Mental Health Exam 1 Questions and answers well verified by DOCWISE

Answer is:. Mental illness changes with culture, time in history, political systems, and the groups defining it. Answer is:. DSM - 5 Epidemiological studies contribute to improvements in care for individuals with mental disorders by: Answer is:. Identifying who in the general population will develop a specific disorder Which statement best describes a major difference between a DSM - 5 diagnosis and a nursing diagnosis Answer is:. The DSM-5 is associated with present symptoms, whereas a nursing diagnosis considers past, present, and potential responses to actual mental health problems. Answer is:. Psychotherapy Which contribution to modern psychiatric mental health nursing practice was made by Freud? Answer is:. The theory of personality structure and levels of awareness The theory of interpersonal relationships developed by Hildegard Peplau is based on the foundation provided by which early theorist? Answer is:. Sullivan The concepts at the heart of Sullivan's theory of personality are Answer is:. Needs and anxiety The premise that an individual's behavior and affect are largely determined by his or her attitudes and assumptions about the world underlies: Answer is:. Cognitive-behavioral therapy Providing a safe environment for patients with impaired cognition, planning unit activities to stimulate thinking, and including patients and staff in unit meetings are all part of: Answer is:. Milieu therapy A nurse administering a benzodiazepine should understand that the therapeutic effect of benzodiazepines results from potentiating the neurotransmitter: Answer is:. GABA Venlafaxine (Effexor) exerts its antidepressant effect by selectively blocking the reuptake of: Answer is:. Serotonin and norepinephrine The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalances is the one receiving Answer is:. lithium Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages Answer is:. antipsychotics Blockage of dopamine transmission can lead to increased pituitary secretions of prolactin. In women, this hyperprolactinemia can result in Answer is:. amenorrhea Which of the following factors contribute to the movement of patients out of large state institutions and into community-based mental health treatment Answer is:. a. States desire to save money by moving the patients to the community, where the federal government would pick up more of the cost, c. A system of coordinated and accessible community care was developed by forward-thinking communities and offered more effective treatment, the Community Mental Health d. Centers Act of 1963 required states to develop and offer care in community-based treatment programs, e. Patient advocates exposed deficiencies of state hospitals and took legal actions, leading to the identification of a right to treatment in the least restrictive setting, f. New psychotropic medications controlled symptoms more effectively, allowing many patient to live and receive care in less restrictive settings Levels of prevention strategies prominent in outpatient psychiatric care consist of primary prevention, secondary prevention, and ________ prevention. Answer is:. tertiary Anna, a patient at the community mental health center, tends to stop taking her medications at intervals, usually leading to decompensation. Which of the following interventions would most likely improve her adherence to her medications? Answer is:. Help Anna to understand her illness and share in decisions about her care. A friend recognizes that his depression has returned and tells you he is suicidal and afraid he will harm himself. He wishes to be hospitalized but does not have health insurance. Which of the following responses best meets his immediate care needs and reflects the options for care a person in his position typically has? Answer is:. Assist him in obtaining an outpatient counseling appointment at an area community mental health center, and call him frequently to assure he is safe until his appointment occurs. Which of the following nursing actions is appropriate in maintaining a safe therapeutic inpatient milieu? Answer is:. a. Interact frequently with both individuals and groups on the unit c. Initiate and support group interactions via therapeutic groups and activities d. Provide and encourage opportunities to practice social and other life skills f. Assess patient belongings and the unit for any dangerous items that could be used by patients to hurt themselves or others The criteria for admission to an in patient psychiatric unit is that the patient Answer is:. Is in imminent danger of harming himself or others, or the patient cannot properly care for his basic needs and cannot protect himself from harm In the DSM-5, a major change in how culture is viewed within each disorder is that Answer is:. Issues related to culture and mental illness are now integrated into the discussion of each disorder rather than separately discussing culture-bound syndromes Julio is a 31-year-old patient who comes to your mental health outpatient clinic. Which of the following would alert