,PsychiatrickMentalkHealthkNursingk7thkEditionkTestkBank
Chapterk1
1. Theknursekiskassessingkthekfactorskcontributingktokthekwell-
beingkofkaknewlykadmittedkclient.kWhichkofkthekfollowingkwouldktheknursekidentif
ykaskhavingkakpositivekimpactkonkthekindividual'skmentalkhealth?
A) Notkneedingkotherskforkcompanionship
B) Thekabilityktokeffectivelykmanagekstress
C) Akfamilykhistorykofkmentalkillness
D) Strivingkforktotalkself-
reliancekAns:kB
Feedback:
Individualkfactorskinfluencingkmentalkhealthkincludekbiologickmakeup,kautonomy,kind
ependence,kself-
esteem,kcapacitykforkgrowth,kvitality,kabilityktokfindkmeaningkinklife,kemotionalkresilie
ncekorkhardiness,ksensekofkbelonging,krealitykorientation,kandkcopingkorkstresskmanage
mentkabilities.kInterpersonalkfactorsksuchkaskintimacykandkakbalancekofkseparatenesska
ndkconnectednesskarekbothkneededkforkgoodkmentalkhealth,kandkthereforekakhealthykper
sonkwouldkneedkotherskforkcompanionship.kAkfamilykhistorykofkmentalkillnesskcouldk
relatektokthekbiologickmakeupkofkankindividual,kwhichkmaykhavekaknegativekimpactkon
kankindividual'skmentalkhealth,kaskwellkaskaknegativekimpactkonkankindividual'skinterpe
rsonalkandksocialñculturalkfactorskofkhealth.kTotalkself-
reliancekisknotkpossible,kandkakpositiveksocial/culturalkfactorkiskaccessktokadequatekre
sources.
2. Whichkofkthekfollowingkstatementskaboutkmentalkillnesskarektrue?kSelectkallkthatkapply.
A) Mentalkillnesskcankcauseksignificantkdistress,kimpairedkfunctioning,korkboth.
B) Mentalkillnesskiskonlykduektoksocial/culturalkfactors.
C) Social/culturalkfactorskthatkrelatektokmentalkillnesskincludekexcessivekdependen
cykonkorkwithdrawalkfromkrelationships.
D) Individualsksufferingkfromkmentalkillnesskarekusuallykablektokcopekeffectivelykwi
thkdailyklife.
E) Individualsksufferingkfromkmentalkillnesskmaykexperiencekdissatisfactionkwi
thkrelationshipskandkself.
Ans:kA,kD,kE
Feedback:
Mentalkillnesskcankcauseksignificantkdistress,kimpairedkfunctioning,korkboth.kMentalkil
lnesskmaykbekrelatedktokindividual,kinterpersonal,korksocial/culturalkfactors.kExcessive
kdependencykonkorkwithdrawalkfromkrelationshipskarekinterpersonalkfactorskthatkrelate
ktokmentalkillness.kIndividualsksufferingkfromkmentalkillnesskcankfeelkoverwhelmedkw
ithkdailyklife.kIndividualsksufferingkfromkmentalkillnesskmaykexperiencekdissatisfaction
kwithkrelationshipskandkself.
,3. Whichkofkthekfollowingkarektruekregardingkmentalkhealthkandkmentalkillness?
A) Behaviorkthatkmaykbekviewedkaskacceptablekinkonekculturekiskalwa
yskunacceptablekinkotherkcultures.
B) Itkiskeasyktokdeterminekifkakpersonkiskmentallykhealthykorkmentallykill.
C) Inkmostkcases,kmentalkhealthkiskakstatekofkemotional,kpsychological,kandksoc
ialkwellnesskevidencedkbyksatisfyingkinterpersonalkrelationships,keffectivekbeh
aviorkandkcoping,kpositivekself-concept,kandkemotionalkstability.
