,
,
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Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
Integrated Process: Teaching/Learning
Objective: 3
Page Number: 3
Feedback: Mental disorders are health conditions characterized by alterations in
thinking, mood, or behavior and are associated with distress or impaired
functioning.
Mental health is the emotional and psychological well-being of an individual who has
the capacity to interact with others, deal with ordinary stress, and perceive one's
surroundings realistically.
7. A nurse is preparing a presentation for a local community group about mental
disorders and plans to include how mental disorders are different from medical
disorders. Which statement would be most appropriate for the nurse to include?
A) “Mental disorders are defined by an underlying biological pathology.”
B) “Numerous laboratory tests are used to aid in the diagnosis of mental
disorders.” C) “Clusters of behaviors, thoughts, and feelings characterize
mental disorders.”
D) “Manifestations of mental disorders are within normal, expected parameters.”
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 3
Page Number: 2
Feedback: Unlike many medical disorders, mental disorders are defined by clusters
of behaviors, thoughts, and feelings, not underlying biologic pathology. The
alterations in thoughts, behaviors, and feelings are unexpected and outside the
normal, culturally defined limits. Laboratory tests are not used in diagnosing mental
disorders.
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8. A psychiatric–mental health nurse is providing care for a client with a mental
disorder. The client is participating in the decision-making process. The nurse
interprets this as which component of recovery?
A) Self-direction
B) Collaborative
C) Person-centered
D) Holistic
Ans: B
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Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 6
Page Number: 4
Feedback: In recovery-oriented care, the person with a mental health problem
develops a partnership with a clinician to manage the illness, strengthen coping
abilities, and build resilience for life’s challenges. Being involved in decision making
helps the client transition from a dependent-driven relationship to a collaborative
recovery-oriented one. Self-direction is reflected as individuals define their own
goals and design a path to meet those goals. Individualized and person-centered is
reflected by the individual's use of his or her own unique strengths and resilience as
well as needs, preferences, experiences, and cultural background. Holistic involves
the whole life of the individual—mind, body, spirit, and community.
9. A nurse is explaining recovery to the family of a client diagnosed with a mental
disorder. Which statement would be most appropriate for the nurse to include about
this process?
A) “It is a step-by-step process from being ill to being well.”
B) “The client focuses mainly on the emotional aspects of their condition.”
C) “The client is helped to live a meaningful life to their fullest potential.”
D) “Although peer support is important, the self-acceptance is essential.”
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 6
Page Number: 4
Feedback: Recovery from mental disorders and/or substance use disorders is a
process of change through which individuals improve their health and wellness, live
a self-directed life, and strive to reach their full potential. It is a nonlinear process
with setbacks. It also is strength-based. Peer support is important, but so is respect
by the community and consumers, along with self-acceptance to ensure inclusion
and participation in all aspects of life.
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10. After teaching a group of nursing students on recovery, the instructor
determines that more education is needed when the group identifies which of the
following as a characteristic?
A) Self-direction in life
B) Improvement in health and wellness
C) Achievement of full potential
D) One-time change situation
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Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 6
Page Number: 4
Feedback: Recovery from mental disorders and/or substance use disorders is a
process of change through which individuals improve their health and wellness, live
a self-directed life, and strive to reach their full potential.
11. When describing the treatment of mental illness, which of the following would a
nurse identify as the primary goal?
A) Functional status
B) Stigma reduction
C) Stress reduction
D) Recovery
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Understand
Integrated Process: Nursing Process
Objective: 6
Page Number: 4
Feedback: Although reducing stigma, reducing stress, and improving functional
status are important components involved in the treatment of mental illness,
recovery is the single most important goal for individuals with mental disorders.
12. A nurse is working as part of the multidisciplinary team and developing a plan
of care for a client who is receiving recovery-oriented treatment. Which of the
following would the nurse integrate into this plan?
