, lOMoAR
ilil A. ilil A. ilil A. ilil
ilil ili
Multiple lChoice
1. As llpart llof lla llclass llactivity, llnursing llstudents llare llengaged llin lla llsmall llgroup
lldiscussion llabout lltheepidemiology llof llmental llillness. llWhich llstatement llbest
llexplains llthe llimportance llof llepidemiology llin llunderstanding llthe llimpact llof llmental
lldisorders? llEpidemiology:
A) Helps llpromote llunderstanding llof ll the patterns l l of lloccurrence llassociated llwith llmental
A.
lldisorders.
B) Helps llexplain llresearch llfindings l l about l l the llneurophysiologylthat llcauses lmental
l l disorders.
C) Provides lla llthorough l l theoretical l l explanation llof llwhy llspecificmental l l disorders lloccur.
D) Predicts lwhen llalspecific l l psychiatric llclient llwill llrecover llfrom l l a llspecific llmental
.lldisorder.
ll
Ans: ll A
A
Chapter: 1
Client llNeeds: llSafe,
llEffectiveCognitiveLeve
l:
Apply
Integrated llProcess: Teaching/Learning l l Objective: 4
Page llNumber: l l 2
Feedback: Epidemiology llis llthe llstudy llof llpatterns llof lldisease lldistribution lland
lldeterminants llof llhealth within llpopulations. llIt llcontributes llto llthe lloverall
i
llunderstanding llof llthe llmental llhealth llstatus llof llpopulationgroups, llor llaggregates, lland
llit llexamines llthe llassociations llamong llpossiblefactors.
Epidemiology ldoes llnotexplain llresearch llfindings llabout llneurophysiology, llprovide
lltheoretical llexplanations llfor llwhy llspecific lldisorders lloccur, llor llpredict llrecovery.
2. A l l nurse l l is l l working l l in l l a l l community l l mental l l health
l l center l l that l l provides l l care l l to l l a lllarge llpopulation llofpeople llof llAsian
lldescent. llWhen lldeveloping llprograms llfor llthis llcommunity, llwhich llof llthe llfollowing llwould
llbemost llimportant llfor ll the llnurse llto lladdress?
A) Public l l stigma
B) Self-stigma
C) Label llavoidance
D) Negative llife llevents
Ans: ll ll C
A .
Chapter: 1
Client ll Needs: Psychosocial llIntegrity llCognitive llLevel:
UnderstandIntegrated llProcess:
Nursing llProcess llObjective: 5
Page llNumber: l l 4
Feedback: Although llpublic llstigma lland llself-stigma llmay llbe llareas llneeding llto llbe
lladdressed, llin ll this llcultural llgroup, lllabel llavoidance llwould llbe llmost llimportant. llLabel
llavoidance llor llavoiding lltreatment/care llso
asnot l l to l l be l l labeled l l mentally l l ill l l is l l a l l type l l of l l stigma l l that
l l influences l l why l l so l l few l l people l l with llmental llhealth llproblems llactually
llreceive llassistance. llAsian ll cultures llcommonly llhave llnegative llviews ll of llmental l l illness
l l that l l influence l l the l l willingness l l of l l members l l to l l seek l l treatment; l l they llpossibly
llignore llthe l l symptoms llor l l refuse l l to l l seek l l treatment l l because l l of l l this l l stigma.
l l Negative l l life l l events l l affect llanyone, l l not l l just l l those l l of llthe llAsian llculture.
, lOMoAR
3. A llnursing llstudent llis llassigned llto llcare llfor lla llclient lldiagnosed llwith llschizophrenia.
llWhen lltalking llabout t his llclient llin lla llclinical llpost-conference, llthe llstudent llwould lluse llwhich
ilil
llterminology llwhen llreferring llto llthe llclient?
