NRS 460 Exam #3 || with Complete Solution.
Mental illnesses adversely affect achievement of social justice. Which of the following
statements related to marginalization of some populations because of mental illness is FALSE?
A. About half of all inmates in jails and prisons have mental health problems
B. Mental illnesses can lead to employment difficulties, which adversely affects access to health
insurance, thereby limiting treatment options
C. Most mental illnesses are cause by genetic factors; therefore, problems associated with them
persist across generations and among certain racial and ethnic groups
D. Both natural and human-made disasters can adversely affect mental health; those with limited
resources appear to be more directly impacted, and the effects persist longer correct answers C.
Most mental illnesses are cause by genetic factors; therefore, problems associated with them
persist across generations and among certain racial and ethnic groups
Although genetic factors most likely contribute to some mental illnesses and in some individuals
there is little information linking a specific gene to a specific disorder. Rather, the major
psychiatric disorders are complex, and mental illnesses appear to result from a very complex
interaction among neurochemical and metabolic changes and environmental and situational
factors. The other statements are all true.
You are working in a mental health facility as a nurse. You are involved with patients who have
varied diagnoses. One of your patient's family members asks what biological problem causes all
of these people to have mental illness. You respond that most experts believe which of the
following?
A. Brain structure is the problem.
B. Neurotransmitters are the problem.
C. Genetics are the problem.
D. Many factors cause the problem. correct answers D. Many factors cause the problem.
,Information from studies to date is insufficient to establish a definitive biological cause for
mental illness. Scholars have concluded that mental disorders are multifactorial, complex
physiological phenomena.
Mr. T has been admitted to the mental health floor for evaluation. You, the nurse, note that he has
displayed hallucinations, disorganized thinking and speech, and bizarre behavior. He has a flat
affect, lack of energy, and poor attention. You know that these are symptoms of what disorder?
A. Schizophrenia
B. Depression
C. Anxiety
D. Panic disorder correct answers A. Schizophrenia
Diagnostic criteria for schizophrenia are two or more of the following (each present for a
significant portion of a 1-month period): delusions, hallucinations, disorganized speech (e.g.,
frequent derailment or incoherence), grossly disorganized or catatonic behavior, or negative
symptoms (e.g., affective flattening, alogia, avolition).
Mr. S was recently hospitalized for a stroke. While in the hospital, he was also diagnosed with
diabetes. As his nurse, you know he is at risk for which of the following?
A. Panic disorder
B. Depression
C. Schizophrenia
D. Bipolar disorder correct answers B. Depression
Depression is often a complication of serious physical disorders such as heart attack, stroke,
diabetes, and cancer. The other options are usually not complications of other physical disorders.
,You work in a community clinic that specializes in pediatric mental health. Joy, age 12 years, has
been diagnosed with depression. You know a major risk factor for depression in childhood is
which of the following?
A. Family history of diabetes
B. Family history of abuse
C. Family history of depression
D. Family history of poverty correct answers C. Family history of depression
A family history of depression is a major risk factor for childhood depression. Other associated
factors that may increase the risk of depression in children and adolescents include a history of
verbal, physical, or sexual abuse; frequent separation from or loss of a loved one; poverty;
mental retardation; attention-deficit/hyperactivity disorder; hyperactivity; and chronic illness.
Tony, age 16 years, comes to see you, the school nurse, with complaints of abdominal pain. You
note that Tony exhibits signs and symptoms of depression, states he wishes he did not wake up
today, and exhibits signs of anxiety. You would do which of the following?
A. Refer him immediately for evaluation.
B. See him back in your office next week.
C. Refer him next month for evaluation.
D. Do nothing; this is normal in a 16-year-old boy. correct answers A. Refer him immediately for
evaluation.
It should be noted that suicide is the third leading cause of death among persons 15 to 25 years of
age and that the rate of suicide among young men is five times that among young women. Thus,
it is important that all community health nurses become familiar with assessing for suicide
warning signs and accessing appropriate resources. Whenever individuals exhibit suicide
warning signs, nurses should refer the person to a mental health clinic or provider as soon as
possible
, Mr. H is a patient in the primary care center where you work as a staff nurse. He tells you that he
is currently participating in a stress management program. You know that this is a form of which
of the following?
A. Individual therapy
B. Couple therapy
C. Behavioral therapy
D. Family therapy correct answers C. Behavioral therapy
Behavioral therapy uses learning principles to change thought patterns and behaviors
systematically; it is used to encourage the individual to learn specific skills to obtain rewards and
satisfaction. Stress management, biofeedback, and relaxation training are examples of behavior
therapy. Individual therapy focuses on the client's current life and relationships within the family,
social, and work environments. Couple therapy is used to develop the relationship and minimize
problems through understanding how individual conflicts are expressed in the couple's
interactions. Family therapy involves problem-solving sessions with members of a family.
Ms. W, 18 years old, presents at a community clinic describing vague complaints. She explains
that she recently dropped out of high school and is having trouble keeping a job. She notes that
she has difficulty concentrating and has used drugs (i.e., marijuana and alcohol) when riding
motorcycles with friends. When conducting the initial assessment, the RN should include
questions and tools that would screen for:
A. depression.
B. attention-deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD).
C. post-traumatic stress disorder.
D. obsessive-compulsive disorder. correct answers B. attention-deficit disorder/attention deficit
hyperactivity disorder (ADD/ADHD).
The reported symptoms best fit ADD/ADHD, although the young woman should also be
screened for depression and substance abuse, which can accompany ADD/ADHD.
