TEST BANK FOR PSYCHIATRIC-MENTAL
HEALTH 9THTEST BANK/STUDY GUIDE
WOLTERS KLUWER BY VIDEBECK
,PSYCHIATRIC-MENTAL HEALTH 9THTEST
BANK/STUDY GUIDE WOLTERS KLUWER BY
VIDEBECK TEST BANK
Chapter 1
The nurse is assessing the factors contributing to the well-being of a newly admitted
client.Which of the following would the nurse identify as having a positive impact on
the individual'smental health?
Not needing others for companionship
The ability to effectively manage stress
A family history of mental illness
Striving for total self-reliance
Ans: B Feedback:
Individual factors influencing mental health include biologic makeup, autonomy,
independence, self-esteem, capacity for growth, vitality, ability to find meaning in life,
emotional resilience or hardiness, sense of belonging, reality orientation, and coping or
stress management abilities.
Interpersonal factors such as intimacy and a balance of separateness and
connectedness areboth needed for good mental health, and therefore a healthy person
would need others for companionship. A family history of mental illness could relate
to the biologic makeup of an individual, which may have a negative impact on an
individual's mental health, as well as a negative impact on an individual's
interpersonal and social and cultural factors of health. Totalself-reliance is not
possible, and a positive social/cultural factor is access to adequate resources.
Which of the following statements about mental illness are true? Select all that apply.
Mental illness can cause significant distress, impaired functioning, or both.
Mental illness is only due to social/cultural factors.
Social/cultural factors that relate to mental illness include excessive dependency on or
withdrawal from relationships.
Individuals suffering from mental illness are usually able to cope effectively withdaily
life.
Individuals suffering from mental illness may experience dissatisfaction with
relationships and self.
Ans: A, D, E
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
illness maybe related to individual, interpersonal, or social/cultural factors. Excessive
dependency on or withdrawal from relationships are interpersonal factors that relate to
mental illness. Individuals suffering from mental illness can feel overwhelmed with daily
life. Individuals suffering from mental illness may experience dissatisfaction with
,relationships and self.
, Which of the following are true regarding mental health and mental illness?
Behavior that may be viewed as acceptable in one culture is always unacceptablein
other cultures.
It is easy to determine if a person is mentally healthy or mentally ill.
In most cases, mental health is a state of emotional, psychological, and socialwellness
evidenced by satisfying interpersonal relationships, effective behavior and coping,
positive self-concept, and emotional stability.
Persons who engage in fantasies are mentally ill.
Ans: C Feedback:
What one society may view as acceptable and appropriate behavior, another society
may seethat as maladaptive, and inappropriate. Mental health and mental illness are
difficult to define precisely. In most cases, mental health is a state of emotional,
psychological, and social wellness evidenced by satisfying interpersonal
relationships, effective behavior and coping, positive self-concept, and emotional
stability. Persons who engage in fantasies may be mentally healthy, but the inability to
distinguish reality from fantasy is an individual factor that may contribute to mental
illness.
A client grieving the recent loss of her husband asks if she is becoming mentally ill
becauseshe is so sad. The nurse's best response would be,
You may have a temporary mental illness because you are experiencing so muchpain.
You are not mentally ill. This is an expected reaction to the loss you have experienced.
Were you generally dissatisfied with your relationship before your husband'sdeath?
Try not to worry about that right now. You never know what the future brings.
Ans: B Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
ineffective coping, and lack of personal growth. Additionally the behavior must not be
culturally expected.Acute grief reactions are expected and therefore not considered
mental illness. False reassurance or overanalysis does not accurately address the
client's concerns.
The nurse consults the DSM for which of the following purposes?
To devise a plan of care for a newly admitted client
To predict the client's prognosis of treatment outcomes
To document the appropriate diagnostic code in the client's medical record
To serve as a guide for client assessment
Ans: D Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
identifies underlying causes of mental disorders. It does not provide care plans or
prognostic outcomesof treatment. Diagnosis of mental illness is not within the
generalist RN's scope of practice, sodocumenting the code in the medical record
