Psychiatric-MentaliHealthiNursingi8thieditionibyiVidebeckiTestiBank
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Psychiatric-MentaliHealthiNursingi8thieditioni
Chapteri1
1. Theinurseiisiassessingitheifactorsicontributingitoitheiwell-
beingiofiainewlyiadmittediclient.iWhichiofitheifollowingiwoulditheinurseiidentifyiasihavi
ngiaipositiveiimpactionitheiindividual'simentalihealth?
A) Notineedingiothersiforicompanionship
B) Theiabilityitoieffectivelyimanageistress
C) Aifamilyihistoryiofimentaliillness
D) Strivingiforitotaliself-
relianceiAns:iB
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Individualifactorsiinfluencingimentalihealthiincludeibiologicimakeup,iautonomy,iindepen
dence,iself-
esteem,icapacityiforigrowth,ivitality,iabilityitoifindimeaningiinilife,iemotionaliresilienceiori
hardiness,isenseiofibelonging,irealityiorientation,iandicopingioristressimanagementiabilitie
s.iInterpersonalifactorsisuchiasiintimacyiandiaibalanceiofiseparatenessiandiconnectednessia
reibothineedediforigoodimentalihealth,iandithereforeiaihealthyipersoniwouldineediothersifori
companionship.iAifamilyihistoryiofimentaliillnessicouldirelateitoitheibiologicimakeupiofiani
individual,iwhichimayihaveiainegativeiimpactionianiindividual'simentalihealth,iasiwelliasiai
negativeiimpactionianiindividual'siinterpersonaliandisocialñculturalifactorsiofihealth.iTotali
self-
relianceiisinotipossible,iandiaipositiveisocial/culturalifactoriisiaccessitoiadequateiresources.
2. Whichiofitheifollowingistatementsiaboutimentaliillnessiareitrue?iSelectiallithatiapply.
A) Mentaliillnessicanicauseisignificantidistress,iimpairedifunctioning,ioriboth.
B) Mentaliillnessiisionlyidueitoisocial/culturalifactors.
C) Social/culturalifactorsithatirelateitoimentaliillnessiincludeiexcessiveidependencyion
ioriwithdrawal ifromirelationships.
D) Individualsisufferingifromimentaliillnessiareiusuallyiableitoicopeieffectivelyiwithidai
lyilife.
E) Individualsisufferingifromimentaliillnessimayiexperienceidissatisfactioniwithire
lationshipsiandiself.
Ans:iA,iD,iE
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Mentaliillnessicanicauseisignificantidistress,iimpairedifunctioning,ioriboth.iMentaliillnessi
mayibeirelateditoiindividual,iinterpersonal,iorisocial/culturalifactors.iExcessiveidependen
cyionioriwithdrawalifromirelationshipsiareiinterpersonalifactorsithatirelateitoimentaliillnes
s.iIndividualsisufferingifromimentaliillnessicanifeelioverwhelmediwithidailyilife.iIndividu
alsisufferingifromimentaliillnessimayiexperienceidissatisfactioniwithirelationshipsiandiself
.
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3. Whichiofitheifollowingiareitrueiregardingimentalihealthiandimentaliillness?
A) Behaviorithatimayibeiviewediasiacceptableiinioneicultureiisialwaysiunacceptableiini
othericultures.
B) Itiisieasyitoidetermineiifiaipersoniisimentallyihealthyiorimentallyiill.
C) Inimosticases,imentalihealthiisiaistateiofiemotional,ipsychological,iandisocialiwell
nessievidencedibyisatisfyingiinterpersonalirelationships,ieffectiveibehavioriandic
oping,ipositiveiself-concept,iandiemotionalistability.
