TEST BANK
,Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention? a. Conduct mental health
assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
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.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP:
Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
skills.” Select the best response by the mental health nurse.
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
ratios must be better because of the nature of the patients’ problems.”
b. “Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high technology monitoring
equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as medical–
surgical nurses do. That appeals to me.”
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical–surgical
nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
just like other specialties. Psychiatric nursing involves clinical practice, not just
documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
, 3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
mental illness, a group of nurses write letters to their elected representatives in opposition to
the legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
ANS: C
An advocate defends or asserts another’s cause, particularly when the other person lacks the
ability to do that for self. Examples of individual advocacy include helping patients
understand their rights or make decisions. On a community scale, advocacy includes political
activity, public speaking, and publication in the interest of improving the human condition.
Since funding is necessary to deliver quality programming for persons with mental illness, the
letter-writing campaign advocates for that cause on behalf of patients who are unable to
articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP:
Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among the members. Which family
member’s comment best reflects a mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has also.”
b. “I remember joy and mutual respect from our early years together.”
c. “I will make some changes in my behavior for the good of the family.”
d. “It’s best for me to move away from my family. Things will never change.”
ANS: C
The correct response demonstrates the best evidence of a healthy recognition of the
importance of relationships. Mental health includes rational thinking, communication skills,
learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
be healthy, but the correct response shows a higher level of mental health. The other incorrect
responses show blaming and avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between “as if” and “for real.”
d. perceives difficulty making a decision about whether to change jobs.
, ANS: B
The correct response describes a mood alteration, which reflects mental illness. The
distracters describe behaviors that are mentally healthy or within the usual scope of human
experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
achieved for an adult patient? The patient
a. sees self as capable of achieving ideals and meeting demands.
b. behaves without considering the consequences of personal actions.
c. aggressively meets own needs without considering the rights of others.
d. seeks help from others when assuming responsibility for major areas of own life.
ANS: A
The correct response describes an adaptive, healthy behavior. The distracters describe
maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing Process: Evaluation
MSC: Client Needs: Psychosocial Integrity
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form.
Which resource should the nurse consult to determine criteria used to establish this diagnosis? a.
International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
d. A behavioral health reference manual
ANS: C
The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline
for diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
psychiatric illness.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-18, 19 TOP: Nursing Process: Assessment
MSC: Client Needs: Safe, Effective Care Environment
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource
would have the most complete information?
a. Nursing Outcomes Classification (NOC)
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice d. ICD-10
, ANS: B
The qDSM-V qdetails qthe qdiagnostic qcriteria qfor qpsychiatric qclinical qconditions. qIt qis
qthe qofficial qguideline qfor qdiagnosing qpsychiatric qdisorders. qThe qother qreferences qare
qgood qresources qbut qdo qnot qdefine qthe qdiagnostic qcriteria.
PTS: q1 DIF: qCognitive qLevel: qUnderstand q(Comprehension)
REF: qPages q1-18, q19 TOP: qNursing qProcess:
qImplementation qMSC: qClient qNeeds: qSafe, qEffective qCare qEnvironment
9. Which qindividual qis qdemonstrating qthe qhighest qlevel qof qresilience? qOne qwho
a. is qable qto qrepress qstressors.
b. becomes qdepressed qafter qthe qdeath qof qa qspouse.
c. lives qin qa qshelter qfor q2 qyears qafter qthe qhome qis qdestroyed qby qfire.
d. takes qa qtemporary qjob qto qmaintain qfinancial qstability qafter qloss qof qa qpermanent
qjob.
ANS: qD
Resilience qis qclosely qassociated qwith qthe qprocess qof qadapting qand qhelps qpeople
qfacing qtragedies, qloss, qtrauma, qand qsevere qstress. qIt qis qthe qability qand qcapacity
qfor qpeople qto qsecure qthe qresources qthey qneed qto qsupport qtheir qwell-being.
qRepression qand qdepression qare qunhealthy.
Living qin qa qshelter qfor q2 qyears qshows qa qfailure qto qmove qforward qafter qa qtragedy.
qSee qrelated qaudience qresponse qquestion.
