Exam (elaborations)
Exam (elaborations) Phil 3635 Psychiatric-Mental Health Nursing,
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- Phil 3635
- Institution
- University Of South Africa (Unisa)
Exam (elaborations) Phil 3635 Psychiatric-Mental Health Nursing document.
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PSYCHIATRIC_MENTAL_HEALTH_NURSING__8E_VIDEBECK.PDF
Psychiatric-Mental Health Nursing 8th edition by Vide
beck Test Bank
,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 illness could
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 dependencyon 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 withrelationships and self.
Page 1
,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 unacceptablein 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 behaviorand 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 maysee 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 engagein fantasies may be mentally healthy, but the inability to distinguish reality from
fantasyis 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 illbecause she is
so sad. The nurse's best response would be,
A) ìYou may have a temporary mental illness because you are experiencing so muchpain.î
B) ìYou are not mentally ill. This is an expected reaction to the loss you haveexperienced.î
C) ìWere you generally dissatisfied with your relationship before your husband'sdeath?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'sconcerns.
Page 2
, 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 record
D) To serve as a guide for client assessmentAns: 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 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 wouldbe inappropriate.
6. Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric illnesses.Ans: D
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 careAns: A
Feedback:
The Community Mental Health Centers Construction Act of 1963 accomplished therelease 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.
Page 3
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