PSYCH – Chapter 01: Mental Health and Mental Illness – Flashcards
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Which statement about mental illness is true? a. Mental illness is a matter of individual nonconformity withsocietal norms. b. Mental illness is present when individual irrational and illogicalbehavior occurs. c. Mental illness changes with culture, time in history, politicalsystems, and the groups defining it. d. Mental illness is evaluated solely by considering individual controlover behavior and appraisal of reality.
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C
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A nursing student new to psychiatric mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be: a. Nursing Interventions Classification (NIC) b. Nursing Outcomes Classification (NOC) c. NANDA-I nursing diagnoses d. DSM-5
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D
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Epidemiological studies contribute to improvements in care for individuals with mental disorders by: a. Providing information about effective nursing techniques. b. Identifying risk factors that contribute to the development of a disorder. c. Identifying who in the general population will develop a specific disorder. d. Identifying which individuals will respond favorably to a specific treatment.
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C
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Which statement best describes a major difference between a DSM-5 diagnosis and a nursing diagnosis? a. There is no functional difference between the two; both serve to identify a human deviance. b. The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account. c. The DSM-5 is associated with present symptoms, whereas a nursing diagnosis considers past, present, and potential responses to actual mental health problems. d. The DSM-5 diagnosis impacts the choice of medical treatment, whereas the nursing diagnosis offers a framework for identifying multidisciplinary interventions
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C
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The intervention that can be practiced by an advanced practice registered nurse in psychiatric mental health but cannot be practiced by a basic level registered nurse is: a. Advocacy b. Psychotherapy c. Coordination of care d. Community-based care
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B
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A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention? a. Conduct mental health assessments. b. Prescribe psychotropic medication. c. Establish therapeutic relationships. d. Individualize nursing care plans.
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B
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When a nursing student expresses concerns about how mental health nurses "lose all their nursing skills," the best response by the mental health nurse is: a. "Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients' problems." b. "Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations." c. "That's a misconception. Psychiatric nurses frequently use high technology monitoring equipment and manage complex intravenous therapies." d. "Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That appeals to me."
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B
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When a new bill introduced in Congress reduces funding for care of persons with mental illness, a group of nurses writes letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled? a. Recovery b. Attending c. Advocacy d. Evidence-based practice
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C
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Which comment best indicates that a patient perceived the nurse was caring? "My nurse: a. always asks me which type of juice I want to help me swallow my medication." b. explained my treatment plan to me and asked for my ideas about how to make it better." c. spends time listening to me talk about my problems. That helps me feel like I am not alone." d. told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner."
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C
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Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient: a. reports occasional sleeplessness and anxiety. b. reports a consistently sad, discouraged, and hopeless mood. c. is able to describe the difference between "as if" and "for real." d. perceives difficulty making a decision about whether to change jobs.
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B
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Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A patient: a. sees self as capable of achieving ideals and meeting demands. b. behaves without considering the consequences of personal actions. c. aggressively meets own needs without considering the rights of others. d. seeks help from others when assuming responsibility for major areas of own life.
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A
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A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis? a. International Statistical Classification of Diseases and Related Health Problems (ICD-10) b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) c. A behavioral health reference manual d. Wikipedia
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B
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A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information? a. Nursing Outcomes Classification (NOC) b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) c. The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice d. International Statistical Classification of Diseases and Related Health Problems (ICD-10)
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B
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Which individual is demonstrating the highest level of resilience? One who: a. is able to repress stressors. b. becomes depressed after the death of a spouse. c. lives in a shelter for two years after the home is destroyed by fire. d. takes a temporary job to maintain financial stability after loss of a permanent job.
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D
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Complete this analogy. NANDA: clinical judgment: NIC: _________________ a. patient outcomes b. nursing actions c. diagnosis d. symptoms
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B
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A college student said, "Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it." Which number on this mental health continuum should the nurse select? a. 1 b. 2 c. 3 d. 4 e. 5
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E
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Which disorder is a culture-bound syndrome? a. Epilepsy c. b. Schizophrenia c. Running amok d. Major depression
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C
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The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies: a. deviant behaviors. b. present disability or distress. c. people with mental disorders. d. mental disorders people have.
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D
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A citizen at a community health fair asks the nurse, "What is the most prevalent mental disorder in the United States?" Select the nurse's best response. a. Schizophrenia b. Bipolar disorder c. Dissociative fugue d. Alzheimer's disease
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D
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In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill? One who: a. describes hearing God's voice speaking. b. is usually pessimistic but strives to meet personal goals. c. is wealthy and gives away $20 bills to needy individuals. d. always has an optimistic viewpoint about life and having own needs met.
