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Highest Answ...
,Import Settings:
Base Settings: Brownstone Default
Information Field: Chapter
Information Field: Client Needs
Information Field: Cognitive Level
Information Field: Difficulty
Information Field: Integrated Process
Information Field: Objective
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Highest Answer Letter: D
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Chapter: Chapter 01: Introduction to Psychiatric-Mental Health Nursing
Multiple Choice
1. A nurse is giving a presentation about preventing mental illness to college freshmen. A
student asks, “What does it mean to be mentally healthy?” Which of the following potential
responses by the nurse is best?
A) “Mental health is difficult to define and depends on cultural norms.”
B) “Mental health is marked by productivity, fulfilling relationships, and adaptability.”
C) “Mental health is characterized by the absence of mental illness.”
D) “Mental health is the performance of behavior that is accepted as normal.”
Ans: B
Chapter: 01
Client Needs: C
Cognitive Level: Knowledge
Difficulty: Easy
Integrated Process: Teaching/Learning
Objective: 01
Page and Header: 2, Mental Health
Feedback: Mental health means the successful performance of mental function, resulting in
productive activities, fulfilling relationships, and the ability to adapt to change and cope with
adversity. Mental health provides people with the capacity for rational thinking, communication
skills, learning, emotional growth, resilience, and self-esteem.
,2. A 48-year-old independent, successful woman is recovering from a modified radical
mastectomy. She states she was grateful that during the first few weeks after surgery her mother
stayed with her and did “everything” for her. Which element of mental health does this reflect?
A) Reality orientation
B) Mastery of the environment
C) Self-governance
D) Tolerance of the unknown
Ans: C
Chapter: 01
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 01
Page and Header: 2, Elements of and Influences on Mental Health
Feedback: In self-governance, the person acts independently, dependently, or interdependently
as the need arises without permanently losing his or her autonomy. Tolerance of the unknown
means the person faces the uncertainty of life and the certainty of death with faith and hope. To
master the environment, the person becomes competent, effective, and creative in interacting
with and influencing his or her environment. Reality orientation involves differentiating fact
from fantasy and behaving accordingly.
3. Why is the document Mental Health: A Report of the Surgeon General (1999) most
significant?
A) Because it states clearly that there are effective treatments for mental illness
B) Because it allocates research money to psychiatric facilities
C) Because it sets new guidelines for use of restraints
D) Because it establishes reimbursement guidelines for third-party payers
Ans: A
Chapter: 01
Client Needs: A-1
Cognitive Level: Knowledge
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 02
Page and Header: 3, Mental Health as a National Priority
Feedback: Mental Health: A Report of the Surgeon General addressed that mental health is
, fundamental to and necessary for a healthy life; mental disorders are real health conditions with
enormous consequences for individuals, families, communities, and the nation; effective
treatments for mental disorders are available; a range of treatment options is available for most
mental disorders; and those with mental disorders or symptoms should seek treatment.
4. While a nurse is performing an admission assessment for a mental health client, the client
states that all of his problems have been caused by his parents. The nurse knows that
psychological factors that can influence mental health include which of the following?
A) Neuroanatomy
B) Emotional developmental level
C) Values and beliefs
D) Religion
Ans: B
Chapter: 01
Client Needs: C
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 01
Page and Header: 3, Figure 1.2
Feedback: Psychological influences on mental health include interactions, intelligence quotient,
self-concept, skills, creativity, and emotional developmental level. Neuroanatomy is a biological
influence on mental health. Values, beliefs, and religion are sociocultural influences on mental
health.
5. What is the primary purpose of the five-axis system used in the fourth edition of the
Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR)?
A) To separate the various mental disorders into five related categories
B) To give a comprehensive picture of client functioning
C) To improve prognostic ability
D) To provide a decision-making algorithm for pharmacologic treatment
Ans: B
Chapter: 01
Client Needs: A-1
Cognitive Level: Knowledge
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 03
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