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88 MENTAL HEALTH NURSING 9TH
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88 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 8 8 8 8 8 8
Chapter1
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1. Thenurseisassessing thefactors contributingto 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 8 8 8
B) Theabilitytoeffectivelymanagestress 8 8 8 88
C) Afamilyhistory ofmentalillness 88 88 8 8
D) Strivingfortotalself- 8 8
relianceAns: B 8 8 8
Feedback:
Individual factors influencing mental health include biologic makeup, autonomy, 88 88 88 88 88 88 88 88
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 healthy person would need others 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
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is not possible, anda positivesocial/culturalfactoris accessto adequateresources.
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2. Whichofthefollowingstatementsaboutmentalillnessaretrue?Selectallthatapply.
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A) Mentalillnesscancausesignificantdistress,impairedfunctioning,orboth. 8 8 8 8 8 8 8
B) Mentalillnessisonlyduetosocial/culturalfactors. 8 8 8 8 8 8
C) Social/culturalfactorsthatrelatetomentalillnessincludeexcessive 8 8 8 8 8 8 8 8
dependencyonor withdrawal from relationships.
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D) Individualssufferingfrommentalillnessareusuallyableto copeeffectively 8 8 8 8 8 8 8 88 8
withdaily life. 8 8 88
E) Individualssufferingfrommentalillnessmayexperiencedissatisfactionwith 8 8 8 88 8 8
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, relationshipsand self. 8 88
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 8 8 8 8 8 8 8 8 8 8 8
unacceptablein other cultures.
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B) Itiseasytodetermineifapersonismentallyhealthyormentallyill.
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C) In most cases, mental health is astate 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 8 8 8 8
mentallyill. Answer> C
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Feedback:
Whatonesocietymayviewasacceptableandappropriatebehavior,anothersocietymay
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seethatasmaladaptive,andinappropriate.Mentalhealthandmentalillnessare
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difficultto define precisely. Inmost cases, mental health is a state 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, and emotional
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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.The nurse'sbestresponsewould be,
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A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuch 8 88 8 8 8 8 8 8 8 8 8 88
pain.î 8
B) ìYouarenotmentallyill.This isanexpectedreactionto the lossyouhave 8 8 88 8 88 8 8 8 8 88 88 8 8
experienced.î 8
C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyour 8 8 8 8 8 8 8 8
husband'sdeath?î 8 8
D) ìTrynottoworryaboutthatrightnow.Youneverknowwhatthe future 8 8 8 8 8 8 8 8 8 8 8 88
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 the behavior must not
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beculturally 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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