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,Psychiatric-
MentalHealthNursing8theditionby Videbeck Test Bank. L , , , , , ,,,,,, ,,,,,, ,,,,,, ,,,,,,
ATEST UPDATE 2022 ,,,,,, ,,,,,,
Psychiatric-MentalHealth Nursing8theditionbyVidebeckTest Bank Chapter 1 , ,,,,,, , , , , , ,,,,,, ,,,,,, ,,,,,,
1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Whichofthe following would the nurse identifyashaving
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apositive impact on the individual's mental health?
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A) Not needing others for companionship ,,,, ,,,,,, ,,,,,, ,,,,,,
B) The abilityto effectivelymanage stress ,,,,,, , ,,,,,, ,, ,,,,,,
C) A family historyo f mental illness , ,,,, , ,,,,, , ,,,,,, ,,,,,,
D) Strivingfortotalself- , , ,
reliance Ans: B ,,,,,, ,,,,,,
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, indepen ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,, ,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,,
dence, self- ,,,,,,
esteem, capacity for growth, vitality, abilityto find meaning in life, emotionalresilience or h
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ardiness, sense ofbelonging, realityorientation, and coping or stress management abilities. ,,,,,, ,,,,,, ,, ,,,,,, , ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,,
Interpersonal factors such as intimacy and a balance of separatenessand connectednessare ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,, ,,, ,,,,,, ,,,,,, ,,,,,, ,, ,,,,,, ,, ,,,,
bothneeded for good mentalhealth, and therefore a healthypersonwould need othersfor com
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panionship. A familyhistory ofmentalillness could relate tothe biologic makeup ofan indivi ,,,,,, ,,,,, , ,,,,,, , , ,,,,,, ,,,,,, ,,,,,, , ,,,,,, , ,,,,, ,,,,,, , ,,,,,,
dual, which mayhave a negative impact on an individual's mental health, as well as a negativ
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e impact 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 resources.
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2. Whicho fthe following statements about mentalillness are true?Select allthat apply.
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A) Mentalillnesscancausesignificant distress, impaired functioning, orboth. , , , ,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,
B) Mentalillness isonlydue to social/cultural factors. , ,,, ,,, ,, , ,,, ,,,,,, ,,
C) Social/culturalfactorsthatrelateto mentalillness includeexcessivedependency on o , , , , ,,,,,, , ,,,,,, , ,, ,,,,,, ,,,,,,
r withdrawal from relationships. ,,,,,, ,,,,,, ,,,,,,
D) Individuals suffering frommentalillnessare usuallyable to copeeffectivelywith daily ,, ,,,,,, , , ,, ,,, , ,,,,, ,,,,,, ,,, , ,,,,,, ,, ,,,,
life.
E) Individualssuffering frommentalillness mayexperiencedissatisfactionwith rela , ,,,,,, , , ,,, , , , ,,,,, ,
tionships and self. ,,,,,, ,,,,,,
Ans: A, D, E , , , , ,, ,,,,, , ,,,
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
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may be related to individual, interpersonal, or social/cultural factors. Excessive dependenc
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yon or withdrawal fromrelationships are interpersonal factors that relate to mental illness. I
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ndividuals suffering from mental illness can feel overwhelmed with dailylife. Individualss ,,,, ,, ,,,,,, , ,,,,, ,,,,,, ,,,,,, ,,, ,,, ,,,,,, ,,,,,, ,,,,,, , ,,,,,, ,
uffering frommentalillness mayexperiencedissatisfactionwith relationships and self. ,,,,,, , , ,,,,,, , ,, , ,,,,,, ,,,,,, ,,,,,,
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MentalHealthNursing8theditionby Videbeck Test , , , , , ,,,,,, ,,,,,, ,,,,,,
Bank. LATEST UPDATE 2022 ,,,,,, ,,,,,, ,, ,,,,
3. Whicho fthe following are true regarding mentalhealthand mentalillness?
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A) Behaviorthat maybeviewedasacceptable inone cultureisalwaysunacceptable in oth , , ,, , ,, , ,,,,,, , ,,,,,, , , , ,,,,,, ,,,,,,
er cultures. ,,,,,,
B) Itis easyto determine ifa person is mentally healthyor mentallyill. , ,,, , ,,,, ,, ,,,,,, ,, ,,,, ,,,,,, , ,,,, , ,,,,,, , ,,,,,, ,
C) In most cases, mental health is a state of emotional, psychological, and social well ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,,
nessevidenced bysatisfying interpersonalrelationships,effective behavior and cop , ,, , ,, , , ,, ,,,,,, ,,, ,,,
ing, positive self-concept, and emotional stability. ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,,
D) Personswhoengage infantasiesare mentallyill. An , , ,, , , ,, , ,,,,,,
s: C ,,,,,,
Feedback:
What onesocietymayviewasacceptableand appropriatebehavior, another societymay see th
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at as maladaptive, and inappropriate. Mentalhealthand mentalillness are difficult to define p
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recisely. In most cases, mental health is a state of emotional, psychological, and social welln ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,, ,,, ,,,,,, ,,,,,, ,,,,,,
ess evidenced by satisfying interpersonal relationships, effective behavior and coping, posit
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ive self- ,,,,,,
concept, and emotionalstability. Persons who engage in fantasies maybe mentallyhealthy, b ,,,,,, ,,,,,, , ,,,,,, ,,, ,,,,,, , ,,,,, ,,,,,, ,,,,,, ,, ,,,,,, ,,, ,,,,,,
ut the inabilityto distinguishreality fromfantasy is an individual factor that may contribute t
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o mental illness.