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A
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A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health? a. Effectiveness in work b. Communication skills c. Productive activities d. Fulfilling relationships
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D
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Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session? a. All mental illnesses are culturally determined. b. Schizophrenia and bipolar disorder are cross-cultural disorders. c. Symptoms of mental disorders are unchanged from culture to culture. d. Assessment findings in mental disorders reflect a person's cultural patterns.
answer
D
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A nurse is part of a multidisciplinary team working with groups of depressed patients. Half the patients receive supportive interventions and antidepressant medication. The other half receives only medication. The team measures outcomes for each group. Which type of study is evident? a. Incidence b. Prevalence c. Co-morbidity d. Clinical epidemiology
answer
D
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The spouse of a patient diagnosed with schizophrenia says, "I don't understand how events from childhood have anything to do with this disabling illness." Which response by the nurse will best help the spouse understand the cause of this disorder? a. "Psychological stress is the basis of most mental disorders." b. "This illness results from developmental factors rather than stress." c. "Research shows that this condition more likely has a biological basis." d. "It must be frustrating for you that your spouse is sick so much of the time."
answer
C
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A category 5 tornado occurred in a community of 400 people resulting in destruction of many homes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases? a. Prevalence b. Co-morbidity c. Incidence d. Parity
answer
C
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Which component of treatment of mental illness is specifically recognized by Quality and Safety Education for Nurses (QSEN)? a. All genomes are unique. b. Care is centered on the patient. c. Healthy development is vital to mental health. d. Recovery occurs on a continuum from illness to health.
answer
B
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Select the best response for the nurse who receives a question from another health professional seeking to understand the difference between a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis and a nursing diagnosis. a. "There is no functional difference between the two. Both identify human disorders." b. "The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account. c. The DSM-5 diagnosis describes causes of disorders whereas a nursing diagnosis does not explore etiology." d. "The DSM-5 diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing."
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D
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Which nursing intervention below is part of the scope of an advanced practice psychiatric/mental health nurse only? a. Coordination of care b. Health teaching c. Milieu therapy d. Psychotherapy
answer
D
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An experienced nurse says to a new graduate, "When you've practiced as long as I have, you instantly know how to take care of psychotic patients." What information should the new graduate consider when analyzing this comment? (Select all that apply.) a. The experienced nurse may have lost sight of patients' individuality, which may compromise the integrity of practice. b. New research findings should be integrated continuously into a nurse's practice to provide the most effective care. c. Experience provides mental health nurses with the essential tools and skills needed for effective professional practice. d. Experienced psychiatric nurses have learned the best ways to care for mentally ill patients through trial and error. e. An intuitive sense of patients' needs guides effective psychiatric nurses.
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A, B
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Which findings are signs of a person who is mentally healthy? (Select all that apply.) a. Says, "I have some weaknesses, but I feel I'm important to my family and friends." b. Adheres strictly to religious beliefs of parents and family of origin. c. Spends all holidays alone watching old movies on television. d. Considers past experiences when deciding about the future. e. Experiences feelings of conflict related to changing jobs.
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A, D, E
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A patient in the emergency department says, "Voices say someone is stalking me. They want to kill me because I developed a cure for cancer. I have a knife and will stab anyone who is a threat." Which aspects of the patient's mental health have the greatest and most immediate concern to the nurse? Select all that apply. a. Happiness b. Appraisal of reality c. Control over behavior d. Effectiveness in work e. Healthy self-concept
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B, C, E
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The quantitative study of the distribution of mental disorders in human populations is called a. Mortality b. Prevalence c. Epidemiology d. Clinical epidemiology
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C
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Which statement best describes the DSM-5? A. It is a medical psychiatric assessment system. B. It is a compendium of treatment modalities. C. It offers a complete list of nursing diagnoses. D. It suggests common interventions for mental disorders.
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A
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Current information suggests that the most disabling mental disorders are the result of A. biological influences. B. psychological trauma. C. learned ways of behaving. D. faulty patterns of early nurturance.
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A
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A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client with a history of paranoia asks, "What does that title mean?" The nurse responds best by answering: A. "Don't be afraid; it means I'm here to help, not hurt, you." B. "Psychiatric mental health nurses care for people with mental illnesses." C. "We have the specialized skills needed to care for those with mental illnesses." D. "The nurses who work in mental health facilities have that title."
answer
C
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Which statement about diagnosis of a mental disorder is true? A. The symptoms of each disorder are common among all cultures. B. Culture may cause variations in symptoms for each clinical disorder. C. All mental disorders listed in the DSM-5 are seen in all other cultures. D. Psychiatric diagnoses are listed in separately from other physical disorders in a five axes system.
answer
B
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The prevalence rate over a 12-month period for major depressive disorder is A. lower than the prevalence rate for panic disorders. B. greater than the prevalence rate for psychotic disorders. C. equal to the prevalence rate for psychotic disorders. D. greater than the prevalence rate for generalized anxiety.
