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,Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
Psychiatric-MentalAHealthANursingA8thAedition
Chapter161
1. The16 nurse16 is16 assessing16 the16 factors16 contributing16 to16 the16 well-
being16of16a16newly16admitted16client.16Which16of16the16following16would16the16nur
se16identify16a1 6 s16having16a16positive16impact16onthe16individual's16mental16health
?
A) Not16 needing16 others16 for16 companionship
B) The16 ability16 to16 effectively16 manage16 stress
C) A16 family16 history16 of16 mental16 illness
D) Striving16for16total16s
elf-16relianceAns:16B
Feedback:
Individual16factors16influencing16mental16health16include16biologic16makeup,16autono
my,16inde16pendence,16self-
esteem,16capacity16for16growth,16vitality,16ability16to16find16meaning16in16life,16emotio
nal16resilien16ce16or16hardiness,16sense16of16belonging,16reality16orientation,16and16copi
ng16or16stress16managem16ent16abilities.16Interpersonal16factors16such16as16intimacy16a
nd16a16balance16of16separateness16and16connectedness16are16both16needed16for16good16
mental16health,16and16therefore16ahealthy16person16would16need16others16for16compani
onship.16A16family16history16of16mental16illnesscould16relate16t1 6 o16the16biologic16ma
keup16of16an16individual,16which16may16have16a16negative16impacton16an16indiv16idual
's16mental16health,16as16well16as16a16negative16impact16on16an16individual's16interperso
nal16and16socialñcultural16factors16of16health.16Total16self-
reliance16is16not16possible,16and16a16positive16social/cultural16factor16is16access16to16ad
equate16reso16urces.
2. Which16 of16 the16 following16 statements16 about16 mental16 illness16 are16 true?16 Select16 all16 tha
t16 apply.
A) Mental16illness16 can16 cause16 significant16 distress,16 impaired16 functioning,16 or16 both.
B) Mental16 illness16 is16 only16 due16 to16 social/cultural16 factors.
C) Social/cultural16factors16that16relate16to16mental16illness16include16excessive16de
pendenc16yon16or16withdrawal16from16relationships.
D) Individuals16suffering16from16mental16illness16are16usually16able16to16cope16effe
ctively16wi16thdaily16life.
E) Individuals16suffering16from16mental16illness16may16experience16dissatisfacti
on16wit16hrelationships16and16self.
Ans:1 6 A,16 D,16 E
Feedback:
Mental16illness16can16cause16significant16distress,16impaired16functioning,16or16both.16
Mental16ill16ness16may16be16related16to16individual,16interpersonal,16or16social/cultural
16factors.16Excessive16d16ependency16on16or16withdrawal16from16relationships16are16int
erpersonal16factors16that16relate16to16mental16illness.16Individuals16suffering16from16m
ental16illness16can16feel16overwhelmed16with16d16aily16life.16Individuals16suffering16fro
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2
,m16mental16illness16may16experience16dissatisfaction16with16relationships16and16self.
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, Psychiatric-
MentalHealthNursing168thedition16byVidebeckTest16Bank
3. Which16 of16 the16 following16 are16 true16 regarding16 mental16 health16 and16 mental16 illness?
A) Behavior16that16may16be16viewed16as16acceptable16in16one16culture16is16always16
unacceptab16lein16other16cultures.
B) It16 is16 easy16 to16 determine16 if16 a16 person16 is16 mentally16 healthy16 or16 mentally16 ill.
C) In16most16cases,16mental16health16is16a16state16of16emotional,16psychological,16
and16social16wellness16evidenced16by16satisfying16interpersonal16relationships,
16effective16behavi16orand16coping,16positive16self-
concept,16and16emotional16stability.
D) Persons16who16engage16in16fantasies16are16ment
ally16il16l.Ans:16C
Feedback:
What16one16society16may16view16as16acceptable16and16appropriate16behavior,16another16
society16m16aysee16that16as16maladaptive,16and16inappropriate.16Mental16health16and16m
ental16illness16are16diffi16cult16to16define16precisely.16In16most16cases,16mental16health16i
s16a16state16of16emotional,16psycholog16ical,16and16social16wellness16evidenced16by16sati
sfying16interpersonal16relationships,16effective16b16ehavior16and16coping,16positive16self-
concept,16and16emotional16stability.16Persons16who16engagein16fantasies16may16be16men
tally16heal16thy,16but16the16inability16to16distinguish16reality16from16fantasyis16an16indivi
dual16factor16that16may16contribute16to16mental16illness.
4. A16client16grieving16the16recent16loss16of16her16husband16asks16if16she16is16becomi
ng16mentally16illbecause16she16is16so16sad.16The16nurse's16best16response16would16
be,
A) ìYou16may16have16a16temporary16mental16illness16because16you16are16experienci
ng16so16mu16chpain.î
B) ìYou16are16not16mentally16ill.16This16is16an16expected16reaction16to16the16
loss16you16ha16veexperienced.î
C) ìWere16you16generally16dissatisfied16with16your16relationship16before16your16
husband16'sdeath?î
D) ìTry16not16to16worry16about16that16right16now.16You16never16know16what16the16
future16bring16s.îAns:16B
Feedback:
Mental16illness16includes16general16dissatisfaction16with16self,16ineffective16relationshi
ps,16ineff16ective16coping,16and16lack16of16personal16growth.16Additionally16the16behav
ior16must16not16be16cult16urally16expected.16Acute16grief16reactions16are16expected16an
d16therefore16not16considered16ment1 6 al16illness.16False16reassurance16or16overanalysi
s16does16not16accurately16address16the16client'scon16cerns.
