshipsr7andr7self.
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, 3. Whichr 7ofr7ther 7 followingr7arer7truer7 regardingr7 mentalr 7 healthr7andr7 mentalr 7 illness?
A) Behaviorr 7thatr7 mayr 7ber 7 viewedr7asr 7acceptabler 7 inr7 oner 7culturer 7 isr 7alwaysr 7 unaccept
abler7inr7otherr7cultures.
B) Itr7isr7easyr7tor7determiner7ifr7ar7personr7isr7 mentallyr7 healthyr7orr7mentallyr7 ill.
C) Inr7mostr 7 cases,r7mentalr7 healthr7isr7ar7stater7ofr 7emotional,r7psychological,r7andr7soci
alr7wellnessr 7 evidencedr 7 byr 7 satisfyingr 7 interpersonalr 7 relationships,r 7 effectiver 7 beh
aviorr7andr7coping,r7positiver7self-concept,r7andr7emotionalr7stability.
D) Personsr7whor7engager7inr7 fantasiesr7arer7mentallyr7i
ll.r7Ans:r7C
Feedback:
Whatr7 oner 7societyr 7 mayr 7 viewr 7asr 7acceptabler7andr7appropriater 7behavior,r7anotherr 7societyr7
mayr7seer7thatr 7asr7 maladaptive,r 7andr 7 inappropriate.r7Mentalr 7 healthr7andr 7 mentalr7 illnessr7arer7
difficultr7tor7definer7precisely.r7Inr7 mostr7cases,r7 mentalr7 healthr7 isr7ar7stater7ofr7emotional,r7 psy
chological,r7andr 7socialr 7wellnessr 7evidencedr 7byr 7satisfyingr 7 interpersonalr7 relationships,r7 ef
fectiver7behaviorr 7 andr 7 coping,r 7 positiver 7 self-
concept,r 7 andr 7 emotionalr 7 stability.r 7 Personsr 7 whor 7 engager7inr 7 fantasiesr 7 mayr 7ber7 mentallyr7
healthy,r7butr 7ther7 inabilityr 7tor7distinguishr7 realityr 7 fromr 7 fantasyr7isr7anr7individualr7factorr7th
atr7mayr7contributer7tor7mentalr7illness.
4. Ar7clientr7 grievingr 7ther7recentr7 lossr7ofr7 herr 7 husbandr7asksr7 ifr7sher7 isr7becomingr7 mental
lyr 7 illr7becauser7sher7isr7sor7sad.r7Ther7nurse'sr7bestr7responser7wouldr7be,
A) ìYour7 mayr7 haver7ar7temporaryr 7 mentalr 7 illnessr7becauser7 your7arer 7experiencingr7sor7
muchr7pain.î
B) ìYour7arer7 notr7 mentallyr7 ill.r7Thisr 7 isr7anr7expectedr7reactionr7tor7ther7 lossr7your7
haver7experienced.î
C) ìWerer7 your 7 generallyr 7 dissatisfiedr7withr 7 yourr 7relationshipr 7beforer 7 yourr7husba
nd'sr7death?î
D) ìTryr 7 notr7 tor7worryr7aboutr 7thatr 7rightr7 now.r7 Your7 neverr7knowr7whatr 7ther 7 futurer7bri
ngs.îr7Ans:r7 B
Feedback:
Mentalr7illnessr7 includesr7generalr7dissatisfactionr7withr7self,r7ineffectiver7relationships,r7inef
fectiver7coping, r7andr7 lackr7ofr7 personalr 7 growth.r7 Additionallyr7ther7 behaviorr 7 mustr7 notr 7 ber7
culturallyr7expected.r7 Acuter7 griefr7 reactionsr 7arer7expectedr7andr7thereforer 7 notr7consideredr7
mentalr 7 illness.r7 Falser 7reassurancer 7orr7overanalysisr 7doesr 7 notr 7accuratelyr7addressr7ther7clie
nt'sr7concerns.
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, 5. Ther7 nurser7consultsr7ther7DSMr7 forr7whichr7ofr7 ther7 followingr7purposes?
A) Tor7deviser7ar 7planr7ofr7carer7forr7ar7newlyr7admittedr7client
B) Tor 7predictr 7ther 7client'sr 7prognosisr 7 ofr7treatmentr 7outcomes
C) Tor 7documentr 7ther7appropriater 7diagnosticr 7coder 7 inr7 ther 7client'sr7 medicalr7 record
D) Tor7server7asr7ar7guider7forr7clientr7assessme
ntr7Ans:r7D
Feedback:
Ther7DSMr7providesr7standardr7 nomenclature,r7presentsr7definingr7characteristics,r7andr7iden
tifiesr7underlyingr7causesr7ofr7mentalr7disorders.r7Itr7doesr7notr7provider7carer7plansr7orr7progn
osticr7outcomesr7ofr7treatment.r7Diagnosisr7ofr7 mentalr7illnessr7isr7notr7withinr7ther7generalistr7
RN'sr7scoper7ofr 7practice,r7sor7documentingr7ther 7coder7 inr7ther7 medicalr7recordr7wouldr7ber7ina
ppropriate.
