1
,Chapter 01: Mental Health and Mental Illness
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Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3
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rd Edition
@q
MULTIPLE CHOICE @q
1. Which of the following is considered an Advanced Prac
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tice Intervention?
@q
a. Conducting mental health assessments (MSA) @q @q @q @q
b. Prescribing psychotropic medication @q @q
c. Establishing therapeutic relationships @q @q
d. Individualizing nursing care plans @q @q @q
ANS: B @q
Registered nurses and registered psychiatric nurses can further the
@q @q @q @q @q @q @q @q
ir education at a baccalaureate levelor at the graduate level (mast
@q @q @q @q @q @q @q @q @q @q
er‟s doctorate) and become qualified to practise psychiatric menta
@q @q @q @q @q @q @q @q
l health nursing at two levels – basic and advanced –
@q @q @q @q @q @q @q @q @q @q
@qdeveloping on their education preparation. Prescriptive privileges
@q @q @q @q @q @q @q
are granted to master‟s-
@q @q @q
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribin
@q @q @q @q @q @q @q @q @q @q @q @q
g medication. Appropriate use of diagnostic tests must be completed aswell as having hospital a
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
dmitting privileges. Establishing therapeutic relationship, conducting mental health assessments (
@q @q @q @q @q @q @q @q @q
MSAs), and individualizing nursing care plans are foundational psychiatric nursing skills. Theref
@q @q @q @q @q @q @q @q @q @q @q
ore, they are considered Basic-Level Interventions.
@q @q @q @q @q
DIF: Cognitive Level: Understand (Comprehension) @q @q @q
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ q @q @q @ q @q @q @q @q @q
2. Which has been identified as a priority for national plans and strategies in psychiatric menta
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l health nursing in Canada?
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a. Decrease in the aging population @q @q @q @q
b. Increase in cultural diversity @q @q @q
c. Role of the advanced practice nurse
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d. Shortage of physicians in rural and urban areas
@q @q @q @q @q @q @q
ANS: B @q
In early phases of strategic development, the Mental Health Commission of Canada identified c
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ultural diversity as a priority for national plans and strategies. Increasing cultural diversity with
@q @q @q @q @q @q @q @q @q @q @q @q @q
in Canada warrants deeper attention to culturally safe care and concern for the mental health c
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
onsequences of colonization and racism. An aging population and shortage of physicians are i
@q @q @q @q @q @q @q @q @q @q @q @q @q
mportant to future trends. The role of the advanced practice nurse is continuing to evolve in p
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
sychiatric mental health nursing in Canada.
@q @q @q @q @q
DIF:
Cognitive Level: Understand (Comprehensio @q @q @q
n) TOP: Nursing Process: Outcome Evaluation
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MSC: Client Needs: Safe Effective Care Environment
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3. Which serves as the official guide for diagnosing psychiatric disorders?
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a. International Classification of Diseases (ICD-11) @q @q @q @q
b. Diagnostic and Statistical Manual of Mental Disorders (DSM)
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c. A behavioural health reference manual
@q @q @q @q
2
,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Te
@q @q @q @q @q @q @q @q @q @q @q @q @q
st Bank
d. NurseOne online @q
ANS: B @q
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and
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researchers with a common framework to understand and communicate about mental disorders.
@q @q @q @q @q @q @q @q @q @q @q @q
With a common understanding about mental disorders, researchers and clinicians could work t
@q @q @q @q @q @q @q @q @q @q @q @q @q
ogether in their attempts to improve care for people with mental illness. The current DSM-
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
5 serves as the official guide for diagnosing psychiatric disorders. The International Classificati
@q @q @q @q @q @q @q @q @q @q @q @q
on of Diseases (ICD) sets the global health information standard for mortality and morbidity st
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
atistics. Clinicians and researchers use this classification system to define diseases, study diseas
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e patterns, monitor outcomes, and subsequently allocate resources based on the prevalence of di
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sease. The Canadian Institute for Health Information developed an enhanced version of the pre
@q @q @q @q @q @q @q @q @q @q @q @q @q
vious version, ICD-10 referred to as the ICD 10-
@q @q @q @q @q @q @q @q
CA period that version e tends beyond defining and classifying diseases to describe conditions
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and situations that are not diseases, including for e ample, risk factors to health and psychosoc
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
ial circumstances. A behavioral health reference manual and NurseOne online are not used as
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
official guides for diagnosis.