A) Focusing primarily on the mind
B) Limiting support from others
C) Using hope as motivation
D) Avoiding underlying trauma
Ans: C
Chapter: 1 G MRADESLAB.CO
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
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Objective: 6
Page Number: 5
Feedback: Recovery emerges from hope: The belief that recovery is real
provides the essential and motivating message of a better future—that people can
and do overcome the internal and external challenges, barriers, and obstacles that
confront them.. Recovery is also holistic, addressing an individual's whole life,
including body, mind, spirit and community. Recovery is supported by peers and
allies and through relationships and social networks. Finally, recovery is supported
by addressing trauma, such that services and supports should be trauma-informed
to foster safety.
13. A nurse is assessing a client to evaluate the client's mental health and
wellness. Applying the eight dimensions of wellness, which of the following would
the nurse identify as reflecting emotional wellness? A) Finding ways to expand
creative abilities
B) Recognizing the need for sleep and nutrition
C) Searching for meaning in life
D) Developing skills for dealing with stress
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 1
Page Number: 2
Feedback: The emotional dimension of wellness focuses on developing skills and
strategies to cope with stress. The intellectual dimension focuses on recognizing
creative abilities and finding ways to expand one's knowledge and skills. The
physical dimension focuses on recognizing the need for physical activity, diet, sleep
and nutrition. The spiritual dimension focuses on the search for meaning and
purpose in the human experience.
14. Which of the following would be a major barrier affecting the treatment of
individuals with mental health problems? A) Lack of a diagnostic criteria
B) Inability to obtain epidemiologic data
C) Stigma associated with mental health problems
D) Limited hope for recovery
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process G MRADESLAB.CO
Objective: 3
Page Number: 3
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Feedback: Stigma is one of the major treatment barriers facing individuals with
mental health problems and their families. Diagnostic criteria have been established
for mental disorders, and evidence through epidemiologic research provides
valuable information about the mental health status of population groups and
associated factors. A guiding principle of recovery is hope, the belief that recovery
is real and that the people can and do overcome the internal and external
challenges, barriers and obstacles confronting them.
15. Which statement best reflects measures to address public stigma?
A) “The client with schizophrenia needs additional assistance.”
B) “The bipolar in room 222 is really out of control today.” C) “That
client down the hall is a raving maniac.”
D) “That hyperactive client is acting like a psycho.”
Ans: A
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive
Level: Apply
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: One way to reduce public stigma is to use nonstigmatizing language.
Rather than referring to the client as schizophrenic or bipolar, it is more appropriate
to say "the client with schizophrenia" or "the client with bipolar disorder." Terms
such as maniac and psycho reinforce the negative images of mental illness.
16. When assessing a client with a mental illness, the nurse determines that the
client is experiencing label avoidance when the client states which of the following?
A) “I'm at the cause of my illness.”
B) “I'll never be able to function in the world.”
C) “I'm as crazy as everybody thinks I am.”
D) “I really don't need to see anyone.”
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: Label avoidance involves an individual not seeking treatment so as not
to be labeled as mentally ill. The statement about not really needing to see anyone
suggests label avoidance. The statements about being the cause of the illness, not
being able to function in the world, and being as crazy as everyone says reflect self-
stigma, the internalization of negative stereotypes by individuals with mental
illness. G MRADESLAB.CO
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17. A nurse is describing the four dimensions of recovery to a group of new
psychiatric--mental health nurses. Which dimension is the nurse describing when
addressing relationships and social networks?
A) Health
B) Home
C) Purpose
D) Community
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive
Level: Apply
Integrated Process: Teaching/Learning
Objective: 6
Page Number: 4
Feedback: There are four dimensions that support recovery: health (managing
disease and living in a physically and emotionally healthy way), home (a safe and
stable place to live), purpose (meaningful daily activities and independence,
resources and income), and community (relationships and social networks).
18. A nurse is reading a journal article about epidemiologic research and mental
illness. Which of the following mental health conditions would the nurse expect to
find as being projected as the leading burden of disease worldwide by the year
2030?
A) Depression
B) Anxiety
C) Substance abuse
D) Anorexia nervosa
Ans: A
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 4
Page Number: 2
Feedback: Based on epidemiologic research, depression is one of the leading
disease burdens in middle- and high-income countries, such as the United States.
By 2030, depression is projected to be the leading burden worldwide.
19. Which of the following would be used to document a specific pattern of
symptoms that occurs within a community?
A) Cultural syndrome
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