D) Personskwhokengagekinkfantasieskarekmentall
ykill.kAns:kC
Feedback:
Whatkoneksocietykmaykviewkaskacceptablekandkappropriatekbehavior,kanotherksocietykm
aykseekthatkaskmaladaptive,kandkinappropriate.kMentalkhealthkandkmentalkillnesskarekdif
ficultktokdefinekprecisely.kInkmostkcases,kmentalkhealthkiskakstatekofkemotional,kpsycho
logical,kandksocialkwellnesskevidencedkbyksatisfyingkinterpersonalkrelationships,keffec
tivekbehaviorkandkcoping,kpositivekself-
concept,kandkemotionalkstability.kPersonskwhokengagekinkfantasieskmaykbekmentallykhe
althy,kbutkthekinabilityktokdistinguishkrealitykfromkfantasykiskankindividualkfactorkthatk
maykcontributektokmentalkillness.
4. Akclientkgrievingkthekrecentklosskofkherkhusbandkaskskifkshekiskbecomingkmenta
llykillkbecausekshekisksoksad.kTheknurse'skbestkresponsekwouldkbe,
A) ìYoukmaykhavekaktemporarykmentalkillnesskbecausekyoukarekexperiencingksokmu
chkpain.î
B) ìYoukareknotkmentallykill.kThiskiskankexpectedkreactionktoktheklosskyoukh
avekexperienced.î
C) ìWerekyoukgenerallykdissatisfiedkwithkyourkrelationshipkbeforekyourkhusban
d'skdeath?î
D) ìTryknotktokworrykaboutkthatkrightknow.kYoukneverkknowkwhatkthekfuturekbrin
gs.îkAns:kB
Feedback:
Mentalkillnesskincludeskgeneralkdissatisfactionkwithkself,kineffectivekrelationships,kine
ffectivekcoping,kandklackkofkpersonalkgrowth.kAdditionallykthekbehaviorkmustknotkbek
culturallykexpected.kAcutekgriefkreactionskarekexpectedkandkthereforeknotkconsideredk
mentalkillness.kFalsekreassurancekorkoveranalysiskdoesknotkaccuratelykaddresskthekclient
'skconcerns.
, 5. TheknursekconsultskthekDSMkforkwhichkofkthekfollowingkpurposes?
A) Tokdevisekakplankofkcarekforkaknewlykadmittedkclient
B) Tokpredictkthekclient'skprognosiskofktreatmentkoutcomes
C) Tokdocumentkthekappropriatekdiagnostickcodekinkthekclient'skmedicalkrecord
D) Tokservekaskakguidekforkclientkassessme
ntkAns:kD
Feedback:
ThekDSMkprovideskstandardknomenclature,kpresentskdefiningkcharacteristics,kandkiden
tifieskunderlyingkcauseskofkmentalkdisorders.kItkdoesknotkprovidekcarekplanskorkprogno
stickoutcomeskofktreatment.kDiagnosiskofkmentalkillnesskisknotkwithinkthekgeneralistkR
N'skscopekofkpractice,ksokdocumentingkthekcodekinkthekmedicalkrecordkwouldkbekinappr
opriate.
6. WhichkwouldkbekakreasonkforkakstudentknursektokusekthekDSM?
A) Identifyingkthekmedicalkdiagnosis
B) Treatkclients
C) Evaluatektreatments
D) Understandkthekreasonkforkthekadmissionkandktheknaturekofkpsychiatr
ickillnesses.kAns:kD
Feedback:
AlthoughkstudentknurseskdoknotkusekthekDSMktokdiagnosekclients,ktheykwillkfindkitka
khelpfulkresourcektokunderstandkthekreasonkforkthekadmissionkandktokbeginkbuildingkk
nowledgekaboutktheknaturekofkpsychiatrickillnesses.kIdentifyingkthekmedicalkdiagnosis,k
treating,kandkevaluatingktreatmentskareknotkakpartkofktheknursingkprocess.
7. Theklegislationkenactedkink1963kwasklargelykresponsiblekforkwhichkofkthekfollowi
ngkshiftskinkcarekforkthekmentallykill?
A) Thekwidespreadkusekofkcommunity-basedkservices
B) Thekadvancementkinkpharmacotherapies
C) Increasedkaccessktokhospitalization
D) Improvedkrightskforkclientskinklong-
termkinstitutionalkcarekAns:kA
Feedback:
ThekCommunitykMentalkHealthkCenterskConstructionkActkofk1963kaccomplishedkthekr
eleasekofkindividualskfromklong-
termkstayskinkstatekinstitutions,kthekdecreasekinkadmissionsktokhospitals,kandkthekdeve
lopmentkofkcommunity-basedkserviceskaskankalternativektokhospitalkcare.
