TEST BANK FOR PSYCHIATRIC MEN 1 1 1 1
TAL HEALTH NURSING, 9TH EDITIO 1 1 1 1
N BY SHEILA L. VIDEBECK ALL CHAP
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TERS 1-24 LATEST 1 1
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Chapter 1
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1. The nurse is assessing the factors contributing to the well-
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S being of a newly admitted client. Which of the following would the nurse identify as
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having a positive impact onthe individual's mental health?
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A) Not needing others for companionship
T B) The ability to effectively manage stress
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C) A family history of mental illness
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B relianceAns: B
D) Striving for total self-
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AFeedback:
Individual factors influencing mental health include biologic makeup, autonomy, indep
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endence, self-
Nesteem, capacity for growth, vitality, ability to find meaning in life, emotional resilienc
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e or hardiness, sense of belonging, reality orientation, and coping or stress management
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Kectedness
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abilities. Interpersonal factors such as intimacy and a balance of separateness and conn
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are both needed for good mental health, and therefore ahealthy person would
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need others for companionship. A family history of mental illnesscould relate to the bio
F logic makeup of an individual, which may have a negative impacton an individual's me
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ntal health, as well as a negative impact on an individual's interpersonal and socialñcult
Oural factors of health. Total self-
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reliance is not possible, and a positive social/cultural factor is access to adequate resour
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Rces.
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P2. 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.
S 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 dependency 1 1 1 1 1 1 1 1 1 1
YD) onIndividuals
or withdrawal from relationships.
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suffering from mental illness are usually able to cope effectively with
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C daily life. 1
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H
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,E) Individuals1suffering1from1mental1illness1may1experience1dissatisfaction1with1
relationships1and1self.
Ans:1A,1D,1E
Feedback:
Mental1illness1can1cause1significant1distress,1impaired1functioning,1or1both.1Mental1illn
ess1may1be1related1to1individual,1interpersonal,1or1social/cultural1factors.1Excessive1dep
endency1on1or1withdrawal1from1relationships1are1interpersonal1factors1that1relate1to1me
ntal1illness.1Individuals1suffering1from1mental1illness1can1feel1overwhelmed1with1daily1l
ife.1Individuals1suffering1from1mental1illness1may1experience1dissatisfaction1with1relatio
nships1and1self.
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,3. Which1of1the1following1are1true1regarding1mental1health1and1mental1illness?
A) Behavior1that1may1be1viewed1as1acceptable1in1one1culture1is1always1unacceptable1
in1other1cultures.
B) It1is1easy1to1determine1if1a1person1is1mentally1healthy1or1mentally1ill.
C) In1most1cases,1mental1health1is1a1state1of1emotional,1psychological,1and1social1
wellness1evidenced1by1satisfying1interpersonal1relationships,1effective1behavior1
and1coping,1positive1self-concept,1and1emotional1stability.
D) Persons1who1engage1in1fantasies1are1mentally1ill.1
Ans:1C
Feedback:
What1one1society1may1view1as1acceptable1and1appropriate1behavior,1another1society1may1
see1that1as1maladaptive,1and1inappropriate.1Mental1health1and1mental1illness1are1difficult1
to1define1precisely.1In1most1cases,1mental1health1is1a1state1of1emotional,1psychological,1a
nd1social1wellness1evidenced1by1satisfying1interpersonal1relationships,1effective1behavio
r1and1coping,1positive1self-
concept,1and1emotional1stability.1Persons1who1engage1in1fantasies1may1be1mentally1healt
hy,1but1the1inability1to1distinguish1reality1from1fantasy1is1an1individual1factor1that1may1co
ntribute1to1mental1illness.
4. A1client1grieving1the1recent1loss1of1her1husband1asks1if1she1is1becoming1mentally1ill1
because1she1is1so1sad.1The1nurse's1best1response1would1be,
A) ìYou1may1have1a1temporary1mental1illness1because1you1are1experiencing1so1much1
pain.î
B) ìYou1are1not1mentally1ill.1This1is1an1expected1reaction1to1the1loss1you1have1
experienced.î
C) ìWere1you1generally1dissatisfied1with1your1relationship1before1your1husband's1
death?î
D) ìTry1not1to1worry1about1that1right1now.1You1never1know1what1the1future1brings.î1
Ans:1B
Feedback:
Mental1illness1includes1general1dissatisfaction1with1self,1ineffective1relationships,1ineffe
ctive1coping,1and1lack1of1personal1growth.1Additionally1the1behavior1must1not1be1cultur
ally1expected.1Acute1grief1reactions1are1expected1and1therefore1not1considered1mental1ill
ness.1False1reassurance1or1overanalysis1does1not1accurately1address1the1client's1concerns.
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, 5. The1nurse1consults1the1DSM1for1which1of1the1following1purposes?
A) To1devise1a1plan1of1care1for1a1newly1admitted1client
B) To1predict1the1client's1prognosis1of1treatment1outcomes
C) To1document1the1appropriate1diagnostic1code1in1the1client's1medical1record
D) To1serve1as1a1guide1for1client1assessment1
Ans:1D
Feedback:
The1DSM1provides1standard1nomenclature,1presents1defining1characteristics,1and1identif
ies1underlying1causes1of1mental1disorders.1It1does1not1provide1care1plans1or1prognostic1o
utcomes1of1treatment.1Diagnosis1of1mental1illness1is1not1within1the1generalist1RN's1scop
e1of1practice,1so1documenting1the1code1in1the1medical1record1would1be1inappropriate.
6. Which1would1be1a1reason1for1a1student1nurse1to1use1the1DSM?
A) Identifying1the1medical1diagnosis
B) Treat1clients
C) Evaluate1treatments
D) Understand1the1reason1for1the1admission1and1the1nature1of1psychiatric1illnesses.1
Ans:1D
Feedback:
Although1student1nurses1do1not1use1the1DSM1to1diagnose1clients,1they1will1find1it1a1hel
pful1resource1to1understand1the1reason1for1the1admission1and1to1begin1building1knowle
dge1about1the1nature1of1psychiatric1illnesses.1Identifying1the1medical1diagnosis,1treatin
g,1and1evaluating1treatments1are1not1a1part1of1the1nursing1process.
7. The1legislation1enacted1in119631was1largely1responsible1for1which1of1the1following1shifts1
in1care1for1the1mentally1ill?
A) The1widespread1use1of1community-based1services
B) The1advancement1in1pharmacotherapies
C) Increased1access1to1hospitalization
D) Improved1rights1for1clients1in1long-
term1institutional1care1Ans:1A
Feedback:
The1Community1Mental1Health1Centers1Construction1Act1of119631accomplished1the1
release1of1individuals1from1long-
term1stays1in1state1institutions,1the1decrease1in1admissions1to1hospitals,1and1the1deve
lopment1of1community-based1services1as1an1alternative1to1hospital1care.
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