A) Committed lclient
B) Schizophrenic
C) Schizophrenic llclient
D) Person lwith ll schizophrenia
, lOMoAR
Ans: D l l Chapter: 1
Client llNeeds: Psychosocial llIntegrity llCognitive
llLevel: llApplyObjective: 5
PagelNumber: l l 4
Feedback: Just llas lla l l person llwith l l diabetes l l should l l not l l be l l referred llto l l as lla l l <diabetic=
llbut l l rather ll as l l a
<person llwith lldiabetes,= lla llperson llwith lla llmental lldisorder llshould llnever ll be llreferred llto llas l l a
<schizophrenic=or ll<bipolar,= llbut llrather llas lla ll<person llwith llschizophrenia= llor lla ll<person
llwith llbipolar lldisorder.= l l Doing llso l l helps llto llcounteract l l the llnegative lleffects llof
llstigma.
4. A llnursing llstudent llis llreviewing lljournal llarticles llabout llmajor lldepression. llOne llof
llthe llarticles lldescribesthe llnumber llof llpersons l l newly ldiagnosed l l with llthe lldisorder
llduring llthe llpast l l year. llThe llstudent llinterprets llthis llas llwhich llof llthe llfollowing?
A) Rate
B) Prevalence
C) Point llprevalence
D) Incidence
Ans: D l l Chapter: 1
Client ll Needs: Psychosocial llIntegrity llCognitive llLevel:
ApplyIntegrated llProcess:
Nursing llProcess llObjective: 4
Page llNumber: l l 3
Feedback: The llarticle llis lldescribing llincidence, llwhich llrefers llto lla llrate llthat llincludes llonly
llnew llcases ll that h aveloccurred llwithin lla llclearly ldefined lltimelperiod. llThe llmost llcommonltime
ilil
llperiod llevaluatedlis ll1 llyear.
Rate llreflects llthe llproportion llof llcases llin llthe llpopulation llcompared llwith llthe lltotal
llpopulation. llPrevalence llrefers l l to l l the l l total l l number l l of l l people l l with
l l the l l disorder l l within l l a l l given l l population l l at l l a llspecified l l time,
llregardless llof llhow lllong llago llthe lldisorder llstarted. llPoint llprevalence llrefers llto llthe llproportion ll of
llindividuals llinthe llpopulation llthat l l have lla lldisorder llat l l a llspecific llpoint l l in l l time.
5. While llworking llin lla llcommunity llmental llhealth lltreatment llcenter, llthe llnurse
lloverhears llone llof llthe llreceptionists l l saying l l that l l one l l of l l the l l clients l l is
l l <really l l psycho.= l l Later l l in l l the l l day, l l the l l nurse lltalks l l with llthe
llreceptionist llabout llthe llcomment. llThis llaction llbythe llnurse lldemonstrates llan llattempt llto
lladdress llwhich llissue?
A) Lack llof llknowledge
B) Public l l stigma
C) Label llavoidance
D) Self-stigma
Ans: B l l Chapter: 1
Client ll Needs: Psychosocial llIntegrity llCognitive llLevel:
ApplyIntegrated llProcess:
Nursing llProcess llObjective: 5
Page llNumber: l l 4
Feedback: The llreceptionist's llnegative lleffects llof llstigmatization, llmore llspecifically llpublic
llstigma. llSelf- llstigma llreflects lla llperson's llinternalization llof lla llnegative llstereotype; llthat llis,
llthe llperson llwith llthe llmental llillnessbegins l l to llbelieve llthat llhe llor llshe llis l l what llthe llpublic
llthinks llhe llor llshe llis. l l Label l l avoidance l l refers
to l l avoiding l l treatment l l or l l care l l so l l as l l not l l to l l be l l labeled l l mentally
l l ill. l l Lack l l of l l knowledge l l is lloften llthe ll underlying lltheme llassociated llwith llany
lltype llof llstigma.
6. After lleducating lla llgroup llof llstudents llon llmental llhealth lland llmental llillness,