Test Bank For Psychiatric Mental Health Nursing 9th Edition
,Chapter \1
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 \onthe\individual's \mental \health?
A) Not \needing \others \for \companionship
B) The \ability \to \effectively \manage \stress
C) A \family \history \of \mental \illness
D) 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 \are \both \needed
for \good \mental \health, \and \therefore \ahealthy \person \would \need \others \for
\companionship. \A \family \history \of \mental \illnesscould \relate \to \the \biologic
\makeup \of \an \individual, \which \may \have \a \negative \impacton \an \individual's
\mental \health, \as\well \as \a \negative \impact \on \an \individual's \interpersonal \and
\socialñcultural \factors \of\health. \Total \self-reliance \is \not \possible, \and \a \positive
\social/cultural \factor \is \access \to \adequate \resources.
2. Which \of \the \following \statements \about \mental \illness \are \true? \Select \all \that \apply.
A) Mental \illness \can \cause \significant \distress, \impaired \functioning, \or \both.
B) Mental \illness \is \only \due \to \social/cultural \factors.
C) Social/cultural \factors \that \relate \to \mental \illness \include \excessive
\dependency\on \or \withdrawal \from \relationships.
D) Individuals \suffering \from \mental \illness \are \usually \able \to \cope \effectively
\with\daily \life.
E) 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 \may \be \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.
,3. Which \of \the \following \are \true \regarding \mental \health \and \mental \illness?
A) Behavior \that \may \be \viewed \as \acceptable \in \one \culture \is \always
\unacceptable\in \other \cultures.
B) It \is \easy \to \determine \if \a \person \is \mentally \healthy \or \mentally \ill.
C) 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.
D) Persons \who \engage \in \fantasies \are \mentally
\ill.\Ans: \ C
Feedback:
What \one \society \may \view \as \acceptable \and \appropriate \behavior, \another \society
\may\see \that \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.
4. A \client \grieving \the \recent \loss \of \her \husband \asks \if \she \is \becoming
\mentally \ill\because \she \is \so \sad. \The \nurse's \best \response \would \be,
A) ìYou \may \have \a \temporary \mental \illness \because \you \are \experiencing \so
\much\pain.î
B) ìYou \are \not \mentally \ill. \This \is \an \expected \reaction \to \the \loss \you
\have\experienced.î
C) ìWere \you \generally \dissatisfied \with \your \relationship \before \your
\husband's\death?î
D) ìTry \not \to \worry \about \that \right \now. \You \never \know \what \the \future
\brings.î\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.
, 5. \ The \nurse \consults \the \DSM \for \which \of \the \following
\purposes?
A) To \devise \a \plan \of \care \for \a \newly \admitted \client
B) To \predict \the \client's \prognosis \of \treatment \outcomes
C) To \document \the \appropriate \diagnostic \code \in \the \client's \medical
\recordTo
\D)\serve \as \a \guide \for \client
Ans: \D\assessment
Feedback:
The \DSM \provides \standard \nomenclature, \presents \defining \characteristics, \and
\identifies \underlying \causes \of \mental \disorders. \It \does \not \provide \care \plans \or
\prognostic \outcomes \of \treatment. \Diagnosis \of \mental \illness \is \not \within \the
\generalist \RN's \scope \of \practice, \so \documenting \the \code \in \the \medical \record
\would\be \inappropriate.
6. \ Which \would \be \a \reason \for \a \student \nurse \to \use \the
A) Identifying \the \medical \diagnosis
\DSM?
B) Treat \clients
C) Evaluate
\treatments \D)
Understand \the \reason \for \the \admission \and \the \nature \of \psychiatric
Ans: \D\illnesses.
Feedback:
Although \student \nurses \do \not \use \the \DSM \to \diagnose \clients, \they \will \find \it
\a \helpful \resource \to \understand \the \reason \for \the \admission \and \to \begin
\building \knowledge \about \the \nature \of \psychiatric \illnesses. \Identifying \the
\medical \diagnosis,\treating, \and \evaluating \treatments \are \not \a \part \of \the \nursing
\process.
7. The \legislation \enacted \in \1963 \was \largely \responsible \for \which \of \the \following
\shifts\in \care \for \the \mentally \ill?
A) The \widespread \use \of \community-based \services
B) The \advancement \in \pharmacotherapies
C) Increased \access \to \hospitalization
D) Improved \rights \for \clients \in \long-term \institutional
\care\Ans: \ A
Feedback:
The \Community \Mental \Health \Centers \Construction \Act \of \1963 \accomplished
\the\release \of \individuals \from \long-term \stays \in \state \institutions, \the \decrease
\in \admissions \to \hospitals, \and \the \development \of \community-based \services \as
\an \alternative \to \hospital \care.
