Test Bank for Varcarolis' Essentials of Psychiatric
Mental Health Nursing 5th Edition by Fosbre
(All Chapters 1-28) | ISBN: 9780323810302
|Questions & Detailed Solutions | Newest Version
Chapter 01: Practicing the Science and the Art of Psychiatric
Nursing
QUESTION 1
The spouse of a patient diagnosed with schizophrenia says, "I don't understand why
childhood experiences have anything to do with this disabling illness." Select the nurse's
response that will best help the spouse 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) "Although this disorder more likely has a biological rather than psychological origin,
the support and involvement of caregivers is very important."
,Answer: D) "Although this disorder more likely has a biological rather than
psychological origin, the support and involvement of caregivers is very important."
Rationale: Many of the most prevalent and disabling mental disorders have been
found to have strong biological influences. Helping the spouse understand the
importance of his or her role as a caregiver is also important. Empathy is important
but does not increase the spouse's level of knowledge about the cause of the
patient's condition. Not all mental illnesses are the result of genetic factors .
QUESTION 2
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.
Answer: D) Some symptoms of mental disorders may reflect a person's cultural
patterns.
Rationale: A nurse who understands that a patient's symptoms are influenced by
culture will be able to advocate for the patient to a greater degree than a nurse
who believes that culture is of little relevance. All mental illnesses are not culturally
determined. Schizophrenia and bipolar disorder are cross-cultural disorders, but
this understanding has little relevance to patient advocacy. Symptoms of mental
disorders change from culture to culture .
,QUESTION 3
A nurse must assess several new clients at a community mental health center.
Conclusions concerning current functioning should be made on the basis of:
A) The degree of conformity of the individual to society's norms
B) The degree to which an individual is logical and rational
C) A continuum from mentally healthy to unhealthy
D) The rate of intellectual and emotional growth
Answer: C) A continuum from mentally healthy to unhealthy
Rationale: Because mental health and mental illness are relative concepts,
assessment of functioning is made by using a continuum. Mental health is not
based on conformity; some mentally healthy individuals do not conform to society's
norms. Most individuals occasionally display illogical or irrational thinking. The rate
of intellectual and emotional growth is not the most useful criterion to assess
mental health or mental illness .
QUESTION 4
Which organization actively seeks to reduce the stigma associated with mental illness
through public presentations such as "In Our Own Voice" (IOOV)?
A) American Psychiatric Association (APA)
B) National Alliance on Mental Illness (NAMI)
C) United States Department of Health and Human Services (USDHHS)
D) North American Nursing Diagnosis Association International (NANDA-I)
Answer: B) National Alliance on Mental Illness (NAMI)
, Rationale: Stigma represents the bias and prejudice commonly held regarding
mental illness. NAMI actively seeks to dispel misconceptions about mental illness.
NANDA-I defines approved nursing diagnoses. The APA publishes the DSM-5. The
USDHHS regulates and administers health policies .
QUESTION 5
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?
A) Productive activities
B) Fulfilling relationships
C) Control over behavior
D) Communication skills
Answer: B) Fulfilling relationships
Rationale: 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 .
QUESTION 6
Mental Health Nursing 5th Edition by Fosbre
(All Chapters 1-28) | ISBN: 9780323810302
|Questions & Detailed Solutions | Newest Version
Chapter 01: Practicing the Science and the Art of Psychiatric
Nursing
QUESTION 1
The spouse of a patient diagnosed with schizophrenia says, "I don't understand why
childhood experiences have anything to do with this disabling illness." Select the nurse's
response that will best help the spouse 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) "Although this disorder more likely has a biological rather than psychological origin,
the support and involvement of caregivers is very important."
,Answer: D) "Although this disorder more likely has a biological rather than
psychological origin, the support and involvement of caregivers is very important."
Rationale: Many of the most prevalent and disabling mental disorders have been
found to have strong biological influences. Helping the spouse understand the
importance of his or her role as a caregiver is also important. Empathy is important
but does not increase the spouse's level of knowledge about the cause of the
patient's condition. Not all mental illnesses are the result of genetic factors .
QUESTION 2
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.
Answer: D) Some symptoms of mental disorders may reflect a person's cultural
patterns.
Rationale: A nurse who understands that a patient's symptoms are influenced by
culture will be able to advocate for the patient to a greater degree than a nurse
who believes that culture is of little relevance. All mental illnesses are not culturally
determined. Schizophrenia and bipolar disorder are cross-cultural disorders, but
this understanding has little relevance to patient advocacy. Symptoms of mental
disorders change from culture to culture .
,QUESTION 3
A nurse must assess several new clients at a community mental health center.
Conclusions concerning current functioning should be made on the basis of:
A) The degree of conformity of the individual to society's norms
B) The degree to which an individual is logical and rational
C) A continuum from mentally healthy to unhealthy
D) The rate of intellectual and emotional growth
Answer: C) A continuum from mentally healthy to unhealthy
Rationale: Because mental health and mental illness are relative concepts,
assessment of functioning is made by using a continuum. Mental health is not
based on conformity; some mentally healthy individuals do not conform to society's
norms. Most individuals occasionally display illogical or irrational thinking. The rate
of intellectual and emotional growth is not the most useful criterion to assess
mental health or mental illness .
QUESTION 4
Which organization actively seeks to reduce the stigma associated with mental illness
through public presentations such as "In Our Own Voice" (IOOV)?
A) American Psychiatric Association (APA)
B) National Alliance on Mental Illness (NAMI)
C) United States Department of Health and Human Services (USDHHS)
D) North American Nursing Diagnosis Association International (NANDA-I)
Answer: B) National Alliance on Mental Illness (NAMI)
, Rationale: Stigma represents the bias and prejudice commonly held regarding
mental illness. NAMI actively seeks to dispel misconceptions about mental illness.
NANDA-I defines approved nursing diagnoses. The APA publishes the DSM-5. The
USDHHS regulates and administers health policies .
QUESTION 5
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?
A) Productive activities
B) Fulfilling relationships
C) Control over behavior
D) Communication skills
Answer: B) Fulfilling relationships
Rationale: 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 .
QUESTION 6