PTS: q1 DIF: qCognitive qLevel: qApply q(Application) REF: qPages q1-5,
q6 qTOP: qNursing qProcess: qAssessment
MSC: qClient qNeeds: qPsychosocial qIntegrity
10. Complete qthis qanalogy. qNANDA: qclinical qjudgment: qNIC: a.
qpatient qoutcomes.
b. nursing qactions.
c. diagnosis.
d. symptoms.
ANS: qB
Analogies qshow qparallel qrelationships. qNANDA, qthe qNorth qAmerican qNursing
qDiagnosis qAssociation, qidentifies qdiagnostic qstatements qregarding qhuman qresponses qto
qactual qor qpotential qhealth qproblems. qThese qstatements qrepresent qclinical q judgments.
qNIC q(Nursing qInterventions qClassification) qidentifies qactions qprovided qby qnurses qthat
qenhance qpatient qoutcomes. qNursing qcare qactivities q may qbe qdirect qor qindirect.
PTS: q1 DIF: qCognitive qLevel: qAnalyze q(Analysis)
REF: qPages q1-21, q22 TOP: qNursing qProcess:
qEvaluation qMSC: qClient qNeeds: qSafe, qEffective qCare qEnvironment
11. An qadult qsays, q“Most qof qthe qtime qI’m qhappy qand qfeel qgood qabout qmyself. qI
qhave qlearned qthat qwhat qI qget qout qof qsomething qis qproportional qto qthe qeffort qI
qput qinto qit.” qWhich qnumber qon qthis qmental qhealth qcontinuum qshould qthe qnurse
qselect?
, Ment q al qIllness Mental qHealth
1 2 3 4 5
a. 1
b. q q 2
c. 3
d. q q 4
e. 5
ANS: qE
The qadult qis qgenerally qhappy qand qhas qan qadequate qself-concept. qThe qstatement
qindicates qthe qadult qis qreality-oriented, qworks qeffectively, qand qhas qcontrol qover qown
qbehavior. qMental qhealth qdoes qnot qmean qthat qa qperson qis qalways qhappy.
PTS: q1 DIF: qCognitive qLevel: qApply q(Application)
REF: qPages q1-2, q3, q32 q(Figure q1-1) TOP: qNursing qProcess: qAssessment
qMSC: qClient qNeeds: qPsychosocial qIntegrity
12. Which qdisorder qis qan qexample qof qa qculture-bound qsyndrome?
a. Epilepsy
b. Schizophrenia
c. Running qamok
d. Major qdepressive qdisorder
ANS: qC
Culture-bound qsyndromes qoccur qin qspecific qsociocultural qcontexts qand qare qeasily
qrecognized qby qpeople qin qthose qcultures. qA qsyndrome qrecognized qin qparts qof
qSoutheast qAsia qis qrunning qamok, qin qwhich qa qperson q(usually qa qmale) qruns
qaround qengaging q in qfurious, qalmost qindiscriminate qviolent qbehavior.
PTS: q1 qDIF: qCognitive qLevel: qUnderstand q(Comprehension) qREF: qPage q1-
7 qTOP: qNursing qProcess: qAssessment
MSC: qClient qNeeds: qPsychosocial qIntegrity
13. The qDSM-V qclassifies:
a. deviant qbehaviors.
b. present qdisability qor qdistress.
c. people qwith qmental qdisorders.
d. mental qdisorders qpeople qhave.
ANS: qD
The qDSM-V qclassifies qdisorders qpeople qhave qrather qthan qpeople qthemselves. qThe
qterminology qof qthe qtool qreflects qthis qdistinction qby qreferring qto qindividuals qwith
qa qdisorder qrather qthan qas qa q“schizophrenic” qor q“alcoholic,” q for qexample. qDeviant
qbehavior qis qnot qgenerally qconsidered qa qmental qdisorder. qPresent qdisability qor
qdistress qis qonly qone qaspect qof qthe qdiagnosis.
