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 YF TL YF TL YF TL 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. TL
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Ans: A, D, E YFTL 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 YF TL 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
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are difficult to define precisely. In most cases, mental health is a state of
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emotional, psychological, and social wellness evidenced by satisfying interpersonal
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relationships, effective behavior and coping, positive self-concept, and emotional
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stability. Persons who engage in fantasies may be mentally healthy, but the
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inability to distinguish reality from fantasy is an individual factor that may
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contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming
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mentally 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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ineffective coping, and lack of personal growth. Additionally the behavior must
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not be culturally expected. Acute grief reactions are expected and therefore not
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considered 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 TL
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B) To predict the client's prognosis of treatment outcomesTL
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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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identifies underlying causes of mental disorders. It does not provide care plans
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or prognostic outcomes of treatment. Diagnosis of mental illness is not within
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the generalist RN's scope of practice, so documenting the code in the medical
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record would 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
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a helpful resource to understand the reason for the admission and to begin
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building knowledge about the nature of psychiatric illnesses. Identifying the medical
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diagnosis, treating, 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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release of individuals from long-term stays in state institutions, the decrease in
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admissions to hospitals, and the development of community-based services as an
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alternative 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.
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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 YF TL YF TL YF TL YF TL YF TL TL
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people for mental health treatment against their will. Deinstitutionalization
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accomplished the release of individuals from long-term stays in state institutions.
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Deinstitutionalization also had negative effects in that some mentally ill persons
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are subjected to the revolving door effect, which may limit care for mentally ill
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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. TL
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B) deinstitutionalize state hospitals. TL
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C) provide funds to build hospitals with psychiatric units. YF TL YF TL 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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treating those with mental illness in a less restrictive environment. This
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legislation resulted in the shift of clients with mental illness from large state
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institutions to care based in the community. Answer choices A, C, and D were not
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purposes of the 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. YF TL YFTL YF TL YF TL TL
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C) punish people with mental illness who were believed to be possessed. YF 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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for the mentally ill. Asylums were not used to improve treatment of mental
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disorders or to punish mentally ill people who were believed to be possessed. The
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asylum was not created to remove the dangerously mentally ill from the
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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 YF TL YF TL YF TL 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.
TL
YF YF TL YF TL TL
YF YF TL TL
YF
D) Individuals suffering from mental illness are usually able to cope effectively TL
YF YF TL YFTL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF YF TL
with daily life. TL
YF YF TL YF TL
E) Individuals suffering from mental illness may experience dissatisfaction TL
YF TL
YF TL
YF TL
YF YF TL TL
F
Y TL
YF
with relationships and self. TL
YF YF TL YF TL YF TL
Ans: A, D, E YFTL TL
YF YF TL
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
TL
YF YF TL YF TL YF TL TL
YF YF TL TL
YF TL
YF YF TL YF TL
illness may be related to individual, interpersonal, or social/cultural factors.
YF TL TL
YF YF TL YF TL YF TL TL
YF YF TL TL
YF TL
YF TL
YF
Excessive dependency on or withdrawal from relationships are interpersonal
YF TL TL
YF TL
YF YF TL YF TL TL
YF YF TL TL
YF YF TL
factors that relate to mental illness. Individuals suffering from mental illness can
YF TL YF TL YF TL TL
YF YF TL TL
YF YF TL YF TL TL
YF YF TL YF TL TL
YF
feel overwhelmed with daily life. Individuals suffering from mental illness may
YF TL YF TL YF TL YFTL TL
YF YF TL TL
YF TL
YF YF TL TL
YF TL
YF
experience dissatisfaction with relationships and self.
TL
YF TL
YF YF TL YF TL YF TL TL
YF
,3. Which of the following are true regarding mental health and mental illness?
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YF YF TL TL
YF TL
YF YF TL YF TL TL
YF YF TL TL
YF TL
YF YF TL
A) Behavior that may be viewed as acceptable in one culture is always YF TL TL
YF TL
YF TL
YF TL
YF YF TL YFTL TL
YF YF TL TL
YF TL
YF
unacceptable in other cultures.
TL
YF YF TL YFTL TL
YF
B) It is easy to determine if a person is mentally healthy or mentally ill.
