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,Chapter 1 bh
1. The nurse is assessing the factors contributing to the well-being of a newly
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bh admitted client. Which of the following would the nurse identify as having a
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positive impact on the individual's mental health?
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A) Not needing others for companionship
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B) The ability to effectively manage stress
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C) A family history of mental illness
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D) Striving for total self-reliance bh bh bh
bh Ans: B b h
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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bh independence, self-esteem, capacity for growth, vitality, ability to find meaning in
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bh life, emotional resilience or hardiness, sense of belonging, reality orientation, and
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bh coping or stress management abilities. Interpersonal factors such as intimacy and a
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bh balance of separateness and connectedness are both needed for good mental health,
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and therefore a healthy person would need others for companionship. A family history
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of mental illness could relate to the biologic makeup of an individual, which may
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bh have a negative impact on an individual's mental health, as well as a negative impact
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bh on an individual's interpersonal and socialñcultural factors of health. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate
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bh resources.
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.
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B) Mental illness is only due to social/cultural factors.
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C) Social/cultural factors that relate to mental illness include excessive bh bh bh bh bh bh bh bh
dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively
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with daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction with
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bh relationships and self. bh bh
Ans: b h A, D, E bh bh
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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,bh illness may be related to individual, interpersonal, or social/cultural factors. Excessive
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bh dependency on or withdrawal from relationships are interpersonal factors that relate
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bh to mental illness. Individuals suffering from mental illness can feel overwhelmed
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bh with daily life. Individuals suffering from mental illness may experience dissatisfaction
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with relationships and self.
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, 3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always
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unacceptable in other cultures.
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B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and social
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bh wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. bh bh bh bh bh bh bh
bh Ans: C b h
Feedback:
What one society may view as acceptable and appropriate behavior, another society
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may see that as maladaptive, and inappropriate. Mental health and mental illness are
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bh difficult to define precisely. In most cases, mental health is a state of emotional,
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bh psychological, and social wellness evidenced by satisfying interpersonal relationships,
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bh effective behavior and coping, positive self-concept, and emotional stability. Persons
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bh who engage in fantasies may be mentally healthy, but the inability to distinguish
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bh reality from fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally
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ill because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so
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much pain.î
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B) ìYou are not mentally ill. This is an expected reaction to the loss you
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bh have experienced.î bh
C) ìWere you generally dissatisfied with your relationship before your husband's
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bh death?î
D) ìTry not to worry about that right now. You never know what the future
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brings.î Ans: B
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Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
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bh ineffective coping, and lack of personal growth. Additionally the behavior must not
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bh be culturally expected. Acute grief reactions are expected and therefore not
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