Test zxBank zxFor zxPsychiatric zxMental zxHealth zxNursing zx9th zxEdition
Chapter zx1
1. The zxnurse zxis zxassessing zxthe zxfactors zxcontributing zxto
zxthe zxwell-zxbeing zxof zxa zxnewly zxadmitted zxclient.
zxWhich zxof zxthe zxfollowing zxwould zxthe zxnurse
zxidentify zxas zxhaving zxa zxpositive zximpact zxonthe
zxindividual's zxmental zxhealth?
A) Not zxneeding zxothers zxfor zxcompanionship
B) The zxability zxto zxeffectively zxmanage zxstress
C) A zxfamily zxhistory zxof zxmental zxillness
D) Striving zxfor zxtotal zxself-
reliancezxAns: z x B
Feedback:
Individual zxfactors zxinfluencing zxmental zxhealth zxinclude
zxbiologic zxmakeup, zxautonomy, zxindependence, zxself-
esteem, zxcapacity zxfor zxgrowth, zxvitality, zxability zxto
zxfind zxmeaning zxin zxlife,zxemotional zxresilience zxor
zxhardiness, zxsense zxof zxbelonging, zxreality zxorientation,
zxand zxcoping zxor zxstress zxmanagement zxabilities.
zxInterpersonal zxfactors zxsuch zxas zxintimacy zxand zxa
zxbalance zxof zxseparateness zxand zxconnectedness zxare
zxboth zxneeded
for zxgood zxmental zxhealth, zxand zxtherefore zxahealthy zxperson zxwould zxneed zxothers
zxfor zxcompanionship. zxA zxfamily zxhistory zxof zxmental zxillnesscould zxrelate zxto zxthe
zxbiologic zxmakeup zxof zxan zxindividual, zxwhich zxmay zxhave zxa zxnegative zximpacton
zxan zxindividual's zxmental zxhealth, zxaszxwell zxas zxa zxnegative zximpact zxon zxan
zxindividual's zxinterpersonal zxand zxsocialñcultural zxfactors zxofzxhealth. zxTotal zxself-
reliance zxis zxnot zxpossible, zxand zxa zxpositive zxsocial/cultural zxfactor zxis zxaccess zxto
zxadequate zxresources.
2. Which zxof zxthe zxfollowing zxstatements zxabout zxmental zxillness zxare zxtrue? zxSelect zxall zxthat
zxapply.
A) Mental zxillness zxcan zxcause zxsignificant zxdistress, zximpaired zxfunctioning, zxor zxboth.
B) Mental zxillness zxis zxonly zxdue zxto zxsocial/cultural zxfactors.
C) Social/cultural zxfactors zxthat zxrelate zxto zxmental zxillness zxinclude zxexcessive
zxdependencyzxon zxor zxwithdrawal zxfrom zxrelationships.
D) Individuals zxsuffering zxfrom zxmental zxillness zxare zxusually zxable zxto zxcope
zxeffectively zxwithzxdaily zxlife.
E) Individuals zxsuffering zxfrom zxmental zxillness zxmay zxexperience
zxdissatisfaction zxwithzxrelationships zxand zxself.
Ans: zxA, zxD, zxE
Feedback:
Mental zxillness zxcan zxcause zxsignificant zxdistress, zximpaired zxfunctioning, zxor
zxboth. zxMental zxillness zxmay zxbe zxrelated zxto zxindividual, zxinterpersonal, zxor
zxsocial/cultural zxfactors. zxExcessive zxdependency zxon zxor zxwithdrawal zxfrom
zxrelationships zxare zxinterpersonal zxfactors zxthat zxrelate zxto zxmental zxillness.
zxIndividuals zxsuffering zxfrom zxmental zxillness zxcan zxfeel zxoverwhelmed zxwith
zxdaily zxlife. zxIndividuals zxsuffering zxfrom zxmental zxillness zxmay zxexperience
zxdissatisfaction zxwithzxrelationships zxand zxself.
,3. Which zxof zxthe zxfollowing zxare zxtrue zxregarding zxmental zxhealth zxand zxmental zxillness?
A) Behavior zxthat zxmay zxbe zxviewed zxas zxacceptable zxin zxone zxculture zxis
zxalways zxunacceptablezxin zxother zxcultures.
B) It zxis zxeasy zxto zxdetermine zxif zxa zxperson zxis zxmentally zxhealthy zxor zxmentally zxill.
C) In zxmost zxcases, zxmental zxhealth zxis zxa zxstate zxof zxemotional,
zxpsychological, zxand zxsocial zxwellness zxevidenced zxby zxsatisfying
zxinterpersonal zxrelationships, zxeffective zxbehaviorzxand zxcoping, zxpositive
zxself-concept, zxand zxemotional zxstability.