TL
YF YF TL TL
YF TL
YF YF TL YF TL TL
YF TL
YF TL
YF TL
YF YF TL YF TL TL
YF
C) In most cases, mental health is a state of emotional, psychological, and
TL
YF YF TL TL
YF TL
YF YF TL YF TL TL
YF YF TL YF TL TL
YF TL
YF
social wellness evidenced by satisfying interpersonal relationships, effective
YF TL TL
YF TL
YF TL
YF TL
F
Y TL
YF TL
YF TL
YF
behavior and coping, positive self-concept, and emotional stability.
TL
YF TL
YF TL
YF YF TL TL
YF YF TL YF TL TL
YF
D) Persons who engage in fantasies are mentally TL
YF YF TL YF TL TL
YF YF TL TL
YF
ill. Ans: C
TL
YF TL
YF Y F T L
Feedback:
What one society may view as acceptable and appropriate behavior, another society
TL
YF TL
YF TL
YF TL
F
Y YF TL TL
YF TL
YF YF TL TL
YF TL
YF TL
YF
may see that as maladaptive, and inappropriate. Mental health and mental illness
TL
YF TL
YF YF TL YF TL TL
YF TL
YF TL
YF TL
YF YF TL YF TL YF TL TL
YF
are difficult to define precisely. In most cases, mental health is a state of
YF TL TL
YF YF TL TL
YF YF TL YF TL YF TL TL
YF YF TL TL
YF YF TL YF TL YF TL YF TL
emotional, psychological, and social wellness evidenced by satisfying interpersonal
YF TL YF TL YF TL YF TL YF TL YF TL TL
YF TL
YF TL
YF
relationships, effective behavior and coping, positive self-concept, and emotional
YF TL YF TL TL
YF YF TL TL
YF TL
YF TL
YF TL
YF YF TL
stability. Persons who engage in fantasies may be mentally healthy, but the
TL
YF YF TL YF TL YF TL YF TL TL
YF TL
YF TL
YF YF TL YF TL TL
YF TL
YF
inability to distinguish reality from fantasy is an individual factor that may
YF TL TL
YF YF TL YF TL TL
YF TL
YF TL
YF TL
YF YF TL TL
YF TL
YF TL
YF
contribute to mental illness.
YF TL TL
YF TL
YF TL
YF
4. A client grieving the recent loss of her husband asks if she is becoming
TL
YF TL
YF YF TL YF TL YF TL TL
YF YF TL TL
YF TL
YF TL
YF TL
YF YF TL TL
YF
mentally ill because she is so sad. The nurse's best response would be,
TL
YF YF TL TL
YF TL
YF YF TL TL
YF TL
YF TL
YF YF TL YF TL TL
YF TL
YF TL
YF
A) ìYou may have a temporary mental illness because you are experiencing so TL
YF TL
F
Y YF TL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF
much pain.î TL
YF YF TL
B) ìYou are not mentally ill. This is an expected reaction to the loss you TL
YF TL
YF TL
YF TL
YF YF TL TL
YF TL
YF YF TL TL
YF TL
YF YF TL YF TL YF TL
have experienced.î TL
YF TL
YF
C) ìWere you generally dissatisfied with your relationship before your TL
YF YF TL TL
F
Y TL
YF TL
YF TL
YF YF TL TL
YF
husband's death?î TL
YF YF TL
D) ìTry not to worry about that right now. You never know what the future TL
F
Y TL
YF TL
YF TL
YF TL
YF YF TL TL
YF TL
YF TL
YF TL
YF YF TL YF TL TL
YF
brings.î Ans: B
TL
YF YF TL Y F T L
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
TL
YF YF TL YF TL TL
YF TL
YF TL
YF TL
YF YFTL
ineffective coping, and lack of personal growth. Additionally the behavior must
YF TL YF TL TL
YF YF TL TL
YF YF TL TL
YF YF TL YF TL YF TL TL
YF
not be culturally expected. Acute grief reactions are expected and therefore not
YF TL YF TL YF TL YF TL YF TL YF TL TL
YF TL
YF YF TL TL
YF YF TL TL
YF
considered mental illness. False reassurance or overanalysis does not accurately
YF TL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF YF TL TL
YF YF TL
address the client's concerns.
TL
YF TL
YF YF TL TL
YF
,5. The nurse consults the DSM for which of the following purposes?