6. Whichr7wouldr7ber7ar7reasonr7forr7ar7studentr7nurser7tor7user7ther7DSM?
A) Identifyingr 7 ther 7 medicalr 7 diagnosis
B) Treatr7clients
C) Evaluater 7 treatments
D) Understandr7ther 7reasonr 7 forr7ther7admissionr7 andr7 ther 7 naturer7ofr7psychiatricr7 illnes
ses.r7Ans:r7D
Feedback:
Althoughr7studentr7nursesr7dor7notr7user7ther7DSMr7tor7diagnoser7clients,r7theyr7willr7 findr7itr7ar
7helpfulr7resource r7to r7 understand r7ther7 reasonr7 for r7the r7admissionr7and r7to r7 beginr7 buildingr7 k
nowledger 7aboutr7 ther 7 naturer7 ofr 7psychiatricr 7 illnesses.r7Identifyingr 7ther7 medicalr 7 diagnosis
,r7treating,r7andr7evaluatingr7treatmentsr7arer7notr7ar7partr7ofr7ther7nursingr7process.
7. Ther 7 legislationr 7enactedr 7 inr71963r 7wasr 7 largelyr7 responsibler 7 forr 7whichr 7ofr7ther7followingr 7
shiftsr7inr7carer7forr7ther7mentallyr7ill?
A) Ther 7 widespreadr7user 7 ofr7community-basedr 7 services
B) Ther 7 advancementr 7 inr 7 pharmacotherapies
C) Increasedr 7 accessr 7 tor 7 hospitalization
D) Improvedr7rightsr7 forr7clientsr7 inr7 long-
termr7 institutionalr7carer7Ans:r7 A
Feedback:
Ther 7Communityr7Mentalr 7 Healthr7Centersr 7 Constructionr7 Actr 7ofr71963r 7accomplishedr 7 ther7
releaser7ofr7individualsr7fromr7long-
termr7staysr7inr7stater7institutions,r7ther7decreaser7inr7admissionsr7tor7 hospitals,r7andr7 ther 7deve
lopmentr7 ofr7community-basedr7servicesr7asr7 anr7alternativer7tor7hospitalr7care.
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1. Ther7nurser7 isr7assessingr7ther7 factorsr7contributingr7tor 7ther7well-
beingr7ofr 7ar7 newlyr7admittedr7client.r7Whichr 7 ofr7ther 7 followingr 7wouldr7ther7 nurser7 identify
about:blank 1/335
, r7 asr7 havingr 7ar7positiver7 impactr7onr7ther7individual'sr7mentalr7health?
A) Notr 7 needingr 7 othersr 7 forr 7 companionship
B) Ther 7 abilityr 7 tor 7 effectivelyr 7 manager7stress
C) Ar7 familyr7 historyr7ofr7 mentalr 7 illness
D) Strivingr7 forr7totalr7self-
reliancer7Ans:r7 B
Feedback:
Individualr7factorsr7influencingr7 mentalr7healthr7includer7biologicr7 makeup,r7autonomy,r7inde
pendence,r 7self-
esteem,r 7capacityr 7 forr 7 growth,r 7 vitality,r7abilityr 7tor 7 findr 7 meaningr 7 inr 7 life,r7emotionalr7 resili
encer 7 orr 7 hardiness,r7senser7ofr 7 belonging,r 7 realityr 7orientation,r 7 andr 7 copingr 7orr7stressr7mana
gementr7abilities.r7Interpersonalr7factorsr7suchr7asr7intimacyr7andr7ar7balancer7ofr7separateness
r7 and r7 connectedness r7 are r7 bothr 7 needed r7 forr7 goodr 7 mentalr7 health,r7 andr 7 therefore r7 ar7healthyr7
personr 7wouldr 7 needr 7othersr7 forr7companionship.r 7 Ar7 familyr 7 historyr 7ofr7 mentalr 7 illnessr7coul
dr7relater 7tor7 ther 7biologicr 7 makeupr7ofr7anr7 individual,r 7whichr7 mayr7 haver 7ar7 negativer 7 impac
tr7onr7anr7individual's r7mentalr7health,r7asr7wellr7asr7ar7negativer7impactr7onr7anr7individual'sr7inte
rpersonalr 7 andr 7 socialñculturalr 7 factorsr 7 ofr 7 health.r 7 Totalr 7 self-
reliancer 7 isr 7 notr 7 possible,r7andr7ar7positiver7social/culturalr7factorr7isr7accessr7tor7adequater7res
ources.
