Test Bank For Psychiatric Mental Health Nursing 9th Edition
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,
,Chapter 1 xn
1. The nurse is assessing the factors contributing to the wel
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l-
being of a newly admitted client. Which of the followi
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ng would the nurse identify as having a positive impact o
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nthe individual's mental health?
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A) Not needing others for companionship xn xn xn xn
B) The ability to effectively manage stress xn xn xn xn xn
C) A family history of mental illness
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D) Striving for total self- xn xn xn
reliance Ans: B xn x n
Feedback:
Individual factors influencing mental health include biolo
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gic makeup, autonomy, independence, self-
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esteem, capacity for growth, vitality, ability to find meani
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ng in life, emotional resilience or hardiness, sense of belo
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nging, reality orientation, and coping or stress manageme
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nt abilities. Interpersonal factors such as intimacy and a b
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alance of separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for compan
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ionship. A family history of mental illnesscould relate to the biologic makeup of an
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individual, which may have a negative impacton an individual's mental health, as wel
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l as a negative impact on an individual's interpersonal and socialñcultural factors of h
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ealth. Total self- xn xn
reliance is not possible, and a positive social/cultural factor is access to adequate res
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ources.
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. xn xn xn xn xn xn xn
C) Social/cultural factors that relate to mental illness include excessive dependenc xn xn xn xn xn xn xn xn xn
y on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively wit xn xn xn xn xn xn xn xn xn xn xn
h daily life. xn xn
E) Individuals suffering from mental illness may experience dissatisfaction wit xn xn xn xn xn xn xn xn
h relationships and self. xn xn xn
Ans: A, D, E xn xn xn
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
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lness may be related to individual, interpersonal, or social/cultural factors. Excessive
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ndependency on or withdrawal from relationships are interpersonal factors that relate
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to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
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h 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 unacceptab
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le in other cultures. xn xn xn
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 socia
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l wellness evidenced by satisfying interpersonal relationships, effective behavi
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or and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill xn xn xn xn xn xn xn
. Ans: C
xn x n
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
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y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
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cult to define precisely. In most cases, mental health is a state of emotional, psycholo
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gical, and social wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-
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concept, and emotional stability. Persons who engage in fantasies may be mentally he
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althy, but the inability to distinguish reality from fantasy is an individual factor that
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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 muc
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h pain.î xn
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
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ve experienced.î xn
C) ìWere you generally dissatisfied with your relationship before your husband'
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s death?î xn
D) ìTry not to worry about that right now. You never know what the future brings
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.î Ans: B
xn x n
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
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ective coping, and lack of personal growth. Additionally the behavior must not be cul
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turally expected. Acute grief reactions are expected and therefore not considered ment
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al illness. False reassurance or overanalysis does not accurately address the client's con
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cerns.
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,
,Chapter 1 xn
1. The nurse is assessing the factors contributing to the wel
xn xn xn xn xn xn xn xn xn
l-
being of a newly admitted client. Which of the followi
xn xn xn xn xn xn xn xn xn xn
ng would the nurse identify as having a positive impact o
xn xn xn xn xn xn xn xn xn xn
nthe individual's mental health?
xn xn xn
A) Not needing others for companionship xn xn xn xn
B) The ability to effectively manage stress xn xn xn xn xn
C) A family history of mental illness
xn xn xn xn xn
D) Striving for total self- xn xn xn
reliance Ans: B xn x n
Feedback:
Individual factors influencing mental health include biolo
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gic makeup, autonomy, independence, self-
xn xn xn xn
esteem, capacity for growth, vitality, ability to find meani
xn xn xn xn xn xn xn xn
ng in life, emotional resilience or hardiness, sense of belo
xn xn xn xn xn xn xn xn xn
nging, reality orientation, and coping or stress manageme
xn xn xn xn xn xn xn
nt abilities. Interpersonal factors such as intimacy and a b
xn xn xn xn xn xn xn xn xn
alance of separateness and connectedness are both needed
xn xn xn xn xn xn xn
for good mental health, and therefore ahealthy person would need others for compan
xn xn xn xn xn xn xn xn xn xn xn xn
ionship. A family history of mental illnesscould relate to the biologic makeup of an
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
individual, which may have a negative impacton an individual's mental health, as wel
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l as a negative impact on an individual's interpersonal and socialñcultural factors of h
xn xn xn xn xn xn xn xn xn xn xn xn xn
ealth. Total self- xn xn
reliance is not possible, and a positive social/cultural factor is access to adequate res
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ources.