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D
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7. These severe mental illnesses are recognized across cultures: A. antisocial and borderline personality disorders. B. schizophrenia and bipolar disorder. C. bulimia and anorexia nervosa. D. amok and social phobia.
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B
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According to the DSM-5, there is evidence that symptoms and causes of mental illness are influenced by: A. cultural and ethnic factors. B. occupation and status. C. birth order. D. sexual preference.
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A
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One characteristic of mental health that allows people to adapt to tragedies, trauma, and loss is: A. dependence. B. resilience. C. pessimism. D. altruism.
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B
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You are caring for Kiley, a 29-year-old female patient who is being admitted following a suicide attempt. Which of the following illustrates the concept of patient advocacy? A. "Dr. Raye, I notice you ordered Prozac for Kiley. She has stated to me that she does not want to take Prozac because she had adverse effects when it was previously prescribed." B. "Dr. Raye, during her admissions interview Kiley stated that she has had three other suicide attempts in the past." C. "Kiley, can you tell me more about your depression and your suicide attempt?" D. "Kiley, I will take you on a tour of the unit and orient you to the rules."
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A
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You have graduated with your BSN degree and have taken your first job on a psychiatric unit after becoming a licensed Registered Nurse. You are providing teaching to Mason, a newly admitted patient on the psychiatric unit, regarding his daily schedule. Which of the following would not be an appropriate teaching statement? A. "You will participate in unit activities and groups daily." B. "You will be given a schedule daily of the groups we would like you to attend." C. "You will attend a psychotherapy group that I lead." D. "You will see your provider daily in a one-to-one session."
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C
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A nurse who is active in local consumer mental health groups and in local and state mental health associations and who keeps aware of state and national legislation affecting mental illness treatment may positively affect the climate for treatment by: A. becoming active in politics leading to a potential political career. B. reducing the stigma of mental illness and advocating for equality in treatment. C. encouraging laws that would make the involuntary long-term commitment process easier and faster for caregivers of mentally ill persons. D. advocating for reduced mental health insurance benefits to discourage abuse of the system by inappropriate psychiatric admissions.
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B
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Which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated with electroconvulsive therapy (ECT)? A. experimental B. descriptive C. clinical D. analytic
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C
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A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is going to kill me." Which criterion of mental health can the nurse assess as lacking? A. Control over behavior B. Appraisal of reality C. Effectiveness in work D. Healthy self-concept
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B
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A 14-year-old belongs to a neighborhood gang, engages in sexually promiscuous behavior, and has a history of school truancy but reports that her parents are just old- fashioned and don't understand her. The assessment data supports that the client A. is displaying deviant behavior. B. cannot accurately appraise reality. C. is seriously and persistently mentally ill. D. should be considered for group home placement.
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A
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The nurse planning care for a mentally ill client bases interventions on the concept that the client A. has areas of strength on which to build. B. has right that must be respected. C. comes with experiences that contribute to their problem. D. share fears that are similar to those of all mentally healthy individuals.
answer
A
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In order to best differentiate whether an Asian client is demonstrating a mental illness when attempting suicide is to A. ask the client whether he views himself as being depressed. B. identify his culture's view regarding suicide. C. explain to him that suicide is often regarded as a desperate act. D. assess the client for other examples of depressive behaviors.
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B
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An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts outraged and tells them he must sing daily and will not promise to be quieter. This behavior supports that he is A. demonstrating symptoms of bipolar disorder. B. socially deviant. C. egocentric. D. not demonstrating any definitive signs of mental illness.
answer
D
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A nursing diagnosis for a client with a psychiatric disorder serves the purpose of A. justifying the use of certain psychotropic medication. B. providing data essential for insurance reimbursement. C. providing a framework for selecting appropriate interventions. D. completing the medical diagnostic statement.
answer
C
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Which of the following best demonstrates parity related to mental health care? A. The client is admitted for a 72-hour mental hygiene evaluation. B. Advance practice nurse can be certified as psychiatric nurse specialist. C. A client's mental health coverage is equal to his medical/surgical coverage. D. A client who has attempted suicide is hospitalized for a mental health evaluation.
answer
C
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The mental health status of a particular client can best be assessed by considering A. the degree of conformity of the individual to society's norms. B. the degree to which an individual is logical and rational. C. placement on a continuum from health to illness. D. the rate of intellectual and emotional growth.
answer
C
