Mental Health Nursing Boyd Exam 1 with latest test.

Mental Health Nursing Boyd Exam 1 with latest test. One of the major problems facing individuals with mental illness and their families is stigman. What is inconsistent with stigmatization? a. discrimination b. prejudice c. misunderstanding d. approval - correct answers.d. approval Stigma can be defined as a mark of shame, disgrace, or disapproval that results in an individual being shunned or rejected by others. Stigma leads to community misunderstanding, prejudice, and discrimination. When a person avoids mental health treatment for fear of being labeled mentally ill, which type of stigma is occuring? a. discrimination b. label avoidance c. self-stigma d. public stigma - correct answers.b. label avoidance Label avoidance is the avoidance of treatment or care so as not to be labeled as mentally ill. This is one reason so few people with mental problems actually recieve help. Self-stigma occurs when negative stereotypes are internalized by people with mental illness. Public stigma occurs after individuals are publically "marked" asa being mentally ill. ALthough discrimination occurs as part of the stigma, it is not a type of stigma. A nurse is conducting a community program with a local group that is to have an outpatient mental health facility built in the neighborhood. One of the participants states, 'I don't want those people in this area. They are dangerous and very unpredictable.' The nurse interprets this statement as an example of: a. label avoidance b. self-stigma c. public stigma d. cultural syndrome - correct answers.c. public stigma The statement about individuals being dangerous and unpredictable reflects public stigma, in which individuals are publically marked as being mentally ill and experience prejudice and discrimination. Self-stigma occurs when negative stereotypes are internalized by people with mental illness. Label avoidance refers to an individual avoiding treatment in order not to be labeled as mentally ill. Cultural syndrome is a specific pattern of symptoms that occurs within a specific cultural group or community. A nurse understands the importance of protecting clients' rights of self-determinism. Self-determinism is similar to which ethical principle? a. autonomy b. justice c. veracity d. beneficence - correct answers.a. autonomy Self-determinism can be defined as being empowered by having the free will to make moral judgements. Autonomy is the right to make one's own decisions. Personal autonomy and avoidance of dependence on others are key values of self-determinism. Veracity is truthfulness. Justice encompasses equal treatment for all. Beneficence is doing no harm. Which is an accurate statement regarding an advance care directive? a. it needs to be written by an attorney b. it applies to those who can make their own decisions c. it needs to be signed by an attorney d. it must be witnessed by two people and notarized - correct answers.d. it must be witnessed by two people and notarized An advance care directive does not need to be written, reviewed, or signed by an attorney. It must be witnessed by two people and notarizes, and applies only if the individual is unable to make hir or her own decisions as a result of being incapacitated or if, in the opinion of two physicians, the person is otherwise unable to make decisions for him-or-herself. Which mental health client criteria to be involuntarily committed? a. a client diagnosed with mania who is pacing the hallways b. a client diagnosed with borderline personality disorder (BPD) who is threatening to self-harm c. A client is diagnosed with schizophrenia who is singing in the client's room d. a client diagnosed with anxiety disorder who is fidgeting - correct answers.b. a client diagnosed with borderline personality disorder who is threatening to self-harm Involuntary commitment is confined hospitalization of a person without the person's consent but with a court order. Three common elements found in most statues for involuntary commitments. The individual must be: (1) mentally disordered, (2) dangerous to himself or herself, or (3) unable to provide for his/her basic needs. The client diagnosed with BPD is a danger to the self. The other clients are not in immediate danger to themselves or others. A psychiatric-mental health nurse is conducting a class for a community group about the rights of individuals with mental health problems. As part of the program, the nurse is describing the concept of self-determinism. The nurse determines that the program was successful when the group identifies which idea as exemplifying self-determinism? (Select all that apply.) a. Right to choose other forms of treatment b. Right to participate in experimentation without informed consent c. Right to obtains other opinions d. Right to refuse treatment e. Right to refuse treatment during emergency situation - correct answers.a,c,d The right to self-determination entitles all clients to refuse treatment (except during emergency situation), to obtain other opinions, and to choose other forms of treatment. A client has a right not to participate in experimentation in the absence of the client's informed, voluntary, written consent. A nurse is teaching a client newly diagnosed with a mental disorder and their family. What is an important aspect of a psychiatric advance directive (PAD)? a. It must be signed by the case manager and two witnesses b. A physician cannot override the declaration c. It allows family members to make the choice of treatment for incompetent individuals d. During periods of competency, PADs can be revoked - correct answers.d. During periods of competency, PADs can be revoked PASs are relatively new legal instructions that allow clients, while they are competent, to document their choice of treatment and care. This declaration must be made in advance and signed by two witnesses. Although a physician can override this declaration during times when the client's decision making is clearly distorted because of mental illness, the client must be informed first and the order made by the court. During periods of competency, PADs can be revoked. A client diagnosed with schizophrenia insists on stopping medication because it causes the client to gain weight, The client is exercising which ethical principle? a. beneficence b. autonomy c. veracity d. justice - correct answers.b. autonomy The client is exercising autonomy and is making the client's own decision to stop taking the medication. Although it is probably not in the client's best interest, the client does have that right. According to the principle of beneficence, the health care provider uses knowledge of science and incorporates the art of caring to develop an environment in which individuals achieve their maximal health care potential. Justice is the duty to treat all fairly, distributing the risk and benefits equally. Veracity is faithfulness to obligation and duties. Mandatory use of helmets when driving a motorcycle is an example of which ethical principle? a. paternalism b. veracity c. fidelity d. justice - correct answers.a. paternalism Paternalism is the belief that knowledge and education authorize professionals to make decisions for the good of a client. Mandatory use of seat belts and motorcycle helmets is an example of paternalism. Justice is the duty to treat all fairly, distributing the risk and benefits equally. Veracity is the duty to tell the truth. Fidelity is faithfulness to obligation and duties. Providing milieu therapy is an example of the use of which ethical principle? a. veracity b. beneficence c. autonomy d. fidelity - correct answers.b. beneficence When using the ethical principle of beneficence, a health care provider uses knowledge of science and incorporates the art of caring to develop an environment in which individuals achieve their maximal health care potential, as in milieu therapy. Veracity is the duty to tell the truth. Fidelity is faithfulness to obligations and duties. According to the principle of autonomy, each person has the fundamental right of self-determination.