Chapter i1
1. The inurse iis iassessing ithe ifactors icontributing ito ithe iwell-being iof ia inewly iadmitted
iclient. iWhich iof ithe i following iwould ithe i nurse i identify i as i having ia ipositive i impact ion
it he i individual's i mental i health?
A) Not ineeding iothers ifor icompanionship
B) The iability ito ieffectively imanage istress
C) A ifamily ihistory iof imental iillness
D) Striving ifor itotal iself-reliance
iAns: i B
Feedback:
Individual ifactors iinfluencing imental ihealth iinclude ibiologic imakeup, iautonomy,
i independence, iself-esteem, icapacity i for igrowth, ivitality, iability ito ifind i meaning i in i life,
Ans: i A, iD, iE
Feedback:
Mental iillness ican icause isignificant idistress, iimpaired ifunctioning, ior iboth. iMental
i illness i may i be irelated ito iindividual, i interpersonal, i or isocial/cultural i factors. iExcessive
idependency ion ior iwithdrawal i from irelationships iare i interpersonal i factors ithat irelate ito
i mental i illness. iIndividuals i suffering i from i mental i illness ican i feel ioverwhelmed iwith
idaily i life. iIndividuals isuffering i from i mental i illness i may iexperience idissatisfaction iwith
B) It iis ieasy ito idetermine iif ia iperson iis imentally ihealthy ior imentally iill.
C) In imost icases, imental ihealth iis ia istate iof iemotional, ipsychological, iand isocial
iwellness ievidenced i by isatisfying i interpersonal irelationships, ieffective i behavior
D) Persons iwho iengage iin ifantasies iare imentally iill.
iAns: i C
Feedback:
What ione isociety imay iview ias iacceptable iand iappropriate ibehavior, ianother isociety imay
isee ithat ias i maladaptive, iand i inappropriate. iMental i health iand i mental i illness iare idifficult
ito idefine iprecisely. iIn i most icases, i mental i health i is i a istate iof iemotional, ipsychological,
iand i social iwellness ievidenced i by isatisfying i interpersonal irelationships, ieffective
iin i fantasies i may i be i mentally i healthy, i but ithe i inability ito idistinguish ireality i from i fantasy
iis ian i individual i factor ithat imay icontribute ito imental i illness.
4. A iclient igrieving ithe irecent iloss iof iher ihusband iasks iif ishe iis ibecoming imentally iill
ibecause ishe i is iso isad. iThe inurse's i best iresponse iwould ibe,
A) ìYou imay ihave ia itemporary imental iillness ibecause iyou iare iexperiencing iso imuch
ipain.î
B) ìYou iare inot imentally iill. iThis iis ian iexpected ireaction ito ithe iloss iyou ihave
iexperienced.î
i mental i illness. iFalse ireassurance ior ioveranalysis idoes inot iaccurately iaddress ithe iclient's
iconcerns.
Page 2
,5. The inurse iconsults ithe iDSM ifor iwhich iof ithe ifollowing ipurposes?
A) To idevise ia iplan iof icare ifor ia inewly iadmitted iclient
B) To ipredict ithe iclient's iprognosis iof itreatment ioutcomes
C) To idocument ithe iappropriate idiagnostic icode iin ithe iclient's imedical irecord
D) To iserve ias ia iguide ifor iclient iassessment
iAns: i D
Feedback:
The iDSM iprovides istandard inomenclature, ipresents idefining icharacteristics, iand
i identifies iunderlying icauses iof i mental idisorders. iIt idoes inot iprovide icare iplans ior
iprognostic ioutcomes iof itreatment. iDiagnosis iof i mental i illness i is i not iwithin ithe
igeneralist iRN's i scope iof ipractice, iso idocumenting ithe icode i in ithe i medical irecord iwould
ibe i inappropriate.