, PTS: q1 DIF: qCognitive qLevel: qUnderstand q(Comprehension)
REF: qPages q1-18, q19 TOP: qNursing qProcess:
qImplementation qMSC: qClient qNeeds: qSafe, qEffective qCare qEnvironment
14. A qcitizen qat qa qcommunity qhealth qfair qasks qthe qnurse, q“What qis qthe qmost qprevalent
qmental qdisorder qin qthe qUnited qStates?” qSelect qthe qnurse’s qcorrect qresponse. qa.
qSchizophrenia
b. Bipolar qdisorder
c. Dissociative qfugue
d. Alzheimer’s qdisease
ANS: qD
The q12-month qprevalence qfor qAlzheimer’s qdisease qis q10% qfor qpersons qolder qthan
q65% qand q50% qfor qpersons qolder qthan q85. qThe qprevalence qof qschizophrenia qis
q1.1% qper qyear. qThe qprevalence qof qbipolar qdisorder qis q2.6%. qDissociative qfugue qis
qa qrare qdisorder.
PTS: q1 DIF: qCognitive qLevel: qUnderstand q(Comprehension)
REF: qPage q1-33 q(Table q1-1) TOP: qNursing qProcess: q Implementation qMSC:
qClient qNeeds: qHealth qPromotion qand qMaintenance
15. In qthe qmajority qculture qof qthe qUnited qStates, qwhich qindividual qhas qthe qgreatest qrisk
qto qbe qlabeled qmentally qill? qOne qwho
a. describes qhearing qGod’s qvoice qspeaking.
b. is qusually qpessimistic qbut qstrives qto qmeet qpersonal qgoals.
c. is qwealthy qand qgives qaway q$20 qbills qto qneedy qindividuals.
d. always qhas qan qoptimistic qviewpoint qabout qlife qand qhaving qown qneeds qmet.
ANS: qA
The qquestion qasks qabout qrisk. qHearing qvoices qis qgenerally qassociated qwith qmental
qillness, qbut qin qcharismatic qreligious qgroups, qhearing qthe qvoice qof qGod qor qa
qprophet qis qa qdesirable qevent.
Cultural qnorms qvary, qwhich qmakes qit qmore qdifficult qto qmake qan qaccurate qdiagnosis.
qThe qindividuals qdescribed qin qthe qother qoptions qare qless qlikely qto qbe qlabeled
qmentally qill.
PTS: q1 DIF: qCognitive qLevel: qAnalyze q(Analysis) REF: qPages q1-3,
q4 qTOP: qNursing qProcess: qAssessment
MSC: qClient qNeeds: qPsychosocial qIntegrity
16. A qpatient’s qrelationships qare qintense qand qunstable. qThe qpatient qinitially qidealizes qthe
qsignificant qother qand qthen qdevalues qhim qor qher, qresulting qin qfrequent qfeelings qof
qemptiness. qThis qpatient qwill qbenefit qfrom qinterventions qto qdevelop qwhich qaspect qof
qmental qhealth? qa. qEffectiveness qin qwork
b. Communication qskills
c. Productive qactivities
d. Fulfilling qrelationships
ANS: qD
The qinformation qgiven qcenters qon qrelationships qwith qothers qthat qare qdescribed qas
qintense qand qunstable. qThe qrelationships qof qmentally qhealthy qindividuals qare qstable,
qsatisfying, qand qsocially
,Chapter 01: Mental Health and Mental Illness
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced
practice nurse to perform which additional intervention? a. Conduct mental health
assessments.
b. Prescribe psychotropic medication.
c. Establish therapeutic relationships.
d. Individualize nursing care plans.
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.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-23 TOP:
Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
2. A nursing student expresses concerns that mental health nurses “lose all their clinical nursing
skills.” Select the best response by the mental health nurse.
a. “Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient
ratios must be better because of the nature of the patients’ problems.”
b. “Psychiatric nurses use complex communication skills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high technology monitoring
equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as medical–
surgical nurses do. That appeals to me.”
