Introduction_to_Psychiatric_Mental_Health_Nursing

1. A inurse iis igiving ia ipresentation iabout ipreventing imental iillness ito icollege ifreshmen. iA istudent iasks, i“What idoes iit imean ito ibe imentally ihealthy?” iWhich iof ithe ifollowing ipotential iresponses iby ithe inurse iis ibest? A) “Mental ihealth iis idifficult ito idefine iand idepends ion icultural inorms.” B) “Mental ihealth iis imarked iby iproductive, isatisfying iactivity iand ifulfilling irelationships.” C) “Mental ihealth iis ithe iabsence iof imental iillness.” D) “Mental ihealth iis idefined ias ibehavior iaccepted ias inormal iby ithe imajor icultural igroup.” Ans: iB iChapter: i01 Client iNeeds: iB-2 iCognitive ilevel: iKnowledge Concepts i& iProcesses: iSelf-care iDifficulty: iEasy Objective: i01 Feedback: iMental ihealth iis idefined ias ithe isuccessful iperformance iof imental ifunction, iresulting iin iproductive iactivities, ifulfilling irelationships, iand ithe iability ito iadapt ito ichange iand icope iwith iadversity. iMental ihealth iprovides ipeople iwith ithe icapacity ifor irational ithinking, icommunication iskills, ilearning, iemotional igrowth, iresilience, iand iself-esteem. iPeople iexperiencing iemotional iwell-being ior imental ihealth ifunction icomfortably iin isociety iand iare isatisfied iwith itheir iachievements. 2. The idocument iMental iHealth: iReport iof ithe iSurgeon iGeneral i(1999) iis isignificant ibecause iit A) states iclearly ithat ithere iare ieffective itreatments ifor imental iillness. B) allocates iresearch imoney ito ipsychiatric ifacilities. C) sets inew iguidelines ifor iuse iof irestraints. D) establishes ireimbursement iguidelines ifor ithird-party ipayers. Ans: iA iChapter: i01 Client iNeeds: iA-1 iCognitive ilevel: iKnowledge Concepts i& iProcesses: iDocumentation iDifficulty: iModerate Objective: i02 Feedback: iMental iHealth: iA iReport iof ithe iSurgeon iaddressed ithat imental ihealth iis ifundamental to iand inecessary ifor ia ihealthy ilife; imental idisorders iare ireal ihealth iconditions iwith ienormous iconsequences ifor iindividuals, ifamilies, icommunities, iand ithe ination; ieffective itreatments ifor imental idisorders iare iavailable; ia irange iof itreatment ioptions iis iavailable ifor imost imental idisorders; iand ithose iwith imental idisorders ior isymptoms ishould iseek itreatment. 3. A i48-year-old iindependent, isuccessful iwoman iis irecovering ifrom ia imodified iradical imastectomy. iShe istates ishe iwas igrateful ithat iduring ithe ifirst ifew iweeks iafter isurgery iher imother istayed iwith iher iand idid i“everything” ifor iher. iWhich ielement iof imental ihealth idoes ithis ireflect? A) Stress imanagement B) Mastery iof ithe ienvironment C) Self-governance D) Tolerance iof iuncertainty Ans: iC iChapter: i01 Client iNeeds: iC-1 Cognitive ilevel: iComprehension iConcepts i& iProcesses: iCaring iDifficulty: iModerate Objective: i01 Feedback: iIn iself-governance, ithe iperson iacts iindependently, idependently, ior iinterdependently ias ithe ineed iarises iwithout ipermanently ilosing ihis ior iher iautonomy. iTolerance iof iuncertainty imeans ithe iperson ifaces ithe iuncertainty iof ilife iand ithe icertainty iof ideath iwith ifaith iand ihope. iTo imaster ithe ienvironment, ithe iperson ibecomes icompetent, ieffective, iand icreative iin iinteracting iwith iand iinfluencing ihis ior iher ienvironment. iStress imanagement iinvolves ithe iperson iexperiencing iappropriate iemotions iin idaily ilife iand itolerating istress, iknowing ithat ithe ifeelings iare inot igoing ito ilast iforever. 