TEST 1 STUDY QUESTIONS - CH 1-5 (VARCAROLIS + EVOLVE)
What's the DSM-5? - It's a publica on from the APA - the official guidelines in diagnosing psychiatric
disorders
- Serves as a medical psychiatric assessment system.
- Outlines clinical criteria for 157 disorders.
- Influenced by clinical mental health epidemiology studies & includes sta s cs.
- Ordered developmentally
What two mental disorders are found throughout the world and across different cultures? -
Schizophrenia
Bipolar Disorder
Current informa on suggests that the most disabling mental disorders are the result of
_______________ influences. - biological
A nurse's iden fica on badge includes the term, "Psychiatric Mental Health Nurse." A client with a
history of paranoia asks, "What does that tle mean?" The nurse responds best by answering:
A. "Don't be afraid; it means I'm here to help, not hurt, you."
B. "Psychiatric mental health nurses care for people with mental illnesses."
C. "We have the specialized skills needed to care for those with mental illnesses."
D. "The nurses who work in mental health facili es have that tle." - C. "We have the specialized skills
needed to care for those with mental illnesses."
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cultures.
B. Culture may cause varia ons in symptoms for each clinical disorder.
C. All mental disorders listed in the DSM-5 are seen in all other cultures.
,D. Psychiatric diagnoses are listed in separately from other physical disorders in a five axes system. - B.
Culture may cause varia ons in symptoms for each clinical disorder.
Rate the prevalence over last twelve months of these disorders from most prevalent to least:
Generalized Anxiety Disorder
Major Depressive Disorder
Panic Disorder
Schizophrenia
OCD
PTSD
Bipolar Disorder
Social Phobia
All Specific Phobias
All Personality Disorders
Anxiety Disorders
substance abuse
Alcohol Dependance - 18.1% All Anxiety Disorders
9.5% All Personality Disorders
9.4% substance abuse
6.8% Social Phobia
6.7% Major Depressive Disorder
6.3% Alcohol Dependance
3.5% PTSD
3.1% Generalized Anxiety Disorder
2.7% Panic Disorder
2.6% Bipolar Disorder
1.1% Schizophrenia
1.0% OCD
, A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is going
to kill me." The nurse assesses that this pa ent is lacking in appraisal of ____________. - reality
A 14-year-old belongs to a neighborhood gang, engages in sexually promiscuous behavior, and has a
history of school truancy but reports that her parents are just old- fashioned and don't understand her.
The assessment data supports that the client is displaying what type of behavior? - deviant
What's the most important concept to remember when the nurse is evalua ng and planning care and
interven ons for a mentally ill client? - The client has areas of strength on which to build.
Evaluate for strengths and areas of highest func oning.
How would a nurse differen ate whether an Asian client is demonstra ng a mental illness when
a emp ng suicide? - Examine his culture and how his or her specific culture views suicide.
An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his apartment.
When neighbors ask him to stop his frequent outbursts of opera c arias, he acts outraged and tells them
he must sing daily and will not promise to be quieter. This behavior supports that he is
A. demonstra ng symptoms of bipolar disorder.
B. socially deviant.
C. egocentric.
D. not demonstra ng any defini ve signs of mental illness. - D. not demonstra ng any defini ve signs of
mental illness.
What's the purpose of a nurse selec ng a nursing diagnosis for a client with a psychiatric disorder? -
Framework and guidance for appropriate interven ons
What is parity? - equivalence
- requires insurers who provide mental health coverage to offer annual and life me benefits at the same
level provided for medical/surgical coverage
What's the DSM-5? - It's a publica on from the APA - the official guidelines in diagnosing psychiatric
disorders
- Serves as a medical psychiatric assessment system.
- Outlines clinical criteria for 157 disorders.
- Influenced by clinical mental health epidemiology studies & includes sta s cs.
- Ordered developmentally
What two mental disorders are found throughout the world and across different cultures? -
Schizophrenia
Bipolar Disorder
Current informa on suggests that the most disabling mental disorders are the result of
_______________ influences. - biological
A nurse's iden fica on badge includes the term, "Psychiatric Mental Health Nurse." A client with a
history of paranoia asks, "What does that tle mean?" The nurse responds best by answering:
A. "Don't be afraid; it means I'm here to help, not hurt, you."
B. "Psychiatric mental health nurses care for people with mental illnesses."
C. "We have the specialized skills needed to care for those with mental illnesses."
D. "The nurses who work in mental health facili es have that tle." - C. "We have the specialized skills
needed to care for those with mental illnesses."
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cultures.
B. Culture may cause varia ons in symptoms for each clinical disorder.
C. All mental disorders listed in the DSM-5 are seen in all other cultures.
,D. Psychiatric diagnoses are listed in separately from other physical disorders in a five axes system. - B.
Culture may cause varia ons in symptoms for each clinical disorder.
Rate the prevalence over last twelve months of these disorders from most prevalent to least:
Generalized Anxiety Disorder
Major Depressive Disorder
Panic Disorder
Schizophrenia
OCD
PTSD
Bipolar Disorder
Social Phobia
All Specific Phobias
All Personality Disorders
Anxiety Disorders
substance abuse
Alcohol Dependance - 18.1% All Anxiety Disorders
9.5% All Personality Disorders
9.4% substance abuse
6.8% Social Phobia
6.7% Major Depressive Disorder
6.3% Alcohol Dependance
3.5% PTSD
3.1% Generalized Anxiety Disorder
2.7% Panic Disorder
2.6% Bipolar Disorder
1.1% Schizophrenia
1.0% OCD
, A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is going
to kill me." The nurse assesses that this pa ent is lacking in appraisal of ____________. - reality
A 14-year-old belongs to a neighborhood gang, engages in sexually promiscuous behavior, and has a
history of school truancy but reports that her parents are just old- fashioned and don't understand her.
The assessment data supports that the client is displaying what type of behavior? - deviant
What's the most important concept to remember when the nurse is evalua ng and planning care and
interven ons for a mentally ill client? - The client has areas of strength on which to build.
Evaluate for strengths and areas of highest func oning.
How would a nurse differen ate whether an Asian client is demonstra ng a mental illness when
a emp ng suicide? - Examine his culture and how his or her specific culture views suicide.
An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his apartment.
When neighbors ask him to stop his frequent outbursts of opera c arias, he acts outraged and tells them
he must sing daily and will not promise to be quieter. This behavior supports that he is
A. demonstra ng symptoms of bipolar disorder.
B. socially deviant.
C. egocentric.
D. not demonstra ng any defini ve signs of mental illness. - D. not demonstra ng any defini ve signs of
mental illness.
What's the purpose of a nurse selec ng a nursing diagnosis for a client with a psychiatric disorder? -
Framework and guidance for appropriate interven ons
What is parity? - equivalence
- requires insurers who provide mental health coverage to offer annual and life me benefits at the same
level provided for medical/surgical coverage