Chapterk1
1. Theknursekiskassessingkthekfactorskcontributingktokthekwell-
beingkofkaknewlykadmittedkclient.kWhichkofkthekfollowingkwouldktheknursekidentif
ykaskhavingkakpositivekimpactkonkthekindividual'skmentalkhealth?
A) Notkneedingkotherskforkcompanionship
B) Thekabilityktokeffectivelykmanagekstress
C) Akfamilykhistorykofkmentalkillness
D) Strivingkforktotalkself-
reliancekAns:kB
Feedback:
Individualkfactorskinfluencingkmentalkhealthkincludekbiologickmakeup,kautonomy,kind
ependence,kself-
esteem,kcapacitykforkgrowth,kvitality,kabilityktokfindkmeaningkinklife,kemotionalkresilie
ncekorkhardiness,ksensekofkbelonging,krealitykorientation,kandkcopingkorkstresskmanage
mentkabilities.kInterpersonalkfactorsksuchkaskintimacykandkakbalancekofkseparatenesska
ndkconnectednesskarekbothkneededkforkgoodkmentalkhealth,kandkthereforekakhealthykper
sonkwouldkneedkotherskforkcompanionship.kAkfamilykhistorykofkmentalkillnesskcouldk
relatektokthekbiologickmakeupkofkankindividual,kwhichkmaykhavekaknegativekimpactkon
kankindividual'skmentalkhealth,kaskwellkaskaknegativekimpactkonkankindividual'skinterpe
rsonalkandksocialñculturalkfactorskofkhealth.kTotalkself-
reliancekisknotkpossible,kandkakpositiveksocial/culturalkfactorkiskaccessktokadequatekre
sources.
2. Whichkofkthekfollowingkstatementskaboutkmentalkillnesskarektrue?kSelectkallkthatkapply.
A) Mentalkillnesskcankcauseksignificantkdistress,kimpairedkfunctioning,korkboth.
B) Mentalkillnesskiskonlykduektoksocial/culturalkfactors.
C) Social/culturalkfactorskthatkrelatektokmentalkillnesskincludekexcessivekdependen
cykonkorkwithdrawalkfromkrelationships.
D) Individualsksufferingkfromkmentalkillnesskarekusuallykablektokcopekeffectivelykwi
thkdailyklife.
E) Individualsksufferingkfromkmentalkillnesskmaykexperiencekdissatisfactionkwi
thkrelationshipskandkself.
Ans:kA,kD,kE
Feedback:
Mentalkillnesskcankcauseksignificantkdistress,kimpairedkfunctioning,korkboth.kMentalkil
lnesskmaykbekrelatedktokindividual,kinterpersonal,korksocial/culturalkfactors.kExcessive
kdependencykonkorkwithdrawalkfromkrelationshipskarekinterpersonalkfactorskthatkrelate
ktokmentalkillness.kIndividualsksufferingkfromkmentalkillnesskcankfeelkoverwhelmedkw
ithkdailyklife.kIndividualsksufferingkfromkmentalkillnesskmaykexperiencekdissatisfaction
kwithkrelationshipskandkself.
,3. Whichkofkthekfollowingkarektruekregardingkmentalkhealthkandkmentalkillness?
A) Behaviorkthatkmaykbekviewedkaskacceptablekinkonekculturekiskalwa
yskunacceptablekinkotherkcultures.
B) Itkiskeasyktokdeterminekifkakpersonkiskmentallykhealthykorkmentallykill.
C) Inkmostkcases,kmentalkhealthkiskakstatekofkemotional,kpsychological,kandksoc
ialkwellnesskevidencedkbyksatisfyingkinterpersonalkrelationships,keffectivekbeh
aviorkandkcoping,kpositivekself-concept,kandkemotionalkstability.
D) Personskwhokengagekinkfantasieskarekmentall
ykill.kAns:kC
Feedback:
Whatkoneksocietykmaykviewkaskacceptablekandkappropriatekbehavior,kanotherksocietykm
aykseekthatkaskmaladaptive,kandkinappropriate.kMentalkhealthkandkmentalkillnesskarekdif
ficultktokdefinekprecisely.kInkmostkcases,kmentalkhealthkiskakstatekofkemotional,kpsycho
logical,kandksocialkwellnesskevidencedkbyksatisfyingkinterpersonalkrelationships,keffec
tivekbehaviorkandkcoping,kpositivekself-
concept,kandkemotionalkstability.kPersonskwhokengagekinkfantasieskmaykbekmentallykhe
althy,kbutkthekinabilityktokdistinguishkrealitykfromkfantasykiskankindividualkfactorkthatk
maykcontributektokmentalkillness.
