TEST BANK - Chapter 1: Mental Health and Mental Illness

TEST BANK
bn

,Chapter 01: Mental Health and Mental Illness
bn bn bn bn bn bn




MULTIPLE CHOICE bn




1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an
bn bn bn bn bn bn bn bn bn bn bn bn bn


advanced practice nurse to perform which additional intervention? a. Conduct mental
bn bn bn bn bn bn bn bn bn bn


health assessments.
bn bn


b. Prescribe psychotropic medication. bn bn


c. Establish therapeutic relationships. bn bn


d. Individualize nursing care plans. bn bn bn




ANS: B bn


In most states, prescriptive privileges are granted to master’s-prepared nurse practitioners
bn bn bn bn bn bn bn bn bn bn


and clinical nurse specialists who have taken special courses on prescribing medication.
bn bn bn bn bn bn bn bn bn bn bn bn


The nurse prepared at the basic level is permitted to perform mental health assessments,
bn bn bn bn bn bn bn bn bn bn bn bn bn bn


establish relationships, and provide individualized care planning.
bn bn bn bn bn bn bn




PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP:
bn bn bn bn bn bn bn bn bn bn


Nursing Process: Implementation
bn bn bn


MSC: Client Needs: Safe, Effective Care Environment
bn bn bn bn bn bn




2. A nursing student expresses concerns that mental health nurses “lose all their clinical
bn bn bn bn bn bn bn bn bn bn bn bn


nursing skills.” Select the best response by the mental health nurse.
bn bn bn bn bn bn bn bn bn bn bn


a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
bn bn bn bn bn bn bn bn bn


patient ratios must be better because of the nature of the patients’ problems.”
bn bn bn bn bn bn bn bn bn bn bn bn


b. “Psychiatric nurses use complex communication skills as well as critical thinking to
bn bn bn bn bn bn bn bn bn bn bn


solve multidimensional problems. I am challenged by those situations.”
bn bn bn bn bn bn bn bn bn


c. “That’s a misconception. Psychiatric nurses frequently use high technology
bn bn bn bn bn bn bn bn


monitoring equipment and manage complex intravenous therapies.”
bn bn bn bn bn bn bn


d. “Psychiatric nurses do not have to deal with as much pain and suffering asbn bn bn bn bn bn bn bn bn bn bn bn bn


medical– surgical nurses do. That appeals to me.”
bn bn bn bn bn bn bn bn




ANS: B bn


The practice of psychiatric nursing requires a different set of skills than medical–
bn bn bn bn bn bn bn bn bn bn bn bn


surgical nursing, though there is substantial overlap. Psychiatric nurses must be able to
bn bn bn bn bn bn bn bn bn bn bn bn


help patients with medical as well as mental health problems, reflecting the holistic
bn bn bn bn bn bn bn bn bn bn bn bn bn


perspective these nurses must have. Nurse–patient ratios and workloads in psychiatric
bn bn bn bn bn bn bn bn bn bn bn


settings have increased, just like other specialties. Psychiatric nursing involves clinical
bn bn bn bn bn bn bn bn bn bn bn


practice, not just documentation. Psychosocial pain and suffering are as real as physical
bn bn bn bn bn bn bn bn bn bn bn bn bn


pain and suffering.
bn bn bn




PTS: 1 DIF: Cognitive Level: Apply (Application)
bn bn bn bn bn


REF: Pages 1-2, 21 bn TOP: Nursing Process:
bn bn bn bn


Implementation MSC: Client Needs: Safe, Effective Care Environment
bn bn bn bn bn bn bn bn

, 3. When a new bill introduced in Congress reduces funding for care of persons diagnosed
bn bn bn bn bn bn bn bn bn bn bn bn bn


with mental illness, a group of nurses write letters to their elected representatives in
bn bn bn bn bn bn bn bn bn bn bn bn bn bn


opposition to the legislation. Which role have the nurses fulfilled?
bn bn bn bn bn bn bn bn bn bn


a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice bn




ANS: C bn


An advocate defends or asserts another’s cause, particularly when the other person lacks
bn bn bn bn bn bn bn bn bn bn bn bn


the ability to do that for self. Examples of individual advocacy include helping patients
bn bn bn bn bn bn bn bn bn bn bn bn bn bn


understand their rights or make decisions. On a community scale, advocacy includes
bn bn bn bn bn bn bn bn bn bn bn bn


political activity, public speaking, and publication in the interest of improving the
bn bn bn bn bn bn bn bn bn bn bn bn


human condition.
bn bn


Since funding is necessary to deliver quality programming for persons with mental illness,
bn bn bn bn bn bn bn bn bn bn bn bn


the letter-writing campaign advocates for that cause on behalf of patients who are
bn bn bn bn bn bn bn bn bn bn bn bn bn


unable to articulate their own needs.
bn bn bn bn bn bn




PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP:
bn bn bn bn bn bn bn bn bn bn