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical–surgical
nursing, though there is substantial overlap. Psychiatric nurses must be able to help patients
with medical as well as mental health problems, reflecting the holistic perspective these
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
just like other specialties. Psychiatric nursing involves clinical practice, not just
documentation. Psychosocial pain and suffering are as real as physical pain and suffering.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2, 21 TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
, 3. When a new bill introduced in Congress reduces funding for care of persons diagnosed with
mental illness, a group of nurses write letters to their elected representatives in opposition to
the legislation. Which role have the nurses fulfilled?
a. Recovery
b. Attending
c. Advocacy
d. Evidence-based practice
ANS: C
An advocate defends or asserts another’s cause, particularly when the other person lacks the
ability to do that for self. Examples of individual advocacy include helping patients
understand their rights or make decisions. On a community scale, advocacy includes political
activity, public speaking, and publication in the interest of improving the human condition.
Since funding is necessary to deliver quality programming for persons with mental illness, the
letter-writing campaign advocates for that cause on behalf of patients who are unable to
articulate their own needs.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 1-26 TOP:
Nursing Process: Evaluation
MSC: Client Needs: Safe, Effective Care Environment
4. A family has a long history of conflicted relationships among the members. Which family
member’s comment best reflects a mentally healthy perspective?
a. “I’ve made mistakes but everyone else in this family has also.”
b. “I remember joy and mutual respect from our early years together.”
c. “I will make some changes in my behavior for the good of the family.”
d. “It’s best for me to move away from my family. Things will never change.”
ANS: C
The correct response demonstrates the best evidence of a healthy recognition of the
importance of relationships. Mental health includes rational thinking, communication skills,
learning, emotional growth, resilience, and self-esteem. Recalling joy from earlier in life may
be healthy, but the correct response shows a higher level of mental health. The other incorrect
responses show blaming and avoidance.
PTS: 1 DIF: Cognitive Level: Analyze (Analysis)
REF: Pages 1-2, 3, 32 (Figure 1-1) TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrity
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
illness? The patient
a. reports occasional sleeplessness and anxiety.
b. reports a consistently sad, discouraged, and hopeless mood.
c. is able to describe the difference between “as if” and “for real.”
d. perceives difficulty making a decision about whether to change jobs.
, ANS: B
The correct response describes a mood alteration, which reflects mental illness. The
distracters describe behaviors that are mentally healthy or within the usual scope of human
experience.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing Process: Assessment
MSC: Client Needs: Psychosocial Integrity
6. Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was
achieved for an adult patient? The patient
a. sees self as capable of achieving ideals and meeting demands.
b. behaves without considering the consequences of personal actions.
c. aggressively meets own needs without considering the rights of others.
d. seeks help from others when assuming responsibility for major areas of own life.
ANS: A
The correct response describes an adaptive, healthy behavior. The distracters describe
maladaptive behaviors.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-2 to 4 TOP: Nursing Process: Evaluation
MSC: Client Needs: Psychosocial Integrity
7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form.
Which resource should the nurse consult to determine criteria used to establish this diagnosis? a.
International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
b. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
c. Diagnostic and Statistical Manual of Mental Disorders (DSM-V)
d. A behavioral health reference manual
ANS: C
The DSM-V gives the criteria used to diagnose each mental disorder. It is the official guideline
for diagnosing psychiatric disorders. The distracters may not contain diagnostic criteria for a
psychiatric illness.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Pages 1-18, 19 TOP: Nursing Process: Assessment
MSC: Client Needs: Safe, Effective Care Environment
8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource
would have the most complete information?
a. Nursing Outcomes Classification (NOC)
b. DSM-V
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice d. ICD-10
, ANS: B
The qDSM-V qdetails qthe qdiagnostic qcriteria qfor qpsychiatric qclinical qconditions. qIt qis
qthe qofficial qguideline qfor qdiagnosing qpsychiatric qdisorders. qThe qother qreferences qare
qgood qresources qbut qdo qnot qdefine qthe qdiagnostic qcriteria.
PTS: q1 DIF: qCognitive qLevel: qUnderstand q(Comprehension)
REF: qPages q1-18, q19 TOP: qNursing qProcess:
qImplementation qMSC: qClient qNeeds: qSafe, qEffective qCare qEnvironment
9. Which qindividual qis qdemonstrating qthe qhighest qlevel qof qresilience? qOne qwho
a. is qable qto qrepress qstressors.
b. becomes qdepressed qafter qthe qdeath qof qa qspouse.
c. lives qin qa qshelter qfor q2 qyears qafter qthe qhome qis qdestroyed qby qfire.
d. takes qa qtemporary qjob qto qmaintain qfinancial qstability qafter qloss qof qa qpermanent
qjob.