TL
YF YF TL YF TL YF TL YF TL TL
YF TL
YF TL
YF TL
YF TL
YF Y F T L
A) To devise a plan of care for a newly admitted client TL
YF YF TL YF TL TL
YF YF TL TL
YF YF TL TL
YF TL
YF TL
YF
B) To predict the client's prognosis of treatment outcomesTL
F
Y TL
YF YF TL TL
YF TL
YF TL
YF YF TL
C) To document the appropriate diagnostic code in the client's medical record
TL
YF TL
YF YF TL TL
YF YF TL YF TL YF TL TL
YF TL
YF TL
YF
D) To serve as a guide for client assessment
TL
YF TL
YF YF TL TL
YF TL
YF TL
YF TL
YF TL
YF Y F T L
Ans: D TL
YF
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
YF TL YF TL YF TL YF TL TL
YF YF TL YF TL YF TL
identifies underlying causes of mental disorders. It does not provide care plans
YF TL YF TL YF TL TL
YF YF TL TL
YF YF TL TL
YF YF TL YF TL TL
YF YF TL
or prognostic outcomes of treatment. Diagnosis of mental illness is not within
YF TL YF TL YF TL TL
YF TL
YF TL
YF YF TL YF TL YF TL YF TL YF TL TL
YF
the generalist RN's scope of practice, so documenting the code in the medical
YF TL TL
YF YF TL TL
YF TL
YF YF TL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF YF TL
record would be inappropriate.
TL
YF YF TL TL
YF YF TL
6. Which would be a reason for a student nurse to use the DSM?
TL
YF TL
YF YF TL YF TL YF TL YF TL TL
YF TL
YF TL
YF YF TL TL
YF TL
YF Y F T L
A) Identifying the medical diagnosis TL
YF TL
YF TL
YF
B) Treat clients TL
F
Y
C) Evaluate treatments TL
YF
D) Understand the reason for the admission and the nature of psychiatric illnesses.
TL
YF YF TL TL
YF YF TL YF TL YF TL TL
YF TL
YF YF TL TL
YF YF TL TL
YF Y F T L
Ans: D TL
YF
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it
YF TL YF TL YF TL YF TL TL
YF TL
YF YF TL YF TL TL
YF TL
YF YF TL TL
YF TL
YF TL
YF
a helpful resource to understand the reason for the admission and to begin
YF TL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF YF TL YF TL TL
YF TL
YF TL
YF TL
YF
building knowledge about the nature of psychiatric illnesses. Identifying the medical
YF TL YF TL TL
YF TL
YF TL
YF TL
YF TL
YF YF TL TL
YF TL
YF YF TL
diagnosis, treating, and evaluating treatments are not a part of the nursing process.
TL
YF TL
YF TL
YF YF TL TL
YF YF TL TL
YF TL
YF TL
YF YF TL YF TL YF TL TL
YF
7. The legislation enacted in 1963 was largely responsible for which of the following
TL
YF YFTL YF TL TL
YF YF TL YF TL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF
shifts in care for the mentally ill?
TL
YF YF TL TL
YF YF TL TL
YF YF TL TL
YF
A) The widespread use of community-based services TL
YF YF TL TL
YF TL
YF TL
YF
B) The advancement in pharmacotherapies TL
F
Y TL
YF TL
YF
C) Increased access to hospitalization TL
F
Y TL
YF TL
F
Y
D) Improved rights for clients in long-term institutional TL
YF TL
YF TL
YF TL
YF TL
YF YF TL
care Ans: A
TL
YF YF TL Y F T L
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished the
TL
YF TL
YF YF TL YF TL YF TL TL
YF TL
YF TL
YF TL
YF TL
YF
release of individuals from long-term stays in state institutions, the decrease in
YF TL YF TL YF TL YFTL TL
YF TL
YF TL
YF TL
YF YF TL TL
YF TL
YF TL
YF
admissions to hospitals, and the development of community-based services as an
YF TL TL
YF YF TL TL
YF TL
YF TL
YF YF TL TL
YF TL
YF YF TL TL
YF
alternative to hospital care.
YF TL TL
YF YF TL YF TL
, 8. Which one of the following is a result of federal legislation?
TL
YF TL
YF YF TL YF TL TL
YF TL
YF YF TL YF TL TL
YF TL
YF
A) Making it easier to commit people for mental health treatment against their will. TL
YF YF TL YF TL YF TL TL
YF YF TL TL
YF TL
YF TL
YF YF TL YF TL TL
YF
B) Making it more difficult to commit people for mental health treatment TL
YF YF TL TL
YF TL
YF YF TL YF TL TL
YF TL
YF TL
YF TL
YF
against their will.
TL
YF TL
YF YF TL
C) State mental institutions being the primary source of care for mentally ill persons.