D) Personsiwhoiengageiinifantasiesiareimentallyiill.iA
ns:iC
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Whationeisocietyimayiviewiasiacceptableiandiappropriateibehavior,ianotherisocietyimayiseei
thatiasimaladaptive,iandiinappropriate.iMentalihealthiandimentaliillnessiareidifficultitoidefi
neiprecisely.iInimosticases,imentalihealthiisiaistateiofiemotional,ipsychological,iandisocialiw
ellnessievidencedibyisatisfyingiinterpersonalirelationships,ieffectiveibehavioriandicoping,i
positiveiself-
concept,iandiemotionalistability.iPersonsiwhoiengageiinifantasiesimayibeimentallyihealthy,i
butitheiinabilityitoidistinguishirealityifromifantasyiisianiindividualifactorithatimayicontribute
itoimentaliillness.
4. Aiclientigrievingitheirecentilossiofiherihusbandiasksiifisheiisibecomingimentallyiillibec
auseisheiisisoisad.iTheinurse'sibestiresponseiwouldibe,
A) ìYouimayihaveiaitemporaryimentaliillnessibecauseiyouiareiexperiencingisoimuchipai
n.î
B) ìYouiareinotimentallyiill.iThisiisianiexpectedireactionitoitheilossiyouihaveiexp
erienced.î
C) ìWereiyouigenerallyidissatisfiediwithiyourirelationshipibeforeiyourihusband'side
ath?î
D) ìTryinotitoiworryiaboutithatirightinow.iYouineveriknowiwhatitheifutureibrings.îiAn
s:iB
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Mentaliillnessiincludesigeneralidissatisfactioniwithiself,iineffectiveirelationships,iineffecti
veicoping,iandilackiofipersonaligrowth.iAdditionallyitheibehaviorimustinotibeiculturallyiex
pected.iAcuteigriefireactionsiareiexpectediandithereforeinoticonsideredimentaliillness.iFals
eireassuranceiorioveranalysisidoesinotiaccuratelyiaddressitheiclient'siconcerns.
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5. TheinurseiconsultsitheiDSMiforiwhichiofitheifollowingipurposes?
A) Toideviseiaiplanioficareiforiainewlyiadmittediclient
B) Toipredictitheiclient'siprognosisiofitreatmentioutcomes
C) Toidocumentitheiappropriateidiagnosticicodeiinitheiclient'simedicalirecord
D) ToiserveiasiaiguideiforiclientiassessmentiA
ns:iD
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TheiDSMiprovidesistandardinomenclature,ipresentsidefiningicharacteristics,iandiidentifie
siunderlyingicausesiofimentalidisorders.iItidoesinotiprovideicareiplansioriprognosticioutco
mesiofitreatment.iDiagnosisiofimentaliillnessiisinotiwithinitheigeneralistiRN'siscopeiofiprac
tice,isoidocumentingitheicodeiinitheimedicalirecordiwouldibeiinappropriate.
6. WhichiwouldibeiaireasoniforiaistudentinurseitoiuseitheiDSM?
A) Identifyingitheimedicalidiagnosis
B) Treaticlients
C) Evaluateitreatments
D) Understanditheireasoniforitheiadmissionianditheinatureiofipsychiatriciillnesses.iAn
s:iD
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AlthoughistudentinursesidoinotiuseitheiDSMitoidiagnoseiclients,itheyiwillifindiitiaihelpfuli
resourceitoiunderstanditheireasoniforitheiadmissionianditoibeginibuildingiknowledgeiabo
utitheinatureiofipsychiatriciillnesses.iIdentifyingitheimedicalidiagnosis,itreating,iandieval
uatingitreatmentsiareinotiaipartiofitheinursingiprocess.
7. Theilegislationienactediini1963iwasilargelyiresponsibleiforiwhichiofitheifollowingishiftsiinic
areiforitheimentallyiill?
A) Theiwidespreadiuseioficommunity-basediservices
B) Theiadvancementiinipharmacotherapies
C) Increasediaccessitoihospitalization
D) Improvedirightsiforiclientsiinilong-
termiinstitutionalicareiAns:iA
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TheiCommunityiMentaliHealthiCentersiConstructioniActiofi1963iaccomplisheditheirel
easeiofiindividualsifromilong-
termistaysiinistateiinstitutions,itheidecreaseiiniadmissionsitoihospitals,ianditheidevelop
mentioficommunity-basediservicesiasianialternativeitoihospitalicare.
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