@q @q @q
DIF: Cognitive Level: Apply (Application) @q @q @q
TOP: Nursing Process: Assessment
@ q MSC: Client Needs: Safe Effective Care Environment
@q @q @ q @q @q @q @q @q
4. When locating the description and diagnostic criteria for an iety disorders, which resource woul
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d have the most complete information?
@q @q @q @q @q
a. Nursing Outcomes Classification (NOC) @q @q @q
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
@q @q @q @q @q @q @q
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
@q @q @q @q @q @q @q @q @q
d. International Statistical Classification of Diseases and Related Health Probl
@q @q @q @q @q @q @q @q
ems (ICD-10) @q
ANS: B @q
The DSM- @q
5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for di
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
agnosing psychiatric disorders. The other references are good resources but do not define the di
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agnostic criteria. @q
DIF: Cognitive Level: Understand (Comprehension) @q @q @q
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ q @q @q @ q @q @q @q @q @q
5. Which individual is demonstrating the highest level of resilience?
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a. An individual repressing their stressors who is having a difficult time copin
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g with activities of daily living (ADLs)
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b. An individual who is in a depressed state after the death of their spouse
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c. An individual who lives in a shelter for 2 years after their home is destroy
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ed by a fire @q @q @q
d. An individual who navigates and negotiates resources to support their well-being
@q @q @q @q @q @q @q @q @q @q
ANS: D @q
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Te
@q @q @q @q @q @q @q @q @q @q @q @q @q
st Bank
A characteristic of mental health increasingly being promoted as essential to the recovery proce
@q @q @q @q @q @q @q @q @q @q @q @q @q
ss is resilience. Resilience is a process and outcome of comple , cultural systems, rather than a
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
s an individual capacity to overcome adversity. In this way, when e posed to adversity, one‟s r
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esilience depends on the navigation and negotiation of resources that can support well-
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being. Resilience is closely associated with the process of adapting and helps people facing tra
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gedies, loss, trauma, and severe stress. An individual who is repressing their stressors may nee
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
d support for developing coping strategies. It is important for the individual who is in a depres
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
sed state after the death of their spouse to navigate and negotiate resources that can support th
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
eir well- @q
being (e.g., grief support or counselling). An individual living in a shelter needs immediate sup
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
port and assistance when entering the shelter to navigate services and supports. Shelters are sh
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
ort-term resources. @q
DIF: Cognitive Level: Apply (Application
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) TOP: Nursing Process: Outcome Evalua
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tion MSC: Client Needs: Psychosocial In
@q @ q @q @q @q
tegrity
6. A multidisciplinary team is working with two groups of patients diagnosed with depression. One
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group of patients receives supportive interventions and psychotropic medication (e.g., antidepre
@q @q @q @q @q @q @q @q @q @q @q
ssants). The other group receives only psychotropic medication. Outcomes are measured for eac
@q @q @q @q @q @q @q @q @q @q @q @q
h group. Which is being studied?
@q @q @q @q @q
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology @q
ANS: D @q
Clinical epidemiology is a broad field that addresses studies of the natural history (or what hap
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
pens if there is no treatment and the problem is left to run its course) of an illness, studies o
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
f diagnostic screening tests, and observational and e perimental studies of interventions used to
@q @q @q @q @q @q @q @q @q @q @q @q @q
treat people with the illness or symptoms. Prevalence refers to numbers of new cases. Comor
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
bidity refers to having more than one mental disorder at a time. Incidence refers to the numbe
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
r of new cases of mental disorders in a healthy population within a given period.
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
DIF:
Cognitive Level: Understand (Comprehensio @q @q @q
n) TOP: Nursing Process: Outcome Evaluation
@q @ q @q @q @q
MSC: Client Needs: Safe Effective Care Environment
@ q @q @q @q @q @q
7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of man
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
y homes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed wit
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
h post-
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traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed individual
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s?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology @q
ANS: C @q
4
,Chapter 01: Mental Health and Mental Illness
@q @q @q @q @q @q
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3
@q @q @q @q @q @q @q @q @q @q
rd Edition
@q
MULTIPLE CHOICE @q
1. Which of the following is considered an Advanced Prac
@q @q @q @q @q @q @q @q
tice Intervention?