TL
YF YF TL TL
YF YF TL TL
YF TL
YF TL
YF TL
YF TL
YF YF TL TL
YF TL
YF
D) Improved care for mentally ill TL
YF YF TL TL
YF TL
F
Y
persons. Ans: B
TL
YF TL
YF Y F T L
Feedback:
Commitment laws changed in the early 1970s, making it more difficult to commit YF TL YF TL YF TL YF TL YF TL TL
YF TL
YF TL
YF YF TL TL
YF TL
YF YF TL
people for mental health treatment against their will. Deinstitutionalization
YF TL TL
YF YF TL TL
YF YF TL TL
YF YF TL YF TL YF TL
accomplished the release of individuals from long-term stays in state institutions.
YF TL TL
YF YF TL YF TL TL
YF YF TL YF TL TL
YF YF TL TL
YF YF TL
Deinstitutionalization also had negative effects in that some mentally ill persons
YF TL YF TL TL
YF TL
YF TL
YF TL
YF YF TL TL
YF TL
YF TL
YF YF TL
are subjected to the revolving door effect, which may limit care for mentally ill
YF TL TL
YF TL
YF YF TL TL
YF YF TL TL
YF TL
YF TL
YF YF TL TL
YF YF TL YF TL TL
YF
persons.
YF TL
9. The goal of the 1963 Community Mental Health Centers Act was to
TL
YF YF TL YF TL YF TL YF TL TL
YF TL
YF YF TL TL
YF YF TL YF TL
A) ensure patients' rights for the mentally ill. TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF
B) deinstitutionalize state hospitals. TL
YF TL
F
Y
C) provide funds to build hospitals with psychiatric units. YF TL YF TL TL
YF TL
YF TL
YF TL
YF YF TL
D) treat people with mental illness in a humane TL
YF YF TL YFTL YF TL TL
YF TL
YF YF TL
fashion. Ans: B
TL
YF YF TL Y F T L
Feedback:
The 1963 Community Mental Health Centers Act intimated the movement toward
YF TL YF TL YFTL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF YF TL
treating those with mental illness in a less restrictive environment. This
YF TL TL
YF YF TL YF TL YF TL YF TL YF TL YF TL TL
YF TL
YF YF TL
legislation resulted in the shift of clients with mental illness from large state
YF TL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF YF TL YF TL TL
YF YF TL YF TL TL
YF
institutions to care based in the community. Answer choices A, C, and D were not
TL
YF YF TL YF TL YF TL TL
YF TL
YF YF TL TL
YF TL
YF TL
YF YF TL TL
YF TL
YF TL
YF TL
YF
purposes of the 1963 Community Mental Health Centers Act.
TL
YF TL
YF YF TL TL
YF TL
YF YF TL TL
YF YF TL YF TL
10. The creation of asylums during the 1800s was meant to
TL
YF YF TL TL
YF TL
YF TL
YF TL
YF TL
YF TL
YF YF TL
A) improve treatment of mental disorders. TL
YF TL
YF TL
YF YF TL
B) provide food and shelter for the mentally ill. YF TL YFTL YF TL YF TL TL
YF TL
YF TL
YF
C) punish people with mental illness who were believed to be possessed. YF TL TL
YF TL
YF TL
YF TL
YF YF TL TL
YF YFTL TL
YF TL
YF
D) remove dangerous people with mental illness from the TL
YF YF TL TL
YF TL
YF TL
YF TL
YF TL
YF
community. Ans: B
TL
YF YF TL Y F T L
Feedback:
The asylum was meant to be a safe haven with food, shelter, and humane treatment
TL
YF TL
YF YF TL TL
YF TL
YF YF TL TL
YF YF TL YF TL TL
YF TL
YF TL
YF YF TL TL
YF
for the mentally ill. Asylums were not used to improve treatment of mental
YF TL YF TL TL
YF TL
YF TL
YF YF TL TL
YF YF TL TL
YF TL
YF TL
YF TL
YF YF TL
disorders or to punish mentally ill people who were believed to be possessed. The
TL
YF TL
YF TL
YF TL
YF YF TL YF TL YF TL YF TL YF TL TL
YF YF TL YF TL YFTL TL
YF
asylum was not created to remove the dangerously mentally ill from the
YF TL YF TL YF TL YFTL TL
YF YF TL YF TL YF TL YF TL YF TL TL
YF TL
YF
community.
YF TL