4. The ipurpose iof ithe ifive-axis isystem iused iin ithe ifourth iedition iof ithe iDiagnostic iand iStatistical iManual iof iMental iDisorders, itext irevision i(DSM-IV-TR), iis ito A) separate ithe ivarious imental idisorders iinto ifive irelated icategories. B) give ia icomprehensive ipicture iof iclient ifunctioning. C) improve iprognostic iability. D) provide ia idecision-making ialgorithm ifor ipharmacologic itreatment. Ans: iB iChapter: i01 Client iNeeds: iA-1 iCognitive ilevel: iKnowledge Concepts i& iProcesses: iNursing iprocess Difficulty: iModerate iObjective: i03 Feedback: iThe icategorical iclassification iof ithe iDSM-IV-TR iuses ia ifive-axis isystem ito igive ia icomprehensive ipicture iof ithe iclient's ifunctioning. 5. Which iof ithe ifollowing irepresents ia iproblem icomplicating ithe itreatment iof ipeople iwith imental iillness? A) Insurer's ireimbursement idecisions B) Increased iresponsibility ifor icare iby istate imental ihospitals C) Overuse iof ithe iwell-coordinated imental ihealthcare isystem D) Lack iof ieffective itreatments Ans: iA iChapter: i01 Client iNeeds: iA-1 iCognitive ilevel: iKnowledge Concepts i& iProcesses: iCaring iDifficulty: iModerate iObjective: i04 Feedback: iA igoal iof ibehavioral ihealth-managed icare ihas ibeen ito ireduce ihospital iadmissions, iwhich iare ithe imost iexpensive ipart iof ipsychiatric icare. iUnfortunately, isome imanaged icare i“gatekeepers” ihave idenied ior irestricted iaccess ito ineeded iservices iand itherefore ihave iadded ito ithe idiscouragement, idistress, iand ieven idespair iof iclients iand itheir ifamilies. 3 6. A i22-year-old iman iwith ia ihistory iof ia irecent isuicide iattempt iis ibeing itreated ifor idepression. iPrior ito ibecoming idepressed, ithe iclient iattended ia iprestigious iart ischool iand ienjoyed imany isocial iand ileisure iactivities. iOf ithe ifollowing ilong-term igoals ifor ithis iclient, iwhich iis iconsistent iwith ian ioverarching irecovery igoal ifor iall iclients iwith imental idisorders? A) The iclient iwill inot iinjure ihimself. B) The iclient's isymptoms iwill ibe ireduced. C) The iclient iwill ishow iinterest iin isocial iand ileisure iactivities. D) The iclient iwill iresume ipremorbid ilevel iof ifunctioning. Ans: iD iChapter: i01 Client iNeeds: i iC-2 iCognitive ilevel: iAnalysis Concepts i& iProcesses: iNursing iprocess iDifficulty: iDifficult Objective: i04 Feedback: iThe iaim ifor imental ihealth icare iis ifor iclients ito irecover ior ito iexperience ia iremission iof iillness, ithat iis, ito ibecome i“well.” iFull irecovery imeans ithat iclients iare irestored ito itheir ipremorbid i(“preillness”) ipsychosocial, ieducational, iand ioccupational ifunctioning. 6-17 7. Which iof ithe ifollowing iapproaches ito icare ibest ireflects icultural icompetence? A) Always iassign inurses iof ia ispecific iethnic ibackground ito iclients iwith ithe isame iethnic ibackground. B) Learn ithe ibehaviors iand ivalues iassociated iwith ipeople iof ispecific iethnic ibackgrounds. C) Assess ithe iculturally imediated ibeliefs iof ieach iclient. D) Believe ithat ipeople iare imore ialike ithan ithey iare idifferent. Ans: iC iChapter: i01 Client iNeeds: iC-1Cognitive ilevel: iComprehension Concepts i& iProcesses: iCultural iawareness iDifficulty: iDifficult Objective: i04 Feedback: iCulturally icompetent icare imeans ithat icare iis iprovided iin ia imanner iacceptable ito ithe iperson's icultural ibackground, iregardless iof iwhether iit iis iprovided iby ia icare iprovider ifrom ithe isame iethnic ior iminority igroup ias ithe iclient. iHealthcare iprofessionals imust ibe iable ito iincorporate icultural ifactors iincluding ilanguage, icustoms, ibeliefs, iand itraditions iinto iplans iof icare. 