Chapter 01: Mental Health and Mental
Illness
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform additional intervention?
a.
Conduct mental health assessments.
b.
Prescribe psychotropic medication.
c.
Establish therapeutic relationships.
d.
Individualized nursing care plans. - ANS-ANS: B
In most states, prescriptive privileges are granted to master's-prepared nurse practitioners and
clinical nurse specialists who have taken special courses on prescribing medication. The nurse
prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
\1. An experienced nurse says to a new graduate, "When you've practiced as long as I have,
you automatically know how to take care of patients experiencing psychosis." Which factors
should the new graduate consider when analyzing this comment? (Select all that apply.)
a.
The experienced nurse may have lost sight of patients' individuality, which may compromise the
integrity of practice.
b.
New research findings should be integrated continuously into a nurse's practice to provide the
most effective care.
c.
Experience provides mental health nurses with the essential tools and skills needed for effective
professional practice.
d.
Experienced psychiatric nurses have learned the best ways to care for mentally ill patients
through trial and error.
e.
An intuitive sense of patients' needs guides effective psychiatric nurses. - ANS-ANS: A, B
Evidence-based practice involves using research findings and standards of care to provide the
most effective nursing care. Evidence is continuously emerging, so nurses cannot rely solely on
experience. The effective nurse also maintains respect for each patient as an individual.
Overgeneralization compromises that perspective. Intuition and trial and error are unsystematic
approaches to care.
\10. Complete this analogy. NANDA: clinical judgment: NIC: _________________
a.
, patient outcomes.
b.
nursing actions.
c.
diagnosis.
d.
symptoms. - ANS-ANS: B
Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis
Association, identifies diagnostic statements regarding human responses to actual or potential
health problems. These statements represent clinical judgments. NIC (Nursing Interventions
Classification) identifies actions provided by nurses that enhance patient outcomes. Nursing
care activities may be direct or indirect.
\11. An adult says, "Most of the time I'm happy and feel good about myself. I have learned that
what I get out of something is proportional to the effort I put into it." Which number on this
mental health continuum should the nurse select?
a.
1
b.
2
c.
3
d.
4
e.
5 - ANS-ANS: E
The adult is generally happy and has an adequate self-concept. The statement indicates the
adult is reality-oriented, works effectively, and has control over own behavior. Mental health
does not mean that a person is always happy.
\12. Which disorder is an example of a culture-bound syndrome?
a.
Epilepsy
b.
Schizophrenia
c.
Running amok
d.
Major depressive disorder - ANS-ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and are easily recognized by
people in those cultures. A syndrome recognized in parts of Southeast Asia is running amok, in
which a person (usually a male) runs around engaging in furious, almost indiscriminate violent
behavior.
\13. The DSM-V classifies:
a.
Illness
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform additional intervention?
a.
Conduct mental health assessments.
b.
Prescribe psychotropic medication.
c.
Establish therapeutic relationships.
d.
Individualized nursing care plans. - ANS-ANS: B
In most states, prescriptive privileges are granted to master's-prepared nurse practitioners and
clinical nurse specialists who have taken special courses on prescribing medication. The nurse
prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
\1. An experienced nurse says to a new graduate, "When you've practiced as long as I have,
you automatically know how to take care of patients experiencing psychosis." Which factors
should the new graduate consider when analyzing this comment? (Select all that apply.)
a.
The experienced nurse may have lost sight of patients' individuality, which may compromise the
integrity of practice.
b.
New research findings should be integrated continuously into a nurse's practice to provide the
most effective care.
c.
Experience provides mental health nurses with the essential tools and skills needed for effective
professional practice.
d.
Experienced psychiatric nurses have learned the best ways to care for mentally ill patients
through trial and error.
e.
An intuitive sense of patients' needs guides effective psychiatric nurses. - ANS-ANS: A, B
Evidence-based practice involves using research findings and standards of care to provide the
most effective nursing care. Evidence is continuously emerging, so nurses cannot rely solely on
experience. The effective nurse also maintains respect for each patient as an individual.
Overgeneralization compromises that perspective. Intuition and trial and error are unsystematic
approaches to care.
\10. Complete this analogy. NANDA: clinical judgment: NIC: _________________
a.
, patient outcomes.
b.
nursing actions.
c.
diagnosis.
d.
symptoms. - ANS-ANS: B
Analogies show parallel relationships. NANDA, the North American Nursing Diagnosis
Association, identifies diagnostic statements regarding human responses to actual or potential
health problems. These statements represent clinical judgments. NIC (Nursing Interventions
Classification) identifies actions provided by nurses that enhance patient outcomes. Nursing
care activities may be direct or indirect.
\11. An adult says, "Most of the time I'm happy and feel good about myself. I have learned that
what I get out of something is proportional to the effort I put into it." Which number on this
mental health continuum should the nurse select?
a.
1
b.
2
c.
3
d.
4
e.
5 - ANS-ANS: E
The adult is generally happy and has an adequate self-concept. The statement indicates the
adult is reality-oriented, works effectively, and has control over own behavior. Mental health
does not mean that a person is always happy.
\12. Which disorder is an example of a culture-bound syndrome?
a.
Epilepsy
b.
Schizophrenia
c.
Running amok
d.
Major depressive disorder - ANS-ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and are easily recognized by
people in those cultures. A syndrome recognized in parts of Southeast Asia is running amok, in
which a person (usually a male) runs around engaging in furious, almost indiscriminate violent
behavior.
\13. The DSM-V classifies:
a.
