Test Bank For Psychiatric Mental Health Nursing 9th Edition
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Chapter 1 TL
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1. The nurse is assessing the factors contributing to the
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well-being of a newly admitted client. Which of the
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following would the nurse identify as having a positive
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impact onthe individual's mental health?
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A) Not needing others for companionship TL
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B) The ability to effectively manage stress TL
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C) A family history of mental illness TL
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D) Striving for total self-reliance TL
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Ans: B
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Feedback:
Individual factors influencing mental health include TL
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biologic makeup, autonomy, independence, self-esteem,
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capacity for growth, vitality, ability to find meaning in
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life, emotional resilience or hardiness, sense of
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belonging, reality orientation, and coping or stress
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management abilities. Interpersonal factors such as
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intimacy and a balance of separateness and
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connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for
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companionship. A family history of mental illnesscould relate to the biologic
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makeup of an individual, which may have a negative impacton an individual's
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mental health, as well as a negative impact on an individual's interpersonal and
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socialñcultural factors of health. Total self-reliance is not possible, and a positive
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social/cultural factor is access to adequate resources.
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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. TL
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B) Mental illness is only due to social/cultural factors. TL
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C) Social/cultural factors that relate to mental illness include excessive TL
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dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively TL
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with daily life. TL
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E) Individuals suffering from mental illness may experience dissatisfaction TL
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with relationships and self.
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Ans: A, D, E F TL TL
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Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors.
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Excessive dependency on or withdrawal from relationships are interpersonal
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factors that relate to mental illness. Individuals suffering from mental illness can
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feel overwhelmed with daily life. Individuals suffering from mental illness may
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experience dissatisfaction 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 TL
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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
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social 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 TL
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ill. Ans: C
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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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Fdifficult to define precisely. In most cases, mental health is a state of emotional,
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Fpsychological, and social wellness evidenced by satisfying interpersonal
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Frelationships, effective behavior and coping, positive self-concept, and emotional
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Fstability. Persons who engage in fantasies may be mentally healthy, but the inability
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to distinguish reality from fantasy is an individual factor that may contribute to
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Fmental 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 TL
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much pain.î TL
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B) ìYou are not mentally ill. This is an expected reaction to the loss you TL
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have experienced.î TL
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C) ìWere you generally dissatisfied with your relationship before your TL
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husband's death?î TL
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D) ìTry not to worry about that right now. You never know what the future TL
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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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Fineffective coping, and lack of personal growth. Additionally the behavior must not
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Fbe culturally expected. Acute grief reactions are expected and therefore not
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Fconsidered mental illness. False reassurance or overanalysis does not accurately
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address the client's concerns.
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,5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessment
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Ans: D TL
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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Fidentifies underlying causes of mental disorders. It does not provide care plans or
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Fprognostic outcomes of treatment. Diagnosis of mental illness is not within the
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Fgeneralist RN's scope of practice, so documenting the code in the medical record
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Fwould be inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis TL
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B) Treat clients TL
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C) Evaluate treatments TL
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D) Understand the reason for the admission and the nature of psychiatric illnesses.
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Ans: D TL
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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Fhelpful resource to understand the reason for the admission and to begin building
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Fknowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
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Ftreating, and evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following
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shifts in care for the mentally ill?
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A) The widespread use of community-based services TL
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B) The advancement in pharmacotherapies TL
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C) Increased access to hospitalization TL
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D) Improved rights for clients in long-term institutional TL
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care Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
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Frelease of individuals from long-term stays in state institutions, the decrease in
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Fadmissions to hospitals, and the development of community-based services as an
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Falternative to hospital care.
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, 8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will. TL
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B) Making it more difficult to commit people for mental health treatment TL
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against their will. TL
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C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentally ill TL
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persons. Ans: B
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Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit FTL F TL TL
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Fpeople for mental health treatment against their will. Deinstitutionalization
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Faccomplished the release of individuals from long-term stays in state institutions.
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FDeinstitutionalization also had negative effects in that some mentally ill persons are
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Fsubjected to the revolving door effect, which may limit care for mentally ill persons.
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9. The goal of the 1963 Community Mental Health Centers Act was to
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A) ensure patients' rights for the mentally ill. FTL TL
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B) deinstitutionalize state hospitals. TL
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C) provide funds to build hospitals with psychiatric units. TL
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D) treat people with mental illness in a humane TL
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fashion. Ans: B
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Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
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Ftreating those with mental illness in a less restrictive environment. This legislation
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Fresulted in the shift of clients with mental illness from large state institutions to
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Fcare based in the community. Answer choices A, C, and D were not purposes of the
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1963 Community Mental Health Centers Act.
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10. The creation of asylums during the 1800s was meant to
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A) improve treatment of mental disorders. TL
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B) provide food and shelter for the mentally ill. TL
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C) punish people with mental illness who were believed to be possessed. F TL TL
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D) remove dangerous people with mental illness from the TL
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community. Ans: B
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Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment
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Ffor the mentally ill. Asylums were not used to improve treatment of mental disorders
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For to punish mentally ill people who were believed to be possessed. The asylum
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Fwas not created to remove the dangerously mentally ill from the community.
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Chapter 1 TL
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1. The nurse is assessing the factors contributing to the
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well-being of a newly admitted client. Which of the
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following would the nurse identify as having a positive
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impact onthe individual's mental health?
