Psychiatric-MentalqHealthqNursingq8thqeditionqbyqVidebeckqTestqBank
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,Psychiatric-MentalqHealthqNursingq8thqeditionqbyqVidebeckqTestqBank
Psychiatric-MentalqHealthqNursingq8thqeditionq
Chapterq1
1. Theqnurseqisqassessingqtheqfactorsqcontributingqtoqtheqwell-
beingqofqaqnewlyqadmittedqclient.qWhichqofqtheqfollowingqwouldqtheqnurseqidentifyqasq
havingqaqpositiveqimpactqonqtheqindividual'sqmentalqhealth?
A) Notqneedingqothersqforqcompanionship
B) Theqabilityqtoqeffectivelyqmanageqstress
C) Aqfamilyqhistoryqofqmentalqillness
D) Strivingqforqtotalqself-
relianceqAns:q B
Feedback:
Individualqfactorsqinfluencingqmentalqhealthqincludeqbiologicqmakeup,qautonomy,qindep
endence,qself-
esteem,qcapacityqforqgrowth,qvitality,qabilityqtoqfindqmeaningqinqlife,qemotionalqresilienc
eqorqhardiness,qsenseqofqbelonging,qrealityqorientation,qandqcopingqorqstressqmanagement
qabilities.qInterpersonalqfactorsqsuchqasqintimacyqandqaqbalanceqofqseparatenessqandqconn
ectednessqareqbothqneededqforqgoodqmentalqhealth,qandqthereforeqaqhealthyqpersonqwouldq
needqothersqforqcompanionship.qAqfamilyqhistoryqofqmentalqillnessqcouldqrelateqtoqtheqbio
logicqmakeupqofqanqindividual,qwhichqmayqhaveqaqnegativeqimpactqonqanqindividual'sqme
ntalqhealth,qasqwellqasqaqnegativeqimpactqonqanqindividual'sqinterpersonalqandqsocialñcult
uralqfactorsqofqhealth.qTotalqself-
relianceqisqnotqpossible,qandqaqpositiveqsocial/culturalqfactorqisqaccessqtoqadequateqresour
ces.
2. Whichqofqtheqfollowingqstatementsqaboutqmentalqillnessqareqtrue?qSelectqallqthatqapply.
A) Mentalqillnessqcanqcauseqsignificantqdistress,qimpairedqfunctioning,qorqboth.
B) Mentalqillnessqisqonlyqdueqtoqsocial/culturalqfactors.
C) Social/culturalqfactorsqthatqrelateqtoqmentalqillnessqincludeqexcessiveqdependencyq
onqorqwithdrawalqfromqrelationships.
D) Individualsqsufferingqfromqmentalqillnessqarequsuallyqableqtoqcopeqeffectivelyqwithq
dailyqlife.
E) Individualsqsufferingqfromqmentalqillnessqmayqexperienceqdissatisfactionqwithq
relationshipsqandqself.
Ans:qA,qD,qE
Feedback:
Mentalqillnessqcanqcauseqsignificantqdistress,qimpairedqfunctioning,qorqboth.qMentalqilln
essqmayqbeqrelatedqtoqindividual,qinterpersonal,qorqsocial/culturalqfactors.qExcessiveqdep
endencyqonqorqwithdrawalqfromqrelationshipsqareqinterpersonalqfactorsqthatqrelateqtoqme
ntalqillness.qIndividualsqsufferingqfromqmentalqillnessqcanqfeelqoverwhelmedqwithqdailyql
ife.qIndividualsqsufferingqfromqmentalqillnessqmayqexperienceqdissatisfactionqwithqrelatio
nshipsqandqself.
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,Psychiatric-MentalqHealthqNursingq8thqeditionqbyqVidebeckqTestqBank
3. Whichqofqtheqfollowingqareqtrueqregardingqmentalqhealthqandqmentalqillness?
A) Behaviorqthatqmayqbeqviewedqasqacceptableqinqoneqcultureqisqalwaysqunacceptableq
inqotherqcultures.
B) Itqisqeasyqtoqdetermineqifqaqpersonqisqmentallyqhealthyqorqmentallyqill.
C) Inqmostqcases,qmentalqhealthqisqaqstateqofqemotional,qpsychological,qandqsocialq
wellnessqevidencedqbyqsatisfyingqinterpersonalqrelationships,qeffectiveqbehaviorq
andqcoping,qpositiveqself-concept,qandqemotionalqstability.
