Nursing 2nd Edition by Mary Ann
Boyd
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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
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discussion about the epidemiology of mental illness. Which statement best explains
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the importance of epidemiology in understanding the impact of mental disorders?
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Epidemiology:
A) Helps promote understanding of the patterns of occurrence associated with
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mental disorders. T
B) Helps explain research findings about the neurophysiology that causes mental
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disorders.
C) Provides a thorough theoretical explanation of why specific mental disorders
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occur.
D) Predicts when a specific psychiatric client will recover from a specific mental
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disorder.
Ans: A T
Chapter: 1
Client Needs: Safe, Effective CaGrR
T eAED EiS
nv roLnA
mBe.nC
t:OM
Management of Care T T T T T
Cognitive Level: Apply T
Integrated Process: Teaching/Learning T T
Objective: 4
Page Number: 2
T
Feedback: Epidemiology is the study of patterns of disease distribution and T T T T T T T T T T
determinants of health within populations. It contributes to the overall understanding
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of the mental health status of population groups, or aggregates, and it examines the
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associations among possible factors. Epidemiology does not explain research findings
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about neurophysiology, provide theoretical explanations for why specific disorders
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occur, or predict recovery.
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2. A nurse is working in a community mental health center that provides care to a
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large population of people of Asian descent. When developing programs for this
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community, which of the following would be most important for the nurse to address?
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A) Public stigma T
B) Self-stigma
C) Label avoidance T
D) Negative life events T T
Ans: C T
Chapter: 1
Client Needs: Psychosocial Integrity
T T T
Cognitive Level: Understand T
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Integrated Process: Nursing Process T T T
Objective: 5
Page Number: 4 T
Feedback: Although public stigma and self-stigma may be areas needing to be T T T T T T T T T T T
addressed, in this cultural group, label avoidance would be most important. Label
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avoidance or avoiding treatment/care so as not to be labeled mentally ill is a type of
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stigma that influences why so few people with mental health problems actually
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receive assistance. Asian cultures commonly have negative views of mental illness
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that influence the willingness of members to seek treatment; they possibly ignore the
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symptoms or refuse to seek treatment because of this stigma. Negative life events
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affect anyone, not just those of the Asian culture.
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3. A nursing student is assigned to care for a client diagnosed with schizophrenia.
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When talking about this client in a clinical post-conference, the student would use
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which terminology when referring to the client?
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A) Committed client T
B) Schizophrenic
C) Schizophrenic client T
D) Person with schizophrenia T T
Ans: D T
Chapter: 1
Client Needs: Psychosocial Integrity
T T T
Cognitive Level: Apply
GtRioAnDaEnSdLDAoBc. COenMtation
T
Integrated Process: Communica Tum
Objective: 5
Page Number: 4 T
Feedback: Just as a person with diabetes should not be referred to as a “diabetic”
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but rather as a “person with diabetes,” a person with a mental disorder should never
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be referred to as a “schizophrenic” or “bipolar,” but rather as a “person with
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schizophrenia” or a “person with bipolar disorder.” Doing so helps to counteract the
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negative effects of stigma. T T T
4. A nursing student is reviewing journal articles about major depression. One of the
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articles describes the number of persons newly diagnosed with the disorder during the
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past year. The student interprets this as which of the following?
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A) Rate
B) Prevalence
C) Point prevalence T
D) Incidence
Ans: D T
Chapter: 1
Client Needs: Psychosocial Integrity
T T T
Cognitive Level: Apply T
Integrated Process: Nursing Process T T T
Objective: 4
Page Number: 3 T
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Feedback: The article is describing incidence, which refers to a rate that includes T T T T T T T T T T T T
only new cases that have occurred within a clearly defined time period. The most
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common time period evaluated is 1 year. Rate reflects the proportion of cases in the
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population compared with the total population. Prevalence refers to the total number
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of people with the disorder within a given population at a specified time, regardless of
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how long ago the disorder started. Point prevalence refers to the proportion of
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individuals in the population that have a disorder at a specific point in time.
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5. While working in a community mental health treatment center, the nurse
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overhears one of the receptionists saying that one of the clients is “really psycho.”
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Later in the day, the nurse talks with the receptionist about the comment. This action
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by the nurse demonstrates an attempt to address which issue?
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A) Lack of knowledge T T
B) Public stigma T
C) Label avoidance T
D) Self-stigma
Ans: B T
Chapter: 1
Client Needs: Psychosocial Integrity
T T T
Cognitive Level: Apply T
Integrated Process: Nursing Process T T T
Objective: 5
Page Number: 4 T
Feedback: The receptionist's stG atR
eAmDeE
ntSrLeA
flB
ec.tC
sOthMe negative effects of T T T T T T
stigmatization, more specifically public stigma. Self-stigma reflects a person's T T T T T T T T T
internalization of a negative stereotype; that is, the person with the mental illness T T T T T T T T T T T T T
begins to believe that he or she is what the public thinks he or she is. Label avoidance
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refers to avoiding treatment or care so as not to be labeled mentally ill. Lack of
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knowledge is often the underlying theme associated with any type of stigma.
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6. After educating a group of students on mental health and mental illness, the
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instructor determines that the education was successful when the group identifies
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which of the following as reflecting mental disorders?
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A) Capacity to interact with others T T T T
B) Ability to deal with ordinary stress T T T T T
C) Alteration in mood or thinking T T T T
D) Lack of impaired functioning T T T
Ans: C T
Chapter: 1
Client Needs: Psychosocial Integrity
T T T
Cognitive Level: Understand T T
Integrated Process: Teaching/Learning T T
Objective: 3
Page Number: 3 T
Feedback: Mental disorders are health conditions characterized by alterations in T T T T T T T T T
thinking, mood, or behavior and are associated with distress or impaired functioning.
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