Psychiatric-Mental Health Nursing 10 th edition by Videbeck Test Bank
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n0 Chapter 1 n0
1. The nurse is assessing the factors contributing to the well-being of a newly
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n0 admitted client. Which of the following would the nurse identify as having a
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positive impact on 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 n0 n0 n0
n0 Ans: B n0
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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n0 independence, self-esteem, capacity for growth, vitality, ability to find meaning
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n0 in life, emotional resilience or hardiness, sense of belonging, reality orientation,
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n0 and coping or stress management abilities. Interpersonal factors such as
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n0 intimacy and a balance of separateness and connectedness are both needed for
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good mental health, and therefore a healthy person would need others for
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companionship. A family history of mental illness could relate to the biologic
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n0 makeup of an individual, which may have a negative impact on an individual's
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n0 mental health, as well as a negative impact on an individual's interpersonal and
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n0 socialñcultural factors of health. Total self-reliance is not possible, and a positive
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n0 social/cultural factor is access to adequate resources. n0 n0 n0 n0 n0 n0
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 n0 n0 n0 n0 n0 n0 n0 n0
dependency on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively
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with daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction
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with relationships and self.
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Ans: A, D, E n0 n0 n0
Feedback:
Mental illness can cause significant distress, impaired functioning, or both.
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n0 Mental illness may be related to individual, interpersonal, or social/cultural
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n0 factors. Excessive dependency on or withdrawal from relationships are
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n0 interpersonal factors that relate to mental illness. Individuals suffering from
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n0 mental illness can feel overwhelmed with daily life. Individuals suffering from
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mental illness may 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
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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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n0 social wellness evidenced by satisfying interpersonal relationships,
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effective behavior and coping, positive self-concept, and emotional
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n0 stability.
D) Persons who engage in fantasies are mentally
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ill. Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another
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society may see that as maladaptive, and inappropriate. Mental health and
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n0 mental illness are difficult to define precisely. In most cases, mental health is a
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n0 state of emotional, psychological, and social wellness evidenced by satisfying
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n0 interpersonal relationships, effective behavior and coping, positive self-concept,
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n0 and emotional stability. Persons who engage in fantasies may be mentally
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n0 healthy, but the inability to distinguish reality from fantasy is an individual factor
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n0 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
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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
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much pain.î
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B) ìYou are not mentally ill. This is an expected reaction to the loss you
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have experienced.î
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C) ìWere you generally dissatisfied with your relationship before your
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husband's death?î
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D) ìTry not to worry about that right now. You never know what the future
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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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