TEST BANK Chapter 02 Mental Health and Mental Illness Varcarolis Essentials of Psychiatric, Exams of Advanced Education

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TEST BANK Chapter 02 Mental Health and Mental Illness Varcarolis Essentials of Psychiatric Mental Health Nursing A Communication Approach to Evidence-Based Care An 86 year old, previously healthy and independent, falls after an episode of vertigo. Which statement made by this patient best demonstrates resilience? a. "I knew this would happen eventually." b. "Attending my weekly water aerobics class is too risky." c. "I don't need that silly walker to get around by myself." d. "Maybe some physical therapy will help me with my balance." Which basic intervention should a psychiatric mental health nurse plan to provide for a patient diagnosed with a mood disorder? a. Sharing clinical expertise to enhance patient treatment b. Performing individual or group psychotherapy for the patient c. Using appropriate diagnostic tests to monitor patient condition d. Conducting stress reduction and health maintenance classes d. Conducting stress reduction and health maintenance classes A patient is admitted to the psychiatric hospital. Which assessment finding best indicates that the patient has a mental illness? The patient: a. describes coping and relaxation strategies used when feeling anxious. b. describes mood as consistently sad, discouraged, and hopeless. c. can perform tasks attempted within the limits of own abilities. d. reports occasional problems with insomnia. b. describes mood as consistently sad, discouraged, and hopeless. The goal for a patient is to increase resiliency. Which outcome should a nurse add to the plan of care to be achieved within 3 days? a. Patient describes feelings associated with loss and stress. b. Patient meet own needs before considering the rights of others. c. Patient will identify healthy coping behaviors in response to stressful events. d. Patient will allow others to assume responsibility for major areas of own life. c. Patient will identify healthy coping behaviors in response to stressful events. A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form. Which resource should the nurse consult to discern the criteria used to establish this diagnosis? a. A psychiatric nursing textbook b. NANDA International (NANDA-I) c. A behavioral health reference manual d. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) d. Diagnostic and Statistical Manual of Mental Disorders (DSM)

A 40-year-old adult living with parents' states, "I'm happy but I don't socialize much. My work is routine. When new things come up, my boss explains them a few times to make sure I understand. At home, my parents make decisions for me, and I go along with them." A nurse should identify interventions to improve which patient characteristic? a. Self-concept b. Overall happiness c. Appraisal of reality d. Control over behavior a. Self-concept A patient tells a nurse, "I have psychiatric problems and am in and out of hospitals all the time. Not one of my friends or relatives has these problems." What is the nurse's best response? a. "Comparing yourself with others has no real advantages." b. "Why do you blame yourself for having a psychiatric illness?" c. "Mental illness affects 50% of the adult population in any given year." d. "Are you are concerned that others don't experience the same challenges as you." d. "Are you are concerned that others don't experience the same challenges as you." A critical care nurse asks a psychiatric nurse about the difference between a diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and a nursing diagnosis. What is the psychiatric nurse's best response? a. "No functional difference exists between the two diagnoses. Both serve to identify a human deviance." b. "The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes cultural variables." c. "The DSM-5 diagnosis profiles present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems." d. "The DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for problems a patient has or may experience." d. "The DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for problems a patient has or may experience." The partner of a patient diagnosed with schizophrenia says, "I don't understand why childhood experiences have anything to do with this disabling illness." Which nurse's response will best help the partner understand this condition? a. "Psychological stress is actually at the root of most mental disorders." b. "We now know that all mental illnesses are the result of genetic factors." c. "It must be frustrating for you that your spouse is sick so much of the time." d. "Research has shown schizophrenia has a biological rather than psychological origin." d. "Research has shown schizophrenia has a biological rather than psychological origin." Which belief by a nurse supports the highest degree of 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 constant from culture to culture. d. Some symptoms of mental disorders may reflect a person's cultural patterns. d. Some symptoms of mental disorders may reflect a person's cultural patterns. A patient's history shows intense and unstable relationships with others. The patient initially idealizes an individual and then devalues the person when the patient's needs are not met. Which aspect of mental health is a problem for this patient? a. Effectiveness in work b. Communication skills c. Productive activities d. Maintaining relationships d. Maintaining relationships The information provided centers on relationships with others, which are described as intense and unstable. The relationships of mentally healthy individuals are stable, satisfying, and socially integrated. Data are not present to describe work effectiveness, communication skills, or activities. In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled mentally ill? a. Person who is usually pessimistic but strives to meet personal goals. b. Wealthy person who gives $20 bills to needy individuals in the community. c. Person with an optimistic viewpoint about getting his or her own needs met. d. Person who expresses strong beliefs about the existence of alien abductions. d. Person who expresses strong beliefs about the existence of alien abductions. A participant at a community education conference asks, "What is the most prevalent type of mental disorder in the United States?" What is the nurse's best response? a. "Why do you ask?" b. "Schizophrenia" c. "Affective disorders" d. "Anxiety disorders" The prevalence for schizophrenia is 1.1% per year. The prevalence of all affective disorders (e.g., depression, dysthymic disorder, bipolar) is 9.5%. The prevalence of anxiety disorders is 18.1%. A nurse wants to find a description of diagnostic criteria for a person diagnosed with schizophrenia. Which resource should the nurse consult? a. U.S. Department of Health and Human Services b. Journal of the American Psychiatric Association c. North American Nursing Diagnosis Association International (NANDA-I) d. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

d. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) The DSM-5 identifies diagnostic criteria for psychiatric diagnoses. The other sources have useful information but are not the best resources for finding a description of the diagnostic criteria for a psychiatric disorder. A patient in the emergency department reports, "I hear voices saying someone is stalking me. They want to kill me because I found the cure for cancer. I will stab anyone that threatens me." Which aspects of mental health have the greatest immediate concern to a nurse? (Select all that apply.) a. Happiness b. Appraisal of reality c. Control over behavior d. Effectiveness in work e. Healthy self-concept b. Appraisal of reality c. Control over behavior e. Healthy self-concept Which statements most clearly reflect the stigma of mental illness? (Select all that apply.) a. "Many mental illnesses are hereditary." b. "Mental illness can be evidence of a brain disorder." c. "People claim mental illness, so they can qualify for disability." d. "If people with mental illness went to church, they would be fine." e. "Mental illness is a result of the breakdown of the American family." c. "People claim mental illness, so they can qualify for disability." d. "If people with mental illness went to church, they would be fine." e. "Mental illness is a result of the breakdown of the American family