varcarolis test bank
Varcarolis: Essen-tials of Psychiatric Mental Health Nursing - correct answers
Test Bank - correct answers
Chapter 2: Mental Health and Mental Ill-ness - correct answers
- correct answers MULTIPLE CHOICE
- correct answers 1. A nurse explains multiaxial diagnoses to a psychiatric technician. Which
information is accurate?
a. - correct answers It is a template for treatment planning.
b. - correct answers Nursing and medical diagnoses are included.
c. - correct answers Assessments of several aspects of functioning are included.
d. - correct answers It incorporates the framework of a specific biopsychosocial theory.
ANS: - correct answers C
The prevalence for schizophrenia is 1.1% per year. The prevalence of all affective disorders (depression,
dysthymia, bipolar) is 9.5%. The prevalence of anxiety disorders is 13.3%. - correct answers
- correct answers 19. A nurse wants to find a description of diagnostic criteria for a person with
schizophrenia. Which resource should be consulted?
a. - correct answers U.S. Department of Health and Human Services
b. - correct answers NANDA-International
c. - correct answers Journal of the American Psychiatric Association
d. - correct answers DSM-IV-TR
ANS: - correct answers D
The DSM-IV-TR identifies diagnostic criteria for psychiatric diagnoses. The other sources have useful
information but are not the best resources for finding a description of the diagnostic criteria for a
psychiatric disorder. - correct answers
- correct answers MULTIPLE RESPONSE
- correct answers 1. A patient asks a nurse, "The pamphlet I read about depression says psychosocial
factors influence depression. What does that mean?" Which examples could the nurse cite to support
the information? (More than one answer is correct.)
, a. - correct answers Having a hostile and overinvolved family
b. - correct answers Having two first-degree relatives with bipolar disorder
c. - correct answers Feeling strong guilt over having an abortion when one's religion forbids it
d. - correct answers Experiencing the sudden death of a parent or loved one
e. - correct answers Experiencing symptom remission when treated with antidepressant medication
ANS: - correct answers A, C, D
Family influence is considered a psychosocial factor affecting a patient's mental health. A hostile,
overinvolved family is critical of the patient and contributes to low self-esteem. Religious influences are
considered psychosocial in nature. Life experiences, especially crises and losses, are considered
psychosocial influences on mental health. Having two first-degree relatives with bipolar disorder would
be considered a factor that influences the individual's risk for mental disorder, but it is a genetic, not
psychosocial, factor. Treatment with a biological agent such as antidepressant medication is an example
of a biological influence. - correct answers
- correct answers 2. A patient in the emergency department reports, "I hear voices saying someone is
stalking me. They want to kill me because I found the cure for cancer. I carry a knife and will stab anyone
that threatens me." Which aspect(s) of mental health should be of greatest immediate concern to a
nurse? (More than one answer is correct.)
a. - correct answers Happiness
b. - correct answers Appraisal of reality
c. - correct answers Control over behavior
d. - correct answers Effectiveness in work
e. - correct answers Healthy self-concept
ANS: - correct answers B, C, E
The aspects of mental health of greatest concern are the patient's appraisal of and control over
behavior. The patient's appraisal of reality is inaccurate, and there is evidence of auditory hallucinations
as well as delusions of persecution and grandeur. In addition, the patient's control over behavior is
tenuous, as evidenced by the plan to stab anyone who seems threatening. A healthy self-concept is
lacking. Data are not present to suggest that the other aspects of mental health (happiness and
effectiveness in work) are of immediate concern. - correct answers
The use of five axes requires assessment beyond diagnosis of a mental disorder and includes relevant
medical conditions, psychosocial and environmental problems, and global assessment of functioning.
The DSM-IV-TR is not a template for treatment planning and does not use a specific biopsychosocial
theory. Nursing diagnoses are not included in multiaxial diagnoses. - correct answers
Varcarolis: Essen-tials of Psychiatric Mental Health Nursing - correct answers
Test Bank - correct answers
Chapter 2: Mental Health and Mental Ill-ness - correct answers
- correct answers MULTIPLE CHOICE
- correct answers 1. A nurse explains multiaxial diagnoses to a psychiatric technician. Which
information is accurate?
a. - correct answers It is a template for treatment planning.
b. - correct answers Nursing and medical diagnoses are included.
c. - correct answers Assessments of several aspects of functioning are included.
d. - correct answers It incorporates the framework of a specific biopsychosocial theory.
ANS: - correct answers C
The prevalence for schizophrenia is 1.1% per year. The prevalence of all affective disorders (depression,
dysthymia, bipolar) is 9.5%. The prevalence of anxiety disorders is 13.3%. - correct answers
- correct answers 19. A nurse wants to find a description of diagnostic criteria for a person with
schizophrenia. Which resource should be consulted?
a. - correct answers U.S. Department of Health and Human Services
b. - correct answers NANDA-International
c. - correct answers Journal of the American Psychiatric Association
d. - correct answers DSM-IV-TR
ANS: - correct answers D
The DSM-IV-TR identifies diagnostic criteria for psychiatric diagnoses. The other sources have useful
information but are not the best resources for finding a description of the diagnostic criteria for a
psychiatric disorder. - correct answers
- correct answers MULTIPLE RESPONSE
- correct answers 1. A patient asks a nurse, "The pamphlet I read about depression says psychosocial
factors influence depression. What does that mean?" Which examples could the nurse cite to support
the information? (More than one answer is correct.)
, a. - correct answers Having a hostile and overinvolved family
b. - correct answers Having two first-degree relatives with bipolar disorder
c. - correct answers Feeling strong guilt over having an abortion when one's religion forbids it
d. - correct answers Experiencing the sudden death of a parent or loved one
e. - correct answers Experiencing symptom remission when treated with antidepressant medication
ANS: - correct answers A, C, D
Family influence is considered a psychosocial factor affecting a patient's mental health. A hostile,
overinvolved family is critical of the patient and contributes to low self-esteem. Religious influences are
considered psychosocial in nature. Life experiences, especially crises and losses, are considered
psychosocial influences on mental health. Having two first-degree relatives with bipolar disorder would
be considered a factor that influences the individual's risk for mental disorder, but it is a genetic, not
psychosocial, factor. Treatment with a biological agent such as antidepressant medication is an example
of a biological influence. - correct answers
- correct answers 2. A patient in the emergency department reports, "I hear voices saying someone is
stalking me. They want to kill me because I found the cure for cancer. I carry a knife and will stab anyone
that threatens me." Which aspect(s) of mental health should be of greatest immediate concern to a
nurse? (More than one answer is correct.)
a. - correct answers Happiness
b. - correct answers Appraisal of reality
c. - correct answers Control over behavior
d. - correct answers Effectiveness in work
e. - correct answers Healthy self-concept
ANS: - correct answers B, C, E
The aspects of mental health of greatest concern are the patient's appraisal of and control over
behavior. The patient's appraisal of reality is inaccurate, and there is evidence of auditory hallucinations
as well as delusions of persecution and grandeur. In addition, the patient's control over behavior is
tenuous, as evidenced by the plan to stab anyone who seems threatening. A healthy self-concept is
lacking. Data are not present to suggest that the other aspects of mental health (happiness and
effectiveness in work) are of immediate concern. - correct answers
The use of five axes requires assessment beyond diagnosis of a mental disorder and includes relevant
medical conditions, psychosocial and environmental problems, and global assessment of functioning.
The DSM-IV-TR is not a template for treatment planning and does not use a specific biopsychosocial
theory. Nursing diagnoses are not included in multiaxial diagnoses. - correct answers