8 8. The ifamily iadvocacy imovement iand iNAMI: ithe iNation's iVoice ion iMental iIllness ihas iidentified istages ithrough iwhich ifamilies iprogress iwhen iconfronting ithe imental iillness iof ia iloved ione. iWhich iof ithe ifollowing iaccurately ireflects ithe istages iidentified iin ithe iFamily iAdvocacy iModel? A) Dealing iwith ia icatastrophic ievent, ilearning ito icope, imoving iinto iadvocacy B) Learning iacceptance, iexperiencing igrief, ideveloping iadvocacy C) Beginning irecognition, idenial, igrief, iacceptance, iadvocacy D) Learning ito icope, iunderstanding, iadvocating Ans: iA iChapter: i01 Client iNeeds: iC-1 iCognitive ilevel: iKnowledge Concepts i& iProcesses: iSelf-care Difficulty: iDifficult iObjective: i05 Feedback: iInitially, iwhen idealing iwith ithe icatastrophic ievent, ithe ifamily iis ioverwhelmed, iconfused, iand ilost. iThey ithen ilearn ito icope iand irealize ithe iillness iis ia ireality. iThe ifamily ioften iexpresses igrief, ifear, iand isorrow iover ilost ipossibilities iand ithe iuncertain ifuture. iFinally, imoving iinto iadvocacy iis ievidenced iwhen ifamily imembers idevelop iempathy, iacknowledge iand iown ithe isituation, iand ifocus ianger iand igrief ion iempowerment. 9. Which iof ithe ifollowing iinterventions iis iappropriate ifor ia ipsychiatric-mental ihealth inurse iat ithe ibasic ilevel iof ipractice? A) Case imanagement B) Managing ipsychotropic imedications C) Conducting ifamily itherapy D) Interpreting ilaboratory itests Ans: iA iChapter: i01 Client iNeeds: iA-1 iCognitive ilevel: iKnowledge Concepts i& iProcesses: iNursing iprocess iDifficulty: iModerate Objective: i06 Feedback: iAt ithe ibasic ilevel iof ipractice, ipsychiatric-mental ihealth inurses iassess ibiopsychosocial ifunctioning, iserve ias icase imanagers, idesign itherapeutic ienvironments, iand ipromote iself-care iactivities, iincluding imedication iand isymptom imanagement. iThey ieducate iclients iand ifamilies iabout ihealth, iillness, iand itreatment; iprovide isupportive icounseling; iintervene iin icrises; iand ipromote ipsychiatric irehabilitation. iAt ithe iadvanced ilevel iof ipractice, ipsychiatric-mental ihealth inurses ideliver icomprehensive iprimary imental ihealthcare iservices ito iclients ithrough ihealth iteaching iand iscreening, iperforming ipreventive iinterventions, iand ievaluating iand imanaging icare ifor ipeople iwith imental iillness. 