D) Personsqwhoqengageqinqfantasiesqareqmentallyqill.q
Ans:qC
Feedback:
Whatqoneqsocietyqmayqviewqasqacceptableqandqappropriateqbehavior,qanotherqsocietyqmayq
seeqthatqasqmaladaptive,qandqinappropriate.qMentalqhealthqandqmentalqillnessqareqdifficultq
toqdefineqprecisely.qInqmostqcases,qmentalqhealthqisqaqstateqofqemotional,qpsychological,qa
ndqsocialqwellnessqevidencedqbyqsatisfyingqinterpersonalqrelationships,qeffectiveqbehavio
rqandqcoping,qpositiveqself-
concept,qandqemotionalqstability.qPersonsqwhoqengageqinqfantasiesqmayqbeqmentallyqhealt
hy,qbutqtheqinabilityqtoqdistinguishqrealityqfromqfantasyqisqanqindividualqfactorqthatqmayqco
ntributeqtoqmentalqillness.
4. Aqclientqgrievingqtheqrecentqlossqofqherqhusbandqasksqifqsheqisqbecomingqmentallyqillq
becauseqsheqisqsoqsad.qTheqnurse'sqbestqresponseqwouldqbe,
A) ìYouqmayqhaveqaqtemporaryqmentalqillnessqbecauseqyouqareqexperiencingqsoqmuchq
pain.î
B) ìYouqareqnotqmentallyqill.qThisqisqanqexpectedqreactionqtoqtheqlossqyouqhaveq
experienced.î
C) ìWereqyouqgenerallyqdissatisfiedqwithqyourqrelationshipqbeforeqyourqhusband'sq
death?î
D) ìTryqnotqtoqworryqaboutqthatqrightqnow.qYouqneverqknowqwhatqtheqfutureqbrings.îq
Ans:qB
Feedback:
Mentalqillnessqincludesqgeneralqdissatisfactionqwithqself,qineffectiveqrelationships,qineffe
ctiveqcoping,qandqlackqofqpersonalqgrowth.qAdditionallyqtheqbehaviorqmustqnotqbeqcultur
allyqexpected.qAcuteqgriefqreactionsqareqexpectedqandqthereforeqnotqconsideredqmentalqill
ness.qFalseqreassuranceqorqoveranalysisqdoesqnotqaccuratelyqaddressqtheqclient'sqconcerns.
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, Psychiatric-MentalqHealthqNursingq8thqeditionqbyqVidebeckqTestqBank
5. TheqnurseqconsultsqtheqDSMqforqwhichqofqtheqfollowingqpurposes?
A) Toqdeviseqaqplanqofqcareqforqaqnewlyqadmittedqclient
B) Toqpredictqtheqclient'sqprognosisqofqtreatmentqoutcomes
C) Toqdocumentqtheqappropriateqdiagnosticqcodeqinqtheqclient'sqmedicalqrecord
D) Toqserveqasqaqguideqforqclientqassessmentq
Ans:qD
Feedback:
TheqDSMqprovidesqstandardqnomenclature,qpresentsqdefiningqcharacteristics,qandqidentif
iesqunderlyingqcausesqofqmentalqdisorders.qItqdoesqnotqprovideqcareqplansqorqprognosticqo
utcomesqofqtreatment.qDiagnosisqofqmentalqillnessqisqnotqwithinqtheqgeneralistqRN'sqscop
eqofqpractice,qsoqdocumentingqtheqcodeqinqtheqmedicalqrecordqwouldqbeqinappropriate.
6. WhichqwouldqbeqaqreasonqforqaqstudentqnurseqtoquseqtheqDSM?
A) Identifyingqtheqmedicalqdiagnosis
B) Treatqclients
C) Evaluateqtreatments
D) Understandqtheqreasonqforqtheqadmissionqandqtheqnatureqofqpsychiatricqillnesses.q
Ans:qD
Feedback:
AlthoughqstudentqnursesqdoqnotquseqtheqDSMqtoqdiagnoseqclients,qtheyqwillqfindqitqaqhel
pfulqresourceqtoqunderstandqtheqreasonqforqtheqadmissionqandqtoqbeginqbuildingqknowle
dgeqaboutqtheqnatureqofqpsychiatricqillnesses.qIdentifyingqtheqmedicalqdiagnosis,qtreatin
g,qandqevaluatingqtreatmentsqareqnotqaqpartqofqtheqnursingqprocess.
7. Theqlegislationqenactedqinq1963qwasqlargelyqresponsibleqforqwhichqofqtheqfollowingqshiftsq
inqcareqforqtheqmentallyqill?
A) Theqwidespreadquseqofqcommunity-basedqservices
B) Theqadvancementqinqpharmacotherapies
C) Increasedqaccessqtoqhospitalization
D) Improvedqrightsqforqclientsqinqlong-
termqinstitutionalqcareqAns:qA
Feedback:
TheqCommunityqMentalqHealthqCentersqConstructionqActqofq1963qaccomplishedqtheq
releaseqofqindividualsqfromqlong-
termqstaysqinqstateqinstitutions,qtheqdecreaseqinqadmissionsqtoqhospitals,qandqtheqdeve
lopmentqofqcommunity-basedqservicesqasqanqalternativeqtoqhospitalqcare.
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