ANS: qD
Resilience qis qclosely qassociated qwith qthe qprocess qof qadapting qand qhelps qpeople
qfacing qtragedies, qloss, qtrauma, qand qsevere qstress. qIt qis qthe qability qand qcapacity
qfor qpeople qto qsecure qthe qresources qthey qneed qto qsupport qtheir qwell-being.
qRepression qand qdepression qare qunhealthy.
Living qin qa qshelter qfor q2 qyears qshows qa qfailure qto qmove qforward qafter qa qtragedy.
qSee qrelated qaudience qresponse qquestion.
PTS: q1 DIF: qCognitive qLevel: qApply q(Application) REF: qPages q1-5,
q6 qTOP: qNursing qProcess: qAssessment
MSC: qClient qNeeds: qPsychosocial qIntegrity
10. Complete qthis qanalogy. qNANDA: qclinical qjudgment: qNIC: a.
qpatient qoutcomes.
b. nursing qactions.
c. diagnosis.
d. symptoms.
ANS: qB
Analogies qshow qparallel qrelationships. qNANDA, qthe qNorth qAmerican qNursing
qDiagnosis qAssociation, qidentifies qdiagnostic qstatements qregarding qhuman qresponses qto
qactual qor qpotential qhealth qproblems. qThese qstatements qrepresent qclinical q judgments.
qNIC q(Nursing qInterventions qClassification) qidentifies qactions qprovided qby qnurses qthat
qenhance qpatient qoutcomes. qNursing qcare qactivities q may qbe qdirect qor qindirect.
PTS: q1 DIF: qCognitive qLevel: qAnalyze q(Analysis)
REF: qPages q1-21, q22 TOP: qNursing qProcess:
qEvaluation qMSC: qClient qNeeds: qSafe, qEffective qCare qEnvironment
11. An qadult qsays, q“Most qof qthe qtime qI’m qhappy qand qfeel qgood qabout qmyself. qI
qhave qlearned qthat qwhat qI qget qout qof qsomething qis qproportional qto qthe qeffort qI
qput qinto qit.” qWhich qnumber qon qthis qmental qhealth qcontinuum qshould qthe qnurse
qselect?
, Ment q al qIllness Mental qHealth
1 2 3 4 5
a. 1
b. q q 2
c. 3
d. q q 4
e. 5
ANS: qE
The qadult qis qgenerally qhappy qand qhas qan qadequate qself-concept. qThe qstatement
qindicates qthe qadult qis qreality-oriented, qworks qeffectively, qand qhas qcontrol qover qown
qbehavior. qMental qhealth qdoes qnot qmean qthat qa qperson qis qalways qhappy.
PTS: q1 DIF: qCognitive qLevel: qApply q(Application)
REF: qPages q1-2, q3, q32 q(Figure q1-1) TOP: qNursing qProcess: qAssessment
qMSC: qClient qNeeds: qPsychosocial qIntegrity
12. Which qdisorder qis qan qexample qof qa qculture-bound qsyndrome?
a. Epilepsy
b. Schizophrenia
c. Running qamok
d. Major qdepressive qdisorder
ANS: qC
Culture-bound qsyndromes qoccur qin qspecific qsociocultural qcontexts qand qare qeasily
qrecognized qby qpeople qin qthose qcultures. qA qsyndrome qrecognized qin qparts qof
qSoutheast qAsia qis qrunning qamok, qin qwhich qa qperson q(usually qa qmale) qruns
qaround qengaging q in qfurious, qalmost qindiscriminate qviolent qbehavior.
PTS: q1 qDIF: qCognitive qLevel: qUnderstand q(Comprehension) qREF: qPage q1-
7 qTOP: qNursing qProcess: qAssessment
MSC: qClient qNeeds: qPsychosocial qIntegrity
13. The qDSM-V qclassifies:
a. deviant qbehaviors.
b. present qdisability qor qdistress.
c. people qwith qmental qdisorders.
d. mental qdisorders qpeople qhave.
