Mental Health And Mental Illness

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Question 1
Free
Multiple Choice

A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention?

Choose correct answer/s
A

Conduct mental health assessments.

B

Prescribe psychotropic medication.

C

Establish therapeutic relationships.

D

Individualize nursing care plans.

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Question 2
Free
Multiple Choice

A nursing student expresses concerns that mental health nurses "lose all their clinical nursing skills." Select the best response by the mental health nurse.

Choose correct answer/s
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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Question 3
Free
Multiple Choice

When a new bill introduced in Congress reduces funding for care of persons diagnosed with mental illness, a group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?

Choose correct answer/s
A

Recovery

B

Attending

C

Advocacy

D

Evidence-based practice

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Question 4
Free
Multiple Choice

A family has a long history of conflicted relationships among the members. Which family member's comment best reflects a mentally healthy perspective?

Choose correct answer/s
A

"I've made mistakes but everyone else in this family has also."

B

"I remember joy and mutual respect from our early years together."

C

"I will make some changes in my behavior for the good of the family."

D

"It's best for me to move away from my family. Things will never change."

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Question 5
Free
Multiple Choice

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness? The patient

Choose correct answer/s
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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Question 6
Multiple Choice

Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved for an adult patient? The patient

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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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Question 7
Multiple Choice

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?

Choose correct answer/s
A
International Statistical Classification of Diseases and Related Health Problems (ICD-10)
B
The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice
C
Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
D
A behavioral health reference manual
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Question 8
Multiple Choice

A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?

Choose correct answer/s
A
Nursing Outcomes Classification (NOC)
B
DSM-V
C
The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice
D
ICD-10
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Question 9
Multiple Choice

Which individual is demonstrating the highest level of resilience? One who

Choose correct answer/s
A
is able to repress stressors.
B
becomes depressed after the death of a spouse.
C
lives in a shelter for 2 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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Question 10
Multiple Choice

Complete this analogy. NANDA: clinical judgment: NIC: _________________

Choose correct answer/s
A
patient outcomes.
B
nursing actions.
C
diagnosis.
D
symptoms.
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Question 11
Multiple Choice

An adult says, "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? image

Choose correct answer/s
A
1
B
2
C
3
D
4
E
5
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Question 12
Multiple Choice

Which disorder is an example of a culture-bound syndrome?

Choose correct answer/s
A
Epilepsy
B
Schizophrenia
C
Running amok
D
Major depressive disorder
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Question 13
Multiple Choice

The DSM-V classifies:

Choose correct answer/s
A
deviant behaviors.
B
present disability or distress.
C
people with mental disorders.
D
mental disorders people have.
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Question 14
Multiple Choice

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 correct response.

Choose correct answer/s
A
Schizophrenia
B
Bipolar disorder
C
Dissociative fugue
D
Alzheimer's disease
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Question 15
Multiple Choice

In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill? One who

Choose correct answer/s
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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Question 16
Multiple Choice

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?

Choose correct answer/s
A
Effectiveness in work
B
Communication skills
C
Productive activities
D
Fulfilling relationships
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Question 17
Multiple Choice

Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?

Choose correct answer/s
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 illness reflect a person's cultural patterns.
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Question 18
Multiple Choice

A nurse is part of a multidisciplinary team working with groups of depressed patients. One group of patients receives supportive interventions and antidepressant medication. The other group receives only medication. The team measures outcomes for each group. Which type of study is evident?

Choose correct answer/s
A
Incidence
B
Prevalence
C
Comorbidity
D
Clinical epidemiology
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Question 19
Multiple Choice

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?

Choose correct answer/s
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."
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Question 20
Multiple Choice

A category 5 tornado occurred in a community of 400 people. Many homes and businesses were destroyed. In the 2 years following the disaster, 140 individuals were diagnosed with posttraumatic stress disorder (PTSD). Which term best applies to these newly diagnosed cases?

Choose correct answer/s
A
Prevalence
B
Comorbidity
C
Incidence
D
Parity
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