& Answers
The mental health status of a particular client can best be assessed by considering which factor?
A) The degree of conformity of the individual to society's norms
B) The degree to which an individual is logical and rational
C) Status placement on a continuum from health to illness
D) Rate of demonstrated intellectual and emotional growth - ANSWERSANS: C.
Many (but not all) of the most prevalent and disabling mental disorders have been found to
have strong biological influences. Therefore, these disorders can be regarded as "diseases."
Visualizing these disorders along the mental health continuum is helpful
An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his
apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts
outraged and tells them he must sing daily and will not promise to be quieter. This behavior
supports what conclusion about this client?
A) The client is demonstrating symptoms of bipolar disorder.
B) The client is demonstrating socially deviant behavior.
C) The client is engaging in egocentric behaviors.
D) The client is not conforming with social norms. - ANSWERSANS: D.
Behavior that deviates from socially accepted norms does not indicate a mental illness unless
there is significant disturbance in mental functioning
,Which statement best describes the Diagnostic and Statistical Manual, fifth edition (DSM-5)
DSM-5?
A) It is a medical psychiatric assessment system.
B) It is a compendium of treatment modalities.
C) It offers a complete list of nursing diagnoses.
D) It suggests common interventions for mental disorders. - ANSWERSANS: A.
The DSM-5 is a classification of mental disorders that includes descriptions and criteria of
diagnoses. None of the other options are accurate descriptions
A client tells the mental health nurse "I am terribly frightened! I hear whispering in my head
that someone is going to kill me." Which criteria of mental health can the nurse assess as
lacking?
A) Self-control
B) Rational thinking
C) Learning and productivity
D) Positive self-concept - ANSWERSANS: B.
The ability to think rationally is lacking for this client. The client does not have an accurate
picture of what is happening that is based on reliable cognitive thinking. The statement fails to
meet the criteria for any of the other options
What client assessment data demonstrates parity related to mental health care?
A) The client is admitted for a 72-hour mental hygiene evaluation.
B) Advance practice nurse can be certified as psychiatric nurse specialist.
,C) A client's mental health coverage is equal to his/her medical/surgical coverage.
D) A client who has attempted suicide is hospitalized for a mental health evaluation. -
ANSWERSANS: C.
Parity refers to equivalence that requires insurers who provide mental health coverage to offer
annual and lifetime benefits at the same level provided for medical/surgical coverage. None of
the other options are associated with mental health insurance coverage
How can a nurse best differentiate whether an Asian client is demonstrating a mental illness
after having attempted suicide?
A) Ask the client whether he views himself as being depressed.
B) Identify the client's culture's view regarding suicide.
C) Explain that suicide is often regarded as a desperate act.
D) Assess the client for other examples of depressive behaviors. - ANSWERSANS: B.
One approach to differentiating mental health from mental illness is to consider what a
particular culture regards as acceptable or unacceptable. In this view, the mentally ill are those
who violate social norms and thus threaten (or make anxious) those observing them. For
example, traditional Japanese may consider suicide to be an act of honor Contrast that
viewpoint with Western culture, where people who attempt or complete suicides are nearly
always considered mentally ill. While the remaining options are appropriate interventions, they
fail to address the possible cultural component of the client's behavior
What term is used to identify the quantitative study of the distribution of mental disorders in
human populations?
A) Mortality.
B) Prevalence.
C) Epidemiology.
, D) Clinical epidemiology. - ANSWERSANS: C.
Epidemiology is the quantitative study of the distribution of mental disorders in human
populations. Mortality refers to deaths. Prevalence refers to the proportion of a population with
a mental disorder at a given time. Clinical epidemiology deals with what happens to people with
illnesses who are seen by providers of care.
A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client
with a history of paranoia asks, "What does that title mean?" Keeping in mind the diagnosis of
the patient, how should the nurse respond to this question?
A) "Don't be afraid; it means I'm here to help, not hurt, you."
B) "Psychiatric mental health nurses care for people with mental illnesses."
C) "We have the specialized skills needed to care for those with mental illnesses."
D) "The nurses who work in mental health facilities have that title." - ANSWERSANS: C.
A psychiatric mental health nurse has specialized nursing skills and implements the nursing
process to manage and deliver nursing care to the mentally ill. The remaining options either do
not effectively answer the client's question or assume that the question is the result of the
client's paranoia.
The nurse planning care for a mentally ill client bases interventions on which concept?
A) Every client has a certain degree of resilience.
B) It is a client right to be treated respectfully.
C) Every client comes with experiences that contribute to their problem.
D) There are universal fears that are shared by all mentally healthy individuals. - ANSWERSANS:
A.