ANS: qD
The qDSM-V qclassifies qdisorders qpeople qhave qrather qthan qpeople qthemselves. qThe
qterminology qof qthe qtool qreflects qthis qdistinction qby qreferring qto qindividuals qwith
qa qdisorder qrather qthan qas qa q“schizophrenic” qor q“alcoholic,” q for qexample. qDeviant
qbehavior qis qnot qgenerally qconsidered qa qmental qdisorder. qPresent qdisability qor
qdistress qis qonly qone qaspect qof qthe qdiagnosis.
, PTS: q1 DIF: qCognitive qLevel: qUnderstand q(Comprehension)
REF: qPages q1-18, q19 TOP: qNursing qProcess:
qImplementation qMSC: qClient qNeeds: qSafe, qEffective qCare qEnvironment
14. A qcitizen qat qa qcommunity qhealth qfair qasks qthe qnurse, q“What qis qthe qmost qprevalent
qmental qdisorder qin qthe qUnited qStates?” qSelect qthe qnurse’s qcorrect qresponse. qa.
qSchizophrenia
b. Bipolar qdisorder
c. Dissociative qfugue
d. Alzheimer’s qdisease
ANS: qD
The q12-month qprevalence qfor qAlzheimer’s qdisease qis q10% qfor qpersons qolder qthan
q65% qand q50% qfor qpersons qolder qthan q85. qThe qprevalence qof qschizophrenia qis
q1.1% qper qyear. qThe qprevalence qof qbipolar qdisorder qis q2.6%. qDissociative qfugue qis
qa qrare qdisorder.
PTS: q1 DIF: qCognitive qLevel: qUnderstand q(Comprehension)
REF: qPage q1-33 q(Table q1-1) TOP: qNursing qProcess: q Implementation qMSC:
qClient qNeeds: qHealth qPromotion qand qMaintenance
15. In qthe qmajority qculture qof qthe qUnited qStates, qwhich qindividual qhas qthe qgreatest qrisk
qto qbe qlabeled qmentally qill? qOne qwho
a. describes qhearing qGod’s qvoice qspeaking.
b. is qusually qpessimistic qbut qstrives qto qmeet qpersonal qgoals.
c. is qwealthy qand qgives qaway q$20 qbills qto qneedy qindividuals.
d. always qhas qan qoptimistic qviewpoint qabout qlife qand qhaving qown qneeds qmet.
ANS: qA
The qquestion qasks qabout qrisk. qHearing qvoices qis qgenerally qassociated qwith qmental
qillness, qbut qin qcharismatic qreligious qgroups, qhearing qthe qvoice qof qGod qor qa
qprophet qis qa qdesirable qevent.
Cultural qnorms qvary, qwhich qmakes qit qmore qdifficult qto qmake qan qaccurate qdiagnosis.
qThe qindividuals qdescribed qin qthe qother qoptions qare qless qlikely qto qbe qlabeled
qmentally qill.
PTS: q1 DIF: qCognitive qLevel: qAnalyze q(Analysis) REF: qPages q1-3,
q4 qTOP: qNursing qProcess: qAssessment
MSC: qClient qNeeds: qPsychosocial qIntegrity
16. A qpatient’s qrelationships qare qintense qand qunstable. qThe qpatient qinitially qidealizes qthe
qsignificant qother qand qthen qdevalues qhim qor qher, qresulting qin qfrequent qfeelings qof
qemptiness. qThis qpatient qwill qbenefit qfrom qinterventions qto qdevelop qwhich qaspect qof
qmental qhealth? qa. qEffectiveness qin qwork
b. Communication qskills
c. Productive qactivities
d. Fulfilling qrelationships
ANS: qD
The qinformation qgiven qcenters qon qrelationships qwith qothers qthat qare qdescribed qas
qintense qand qunstable. qThe qrelationships qof qmentally qhealthy qindividuals qare qstable,
qsatisfying, qand qsocially