Nursing Process: Evaluation
bn bn bn


MSC: Client Needs: Safe, Effective Care Environment
bn bn bn bn bn bn




4. A family has a long history of conflicted relationships among the members. Which
bn bn bn bn bn bn bn bn bn bn bn bn


family member’s comment best reflects a mentally healthy perspective?
bn bn bn bn bn bn bn bn bn


a. “I’ve made mistakes but everyone else in this family has also.”
bn bn bn bn bn bn bn bn bn bn


b. “I remember joy and mutual respect from our early years together.”
bn bn bn bn bn bn bn bn bn bn


c. “I will make some changes in my behavior for the good of the family.”
bn bn bn bn bn bn bn bn bn bn bn bn bn


d. “It’s best for me to move away from my family. Things will never change.”
bn bn bn bn bn bn bn bn bn bn bn bn bn




ANS: C bn


The correct response demonstrates the best evidence of a healthy recognition of the
bn bn bn bn bn bn bn bn bn bn bn bn


importance of relationships. Mental health includes rational thinking, communication
bn bn bn bn bn bn bn bn bn


skills, learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier
bn bn bn bn bn bn bn bn bn bn bn


in life may be healthy, but the correct response shows a higher level of mental health.
bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn


The other incorrect responses show blaming and avoidance.
bn bn bn bn bn bn bn bn




PTS: 1 bn DIF: Cognitive Level: Analyze (Analysis) bn bn bn bn


REF: Pages 1-2, 3, 32 (Figure 1-1)
bn TOP: Nursing Process: Assessment
bn bn bn bn bn bn bn bn


MSC: Client Needs: Psychosocial Integrity
bn bn bn bn bn




5. Which assessment finding most clearly indicates that a patient may be experiencing a
bn bn bn bn bn bn bn bn bn bn bn bn


mental illness? The patient
bn bn bn bn


a. reports occasional sleeplessness and anxiety. bn bn bn bn


b. reports a consistently sad, discouraged, and hopeless mood.
bn bn bn bn bn bn bn


c. is able to describe the difference between “as if” and “for real.”
bn bn bn bn bn bn bn bn bn bn bn


d. perceives difficulty making a decision about whether to change jobs.
bn bn bn bn bn bn bn bn bn

, ANS: B bn


The correct response describes a mood alteration, which reflects mental illness. The
bn bn bn bn bn bn bn bn bn bn bn


distracters describe behaviors that are mentally healthy or within the usual scope of
bn bn bn bn bn bn bn bn bn bn bn bn bn


human experience.
bn bn




PTS: 1 bn DIF: Cognitive Level: Apply (Application) bn bn bn bn


REF: Pages 1-2 to 4
bn TOP: Nursing Process:
bn bn bn bn bn


Assessment MSC: Client Needs: Psychosocial Integrity
bn bn bn bn bn bn




6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior”
bn bn bn bn bn bn bn bn bn bn


was achieved for an adult patient? The patient
bn bn bn bn bn bn bn bn


a. sees self as capable of achieving ideals and meeting demands.
bn bn bn bn bn bn bn bn bn


b. behaves without considering the consequences of personal actions.
bn bn bn bn bn bn bn


c. aggressively meets own needs without considering the rights of others. bn bn bn bn bn bn bn bn bn


d. seeks help from others when assuming responsibility for major areas of own life.
bn bn bn bn bn bn bn bn bn bn bn bn




ANS: A bn


The correct response describes an adaptive, healthy behavior. The distracters describe
bn bn bn bn bn bn bn bn bn bn


maladaptive behaviors.
bn bn




PTS: 1 bn DIF: Cognitive Level: Apply (Application) bn bn bn bn


REF: Pages 1-2 to 4
bn TOP: Nursing Process:
bn bn bn bn bn


Evaluation MSC: Client Needs: Psychosocial Integrity
bn bn bn bn bn bn




7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form.
bn bn bn bn bn bn bn bn bn bn bn bn


Which resource should the nurse consult to determine criteria used to establish this
bn bn bn bn bn bn bn bn bn bn bn bn bn


diagnosis? a.
bn bn


International Statistical Classification of Diseases and Related Health
bn bn bn bn bn bn bn


Problems (ICD-10)
bn bn


b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
bn bn bn bn bn bn bn bn bn


c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) bn bn bn bn bn bn bn


d. A behavioral health reference manual
bn bn bn bn




ANS: C bn


The DSM-V gives the criteria used to diagnose each mental disorder. It is the official
bn bn bn bn bn bn bn bn bn bn bn bn bn bn


guideline for diagnosing psychiatric disorders. The distracters may not contain diagnostic
bn bn bn bn bn bn bn bn bn bn bn


criteria for a psychiatric illness.
bn bn bn bn bn




PTS: 1 bn DIF: Cognitive Level: Apply (Application) bn bn bn bn


REF: Pages 1-18, 19
bn TOP: Nursing Process:
bn bn bn bn


Assessment MSC: Client Needs: Safe, Effective Care Environment
bn bn bn bn bn bn bn bn




8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which
bn bn bn bn bn bn bn bn bn bn bn bn bn


resource would have the most complete information?
bn bn bn bn bn bn bn


a. Nursing Outcomes Classification (NOC) bn bn bn


b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice d. ICD-
bn bn bn bn bn bn bn bn bn bn bn


10