2026 | Comprehensive
Psychiatric Nursing Study
Guide, Practice Questions,
Answers & NCLEX Review
| Complete Ethics Study
Guide
Updated 2026 Questions and Answers
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Rationales
Included
,biologically based mental illness A mental disorder caused by neurotransmitter dysfunction, abnormal brain
srtructure, inherited genetic factors, or other biological causes. Also called
psychobiological disorder
culture-related syndromes These are more influenced by culture alone and are not seen in all areas of the
world.
Diagnostic and Statistical Manual of Mental Disorders The DSM is the manual that classifies mental disorders and is considered the
(DSM) "bible" for mental health workers (e.g. psychiatrists, psychiatric nurses,
psychologists, and others who plan care for people experiencing mental
distress/dysfunction)
epidemiology The quantitative study of the distribution of disorders in a human population
mental disorders A medical disease that is categorized in the DSM
mental health successful performance of mental functions, resulting in the ability to engage in
productive activities, enjoy fulfilling relationships, and adapt to change and cope
with adversity.
mental illness A medical condition that affects a person's thinking, feeling, mood, ability to relate to
others, and daily functioning. Can be seen as the result of a chain of events that
include flawed biological, psychosocial, social, and cultural processes.
myths and misconceptions Incorrect thinking about someone's mental health
prevalence rate The proportion of a population with a mental disorder at a given time.
psychiatry's definition of normal mental health changes over time and reflects changes in cultural norms, society's expectations
and values, professional biases, individual differences, and even the political
climate of the time.
psychobiological disorder A mental disorder caused by neurotransmitter dysfunction, abnormal brain
srtructure, inherited genetic factors, or other biological causes. Also called
biologically based mental illness
resiliency The ability to recover from or adjust easily to misfortune and change. Resiliency is
closely related to the process of adapting
stigma/stigmatizing Stigma ia an attribute that is deeply discrediting where a person is reducedfrom a
whole unusual personto a tainted, discounted one. Stigmatizing comes from
stereotyping, labeling, separating, status, loss, and discrimination in a context of
power imbalance all leading to stigmatization
OBJECTIVE 1 - Assess mental health using the seven Happiness
signs of mental health identified in this chapter. Control of Behavior
Appraisal of Reality
Effective
in Work
Healthy Self Concept
Satisfying Relationships
Effective Coping
, OBJECTIVE 2 - Summarize factors that can affect the - Available support systems:
mental health of an individual and the ways that these ----friends
factors influence conducting a holistic nursing assessment. ----family
----community
- Spirituality, religious influences
- family influences
- developmental events
- personality traits and states
- demographic and geographic locations
- Negative influences
----psychosocial stressors
----poverty
----impaired/inadequate parenting
- cultural/subcultural beliefs and values
- heath parctices and beliefs
- hormonal influences
- biological influences
- inherited factors
- environmental experiences
OBJECTIVE 3 - Discuss some dynamic factors (including - Mental illness is plagued by myths and misconceptions.
social climate, politics, cultural beliefs, myths, and biases) - No consistent line exists between mental illness and mental health.
that contribute to making a clear-cut definition of mental - Psychiatry's definition of mental health changes and reflects:
health elusive. ----Changes in cultural norms and society's expectations
----Values and professional biases
----Individual differences and political climate
----Psychology of women
----Issues of homosexuality
- All people:
----Have different backgrounds cultures.
----Grow intellectually and emotionally at different rates.
----Make different decisions at different times.
----Choose to or choose not to evaluate their behaviors.
----Grow within themselves.
----Have or have no spiritual beliefs
OBJECTIVE 4 - Identify the processes leading up to - Stigma has been acknowledged to be a major barrier to mental health treatment
stigmatizing and some of the effects stigma can have on and recovery over the last 13 to14 years.
the medical and psychologic well-being of an individual, - Stigmatizing attitudes toward individuals who are mentally ill have harmful effects
group, and/or culture. on the individual and family.
- Stigma is a "collection" of:
----Negative attitudes, beliefs, thoughts, and behaviors that influence the individual
and general public.
- Psychosocial processes that lead to stigmatization include:
----Stereotyping, labeling, separating, and status loss or discrimination in a context
of power imbalance, social isolation, and reduced opportunities.
OBJECTIVE 5- Demonstrate how the Diagnostic Statistic -In the DSM, each of the mental disorders is conceptualized as a clinically
Manual (DSM) multiaxial system can influence a clinician significant behavioral syndrome or pattern that occurs in an individual and is
to consider a broad range of information before making a associated with present distress (e.g., painful symptom) or disability (i.e.,
DSM diagnosis. impairment in one or more important areas of functioning) or with a significantly
increased risk of suffering death, pain, disability, or an important loss of freedom .
NOTE: It is important to stress that a DSM diagnosis classifies a disorder that a
person has and not the person. For this reason, the text of the DSM avoids the use
of expressions such as a schizophrenic or an alcoholic and instead uses the more
accurate expression, an individual with schizophrenia or an individual with alcohol
dependence.
OBJECTIVE 6- Compare and contrast a DSM diagnosis - DSM focuses on research and clinical observation when constructing diagnostic
with a nursing diagnosis. categories of a mental disorder.
- DSM is considered the "bible" for mental health workers (e.g., psychiatrists,
psychiatric nurses, psychologists
-North American Nursing Diagnoses Association (NANDA) International describes a
nursing diagnosis as a clinical judgment about responses to health problems.
-Psychiatric-mental health nursing includes the diagnosis and treatment responses
to mental health problems.