TESTBANKFOR
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PSYCHIATRIC
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MENTAL
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HEALTH
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NURSING8 b
EDITIONBY
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VIDEBECK
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,Psychiatric-MentalHealth Nursing 8th edition by Videbeck Test Bank N N N N N N N N
Chapter 1 N
1. The nurse is assessing the factors contributing to the well-being of a newly admitted
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Nclient. Whichofthe following wouldthe nurse identify ashaving apositiveimpact onthe
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Nindividual's mental health? N N
A) Notneeding others for companionship N N N N
B) The ability to effectively manage stress N N N N N
C) A family history of mental illness
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D) Strivingfortotalself-reliance
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Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
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Nindependence, 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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Nseparateness and connectedness are both needed for good mental health, and therefore a
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Nhealthyperson wouldneed othersfor companionship. Afamily historyof mental illness
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Ncould relateto the biologic makeup of an individual, which may have anegative impact on an
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Nindividual's mental health, as well as a negative impact on an individual's interpersonal
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Nand socialñcultural factors of health. Total self-reliance is not possible, anda positive
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Nsocial/cultural factor is access to adequate resources. N N N N N N
2. Whichof 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. N N N N N N N
C) Social/culturalfactorsthatrelatetomental illnessincludeexcessivedependencyon N N N N N N N N N N
or withdrawal from relationships.
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D) Individualssufferingfrom mentalillnessareusuallyabletocopeeffectively with N N N N N N N N N N N
daily life. N N
E) Individualssufferingfrom mentalillnessmayexperiencedissatisfaction with N N N N N N N N
relationships and self.
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Ans: A, D, E N N N
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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) Behaviorthat maybeviewed asacceptable in oneculture isalwaysunacceptable in N N N N N N N N N N N N N
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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wellnessevidencedbysatisfyinginterpersonalrelationships,effectivebehavior
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and coping, positive self-concept, and emotional stability.
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D) Personswhoengageinfantasiesarementallyill. N N N N N N N
Ans: C
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What one society may view as acceptable and appropriate behavior, another society maysee
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that as maladaptive, and inappropriate. Mental health and mental illness are difficult todefine
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precisely. 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 andcoping,
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positive self-concept, and emotional stability. Persons who engage in fantasies may be
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mentally healthy, but the inability to distinguish reality from fantasy is an individual factor
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that may contribute to mental illness.
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4. Aclient grievingthe recent lossof her husband asksif she isbecoming mentally ill
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because she is so sad. The nurse's best response would be,
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A) ìYoumayhaveatemporarymentalillnessbecauseyouareexperiencingsomuch
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pain.î N
B) ìYou are notmentally ill.Thisisan expected reaction to the lossyou have
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experienced.î
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C) ìWereyougenerallydissatisfiedwithyourrelationshipbeforeyourhusband's
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death?î N
D) ìTrynotto worry aboutthat right now.You never knowwhat 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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mentalillness.Falsereassurance oroveranalysisdoesnotaccurately address theclient's
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concerns.
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