C HAPTER 01: M ENTAL H EALTH AND M ENTAL
I LLNESS
Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. Which disorder is a culture -bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depression
ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and
are easil y recognized by people in those cultures. A syndrome
recognized in parts of Southeast Asia is running amok, in which a
person (usuall y a male) runs around eng aging in furious, almost
indiscriminate violent behavior.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 5 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
2. The Diagnostic and Statistical Manual of Mental Disord ers (DSM-5)
classifies:
a. deviant behaviors.
, b. present disabilit y or distress.
c. people with mental disorders.
d. mental disorders people have.
ANS: D
The DSM-5 classifies disorders people have rather than people
themselves. The terminology of the tool reflec ts this distinction by
referring to individuals with a disorder rather than as a schizophrenic
or alcoholic, for example. Deviant behavior is not generall y considered
a mental disorder. Present disabilit y or distress is onl y one aspect of
the diagnosis.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
3. A citizen at a communit y health fair asks the nurse, What is the most
prevalent mental disorder in the United States? Select the nurses best
response.
a. Schizophrenia
b. Bipolar disorder
c. Dissociative fugue
d. Alzheimers disease
ANS: D
The 12-month prevalence for Alzheimers disease is 10% for persons
older than 65 and 50% for persons older than 85. The pre valence of
schizophrenia is 1.1% per year. The prevalence of bipolar disorder is
, 2.6%. Dissociative fugue is a rare disorder. See related audience
response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. In the majorit y culture of the United States, which individual has the
greatest risk to be labeled mentall y ill? One who:
a. describes hearing Gods voice speaking.
b. is usuall y pessimistic but strives to meet personal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs
met.
ANS: A
The question asks about risk. Hearing voices is generall y associated
with mental illness, but in charismatic religious groups, hearing the
voice of God or a prophet is a desirable event. Cultural norms vary,
which makes it more difficult to make an accurate diagnosis. The
individuals described in the other options are less likel y to be lab eled
mentall y ill.
PTS: 1 DIF: Cognitive Level: Anal yze (Anal ysis) REF: 4
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
I LLNESS
Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. Which disorder is a culture -bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depression
ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and
are easil y recognized by people in those cultures. A syndrome
recognized in parts of Southeast Asia is running amok, in which a
person (usuall y a male) runs around eng aging in furious, almost
indiscriminate violent behavior.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 5 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
2. The Diagnostic and Statistical Manual of Mental Disord ers (DSM-5)
classifies:
a. deviant behaviors.
, b. present disabilit y or distress.
c. people with mental disorders.
d. mental disorders people have.
ANS: D
The DSM-5 classifies disorders people have rather than people
themselves. The terminology of the tool reflec ts this distinction by
referring to individuals with a disorder rather than as a schizophrenic
or alcoholic, for example. Deviant behavior is not generall y considered
a mental disorder. Present disabilit y or distress is onl y one aspect of
the diagnosis.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 10 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
3. A citizen at a communit y health fair asks the nurse, What is the most
prevalent mental disorder in the United States? Select the nurses best
response.
a. Schizophrenia
b. Bipolar disorder
c. Dissociative fugue
d. Alzheimers disease
ANS: D
The 12-month prevalence for Alzheimers disease is 10% for persons
older than 65 and 50% for persons older than 85. The pre valence of
schizophrenia is 1.1% per year. The prevalence of bipolar disorder is
, 2.6%. Dissociative fugue is a rare disorder. See related audience
response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 9 TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
4. In the majorit y culture of the United States, which individual has the
greatest risk to be labeled mentall y ill? One who:
a. describes hearing Gods voice speaking.
b. is usuall y pessimistic but strives to meet personal goals.
c. is wealthy and gives away $20 bills to needy individuals.
d. always has an optimistic viewpoint about life and having own needs
met.
ANS: A
The question asks about risk. Hearing voices is generall y associated
with mental illness, but in charismatic religious groups, hearing the
voice of God or a prophet is a desirable event. Cultural norms vary,
which makes it more difficult to make an accurate diagnosis. The
individuals described in the other options are less likel y to be lab eled
mentall y ill.
PTS: 1 DIF: Cognitive Level: Anal yze (Anal ysis) REF: 4
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