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A) Not needing others for companionship TL
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B) The ability to effectively manage stress TL
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C) A family history of mental illness TL
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D) Striving for total self-reliance TL
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Ans: B
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Feedback:
Individual factors influencing mental health include TL
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biologic makeup, autonomy, independence, self-esteem,
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F TL
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capacity for growth, vitality, ability to find meaning in
TL
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F TL
F TL
F TL
F TL
F TL
F TL
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F
life, emotional resilience or hardiness, sense of
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belonging, reality orientation, and coping or stress
TL
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management abilities. Interpersonal factors such as
TL
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F F TL TL
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intimacy and a balance of separateness and
TL
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F TL
F FTL TL
F TL
F TL
F
connectedness are both needed
TL
F FTL TL
F TL
F
for good mental health, and therefore ahealthy person would need others for
TL
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F TL
F F TL TL
F F TL FTL TL
F TL
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companionship. A family history of mental illnesscould relate to the biologic
TL
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makeup of an individual, which may have a negative impacton an individual's
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mental health, as well as a negative impact on an individual's interpersonal and
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socialñcultural factors of health. Total self-reliance is not possible, and a positive
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social/cultural factor is access to adequate resources.
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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. TL
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B) Mental illness is only due to social/cultural factors. TL
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C) Social/cultural factors that relate to mental illness include excessive TL
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dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively TL
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with daily life. TL
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E) Individuals suffering from mental illness may experience dissatisfaction TL
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with relationships and self.
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Ans: A, D, E F TL TL
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Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors.
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Excessive dependency on or withdrawal from relationships are interpersonal
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factors that relate to mental illness. Individuals suffering from mental illness can
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feel overwhelmed with daily life. Individuals suffering from mental illness may
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experience dissatisfaction 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 TL
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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
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social wellness evidenced by satisfying interpersonal relationships, effective
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F TL
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F TL
F TL
F
behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally TL
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ill. Ans: C
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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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Fdifficult to define precisely. In most cases, mental health is a state of emotional,
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Fpsychological, and social wellness evidenced by satisfying interpersonal
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Fstability. Persons who engage in fantasies may be mentally healthy, but the inability
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to distinguish reality from fantasy is an individual factor that may contribute to
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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 TL
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much pain.î TL
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B) ìYou are not mentally ill. This is an expected reaction to the loss you TL
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have experienced.î TL
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C) ìWere you generally dissatisfied with your relationship before your TL
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husband's death?î TL
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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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Fineffective coping, and lack of personal growth. Additionally the behavior must not
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Fbe culturally expected. Acute grief reactions are expected and therefore not
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Fconsidered mental illness. False reassurance or overanalysis does not accurately
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address the client's concerns.
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,5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessment
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Ans: D TL
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Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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Fidentifies underlying causes of mental disorders. It does not provide care plans or
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Fprognostic outcomes of treatment. Diagnosis of mental illness is not within the
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Fgeneralist RN's scope of practice, so documenting the code in the medical record
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Fwould be inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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D) Understand the reason for the admission and the nature of psychiatric illnesses.
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Ans: D TL
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Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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Fhelpful resource to understand the reason for the admission and to begin building
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Fknowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
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Ftreating, and evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following
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shifts in care for the mentally ill?
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A) The widespread use of community-based services TL
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B) The advancement in pharmacotherapies TL
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C) Increased access to hospitalization TL
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D) Improved rights for clients in long-term institutional TL
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care Ans: A
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Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
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Frelease of individuals from long-term stays in state institutions, the decrease in
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Fadmissions to hospitals, and the development of community-based services as an
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Falternative to hospital care.
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, 8. Which one of the following is a result of federal legislation?
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A) Making it easier to commit people for mental health treatment against their will. TL
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B) Making it more difficult to commit people for mental health treatment TL
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against their will. TL
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C) State mental institutions being the primary source of care for mentally ill persons.
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D) Improved care for mentally ill TL
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persons. Ans: B
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Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit FTL F TL TL
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Fpeople for mental health treatment against their will. Deinstitutionalization
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Faccomplished the release of individuals from long-term stays in state institutions.
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FDeinstitutionalization also had negative effects in that some mentally ill persons are
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Fsubjected to the revolving door effect, which may limit care for mentally ill persons.
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9. The goal of the 1963 Community Mental Health Centers Act was to
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A) ensure patients' rights for the mentally ill. FTL TL
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B) deinstitutionalize state hospitals. TL
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C) provide funds to build hospitals with psychiatric units. TL
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D) treat people with mental illness in a humane TL
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fashion. Ans: B
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Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
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Ftreating those with mental illness in a less restrictive environment. This legislation
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Fresulted in the shift of clients with mental illness from large state institutions to
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Fcare based in the community. Answer choices A, C, and D were not purposes of the
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1963 Community Mental Health Centers Act.
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10. The creation of asylums during the 1800s was meant to
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A) improve treatment of mental disorders. TL
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B) provide food and shelter for the mentally ill. TL
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C) punish people with mental illness who were believed to be possessed. F TL TL
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D) remove dangerous people with mental illness from the TL
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community. Ans: B
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Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment
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Ffor the mentally ill. Asylums were not used to improve treatment of mental disorders
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For to punish mentally ill people who were believed to be possessed. The asylum
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Fwas not created to remove the dangerously mentally ill from the community.
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