Mental illnesses adversely affect achievement of social justice. Which of the following
statements related to marginalization of some populations because of mental illness is FALSE?
A. About half of all inmates in jails and prisons have mental health problems
B. Mental illnesses can lead to employment difficulties, which adversely affects access to health
insurance, thereby limiting treatment options
C. Most mental illnesses are cause by genetic factors; therefore, problems associated with them
persist across generations and among certain racial and ethnic groups
D. Both natural and human-made disasters can adversely affect mental health; those with limited
resources appear to be more directly impacted, and the effects persist longer correct answers C.
Most mental illnesses are cause by genetic factors; therefore, problems associated with them
persist across generations and among certain racial and ethnic groups
Although genetic factors most likely contribute to some mental illnesses and in some individuals
there is little information linking a specific gene to a specific disorder. Rather, the major
psychiatric disorders are complex, and mental illnesses appear to result from a very complex
interaction among neurochemical and metabolic changes and environmental and situational
factors. The other statements are all true.
You are working in a mental health facility as a nurse. You are involved with patients who have
varied diagnoses. One of your patient's family members asks what biological problem causes all
of these people to have mental illness. You respond that most experts believe which of the
following?
A. Brain structure is the problem.
B. Neurotransmitters are the problem.
C. Genetics are the problem.
D. Many factors cause the problem. correct answers D. Many factors cause the problem.
,Information from studies to date is insufficient to establish a definitive biological cause for
mental illness. Scholars have concluded that mental disorders are multifactorial, complex
physiological phenomena.
Mr. T has been admitted to the mental health floor for evaluation. You, the nurse, note that he has
displayed hallucinations, disorganized thinking and speech, and bizarre behavior. He has a flat
affect, lack of energy, and poor attention. You know that these are symptoms of what disorder?
A. Schizophrenia
B. Depression
C. Anxiety
D. Panic disorder correct answers A. Schizophrenia
Diagnostic criteria for schizophrenia are two or more of the following (each present for a
significant portion of a 1-month period): delusions, hallucinations, disorganized speech (e.g.,
frequent derailment or incoherence), grossly disorganized or catatonic behavior, or negative
symptoms (e.g., affective flattening, alogia, avolition).
Mr. S was recently hospitalized for a stroke. While in the hospital, he was also diagnosed with
diabetes. As his nurse, you know he is at risk for which of the following?
A. Panic disorder
B. Depression
C. Schizophrenia
D. Bipolar disorder correct answers B. Depression
Depression is often a complication of serious physical disorders such as heart attack, stroke,
diabetes, and cancer. The other options are usually not complications of other physical disorders.
,You work in a community clinic that specializes in pediatric mental health. Joy, age 12 years, has
been diagnosed with depression. You know a major risk factor for depression in childhood is
which of the following?
A. Family history of diabetes
B. Family history of abuse
C. Family history of depression
D. Family history of poverty correct answers C. Family history of depression
A family history of depression is a major risk factor for childhood depression. Other associated
factors that may increase the risk of depression in children and adolescents include a history of
verbal, physical, or sexual abuse; frequent separation from or loss of a loved one; poverty;
mental retardation; attention-deficit/hyperactivity disorder; hyperactivity; and chronic illness.
Tony, age 16 years, comes to see you, the school nurse, with complaints of abdominal pain. You
note that Tony exhibits signs and symptoms of depression, states he wishes he did not wake up
today, and exhibits signs of anxiety. You would do which of the following?
A. Refer him immediately for evaluation.
B. See him back in your office next week.
C. Refer him next month for evaluation.
D. Do nothing; this is normal in a 16-year-old boy. correct answers A. Refer him immediately for
evaluation.
It should be noted that suicide is the third leading cause of death among persons 15 to 25 years of
age and that the rate of suicide among young men is five times that among young women. Thus,
it is important that all community health nurses become familiar with assessing for suicide
warning signs and accessing appropriate resources. Whenever individuals exhibit suicide
warning signs, nurses should refer the person to a mental health clinic or provider as soon as
possible
, Mr. H is a patient in the primary care center where you work as a staff nurse. He tells you that he
is currently participating in a stress management program. You know that this is a form of which
of the following?
A. Individual therapy
B. Couple therapy
C. Behavioral therapy
D. Family therapy correct answers C. Behavioral therapy
Behavioral therapy uses learning principles to change thought patterns and behaviors
systematically; it is used to encourage the individual to learn specific skills to obtain rewards and
satisfaction. Stress management, biofeedback, and relaxation training are examples of behavior
therapy. Individual therapy focuses on the client's current life and relationships within the family,
social, and work environments. Couple therapy is used to develop the relationship and minimize
problems through understanding how individual conflicts are expressed in the couple's
interactions. Family therapy involves problem-solving sessions with members of a family.
Ms. W, 18 years old, presents at a community clinic describing vague complaints. She explains
that she recently dropped out of high school and is having trouble keeping a job. She notes that
she has difficulty concentrating and has used drugs (i.e., marijuana and alcohol) when riding
motorcycles with friends. When conducting the initial assessment, the RN should include
questions and tools that would screen for:
A. depression.
B. attention-deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD).
C. post-traumatic stress disorder.
D. obsessive-compulsive disorder. correct answers B. attention-deficit disorder/attention deficit
hyperactivity disorder (ADD/ADHD).
The reported symptoms best fit ADD/ADHD, although the young woman should also be
screened for depression and substance abuse, which can accompany ADD/ADHD.