6. Which iwould ibe ia ireason ifor ia istudent inurse ito iuse ithe iDSM?
A) Identifying ithe imedical idiagnosis
B) Treat iclients
C) Evaluate itreatments
D) Understand ithe ireason ifor ithe iadmission iand ithe inature iof ipsychiatric iillnesses.
iAns: i D
Feedback:
Although istudent inurses ido inot iuse ithe iDSM ito idiagnose iclients, ithey iwill ifind iit ia
ihelpful iresource ito iunderstand ithe ireason i for ithe iadmission iand ito ibegin i building
iknowledge iabout ithe inature iof ipsychiatric i illnesses. iIdentifying ithe i medical idiagnosis,
it reating, iand ievaluating itreatments iare i not ia ipart iof i the inursing iprocess.
7. The ilegislation ienacted iin i1963 iwas ilargely iresponsible ifor iwhich iof ithe ifollowing ishifts
iin icare i for ithe i mentally i ill?
A) The iwidespread iuse iof icommunity-based iservices
B) The iadvancement iin ipharmacotherapies
C) Increased iaccess ito ihospitalization
D) Improved irights ifor iclients iin ilong-term iinstitutional icare
iAns: i A
Feedback:
The iCommunity iMental iHealth iCenters iConstruction iAct iof i1963 iaccomplished ithe
irelease iof i individuals i from i long-term istays i in istate iinstitutions, ithe idecrease i in
iadmissions ito ihospitals, iand ithe idevelopment iof icommunity-based iservices ias ian
ialternative ito ihospital icare.
Page 3
, 8. Which ione iof ithe ifollowing iis ia iresult iof ifederal ilegislation?
A) Making iit ieasier ito icommit ipeople ifor imental ihealth itreatment iagainst itheir iwill.
B) Making iit imore idifficult ito icommit ipeople ifor imental ihealth itreatment iagainst
it heir iwill.
C) State imental iinstitutions ibeing ithe iprimary isource iof icare ifor imentally iill ipersons.
D) Improved icare ifor imentally iill ipersons.
iAns: i B
Feedback:
Commitment ilaws ichanged iin ithe iearly i1970s, imaking iit imore idifficult ito icommit
ipeople i for i mental i health itreatment iagainst itheir iwill. iDeinstitutionalization
iaccomplished ithe irelease iof i individuals i from i long-term istays i in istate iinstitutions.
iDeinstitutionalization ialso i had i negative ieffects i in ithat isome i mentally i ill ipersons iare
isubjected ito ithe irevolving idoor ieffect, iwhich i may i limit icare i for imentally i ill ipersons.
9. The igoal iof ithe i1963 iCommunity iMental iHealth iCenters iAct iwas ito
A) ensure ipatients' irights ifor ithe imentally iill.
B) deinstitutionalize istate ihospitals.
C) provide ifunds ito ibuild ihospitals iwith ipsychiatric iunits.
D) treat ipeople iwith imental iillness iin ia ihumane ifashion.
iAns: i B
Feedback:
The i1963 iCommunity iMental iHealth iCenters iAct iintimated ithe imovement itoward
itreating ithose iwith i mental i illness i in ia i less irestrictive ienvironment. iThis i legislation
iresulted i in ithe i shift iof iclients iwith i mental i illness i from i large istate iinstitutions ito icare
ibased i in ithe icommunity. i Answer ichoices iA, iC, iand iD iwere inot ipurposes iof ithe i1963
iCommunity iMental iHealth iCenters iAct.
10. The icreation iof iasylums iduring ithe i1800s iwas imeant ito
A) improve itreatment iof imental idisorders.
B) provide ifood iand ishelter ifor ithe imentally iill.
C) punish ipeople iwith imental iillness iwho iwere ibelieved ito ibe ipossessed.
D) remove idangerous ipeople iwith imental iillness ifrom ithe icommunity.
iAns: i B
Feedback:
The iasylum iwas imeant ito ibe ia isafe ihaven iwith ifood, ishelter, iand ihumane itreatment ifor
it he i mentally i ill. i Asylums iwere i not iused ito iimprove itreatment iof i mental idisorders ior ito
ipunish i mentally i ill ipeople iwho iwere ibelieved ito ibe ipossessed. iThe iasylum iwas i not
icreated ito iremove ithe idangerously i mentally i ill i from ithe icommunity.
Page 4
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