D) Persons zxwho zxengage zxin zxfantasies zxare
zxmentally zxill.zxAns: z x C
Feedback:
What zxone zxsociety zxmay zxview zxas zxacceptable zxand zxappropriate zxbehavior,
zxanother zxsociety zxmayzxsee zxthat zxas zxmaladaptive, zxand zxinappropriate. zxMental
zxhealth zxand zxmental zxillness zxare zxdifficultzxto zxdefine zxprecisely. zxIn zxmost zxcases,
zxmental zxhealth zxis zxa zxstate zxof zxemotional, zxpsychological, zxand zxsocial zxwellness
zxevidenced zxby zxsatisfying zxinterpersonal zxrelationships, zxeffective zxbehavior zxand
zxcoping, zxpositive zxself-concept, zxand zxemotional zxstability. zxPersons zxwho zxengage
zxin zxfantasies zxmay zxbe zxmentally zxhealthy, zxbut zxthe zxinability zxto zxdistinguish
zxreality zxfrom zxfantasyzxis zxan zxindividual zxfactor zxthat zxmay zxcontribute zxto zxmental
zxillness.
4. A zxclient zxgrieving zxthe zxrecent zxloss zxof zxher zxhusband zxasks zxif zxshe zxis
zxbecoming zxmentally zxillzxbecause zxshe zxis zxso zxsad. zxThe zxnurse's zxbest
zxresponse zxwould zxbe,
A) ìYou zxmay zxhave zxa zxtemporary zxmental zxillness zxbecause zxyou zxare
zxexperiencing zxso zxmuchzxpain.î
B) ìYou zxare zxnot zxmentally zxill. zxThis zxis zxan zxexpected zxreaction zxto zxthe
zxloss zxyou zxhavezxexperienced.î
C) ìWere zxyou zxgenerally zxdissatisfied zxwith zxyour zxrelationship zxbefore zxyour
zxhusband'szxdeath?î
D) ìTry zxnot zxto zxworry zxabout zxthat zxright zxnow. zxYou zxnever zxknow zxwhat
zxthe zxfuture zxbrings.îzxAns: z x B
Feedback:
Mental zxillness zxincludes zxgeneral zxdissatisfaction zxwith zxself, zxineffective
zxrelationships, zxineffective zxcoping, zxand zxlack zxof zxpersonal zxgrowth. zxAdditionally
zxthe zxbehavior zxmust zxnot zxbe zxculturally zxexpected. zxAcute zxgrief zxreactions zxare
zxexpected zxand zxtherefore zxnot zxconsidered zxmental zxillness. zxFalse zxreassurance zxor
zxoveranalysis zxdoes zxnot zxaccurately zxaddress zxthe zxclient'szxconcerns.
,5. z x The zxnurse zxconsults zxthe zxDSM zxfor zxwhich zxof zxthe
zxfollowing
A) Tozxzxpurposes?
devise zxa zxplan zxof zxcare zxfor zxa zxnewly zxadmitted zxclient
B) To zxpredict zxthe zxclient's zxprognosis zxof zxtreatment zxoutcomes
C) To zxdocument zxthe zxappropriate zxdiagnostic zxcode zxin zxthe zxclient's
zxmedical record
To zxzxserve zxD)zxa zxguide zxfor zxclient
zxas
Ans: zxzxDassessment
Feedback:
The zxDSM zxprovides zxstandard zxnomenclature, zxpresents zxdefining zxcharacteristics,
zxand zxidentifies zxunderlying zxcauses zxof zxmental zxdisorders. zxIt zxdoes zxnot zxprovide
zxcare zxplans zxor zxprognostic zxoutcomes zxof zxtreatment. zxDiagnosis zxof zxmental
zxillness zxis zxnot zxwithin zxthe zxgeneralist zxRN's zxscope zxof zxpractice, zxso
zxdocumenting zxthe zxcode zxin zxthe zxmedical zxrecord zxwouldzxbe zxinappropriate.
6. z x Which zxwould zxbe zxa zxreason zxfor zxa zxstudent zxnurse zxto
A)zxtheIdentifying
zxuse zxDSM? zxthe zxmedical zxdiagnosis
B) Treat zxclients
C) Evaluate
zxtreatments zxD)
Understand zxthe zxreason zxfor zxthe zxadmission zxand zxthe zxnature zxof
Ans: zxzxDpsychiatric zxillnesses.
Feedback:
Although zxstudent zxnurses zxdo zxnot zxuse zxthe zxDSM zxto zxdiagnose zxclients, zxthey
zxwill zxfind zxit zxa zxhelpful zxresource zxto zxunderstand zxthe zxreason zxfor zxthe
zxadmission zxand zxto zxbegin zxbuilding zxknowledge zxabout zxthe zxnature zxof
zxpsychiatric zxillnesses. zxIdentifying zxthe zxmedical zxdiagnosis,zxtreating, zxand
zxevaluating zxtreatments zxare zxnot zxa zxpart zxof zxthe zxnursing zxprocess.