@q
a. Conducting mental health assessments (MSA) @q @q @q @q
b. Prescribing psychotropic medication @q @q
c. Establishing therapeutic relationships @q @q
d. Individualizing nursing care plans @q @q @q
ANS: B @q
Registered nurses and registered psychiatric nurses can further the
@q @q @q @q @q @q @q @q
ir education at a baccalaureate levelor at the graduate level (mast
@q @q @q @q @q @q @q @q @q @q
er‟s doctorate) and become qualified to practise psychiatric menta
@q @q @q @q @q @q @q @q
l health nursing at two levels – basic and advanced –
@q @q @q @q @q @q @q @q @q @q
@qdeveloping on their education preparation. Prescriptive privileges
@q @q @q @q @q @q @q
are granted to master‟s-
@q @q @q
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribin
@q @q @q @q @q @q @q @q @q @q @q @q
g medication. Appropriate use of diagnostic tests must be completed aswell as having hospital a
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
dmitting privileges. Establishing therapeutic relationship, conducting mental health assessments (
@q @q @q @q @q @q @q @q @q
MSAs), and individualizing nursing care plans are foundational psychiatric nursing skills. Theref
@q @q @q @q @q @q @q @q @q @q @q
ore, they are considered Basic-Level Interventions.
@q @q @q @q @q
DIF: Cognitive Level: Understand (Comprehension) @q @q @q
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ q @q @q @ q @q @q @q @q @q
2. Which has been identified as a priority for national plans and strategies in psychiatric menta
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
l health nursing in Canada?
@q @q @q @q
a. Decrease in the aging population @q @q @q @q
b. Increase in cultural diversity @q @q @q
c. Role of the advanced practice nurse
@q @q @q @q @q
d. Shortage of physicians in rural and urban areas
@q @q @q @q @q @q @q
ANS: B @q
In early phases of strategic development, the Mental Health Commission of Canada identified c
@q @q @q @q @q @q @q @q @q @q @q @q @q
ultural diversity as a priority for national plans and strategies. Increasing cultural diversity with
@q @q @q @q @q @q @q @q @q @q @q @q @q
in Canada warrants deeper attention to culturally safe care and concern for the mental health c
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
onsequences of colonization and racism. An aging population and shortage of physicians are i
@q @q @q @q @q @q @q @q @q @q @q @q @q
mportant to future trends. The role of the advanced practice nurse is continuing to evolve in p
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
sychiatric mental health nursing in Canada.
@q @q @q @q @q
DIF:
Cognitive Level: Understand (Comprehensio @q @q @q
n) TOP: Nursing Process: Outcome Evaluation
@q @ q @q @q @q
MSC: Client Needs: Safe Effective Care Environment
@ q @q @q @q @q @q
3. Which serves as the official guide for diagnosing psychiatric disorders?
@q @q @q @q @q @q @q @q @q
a. International Classification of Diseases (ICD-11) @q @q @q @q
b. Diagnostic and Statistical Manual of Mental Disorders (DSM)
@q @q @q @q @q @q @q
c. A behavioural health reference manual
@q @q @q @q
2
,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Te
@q @q @q @q @q @q @q @q @q @q @q @q @q
st Bank
d. NurseOne online @q
ANS: B @q
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and
@q @q @q @q @q @q @q @q @q @q @q @q
researchers with a common framework to understand and communicate about mental disorders.
@q @q @q @q @q @q @q @q @q @q @q @q
With a common understanding about mental disorders, researchers and clinicians could work t
@q @q @q @q @q @q @q @q @q @q @q @q @q
ogether in their attempts to improve care for people with mental illness. The current DSM-
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
5 serves as the official guide for diagnosing psychiatric disorders. The International Classificati
@q @q @q @q @q @q @q @q @q @q @q @q
on of Diseases (ICD) sets the global health information standard for mortality and morbidity st
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
atistics. Clinicians and researchers use this classification system to define diseases, study diseas
@q @q @q @q @q @q @q @q @q @q @q @q
e patterns, monitor outcomes, and subsequently allocate resources based on the prevalence of di
@q @q @q @q @q @q @q @q @q @q @q @q @q
sease. The Canadian Institute for Health Information developed an enhanced version of the pre
@q @q @q @q @q @q @q @q @q @q @q @q @q
vious version, ICD-10 referred to as the ICD 10-
@q @q @q @q @q @q @q @q
CA period that version e tends beyond defining and classifying diseases to describe conditions
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
and situations that are not diseases, including for e ample, risk factors to health and psychosoc
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
ial circumstances. A behavioral health reference manual and NurseOne online are not used as
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
official guides for diagnosis.
