TESTBANKFOR
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PSYCHIATRIC
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MENTAL
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HEALTH
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, TH
NURSING 8 b
EDITIONBY
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VIDEBECK
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,Psychiatric-Mental Health Nursing 8th edition by Videbeck Test Bank b b b b b b b b
Chapter 1 b
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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client. Which of the following would the nurse identify as having a positive impact on
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the individual's mental health?
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A) Not needing others for companionship b b b b
B) The ability to effectively manage stress b b b b b
C) A family history of mental illness b b b b b
D) Striving for total self-reliance b b b
Ans: B
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Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
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emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
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stress management abilities. Interpersonal factors such as intimacy and a balance of
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separateness and connectedness are both needed for good mental health, and therefore a
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healthy person would need others for companionship. A family history of mental illness
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could relate to the biologic makeup of an individual, which may have a negative impact
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on an individual's mental health, as well as a negative impact on an individual's
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interpersonal and socialñcultural factors of health. Total self-reliance is not possible, and
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a positive social/cultural factor is access to adequate resources.
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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. b b b b b b b
C) Social/cultural factors that relate to mental illness include excessive dependency b b b b b b b b b
on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with b b b b b b b b b b b
daily life. b b
E) Individuals suffering from mental illness may experience dissatisfaction with b b b b b b b b
relationships and self.
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Ans: A, D, E b b b
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental illness
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may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
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life. Individuals suffering from mental illness may experience dissatisfaction with
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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 unacceptable in
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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 social
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wellness evidenced by satisfying interpersonal relationships, effective behavior
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and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. b b b b b b b
Ans: C
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Feedback:
What one society may view as acceptable and appropriate behavior, another society may
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see that as maladaptive, and inappropriate. Mental health and mental illness are difficult to
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define precisely. In most cases, mental health is a state of emotional, psychological, and
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social wellness evidenced by satisfying interpersonal relationships, effective behavior and
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coping, positive self-concept, and emotional stability. Persons who engage in fantasies
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may be mentally healthy, but the inability to distinguish reality from fantasy is an
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individual factor 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 mentally ill
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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 much
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pain.î b
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î b
C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î b
D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: 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 be
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culturally expected. Acute grief reactions are expected and therefore not considered
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mental illness. False reassurance or overanalysis does not accurately address the client's
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concerns.
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