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1
,Psychiatric-MentalHealthNursing 8thedition byVidebeckTest Bank
Psychiatric-MentalAHealthANursingA8thAedition
Chapter161
1. The16 nurse16 is16 assessing16 the16 factors16 contributing16 to16 the16 well-
being16of16a16newly16admitted16client.16Which16of16the16following16would16the16nur
se16identify16a1 6 s16having16a16positive16impact16onthe16individual's16mental16health
?
A) Not16 needing16 others16 for16 companionship
B) The16 ability16 to16 effectively16 manage16 stress
C) A16 family16 history16 of16 mental16 illness
D) Striving16for16total16s
elf-16relianceAns:16B
Feedback:
Individual16factors16influencing16mental16health16include16biologic16makeup,16autono
my,16inde16pendence,16self-
esteem,16capacity16for16growth,16vitality,16ability16to16find16meaning16in16life,16emotio
nal16resilien16ce16or16hardiness,16sense16of16belonging,16reality16orientation,16and16copi
ng16or16stress16managem16ent16abilities.16Interpersonal16factors16such16as16intimacy16a
nd16a16balance16of16separateness16and16connectedness16are16both16needed16for16good16
mental16health,16and16therefore16ahealthy16person16would16need16others16for16compani
onship.16A16family16history16of16mental16illnesscould16relate16t1 6 o16the16biologic16ma
keup16of16an16individual,16which16may16have16a16negative16impacton16an16indiv16idual
's16mental16health,16as16well16as16a16negative16impact16on16an16individual's16interperso
nal16and16socialñcultural16factors16of16health.16Total16self-
reliance16is16not16possible,16and16a16positive16social/cultural16factor16is16access16to16ad
equate16reso16urces.
2. Which16 of16 the16 following16 statements16 about16 mental16 illness16 are16 true?16 Select16 all16 tha
t16 apply.
A) Mental16illness16 can16 cause16 significant16 distress,16 impaired16 functioning,16 or16 both.
B) Mental16 illness16 is16 only16 due16 to16 social/cultural16 factors.
C) Social/cultural16factors16that16relate16to16mental16illness16include16excessive16de
pendenc16yon16or16withdrawal16from16relationships.
D) Individuals16suffering16from16mental16illness16are16usually16able16to16cope16effe
ctively16wi16thdaily16life.
E) Individuals16suffering16from16mental16illness16may16experience16dissatisfacti
on16wit16hrelationships16and16self.
Ans:1 6 A,16 D,16 E
Feedback:
Mental16illness16can16cause16significant16distress,16impaired16functioning,16or16both.16
Mental16ill16ness16may16be16related16to16individual,16interpersonal,16or16social/cultural
16factors.16Excessive16d16ependency16on16or16withdrawal16from16relationships16are16int
erpersonal16factors16that16relate16to16mental16illness.16Individuals16suffering16from16m
ental16illness16can16feel16overwhelmed16with16d16aily16life.16Individuals16suffering16fro
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2
,m16mental16illness16may16experience16dissatisfaction16with16relationships16and16self.
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3
, Psychiatric-
MentalHealthNursing168thedition16byVidebeckTest16Bank
3. Which16 of16 the16 following16 are16 true16 regarding16 mental16 health16 and16 mental16 illness?
A) Behavior16that16may16be16viewed16as16acceptable16in16one16culture16is16always16
unacceptab16lein16other16cultures.
B) It16 is16 easy16 to16 determine16 if16 a16 person16 is16 mentally16 healthy16 or16 mentally16 ill.
C) In16most16cases,16mental16health16is16a16state16of16emotional,16psychological,16
and16social16wellness16evidenced16by16satisfying16interpersonal16relationships,
16effective16behavi16orand16coping,16positive16self-
concept,16and16emotional16stability.
D) Persons16who16engage16in16fantasies16are16ment
ally16il16l.Ans:16C
Feedback:
What16one16society16may16view16as16acceptable16and16appropriate16behavior,16another16
society16m16aysee16that16as16maladaptive,16and16inappropriate.16Mental16health16and16m
ental16illness16are16diffi16cult16to16define16precisely.16In16most16cases,16mental16health16i
s16a16state16of16emotional,16psycholog16ical,16and16social16wellness16evidenced16by16sati
sfying16interpersonal16relationships,16effective16b16ehavior16and16coping,16positive16self-
concept,16and16emotional16stability.16Persons16who16engagein16fantasies16may16be16men
tally16heal16thy,16but16the16inability16to16distinguish16reality16from16fantasyis16an16indivi
dual16factor16that16may16contribute16to16mental16illness.
4. A16client16grieving16the16recent16loss16of16her16husband16asks16if16she16is16becomi
ng16mentally16illbecause16she16is16so16sad.16The16nurse's16best16response16would16
be,
A) ìYou16may16have16a16temporary16mental16illness16because16you16are16experienci
ng16so16mu16chpain.î
B) ìYou16are16not16mentally16ill.16This16is16an16expected16reaction16to16the16
loss16you16ha16veexperienced.î
C) ìWere16you16generally16dissatisfied16with16your16relationship16before16your16
husband16'sdeath?î
D) ìTry16not16to16worry16about16that16right16now.16You16never16know16what16the16
future16bring16s.îAns:16B
Feedback:
Mental16illness16includes16general16dissatisfaction16with16self,16ineffective16relationshi
ps,16ineff16ective16coping,16and16lack16of16personal16growth.16Additionally16the16behav
ior16must16not16be16cult16urally16expected.16Acute16grief16reactions16are16expected16an
d16therefore16not16considered16ment1 6 al16illness.16False16reassurance16or16overanalysi
s16does16not16accurately16address16the16client'scon16cerns.
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