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4. Aclient grieving therecent losso fher husband asks ifshe is becoming mentallyill becaus
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e she is so sad. The nurse's best response would be,
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A) ìYou mayhavea temporarymentalillnessbecause you areexperiencing so much pain.î ,, , ,, ,, , , , ,,,,,, ,,, , ,,, ,,,,,, ,,,,,,
B) ìYouarenotmentally ill. This isanexpectedreactionto theloss youhave experie , , , ,,,, ,,,,,, ,,,,,, , , ,, , , , ,,,,,, , ,,,,,,
nced.î
C) ìWere yougenerallydissatisfiedwithyourrelationshipbefore your husband's deat ,,, , , , , , , ,, , ,,,,,,
h?î
D) ìTry not to worryabout that right now.Younever knowwhat the futurebrings.î Ans: B ,,,,, ,, ,,,,,, , ,, ,, ,,,,,, , ,, ,,,,,, , ,,, ,, , ,,,,,, ,,,,,,
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships, ineffectiv
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e coping, and lack ofpersonal growth. Additionallythe behavior must not be culturally expect
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ed. Acute grief reactions are expected and therefore not considered mentalillness. Falsereass
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uranceoroveranalysisdoesnot accuratelyaddresstheclient's concerns. , , , , ,,,,,, , , , ,,,,,,
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MentalHealthNursing8theditionby Videbeck Test , , , , , ,,,,,, ,,,,,, ,,,,,,
Bank. LATEST UPDATE 2022 ,,,,,, ,,,,,, ,, ,,,,
5. Thenurse consults the DSM for whicho fthe following purposes?
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A) Todevise a plano fcare for a newlyadmitted client ,, ,,,,,, ,,,,,, , , ,,,,,, ,,,,,, ,,,,,, , ,,,,,,
B) To predict the client's prognosis oftreatment outcomes ,,,,,, ,,,,,, ,,,,,, ,, ,,,, ,,,,, , ,,,,,,
C) Todocument the appropriatediagnostic codeinthe client's medicalrecord , ,,, ,,, ,, ,, ,,, , , ,,, , , , , , , ,
D) Toserveasaguideforclient assessment An , , , , , , , ,,,,,,
s: D ,,,,,,
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and identifies
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underlying causes of mental disorders. It does not provide care plans or prognostic outcome
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s of treatment. Diagnosis of mental illness is not within the generalist RN'sscopeo fpractice,
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so documenting the codeinthe medicalrecord would be inappropriate.
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6. Whichwould be a reasonfor astudent nurseto usethe DSM? , , ,,,, , ,,,,,, ,,,,,, ,, ,,, ,, , , ,,,,,, , ,,,,,, , ,,,,,,
A) Identifyingthe medicaldiagnosis ,,, ,,,,,, ,
B) Treat clients ,,,,,,
C) Evaluatetreatments ,
D) Understand thereason forthe admissionand the natureofpsychiatric illnesses. Ans: ,,, ,, ,,,, , ,,,,,, , ,,,, ,, , , ,,,,,, ,,,,,, ,,,,,,
D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a helpful res ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,,
ource to understand the reason for the admission and to begin building knowledgeaboutthen
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atureofpsychiatric illnesses. Identifying the medicaldiagnosis, treating, and evaluating treat
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ments are not a part of the nursing process. ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, ,,,,,, , ,,,,, ,,,,,,
7. The legislationenactedin1963was largelyresponsible forwhicho fthe followingshifts in car
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e for the mentally ill?
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A) Thewidespreaduseo fcommunity-based services , , , , ,,,,,,
B) Theadvancement inpharmacotherapies , ,,,, ,, ,
C) Increased access to hospitalization ,,,,,, ,,,,,, ,,,,,,
D) Improvedrights forclients inlong- , ,,, , ,,,, ,
terminstitutionalcare Ans: A , , ,,,,,, ,,, ,,,
Feedback:
The CommunityMentalHealthCenters ConstructionAct of1963 accomplished the release of i
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ndividuals from long- ,,,, ,, ,,,,,,
term stays in state institutions, the decrease in admissions to hospitals, and the development o
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f community-based services as an alternative to hospital care.
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