2. Whichr 7ofr7ther 7 followingr 7statementsr7aboutr7 mentalr 7 illnessr 7arer7true?r7Selectr7allr 7 thatr7apply.
A) Mentalr7 illnessr7canr7causer 7significantr7distress,r7impairedr7 functioning,r 7orr7 both.
B) Mentalr7 illnessr7isr7onlyr 7duer7tor7social/culturalr7 factors.
C) Social/culturalr7 factorsr 7thatr7 relater 7tor7 mentalr7 illnessr 7 includer 7excessiver7depende
ncyr7onr7orr7withdrawalr7fromr7relationships.
D) Individualsr7sufferingr7 fromr 7 mentalr 7 illnessr 7 arer7 usuallyr7abler 7tor7coper7effectivelyr 7
withr7dailyr7life.
E) Individualsr7sufferingr 7 fromr 7 mentalr 7 illnessr 7 mayr 7 experiencer 7 dissatisfactionr 7 w
ithr7relationshipsr7andr7self.
Ans:r 7 A,r7D,r7E
Feedback:
Mentalr7illnessr7 canr7causer7significantr7distress,r7impairedr7 functioning,r 7orr7both.r7 Mentalr7il
lnessr 7 mayr 7 ber 7 relatedr 7 tor 7 individual,r 7 interpersonal,r 7 orr7social/culturalr 7 factors.r7 Excessiv
er7dependencyr7 onr7 orr 7withdrawalr 7 fromr 7relationshipsr 7arer 7 interpersonalr7 factorsr 7 thatr 7 rela
ter7tor7mentalr7 illness.r7Individualsr 7sufferingr 7 fromr7 mentalr 7 illnessr7canr7 feelr 7overwhelmedr
7 withr7dailyr7 life. r 7 Individualsr 7 sufferingr 7 fromr 7 mentalr 7 illnessr7 mayr 7 experiencer 7 dissatisfac
tionr 7 withr7relationshipsr7andr7self.
about:blank 2/335
, 3. Whichr 7ofr7ther 7 followingr7arer7truer7 regardingr7 mentalr 7 healthr7andr7 mentalr 7 illness?
A) Behaviorr 7thatr7 mayr 7ber 7 viewedr7asr 7acceptabler 7 inr7 oner 7culturer 7 isr 7alwaysr 7 unaccept
abler7inr7otherr7cultures.
B) Itr7isr7easyr7tor7determiner7ifr7ar7personr7isr7 mentallyr7 healthyr7orr7mentallyr7 ill.
C) Inr7mostr 7 cases,r7mentalr7 healthr7isr7ar7stater7ofr 7emotional,r7psychological,r7andr7soci
alr7wellnessr 7 evidencedr 7 byr 7 satisfyingr 7 interpersonalr 7 relationships,r 7 effectiver 7 beh
aviorr7andr7coping,r7positiver7self-concept,r7andr7emotionalr7stability.
D) Personsr7whor7engager7inr7 fantasiesr7arer7mentallyr7i
ll.r7Ans:r7C
Feedback:
Whatr7 oner 7societyr 7 mayr 7 viewr 7asr 7acceptabler7andr7appropriater 7behavior,r7anotherr 7societyr7
mayr7seer7thatr 7asr7 maladaptive,r 7andr 7 inappropriate.r7Mentalr 7 healthr7andr 7 mentalr7 illnessr7arer7
difficultr7tor7definer7precisely.r7Inr7 mostr7cases,r7 mentalr7 healthr7 isr7ar7stater7ofr7emotional,r7 psy
chological,r7andr 7socialr 7wellnessr 7evidencedr 7byr 7satisfyingr 7 interpersonalr7 relationships,r7 ef
fectiver7behaviorr 7 andr 7 coping,r 7 positiver 7 self-
concept,r 7 andr 7 emotionalr 7 stability.r 7 Personsr 7 whor 7 engager7inr 7 fantasiesr 7 mayr 7ber7 mentallyr7
healthy,r7butr 7ther7 inabilityr 7tor7distinguishr7 realityr 7 fromr 7 fantasyr7isr7anr7individualr7factorr7th
atr7mayr7contributer7tor7mentalr7illness.