4. Akclientkgrievingkthekrecentklosskofkherkhusbandkaskskifkshekiskbecomingkmenta
llykillkbecausekshekisksoksad.kTheknurse'skbestkresponsekwouldkbe,
A) ìYoukmaykhavekaktemporarykmentalkillnesskbecausekyoukarekexperiencingksokmu
chkpain.î
B) ìYoukareknotkmentallykill.kThiskiskankexpectedkreactionktoktheklosskyoukh
avekexperienced.î
C) ìWerekyoukgenerallykdissatisfiedkwithkyourkrelationshipkbeforekyourkhusban
d'skdeath?î
D) ìTryknotktokworrykaboutkthatkrightknow.kYoukneverkknowkwhatkthekfuturekbrin
gs.îkAns:kB
Feedback:
Mentalkillnesskincludeskgeneralkdissatisfactionkwithkself,kineffectivekrelationships,kine
ffectivekcoping,kandklackkofkpersonalkgrowth.kAdditionallykthekbehaviorkmustknotkbek
culturallykexpected.kAcutekgriefkreactionskarekexpectedkandkthereforeknotkconsideredk
mentalkillness.kFalsekreassurancekorkoveranalysiskdoesknotkaccuratelykaddresskthekclient
'skconcerns.
, 5. TheknursekconsultskthekDSMkforkwhichkofkthekfollowingkpurposes?
A) Tokdevisekakplankofkcarekforkaknewlykadmittedkclient
B) Tokpredictkthekclient'skprognosiskofktreatmentkoutcomes
C) Tokdocumentkthekappropriatekdiagnostickcodekinkthekclient'skmedicalkrecord
D) Tokservekaskakguidekforkclientkassessme
ntkAns:kD
Feedback:
ThekDSMkprovideskstandardknomenclature,kpresentskdefiningkcharacteristics,kandkiden
tifieskunderlyingkcauseskofkmentalkdisorders.kItkdoesknotkprovidekcarekplanskorkprogno
stickoutcomeskofktreatment.kDiagnosiskofkmentalkillnesskisknotkwithinkthekgeneralistkR
N'skscopekofkpractice,ksokdocumentingkthekcodekinkthekmedicalkrecordkwouldkbekinappr
opriate.
6. WhichkwouldkbekakreasonkforkakstudentknursektokusekthekDSM?
A) Identifyingkthekmedicalkdiagnosis
B) Treatkclients
C) Evaluatektreatments
D) Understandkthekreasonkforkthekadmissionkandktheknaturekofkpsychiatr
ickillnesses.kAns:kD
Feedback:
AlthoughkstudentknurseskdoknotkusekthekDSMktokdiagnosekclients,ktheykwillkfindkitka
khelpfulkresourcektokunderstandkthekreasonkforkthekadmissionkandktokbeginkbuildingkk
nowledgekaboutktheknaturekofkpsychiatrickillnesses.kIdentifyingkthekmedicalkdiagnosis,k
treating,kandkevaluatingktreatmentskareknotkakpartkofktheknursingkprocess.
7. Theklegislationkenactedkink1963kwasklargelykresponsiblekforkwhichkofkthekfollowi
ngkshiftskinkcarekforkthekmentallykill?
A) Thekwidespreadkusekofkcommunity-basedkservices
B) Thekadvancementkinkpharmacotherapies
C) Increasedkaccessktokhospitalization
D) Improvedkrightskforkclientskinklong-
termkinstitutionalkcarekAns:kA
Feedback:
ThekCommunitykMentalkHealthkCenterskConstructionkActkofk1963kaccomplishedkthekr
eleasekofkindividualskfromklong-
termkstayskinkstatekinstitutions,kthekdecreasekinkadmissionsktokhospitals,kandkthekdeve
lopmentkofkcommunity-basedkserviceskaskankalternativektokhospitalkcare.