10. An iadolescent ihas ia ihistory iof iself-mutilation. iThe inurse iquestions ithe iclient iabout iher ibehavior. iThe inurse's iquestioning ireflects ithe iprinciple ithat A) every iperson ideserves irespect. B) all ipeople ishare ibasic ihuman ineeds. C) through ithe itherapeutic iuse iof iself, inurses ican ihelp ipeople iadapt, ichange, iand igrow. D) all ibehavior iis imeaningful iand ican ibe iunderstood ifrom ithe iperson's iperspective. Ans: iD iChapter: i01 Client iNeeds: iB-2 iCognitive ilevel: iApplication Concepts i& iProcesses: iCaring iDifficulty: iDifficult iObjective: i07 Feedback: iPsychiatric-mental ihealth inursing iis ibuilt ion icertain iprinciples ior ibeliefs iabout ipeople iand ithe icare ithey ideserve: iEvery iperson iis iworthy iof idignity iand irespect; ievery iperson ihas ithe ipotential ito ichange iand igrow; iall ipeople ishare ibasic ihuman ineeds; iall ibehavior iis imeaningful iand ican ibe iunderstood ifrom ithe iperson's iperspective; ipeople ihave ithe iright ito iparticipate iin idecisions iaffecting itheir ihealth iand itreatment. iThrough ithe itherapeutic iuse iof iself, ivia itherapeutic irelationships iand icommunication, inurses ihelp ipeople iadapt, ichange, iand igrow. iWhile iall ithe iabove iprinciples iare ifollowed, ithe inurse's iquestioning iin ithe istem ibest ireflects ithe iprinciple ithat iall ibehavior ihas imeaning iand ican ibe iunderstood ifrom ithe iperson's iperspective. 11. A i44-year-old iclient iwith ia ihistory iof ialcohol iabuse iand ischizophrenia iis ibeing itreated ias ian ioutpatient. iHe iis iliving iin ia igroup ihome, ihas ibeen istable ifor iseveral imonths, iis inot iabusing ialcohol, iand iis inot iexperiencing idelusions ior iauditory ihallucinations. iWhich iof ithe ifollowing iinterventions imost iappropriately iincludes ithe iclient iin idecisions iabout ihis itreatment? A) Suggest ithe iclient idecide iwhether ito itake ihis imedication, ibased ion ihis isymptoms. B) Include ithe iclient iin ideveloping ia itreatment iplan iin icase ihe ibecomes iacutely ipsychotic iin ithe ifuture. C) Agree iwith ithe iclient's isuggestion ithat ihe iterminate itreatment iand icall iif ihe iexperiences ia irelapse. D) Encourage ithe iclient ito imake ia idecision iabout iliving iindependently. Ans: iB iChapter: i01 Client iNeeds: iA-1 iCognitive ilevel: iApplication Concepts i& iProcesses: iTeaching/learning iDifficulty: iModerate Objective: i07 Feedback: iThe inurse iis ia imember iof ian iinterdisciplinary iteam. iThe iteam ialso iincludes ithe iclient iand ihis ior iher ifamily. iCollaboration iimplies ithat imembers iwork itoward ia icommon igoal iand ishare iresponsibility ifor ithe ioutcomes iof icare. 12. The ilegal isystem iorders ia iclient iwith iantisocial ipersonality idisorder iinto itreatment. iHe ihas ia ihistory iof ispousal iabuse iand imultiple iarrests iand iconvictions ifor idrug itrafficking. iThe inurse imeets iwith ithe iclient, iperforms ia iquick iassessment, iand igives ihim iinformation iabout ithe ianger imanagement iclasses ihe iis imandated ito iattend. iThe inurse's ibrief ivisit iand isuperficial iintervention are A) appropriate, ibecause iclients iwith iantisocial ipersonality idisorder iresist itreatment. B) appropriate, ibecause ithe iclient iis inot iin itreatment iwillingly. C) inappropriate, ibecause iall ipeople ihave ithe ipotential ito ichange iand igrow. D) inappropriate, ibecause ithe inurse idid inot iaddress ithe iclient's ihistory iof idrug iabuse. Ans: iC iChapter: i01 Client iNeeds: iA-1 Cognitive ilevel: iInterpretation iConcepts i& iProcesses: iCaring iDifficulty: iModerate iObjective: i07 Feedback: iPsychiatric-mental ihealth inursing iis ibuilt ion icertain iprinciples ior ibeliefs iabout ipeople iand ithe icare ithey ideserve: iEvery iperson iis iworthy iof idignity iand irespect; ievery iperson ihas ithe ipotential ito ichange iand igrow; iall ipeople ishare ibasic ihuman ineeds; iall ibehavior iis imeaningful iand ican ibe iunderstood ifrom ithe iperson's iperspective; ipeople ihave ithe iright ito iparticipate iin idecisions iaffecting itheir ihealth iand itreatment; iand ithrough ithe itherapeutic iuse iof iself, ivia itherapeutic irelationships iand icommunication, inurses ihelp ipeople iadapt, ichange, iand igrow. 