7. The zxlegislation zxenacted zxin zx1963 zxwas zxlargely zxresponsible zxfor zxwhich zxof zxthe
zxfollowing zxshiftszxin zxcare zxfor zxthe zxmentally zxill?
A) The zxwidespread zxuse zxof zxcommunity-based zxservices
B) The zxadvancement zxin zxpharmacotherapies
C) Increased zxaccess zxto zxhospitalization
D) Improved zxrights zxfor zxclients zxin zxlong-term
zxinstitutional zxcarezxAns: z x A
Feedback:
The zxCommunity zxMental zxHealth zxCenters zxConstruction zxAct zxof zx1963
zxaccomplished zxthezxrelease zxof zxindividuals zxfrom zxlong-term zxstays zxin zxstate
zxinstitutions, zxthe zxdecrease zxin zxadmissions zxto zxhospitals, zxand zxthe
zxdevelopment zxof zxcommunity-based zxservices zxas zxan zxalternative zxto zxhospital
zxcare.
, 8. Which zxone zxof zxthe zxfollowing zxis zxa zxresult zxof zxfederal zxlegislation?
A) Making zxit zxeasier zxto zxcommit zxpeople zxfor zxmental zxhealth zxtreatment zxagainst
zxtheir zxwill.
B) Making zxit zxmore zxdifficult zxto zxcommit zxpeople zxfor zxmental zxhealth
zxtreatment zxagainstzxtheir zxwill.
C) State zxmental zxinstitutions zxbeing zxthe zxprimary zxsource zxof zxcare zxfor zxmentally zxill
zxpersons.
D) Improved zxcare zxfor zxmentally zxill
zxpersons.zxAns: z x B
Feedback:
Commitment zxlaws zxchanged zxin zxthe zxearly zx1970s, zxmaking zxit zxmore
zxdifficult zxto zxcommit zxpeople zxfor zxmental zxhealth zxtreatment zxagainst zxtheir
zxwill. zxDeinstitutionalization zxaccomplished zxthe zxrelease zxof zxindividuals zxfrom
zxlong-term zxstays zxin zxstate zxinstitutions. zxDeinstitutionalization zxalso zxhad
zxnegative zxeffects zxin zxthat zxsome zxmentally zxill zxpersons zxarezxsubjected zxto zxthe
zxrevolving zxdoor zxeffect, zxwhich zxmay zxlimit zxcare zxfor zxmentally zxill zxpersons.
9. The zxgoal zxof zxthe zx1963 zxCommunity zxMental zxHealth zxCenters zxAct zxwas zxto
A) ensure zxpatients' zxrights zxfor zxthe zxmentally zxill.
B) deinstitutionalize zxstate zxhospitals.
C) provide zxfunds zxto zxbuild zxhospitals zxwith zxpsychiatric zxunits.
D) treat zxpeople zxwith zxmental zxillness zxin zxa
zxhumane zxfashion.zxAns: z x B
Feedback:
The zx1963 zxCommunity zxMental zxHealth zxCenters zxAct zxintimated zxthe
zxmovement zxtoward zxtreating zxthose zxwith zxmental zxillness zxin zxa zxless
zxrestrictive zxenvironment. zxThis zxlegislation zxresulted zxin zxthe zxshift zxof zxclients
zxwith zxmental zxillness zxfrom zxlarge zxstate zxinstitutions zxto zxcarezxbased zxin zxthe
zxcommunity. zxAnswer zxchoices zxA, zxC, zxand zxD zxwere zxnot zxpurposes zxof zxthe
zx1963zxCommunity zxMental zxHealth zxCenters zxAct.
10. The zxcreation zxof zxasylums zxduring zxthe zx1800s zxwas zxmeant zxto
A) improve zxtreatment zxof zxmental zxdisorders.
B) provide zxfood zxand zxshelter zxfor zxthe zxmentally zxill.
C) punish zxpeople zxwith zxmental zxillness zxwho zxwere zxbelieved zxto zxbe zxpossessed.
D) remove zxdangerous zxpeople zxwith zxmental zxillness zxfrom zxthe
zxcommunity.zxAns: z x B
Feedback:
The zxasylum zxwas zxmeant zxto zxbe zxa zxsafe zxhaven zxwith zxfood, zxshelter, zxand
zxhumane zxtreatment zxforzxthe zxmentally zxill. zxAsylums zxwere zxnot zxused zxto
zximprove zxtreatment zxof zxmental zxdisorders zxor zxtozxpunish zxmentally zxill zxpeople
zxwho zxwere zxbelieved zxto zxbe zxpossessed. zxThe zxasylum zxwas zxnot zxcreated zxto
zxremove zxthe zxdangerously zxmentally zxill zxfrom zxthe zxcommunity.
