9]
Psychiatric-
Mentaln Healthn Nursingn 8thneditionn bynVidebecknTestnBanknChaptern1
1. Then nursen isn assessingn then factorsn contributingn ton then well-
beingn ofn an newlyn admittednclient.n Whichn ofn then followingn wouldn then nursen identifyn
asn havingn an positiven impactn onnthenindividual'sn mentalnhealth?
A) Notn needingn othersn forn companionship
B) Then abilityn ton effectivelyn managen stress
C) An familyn historyn ofn mentaln illness
D) Strivingn forn totaln self-
reliancenAns:n B
Feedback:
Individualn factorsn influencingn mentaln healthn includen biologicn makeup,n autonomy,ninde
pendence,n self-
esteem,n capacityn forn growth,n vitality,n abilityn ton findn meaningn inn life,nemotionaln resilie
ncen orn hardiness,n sensen ofn belonging,n realityn orientation,n andn copingn ornstressn manage
mentn abilities.n Interpersonaln factorsn suchn asn intimacyn andn an balancen ofnseparatenessn a
ndn connectednessn aren bothn neededn forn goodn mentaln health,n andn thereforen anhealthyn pe
rsonn wouldn needn othersn forn companionship.n An familyn historyn ofn mentaln illnessncouldn r
elaten ton then biologicn makeupn ofn ann individual,n whichn mayn haven an negativen impactnonn
ann individual'sn mentaln health,n asn welln asnan negativen impactn onn ann individual'sn interper
sonaln andn socialñculturaln factorsn ofn health.n Totaln self-
reliancen isn notn possible,nandnanpositivensocial/culturaln factornisnaccessntonadequatenres
ources.
2. Whichn ofn then followingn statementsnaboutn mentaln illnessn arentrue?nSelectn alln thatn apply.
A) Mentaln illnessn cann causen significantn distress,n impairedn functioning,n orn both.
B) Mentaln illnessnisn onlyn duenton social/culturaln factors.
C) Social/culturaln factorsn thatn relaten ton mentaln illnessn includen excessiven dependen
cynonnornwithdrawaln fromn relationships.
D) Individualsn sufferingn fromn mentaln illnessn aren usuallyn ablen ton copen effectivelyn w
ithndailyn life.
E) Individualsn sufferingn fromn mentaln illnessn mayn experiencen dissatisfactionn wi
thnrelationshipsnandnself.
Ans:n A,n D,n E
Feedback:
Mentaln illnessn cann causen significantn distress,n impairedn functioning,n orn both.n Mentalnill
nessn mayn ben relatedn ton individual,n interpersonal,n orn social/culturaln factors.n Excessiven
dependencyn onn orn withdrawaln fromn relationshipsn aren interpersonaln factorsn thatn relaten
ton mentaln illness.n Individualsn sufferingn fromn mentaln illnessn cann feeln overwhelmedn wit
hndailyn life.n Individualsn sufferingn fromn mentaln illnessn mayn experiencen dissatisfactionn
withnrelationshipsnandnself.
3. Whichn ofn then followingn aren truen regardingn mentaln healthn andn mentaln illness?
A) Behaviorn thatn mayn ben viewedn asn acceptablen inn onen culturen isn alwaysn unaccepta
bleninnotherncultures.
B) Itn isn easyn ton determinen ifn an personn isn mentallyn healthyn orn mentallyn ill.
C) Inn mostn cases,n mentaln healthn isn an staten ofn emotional,n psychological,n andn soci
alnwellnessn evidencedn byn satisfyingn interpersonaln relationships,n effectiven beh
aviornandncoping,npositivenself-concept,nandnemotionalnstability.
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D) Persons 9]nwhonengagen innfantasiesnaren mentallyn i
ll.nAns:n C
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9]
3. Whichn ofn then followingn aren truen regardingn mentaln healthn andn mentaln illness?
A) Behaviorn thatn mayn ben viewedn asn acceptablen inn onen culturen isn alwaysn unaccepta
bleninnotherncultures.
B) Itn isn easyn ton determinen ifn an personn isn mentallyn healthyn orn mentallyn ill.
C) Inn mostn cases,n mentaln healthn isn an staten ofn emotional,n psychological,n andn soci
alnwellnessn evidencedn byn satisfyingn interpersonaln relationships,n effectiven beh
aviornandncoping,npositivenself-concept,nandnemotionalnstability.
D) Personsn whon engagen inn fantasiesn aren mentallyn i
ll.nAns:n C
Feedback:
Whatn onen societyn mayn viewn asn acceptablen andn appropriaten behavior,n anothern societyn
maynseen thatn asn maladaptive,n andn inappropriate.n Mentaln healthn andn mentaln illnessn aren
difficultnton definen precisely.n Inn mostn cases,n mentaln healthn isn an staten ofn emotional,n psyc
hological,nandn socialn wellnessn evidencedn byn satisfyingn interpersonaln relationships,n effe
ctivenbehaviorn andn coping,n positiven self-
concept,n andn emotionaln stability.n Personsn whon engageninn fantasiesn mayn ben mentallyn h
ealthy,n butn then inabilityn ton distinguishn realityn fromn fantasynisnannindividualnfactornthatn
mayncontributenton mentaln illness.
4. An clientn grievingn then recentn lossn ofn hern husbandn asksn ifn shen isn becomingn mentall
yn illnbecausenshenisnsonsad.nThennurse'snbestnresponsenwouldnbe,
A) ìYoun mayn haven an temporaryn mentaln illnessn becausen youn aren experiencingn son m
uchnpain.î
B) ìYoun aren notn mentallyn ill.n Thisn isn ann expectedn reactionn ton then lossn youn
havenexperienced.î
C) ìWeren youn generallyn dissatisfiedn withn yourn relationshipn beforen yourn husban
d'sndeath?î
D) ìTryn notn ton worryn aboutn thatn rightn now.n Youn nevern known whatn then futuren bri
ngs.înAns:n B
Feedback:
Mentaln illnessn includesn generaln dissatisfactionn withn self,n ineffectiven relationships,nineff
ectiven coping,n andn lackn ofn personaln growth.n Additionallyn then behaviorn mustn notn bencu
lturallyn expected.n Acuten griefn reactionsn arenexpectedn andn thereforen notn considerednme
ntaln illness.n Falsen reassurancen orn overanalysisn doesn notn accuratelyn addressn then client'sn
concerns.
5. Then nursen consultsn then DSMn forn whichn ofn then followingn purposes?
A) Ton devisen an plann ofn caren forn an newlyn admittedn client
B) Ton predictn then client'sn prognosisn ofn treatmentn outcomes
C) Ton documentn then appropriaten diagnosticn coden inn then client'sn medicaln record
D) Ton serven asnan guiden forn clientn assessme
ntnAns:n D
Feedback:
Then DSMn providesn standardn nomenclature,n presentsn definingn characteristics,n andniden
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tifiesn underlying
9] n causesnofn mentaln disordersn Itndoesn notn providencaren plansn or
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