Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank
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,Chapter 1 t
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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t client. Which of the following would the nurse identify as having a positive impact on
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t 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
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D) Striving for total self-reliance t t t
t Ans: B t
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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t independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
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t emotional resilience or hardiness, sense of belonging, reality orientation, and coping
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t or stress management abilities. Interpersonal factors such as intimacy and a balance
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t of separateness and connectedness are both needed for good mental health, and
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therefore a healthy person would need others for companionship. A family history of
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mental illness could relate to the biologic makeup of an individual, which may have a
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negative impact on an individual's mental health, as well as a negative impact on an
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t individual's interpersonal and socialñcultural factors of health. Total self-reliance is
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t not possible, and a positive 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.
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B) Mental illness is only due to social/cultural factors.
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C) Social/cultural factors that relate to mental illness include excessive t t t t t t t t
dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with t t t t t t t t t t t
t daily life. t
E) Individuals suffering from mental illness may experience dissatisfaction with t t t t t t t t
t relationships and self. t t
Ans: A, D, E t t t
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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t illness may be related to individual, interpersonal, or social/cultural factors. Excessive
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t dependency on or withdrawal from relationships are interpersonal factors that relate
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,t to mental illness. Individuals suffering from mental illness can feel overwhelmed with
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t daily life. Individuals suffering from mental illness may experience dissatisfaction with
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t 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 t t t t t t t t t t t
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 social
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t wellness evidenced by satisfying interpersonal relationships, effective t t t t t t
behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally t t t t t t
ill. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
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t see that as maladaptive, and inappropriate. Mental health and mental illness are
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t difficult to define precisely. In most cases, mental health is a state of emotional,
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t psychological, and social wellness evidenced by satisfying interpersonal relationships, t t t t t t t t
t effective behavior and coping, positive self-concept, and emotional stability. Persons
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t who engage in fantasies may be mentally healthy, but the inability to distinguish reality
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t from fantasy is an individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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t 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 much
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t pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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t experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
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t death?î
D) ìTry not to worry about that right now. You never know what the future brings.î
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t Ans: B t
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
t t t t t t t t
t ineffective coping, and lack of personal growth. Additionally the behavior must not be
t t t t t t t t t t t t
t culturally expected. Acute grief reactions are expected and therefore not considered
t t t t t t t t t t
t mental illness. False reassurance or overanalysis does not accurately address the
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t t t t t t t t
,Chapter 1 t
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
t t t t t t t t t t t t t
t client. Which of the following would the nurse identify as having a positive impact on
t t t t t t t t t t t t t t
t the individual's mental health?
t t t
A) Not needing others for companionship
t t t t
B) The ability to effectively manage stress
t t t t t
C) A family history of mental illness
t t t t t
D) Striving for total self-reliance t t t
t Ans: B t
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
t t t t t t t t
t independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
t t t t t t t t t t t
t emotional resilience or hardiness, sense of belonging, reality orientation, and coping
t t t t t t t t t t
t or stress management abilities. Interpersonal factors such as intimacy and a balance
t t t t t t t t t t t
t of separateness and connectedness are both needed for good mental health, and
t t t t t t t t t t t
therefore a healthy person would need others for companionship. A family history of
t t t t t t t t t t t t t
mental illness could relate to the biologic makeup of an individual, which may have a
t t t t t t t t t t t t t t t
negative impact on an individual's mental health, as well as a negative impact on an
t t t t t t t t t t t t t t t
t individual's interpersonal and socialñcultural factors of health. Total self-reliance is
t t t t t t t t t
t not possible, and a positive social/cultural factor is access to adequate resources.
t t t t t t t t t t t
2. Which of the following statements about mental illness are true? Select all that apply.
t t t t t t t t t t t t t
A) Mental illness can cause significant distress, impaired functioning, or both.
t t t t t t t t t
B) Mental illness is only due to social/cultural factors.
t t t t t t t
C) Social/cultural factors that relate to mental illness include excessive t t t t t t t t
dependency on or withdrawal from relationships.
t t t t t t
D) Individuals suffering from mental illness are usually able to cope effectively with t t t t t t t t t t t
t daily life. t
E) Individuals suffering from mental illness may experience dissatisfaction with t t t t t t t t
t relationships and self. t t
Ans: A, D, E t t t
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
t t t t t t t t t t
t illness may be related to individual, interpersonal, or social/cultural factors. Excessive
t t t t t t t t t t
t dependency on or withdrawal from relationships are interpersonal factors that relate
t t t t t t t t t t
,t to mental illness. Individuals suffering from mental illness can feel overwhelmed with
t t t t t t t t t t t
t daily life. Individuals suffering from mental illness may experience dissatisfaction with
t t t t t t t t t t
t relationships and self.
t t
, 3. Which of the following are true regarding mental health and mental illness?
t t t t t t t t t t t
A) Behavior that may be viewed as acceptable in one culture is always t t t t t t t t t t t
unacceptable in other cultures.
t t t t
B) It is easy to determine if a person is mentally healthy or mentally ill.
t t t t t t t t t t t t t
C) In most cases, mental health is a state of emotional, psychological, and social
t t t t t t t t t t t t
t wellness evidenced by satisfying interpersonal relationships, effective t t t t t t
behavior and coping, positive self-concept, and emotional stability.
t t t t t t t t
D) Persons who engage in fantasies are mentally t t t t t t
ill. Ans: C
t t t
Feedback:
What one society may view as acceptable and appropriate behavior, another society may
t t t t t t t t t t t t
t see that as maladaptive, and inappropriate. Mental health and mental illness are
t t t t t t t t t t t
t difficult to define precisely. In most cases, mental health is a state of emotional,
t t t t t t t t t t t t t
t psychological, and social wellness evidenced by satisfying interpersonal relationships, t t t t t t t t
t effective behavior and coping, positive self-concept, and emotional stability. Persons
t t t t t t t t t
t who engage in fantasies may be mentally healthy, but the inability to distinguish reality
t t t t t t t t t t t t t
t from fantasy is an individual factor that may contribute to mental illness.
t t t t t t t t t t t
4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
t t t t t t t t t t t t t t t
t because she is so sad. The nurse's best response would be,
t t t t t t t t t t
A) ìYou may have a temporary mental illness because you are experiencing so much
t t t t t t t t t t t t
t pain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
t t t t t t t t t t t t t t
t experienced.î
C) ìWere you generally dissatisfied with your relationship before your husband's
t t t t t t t t t
t death?î
D) ìTry not to worry about that right now. You never know what the future brings.î
t t t t t t t t t t t t t t
t Ans: B t
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
t t t t t t t t
t ineffective coping, and lack of personal growth. Additionally the behavior must not be
t t t t t t t t t t t t
t culturally expected. Acute grief reactions are expected and therefore not considered
t t t t t t t t t t
t mental illness. False reassurance or overanalysis does not accurately address the
t t t t t t t t t t