13. The imain itool iat ithe inurse's idisposal iin itreating iclients iwith imental idisorders iis A) psychotropic imedications. B) the itherapeutic iuse iof iself. C) self-help igroups. D) family ieducation iand itherapy. Ans: iB iChapter: i01 Client iNeeds: iC-1 iCognitive ilevel: iKnowledge Concepts i& iProcesses: iNursing iprocess iDifficulty: iModerate Objective: i07 Feedback: iThrough ithe itherapeutic iuse iof iself, ivia itherapeutic irelationships iand icommunication, inurses ihelp ipeople iadapt, ichange, iand igrow. iMedications iand ieducation iwill iinfluence iand ienhance igrowth, ibut ithe itherapeutic iuse iof iself iis ithe inurse's iprimary itool. iSelf-help igroups ido inot iinvolve ihealthcare iprofessionals. 14. Mark, ia istaff inurse iat ia ipsychiatric ifacility, ihas ispent imany ihours iworking iwith ia iclient iand ibecomes iangry iduring ia icare iconference iwhen ianother inurse, iJanet, isuggests ihe iis ibecoming overly iinvolved iwith ithe iclient. iMark iignores iJanet's irequests ifor ia imeeting, ithen iagrees ito iattend ione, ibut idoes inot ishow iup. iMark's ifailure ito igo ito ithe imeeting iis ian iexample iof A) horizontal iviolence. B) burnout. C) passive-aggressive ibehavior. D) selective iforgetfulness. Ans: iC iChapter: i01 Client iNeeds: iA-1 Cognitive ilevel: iInterpretation iConcepts i& iProcesses: iCaring iDifficulty: iModerate iObjective: i08 Feedback: iPassive-aggressive ibehavior iundermines ithe ieffectiveness iof iother inurses' iwork. iAn iexample iof ipassive-aggressive ibehavior iis iwhen ia inurse iresists irequests ifor iadequate idaily iperformance ibut iexpresses ithis iresistance i“indirectly” ithrough iprocrastination, icalling iin isick, idawdling, iintentional iinefficiency, ior i“forgetfulness.” iHorizontal iviolence iinvolves ianger ior inegativity ia inurse idirects iat ianother inurse. iOther iwarning isigns iof iburnout iare iloss iof ienergy iand ienthusiasm, ifatigue, iinsomnia, iand ialcohol iand idrug iuse. 15. ne iway ipsychiatric-mental ihealth inurses ican ihelp iprevent iburnout iis ito A) refuse ito iaccept iresponsibility ifor iother ipeople's iproblems. B) avoid iother istaff iwho iare inegative ior itoxic. C) accept ithat iit iis inot iusually ipossible ito igive ihigh-quality icare. D) acknowledge ithat ianger iand ifrustration iare ipart iof ithe ijob. Ans: iA iChapter: i01 Client iNeeds: iA-1 Cognitive ilevel: iInterpretation iConcepts i& iProcesses: iSelf-care iDifficulty: iModerate Objective: i08 Feedback: iTo istay ihealthy iand ihappy, inurses ishould irefuse ito iaccept iresponsibility ifor iothers' iproblems, imanage iclient icare iaccording ito ipriorities, ikeep ipriorities ifor ifamily, ifriends, iand ipersonal igoals iin iorder, isearch ifor icreative iways ito iexpress iexcellence iat iwork, iand inever istop ilearning. iSupport isystems iat ihome iand iwork iallow inurses ito iexpress ifeelings iand ikeep isituations iin iperspective. iNurses ineed ito icultivate irealistic iexpectations ifrom ithe ijob iand themselves