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- The MarketplaceNursing 2nd
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Test Generator Questions, Chapter 1, Mental Health and Mental
Disorders

Multiple Choice

1. As part of a class activity, nursing students are engaged in a small group
discussion about the epidemiology of mental illness. Which statement best explains
the importance of epidemiology in understanding the impact of mental disorders?
Epidemiology:
A) Helps promote understanding of the patterns of occurrence associated with
mental disorders.
B) Helps explain research findings about the neurophysiology that causes mental
disorders.
C) Provides a thorough theoretical explanation of why specific mental disorders
occur.
D) Predicts when a specific psychiatric client will recover from a specific mental
disorder.

Ans: A
Chapter: 1
GRAEnvironment:
Client Needs: Safe, Effective Care DESLAB.COManagement
M of Care
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 4
Page Number: 2
Feedback: Epidemiology is the study of patterns of disease distribution and
determinants of health within populations. It contributes to the overall understanding
of the mental health status of population groups, or aggregates, and it examines the
associations among possible factors. Epidemiology does not explain research findings
about neurophysiology, provide theoretical explanations for why specific disorders
occur, or predict recovery.

2. A nurse is working in a community mental health center that provides care to a
large population of people of Asian descent. When developing programs for this
community, which of the following would be most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events

Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand




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Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: Although public stigma and self-stigma may be areas needing to be
addressed, in this cultural group, label avoidance would be most important. Label
avoidance or avoiding treatment/care so as not to be labeled mentally ill is a type of
stigma that influences why so few people with mental health problems actually
receive assistance. Asian cultures commonly have negative views of mental illness
that influence the willingness of members to seek treatment; they possibly ignore the
symptoms or refuse to seek treatment because of this stigma. Negative life events
affect anyone, not just those of the Asian culture.

3. A nursing student is assigned to care for a client diagnosed with schizophrenia.
When talking about this client in a clinical post-conference, the student would use
which terminology when referring to the client?
A) Committed client
B) Schizophrenic
C) Schizophrenic client
D) Person with schizophrenia

Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: CommunicationGRADand
ESLDocumentation
AB.COM
Objective: 5
Page Number: 4
Feedback: Just as a person with diabetes should not be referred to as a “diabetic”
but rather as a “person with diabetes,” a person with a mental disorder should never
be referred to as a “schizophrenic” or “bipolar,” but rather as a “person with
schizophrenia” or a “person with bipolar disorder.” Doing so helps to counteract the
negative effects of stigma.

4. A nursing student is reviewing journal articles about major depression. One of the
articles describes the number of persons newly diagnosed with the disorder during the
past year. The student interprets this as which of the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence

Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 4
Page Number: 3




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Feedback: The article is describing incidence, which refers to a rate that includes
only new cases that have occurred within a clearly defined time period. The most
common time period evaluated is 1 year. Rate reflects the proportion of cases in the
population compared with the total population. Prevalence refers to the total number
of people with the disorder within a given population at a specified time, regardless of
how long ago the disorder started. Point prevalence refers to the proportion of
individuals in the population that have a disorder at a specific point in time.

5. While working in a community mental health treatment center, the nurse
overhears one of the receptionists saying that one of the clients is “really psycho.”
Later in the day, the nurse talks with the receptionist about the comment. This action
by the nurse demonstrates an attempt to address which issue?
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma

Ans: B
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
GRADESreflects
Feedback: The receptionist's statement LAB.COthe M negative effects of
stigmatization, more specifically public stigma. Self-stigma reflects a person's
internalization of a negative stereotype; that is, the person with the mental illness
begins to believe that he or she is what the public thinks he or she is. Label avoidance
refers to avoiding treatment or care so as not to be labeled mentally ill. Lack of
knowledge is often the underlying theme associated with any type of stigma.

6. After educating a group of students on mental health and mental illness, the
instructor determines that the education was successful when the group identifies
which of the following as reflecting mental disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
D) Lack of impaired functioning

Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
Integrated Process: Teaching/Learning
Objective: 3
Page Number: 3
Feedback: Mental disorders are health conditions characterized by alterations in
thinking, mood, or behavior and are associated with distress or impaired functioning.




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Mental health is the emotional and psychological well-being of an individual who has
the capacity to interact with others, deal with ordinary stress, and perceive one's
surroundings realistically.

7. A nurse is preparing a presentation for a local community group about mental
disorders and plans to include how mental disorders are different from medical
disorders. Which statement would be most appropriate for the nurse to include?
A) “Mental disorders are defined by an underlying biological pathology.”
B) “Numerous laboratory tests are used to aid in the diagnosis of mental disorders.”
C) “Clusters of behaviors, thoughts, and feelings characterize mental disorders.”
D) “Manifestations of mental disorders are within normal, expected parameters.”

Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 3
Page Number: 2
Feedback: Unlike many medical disorders, mental disorders are defined by clusters
of behaviors, thoughts, and feelings, not underlying biologic pathology. The
alterations in thoughts, behaviors, and feelings are unexpected and outside the
normal, culturally defined limits. Laboratory tests are not used in diagnosing mental
disorders.
GRADESLAB.COM
8. A psychiatric–mental health nurse is providing care for a client with a mental
disorder. The client is participating in the decision-making process. The nurse
interprets this as which component of recovery?
A) Self-direction
B) Collaborative
C) Person-centered
D) Holistic

Ans: B
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 6
Page Number: 4
Feedback: In recovery-oriented care, the person with a mental health problem
develops a partnership with a clinician to manage the illness, strengthen coping
abilities, and build resilience for life’s challenges. Being involved in decision making
helps the client transition from a dependent-driven relationship to a collaborative
recovery-oriented one. Self-direction is reflected as individuals define their own goals
and design a path to meet those goals. Individualized and person-centered is
reflected by the individual's use of his or her own unique strengths and resilience as




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