4. Ar7clientr7 grievingr 7ther7recentr7 lossr7ofr7 herr 7 husbandr7asksr7 ifr7sher7 isr7becomingr7 mental
lyr 7 illr7becauser7sher7isr7sor7sad.r7Ther7nurse'sr7bestr7responser7wouldr7be,
A) ìYour7 mayr7 haver7ar7temporaryr 7 mentalr 7 illnessr7becauser7 your7arer 7experiencingr7sor7
muchr7pain.î
B) ìYour7arer7 notr7 mentallyr7 ill.r7Thisr 7 isr7anr7expectedr7reactionr7tor7ther7 lossr7your7
haver7experienced.î
C) ìWerer7 your 7 generallyr 7 dissatisfiedr7withr 7 yourr 7relationshipr 7beforer 7 yourr7husba
nd'sr7death?î
D) ìTryr 7 notr7 tor7worryr7aboutr 7thatr 7rightr7 now.r7 Your7 neverr7knowr7whatr 7ther 7 futurer7bri
ngs.îr7Ans:r7 B
Feedback:
Mentalr7illnessr7 includesr7generalr7dissatisfactionr7withr7self,r7ineffectiver7relationships,r7inef
fectiver7coping, r7andr7 lackr7ofr7 personalr 7 growth.r7 Additionallyr7ther7 behaviorr 7 mustr7 notr 7 ber7
culturallyr7expected.r7 Acuter7 griefr7 reactionsr 7arer7expectedr7andr7thereforer 7 notr7consideredr7
mentalr 7 illness.r7 Falser 7reassurancer 7orr7overanalysisr 7doesr 7 notr 7accuratelyr7addressr7ther7clie
nt'sr7concerns.
about:blank 3/335
, 5. Ther7 nurser7consultsr7ther7DSMr7 forr7whichr7ofr7 ther7 followingr7purposes?
A) Tor7deviser7ar 7planr7ofr7carer7forr7ar7newlyr7admittedr7client
B) Tor 7predictr 7ther 7client'sr 7prognosisr 7 ofr7treatmentr 7outcomes
C) Tor 7documentr 7ther7appropriater 7diagnosticr 7coder 7 inr7 ther 7client'sr7 medicalr7 record
D) Tor7server7asr7ar7guider7forr7clientr7assessme
ntr7Ans:r7D
Feedback:
Ther7DSMr7providesr7standardr7 nomenclature,r7presentsr7definingr7characteristics,r7andr7iden
tifiesr7underlyingr7causesr7ofr7mentalr7disorders.r7Itr7doesr7notr7provider7carer7plansr7orr7progn
osticr7outcomesr7ofr7treatment.r7Diagnosisr7ofr7 mentalr7illnessr7isr7notr7withinr7ther7generalistr7
RN'sr7scoper7ofr 7practice,r7sor7documentingr7ther 7coder7 inr7ther7 medicalr7recordr7wouldr7ber7ina
ppropriate.
6. Whichr7wouldr7ber7ar7reasonr7forr7ar7studentr7nurser7tor7user7ther7DSM?
A) Identifyingr 7 ther 7 medicalr 7 diagnosis
B) Treatr7clients
C) Evaluater 7 treatments
D) Understandr7ther 7reasonr 7 forr7ther7admissionr7 andr7 ther 7 naturer7ofr7psychiatricr7 illnes
ses.r7Ans:r7D
Feedback:
Althoughr7studentr7nursesr7dor7notr7user7ther7DSMr7tor7diagnoser7clients,r7theyr7willr7 findr7itr7ar
7helpfulr7resource r7to r7 understand r7ther7 reasonr7 for r7the r7admissionr7and r7to r7 beginr7 buildingr7 k
nowledger 7aboutr7 ther 7 naturer7 ofr 7psychiatricr 7 illnesses.r7Identifyingr 7ther7 medicalr 7 diagnosis
,r7treating,r7andr7evaluatingr7treatmentsr7arer7notr7ar7partr7ofr7ther7nursingr7process.
7. Ther 7 legislationr 7enactedr 7 inr71963r 7wasr 7 largelyr7 responsibler 7 forr 7whichr 7ofr7ther7followingr 7
shiftsr7inr7carer7forr7ther7mentallyr7ill?
A) Ther 7 widespreadr7user 7 ofr7community-basedr 7 services
B) Ther 7 advancementr 7 inr 7 pharmacotherapies
C) Increasedr 7 accessr 7 tor 7 hospitalization
D) Improvedr7rightsr7 forr7clientsr7 inr7 long-
termr7 institutionalr7carer7Ans:r7 A
Feedback:
Ther 7Communityr7Mentalr 7 Healthr7Centersr 7 Constructionr7 Actr 7ofr71963r 7accomplishedr 7 ther7
releaser7ofr7individualsr7fromr7long-
termr7staysr7inr7stater7institutions,r7ther7decreaser7inr7admissionsr7tor7 hospitals,r7andr7 ther 7deve
lopmentr7 ofr7community-basedr7servicesr7asr7 anr7alternativer7tor7hospitalr7care.
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