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.
xn xn xn xn xn xn xn xn xn
B) Mental illness is only due to social/cultural factors. xn xn xn xn xn xn xn
C) Social/cultural factors that relate to mental illness include excessive dependenc xn xn xn xn xn xn xn xn xn
y on or withdrawal from relationships.
xn xn xn xn xn
D) Individuals suffering from mental illness are usually able to cope effectively wit xn xn xn xn xn xn xn xn xn xn xn
h daily life. xn xn
E) Individuals suffering from mental illness may experience dissatisfaction wit xn xn xn xn xn xn xn xn
h relationships and self. xn xn xn
Ans: A, D, E xn xn xn
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental il
xn xn xn xn xn xn xn xn xn xn xn
lness may be related to individual, interpersonal, or social/cultural factors. Excessive
xn xn xn xn xn xn xn xn xn xn x
ndependency on or withdrawal from relationships are interpersonal factors that relate
xn xn xn xn xn xn xn xn xn xn xn
to mental illness. Individuals suffering from mental illness can feel overwhelmed wit
xn xn xn xn xn xn xn xn xn xn xn
h daily life. Individuals suffering from mental illness may experience dissatisfaction
xn xn xn xn xn xn xn xn xn xn xn
with relationships and self.
xn xn xn
, 3. Which of the following are true regarding mental health and mental illness?
xn xn xn xn xn xn xn xn xn xn xn
A) Behavior that may be viewed as acceptable in one culture is always unacceptab
xn xn xn xn xn xn xn xn xn xn xn xn
le in other cultures. xn xn xn
B) It is easy to determine if a person is mentally healthy or mentally ill.
xn xn xn xn xn xn xn xn xn xn xn xn xn
C) In most cases, mental health is a state of emotional, psychological, and socia
xn xn xn xn xn xn xn xn xn xn xn xn
l wellness evidenced by satisfying interpersonal relationships, effective behavi
xn xn xn xn xn xn xn xn
or and coping, positive self-concept, and emotional stability.
xn xn xn xn xn xn xn
D) Persons who engage in fantasies are mentally ill xn xn xn xn xn xn xn
. Ans: C
xn x n
Feedback:
What one society may view as acceptable and appropriate behavior, another society ma
xn xn xn xn xn xn xn xn xn xn xn xn
y see that as maladaptive, and inappropriate. Mental health and mental illness are diffi
xn xn xn xn xn xn xn xn xn xn xn xn xn
cult to define precisely. In most cases, mental health is a state of emotional, psycholo
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
gical, and social wellness evidenced by satisfying interpersonal relationships, effective
xn xn xn xn xn xn xn xn xn
behavior and coping, positive self-
xn xn xn xn xn
concept, and emotional stability. Persons who engage in fantasies may be mentally he
xn xn xn xn xn xn xn xn xn xn xn xn
althy, but the inability to distinguish reality from fantasy is an individual factor that
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
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
xn xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ill because she is so sad. The nurse's best response would be,
xn xn xn xn xn xn xn xn xn xn xn
A) ìYou may have a temporary mental illness because you are experiencing so muc
xn xn xn xn xn xn xn xn xn xn xn xn
h pain.î xn
B) ìYou are not mentally ill. This is an expected reaction to the loss you ha
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
ve experienced.î xn
C) ìWere you generally dissatisfied with your relationship before your husband'
xn xn xn xn xn xn xn xn xn
s death?î xn
D) ìTry not to worry about that right now. You never know what the future brings
xn xn xn xn xn xn xn xn xn xn xn xn xn xn
.î Ans: B
xn x n
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineff
xn xn xn xn xn xn xn xn xn
ective coping, and lack of personal growth. Additionally the behavior must not be cul
xn xn xn xn xn xn xn xn xn xn xn xn xn
turally expected. Acute grief reactions are expected and therefore not considered ment
xn xn xn xn xn xn xn xn xn xn xn
al illness. False reassurance or overanalysis does not accurately address the client's con
xn xn xn xn xn xn xn xn xn xn xn xn
cerns.