@q @q @q
DIF: Cognitive Level: Apply (Application) @q @q @q
TOP: Nursing Process: Assessment
@ q MSC: Client Needs: Safe Effective Care Environment
@q @q @ q @q @q @q @q @q
4. When locating the description and diagnostic criteria for an iety disorders, which resource woul
@q @q @q @q @q @q @q @q @q @q @q @q @q
d have the most complete information?
@q @q @q @q @q
a. Nursing Outcomes Classification (NOC) @q @q @q
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
@q @q @q @q @q @q @q
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
@q @q @q @q @q @q @q @q @q
d. International Statistical Classification of Diseases and Related Health Probl
@q @q @q @q @q @q @q @q
ems (ICD-10) @q
ANS: B @q
The DSM- @q
5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for di
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
agnosing psychiatric disorders. The other references are good resources but do not define the di
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
agnostic criteria. @q
DIF: Cognitive Level: Understand (Comprehension) @q @q @q
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ q @q @q @ q @q @q @q @q @q
5. Which individual is demonstrating the highest level of resilience?
@q @q @q @q @q @q @q @q
a. An individual repressing their stressors who is having a difficult time copin
@q @q @q @q @q @q @q @q @q @q @q
g with activities of daily living (ADLs)
@q @q @q @q @q @q
b. An individual who is in a depressed state after the death of their spouse
@q @q @q @q @q @q @q @q @q @q @q @q @q
c. An individual who lives in a shelter for 2 years after their home is destroy
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
ed by a fire @q @q @q
d. An individual who navigates and negotiates resources to support their well-being
@q @q @q @q @q @q @q @q @q @q
ANS: D @q
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Te
@q @q @q @q @q @q @q @q @q @q @q @q @q
st Bank
A characteristic of mental health increasingly being promoted as essential to the recovery proce
@q @q @q @q @q @q @q @q @q @q @q @q @q
ss is resilience. Resilience is a process and outcome of comple , cultural systems, rather than a
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
s an individual capacity to overcome adversity. In this way, when e posed to adversity, one‟s r
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
esilience depends on the navigation and negotiation of resources that can support well-
@q @q @q @q @q @q @q @q @q @q @q @q
being. Resilience is closely associated with the process of adapting and helps people facing tra
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
gedies, loss, trauma, and severe stress. An individual who is repressing their stressors may nee
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
d support for developing coping strategies. It is important for the individual who is in a depres
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
sed state after the death of their spouse to navigate and negotiate resources that can support th
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
eir well- @q
being (e.g., grief support or counselling). An individual living in a shelter needs immediate sup
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
port and assistance when entering the shelter to navigate services and supports. Shelters are sh
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
ort-term resources. @q
DIF: Cognitive Level: Apply (Application
@q @q @q @q
) TOP: Nursing Process: Outcome Evalua
@q @q @q @q @q
tion MSC: Client Needs: Psychosocial In
@q @ q @q @q @q
tegrity
6. A multidisciplinary team is working with two groups of patients diagnosed with depression. One
@q @q @q @q @q @q @q @q @q @q @q @q @q
group of patients receives supportive interventions and psychotropic medication (e.g., antidepre
@q @q @q @q @q @q @q @q @q @q @q
ssants). The other group receives only psychotropic medication. Outcomes are measured for eac
@q @q @q @q @q @q @q @q @q @q @q @q
h group. Which is being studied?
@q @q @q @q @q
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology @q
ANS: D @q
Clinical epidemiology is a broad field that addresses studies of the natural history (or what hap
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
pens if there is no treatment and the problem is left to run its course) of an illness, studies o
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
f diagnostic screening tests, and observational and e perimental studies of interventions used to
@q @q @q @q @q @q @q @q @q @q @q @q @q
treat people with the illness or symptoms. Prevalence refers to numbers of new cases. Comor
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
bidity refers to having more than one mental disorder at a time. Incidence refers to the numbe
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
r of new cases of mental disorders in a healthy population within a given period.
@q @q @q @q @q @q @q @q @q @q @q @q @q @q
DIF:
Cognitive Level: Understand (Comprehensio @q @q @q
n) TOP: Nursing Process: Outcome Evaluation
@q @ q @q @q @q
MSC: Client Needs: Safe Effective Care Environment
@ q @q @q @q @q @q
7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of man
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
y homes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed wit
@q @q @q @q @q @q @q @q @q @q @q @q @q @q @q
h post-
@q
traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed individual
@q @q @q @q @q @q @q @q @q @q @q @q
s?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology @q
ANS: C @q
4
