N306 Mental Health Exam 1 2026
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The nurse is assessing the factors contributing to the well-
being of a newly admitted client. Which of the following would
the nurse identify as having a 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
D) Striving for total self-reliance Ans: Ans: B
Individual factors influencing mental health include biologic
makeup, autonomy, independence, self-esteem, capacity for
growth, vitality, ability to find meaning in life, emotional
resilience or hardiness, sense of belonging, reality orientation,
and coping or stress management abilities. Interpersonal
factors such as intimacy and a balance of separateness and
connectedness are both needed for good mental health, and
therefore a healthy person would need others for
companionship. A family history of mental illness could relate
to the biologic makeup of an individual, which may have a
negative impact on an individual's mental health, as well as a
negative impact on an individual's interpersonal and
sociocultural factors of health. Total self-reliance is not
possible, and a positive social/cultural factor is access to
adequate resources.
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Which of the following statements about mental illness are
true? Select all that apply.
A) Mental illness can cause significant distress, impaired
functioning, or both.
B) Mental illness is only due to social/cultural factors.
C) Social/cultural factors that relate to mental illness include
excessive dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to
cope effectively with
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daily life.
E) Individuals suffering from mental illness may experience
dissatisfaction with
relationships and self. Ans: Ans: A, D, E
Mental illness can cause significant distress, impaired
functioning, or both. Mental illness may be related to
individual, interpersonal, or social/cultural factors. Excessive
dependency on or withdrawal from relationships are
interpersonal factors that relate to mental illness. Individuals
suffering from mental illness can feel overwhelmed with daily
life. Individuals suffering from mental illness may experience
dissatisfaction with relationships and self.
Which of the following are true regarding mental health and
mental illness?
A) Behavior that may be viewed as acceptable in one culture is
always unacceptable in other cultures.
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B) It is easy to determine if a person is mentally healthy or
mentally ill.
C) In most cases, mental health is a state of emotional,
psychological, and social wellness evidenced by satisfying
interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability.
D) Persons who engage in fantasies are mentally ill. Ans: Ans:
C
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What one society may view as acceptable and appropriate
behavior, another society may see that as maladaptive, and
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inappropriate. Mental health and mental illness are difficult to
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define precisely. In most cases, mental health is a state of
emotional, psychological, and social wellness evidenced by
satisfying interpersonal relationships, effective behavior and
coping, positive self-concept, and emotional stability. Persons
who engage in fantasies may be mentally healthy, but the
inability to distinguish reality from fantasy is an individual
factor that may contribute to mental illness.
A client grieving the recent loss of her husband asks if she is
becoming mentally ill because she is so sad. The nurse's best
response would be,
A) You may have a temporary mental illness because you are
experiencing so much pain.
B) You are not mentally ill. This is an expected reaction to the
loss you have
experienced.
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C) Were you generally dissatisfied with your relationship
before your husband's
death?
D) Try not to worry about that right now. You never know what
the future brings. Ans: Ans: B
Mental illness includes general dissatisfaction with self,
ineffective relationships, ineffective coping, and lack of
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personal growth. Additionally the behavior must not be
culturally expected. Acute grief reactions are expected and
therefore not considered mental illness. False reassurance or
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over-analysis does not accurately address the client's
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concerns.
The nurse consults the DSM for which of the following
purposes?
A) To devise a plan of care for a newly admitted client
B) To predict the client's prognosis of treatment outcomes
C) To document the appropriate diagnostic code in the client's
medical record
D) To serve as a guide for client assessment Ans: Ans: D
The DSM provides standard nomenclature, presents defining
characteristics, and identifies underlying causes of mental
disorders. It does not provide care plans or prognostic
outcomes of treatment. Diagnosis of mental illness is not
within the generalist RN's scope of practice, so documenting
the code in the medical record would be inappropriate.