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bf MENTAL HEALTH NURSING 9TH
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bf EDITION BY VIDEBECK.
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,TEST BANK FOR PSYCHIATRIC MENTAL HEALTH
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NURSING 9THEDITION BYVIDEBECK
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PsychiatricMentalHealthNursing9thEditionTestBank f
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Chapter1
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1. Thenurseisassessing thefactorscontributingto thewell-beingofa newlyadmitted
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client. Which of the following would the nurse identify as having a positive impact
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onthe individual'smentalhealth?
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A) Notneedingothersforcompanionship f
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B) Theabilitytoeffectivelymanagestress f
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C) Afamilyhistoryofmentalillness bf bf f
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D) Strivingfortotalself- f
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relianceAns: B f
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Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, bf bf bf bf bf bf bf bf
independence,self-esteem,capacityforgrowth,vitality,abilitytofindmeaning inlife,
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emotionalresilienceorhardiness,senseofbelonging,realityorientation,andcopingor
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stress management abilities. Interpersonal factors such as intimacy and a balance
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ofseparatenessandconnectednessarebothneededforgoodmentalhealth,and
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thereforea healthyperson wouldneedothers for companionship.A family history of
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mental illnesscouldrelatetothebiologicmakeupofanindividual,whichmayhavea
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negative impactonanindividual'smentalhealth,aswellasanegativeimpactonan
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individual's interpersonal and socialñcultural factors of health. Total self-reliance is
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not possible, andapositivesocial/culturalfactoris accessto adequateresources.
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2. Whichofthefollowingstatementsaboutmentalillnessaretrue?Selectallthatapply.
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A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. f
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B) Mentalillnessisonlyduetosocial/culturalfactors. f
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C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessive f
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dependencyonorwithdrawalfrom relationships.
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D) Individualssufferingfrommentalillnessareusuallyabletocopeeffectively f
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withdaily life. f
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E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith f
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, relationshipsand self. f
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Answer> A, D, E
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Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illnessmayberelatedtoindividual,interpersonal, orsocial/culturalfactors.
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Excessivedependencyonorwithdrawalfromrelationshipsareinterpersonalfactors
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thatrelatetomental illness. Individuals suffering from mental illness can feel
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overwhelmed with dailylife.Individualssufferingfrommentalillnessmay
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experiencedissatisfactionwith relationshipsand self.
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, 3. Whichofthefollowingaretrueregardingmentalhealthandmentalillness?
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A) Behaviorthatmaybeviewedasacceptableinonecultureisalways f
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unacceptablein other cultures.
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B) Itiseasytodetermineifapersonismentallyhealthyormentallyill.
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C) In most cases, mental health is a state of emotional, psychological, and social
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wellness evidenced by satisfying interpersonal relationships, effective
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behaviorandcoping,positiveself-concept,andemotionalstability.
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D) Personswhoengageinfantasiesare f
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mentallyill. Answer> C
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Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymay
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seethatasmaladaptive,andinappropriate.Mentalhealthandmentalillnessare
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difficultto define precisely. Inmostcases, mentalhealthis astate ofemotional,
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psychological,and social wellness evidenced by satisfying interpersonal
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relationships, effective behavior and coping,positive self-concept, andemotional
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stability. Persons who engageinfantasiesmaybementallyhealthy,buttheinabilityto
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distinguishrealityfromfantasyisan individualfactorthatmay contributeto mental
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illness.
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4. Aclientgrievingtherecentlossofherhusbandasksifsheisbecomingmentally
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illbecausesheis sosad.Thenurse'sbestresponsewould be,
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A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuch f
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pain.î f
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B) ìYouarenotmentallyill.This isanexpectedreactionto thelossyouhave f
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experienced.î f
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C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyour f
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husband'sdeath?îf
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D) ìTrynottoworryaboutthatrightnow.Youneverknowwhatthefuture f
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brings.îAnswer> 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 thebehavior must not be
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culturally expected. Acute grief reactions are expected and therefore not
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consideredmentalillness.Falsereassuranceoroveranalysisdoesnotaccurately
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addresstheclient's concerns.
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