Mental health and Mental Illness

Which federal legislative Acts serve to help assure equality in benefits for both medical/surgical and mental health needs to all insured Americans? Select all that apply.

Mental Health Parity Act of 1996 The Wellstone-Domenici Parity Act of 2008 Patient Protection and Affordable Care Act of 2010

Which statement most clearly shows a holistic view of mental illness?

"Mental illness is difficult to define because different cultures vary regarding what is healthy."

A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A patient with a history of paranoia asks, "What does that title mean?" What is the nurse's best response?

"We have the specialized skills needed to care for those with mental illnesses."

Which interventions relate directly to the phenomena of concern that is central to the practice of psychiatric mental health nursing? Select all that apply.

- Monitoring the patient for signs of psychic behavior. -Discussing treatment options with the family of a severely psychotic patient. -Providing depression screening for college students as a part of orientation week. -Discussing end-of-life issues with a chronically mentally ill patient diagnosed with terminal cancer.

Which patient is displaying symptoms consistent with a mental health illness?

A 19-year old student who hears voices that peers do not hear during lectures in a college math course

A nurse participates in a community activity sponsored by the National Alliance for Mental Illness (NAMI). The activity is designed to decrease stigma associated with mental illness. Which role has the nurse fulfilled?

Advocate

To what is resilience most closely related?

Adaptation

The nurse understands which information can be obtained from the Diagnostic and Statistical Manual (DSM)?

Classification of mental health disorders

Which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated with electroconvulsive therapy (ECT)?

Clinical

Which basic intervention should the psychiatric mental health nurse plan to provide for a patient diagnosed with a mood disorder?

Conducting stress management and health maintenance classes

Which of the following interventions are considered to be within the scope of practice for a basic psychiatric mental health nurse? Select all that apply.

Coordinating the care of a patient diagnosed with acute depression. Establishing rules for an acute care unit that treats depressed patients. Providing information materials concerning depression to the patient's family members. Reporting to the patient's interdisciplinary team behaviors that suggest the depression is worsening.

Which statement about diagnosis of a mental disorder is true?

Culture may cause variations in symptoms for each clinical disorder.

What is the quantitative study of the distribution of mental disorders in human populations called?

Epidemiology

Which statement best describes the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5?

It is a medical psychiatric assessment system.

Which of the following roles would not be within the scope of practice for a basic level registered nurse (RN)?

Leading a psychotherapy group session

The nurse is providing care for a patient who has schizophrenia. The nurse demonstrates the QSEN competency of quality improvement by performing which activities? Select all that apply.

Monitoring the patient's psychiatric nursing outcomes Testing changes that are made to how quickly the patient receives certain services

The nurse is explaining the principles of recovery to the caregivers of a patient with mental illness. The nurse tells them, "Your child will slowly recover over a period of time. There may be occasional setbacks, and the right behavior will only be learned through experience." Which principle of recovery is the nurse referring to?

Nonlinear

The nurse provides mental health assessments on five patients. Which patient does the nurse identify as having good mental well-being? Select all that apply.

Patient who feels frustrated after failing a school test Patient who has a fear of flying but travels each month for work Patient who gets discouraged after being turned down for a date

A nurse is explaining to a group of nursing students about various factors that lead to a mental disease. Which mental disease was commonly found in the soldiers of Vietnam after the war?

Posttraumatic stress disorder (PTSD)

Which severe mental illnesses are recognized across cultures? 1

Schizophrenia and bipolar disorder

What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)?

The APRN-PMH exercises a greater degree of autonomy when providing care.

The nurse provides care to a patient with a Likert score of 1. What must the nurse consider about this patient?

The patient does not have favorable nursing outcomes. rationale: A 5-point Likert scale is used with all outcomes and indicators for nursing outcomes classification (NOC). A rating of 1 Is the worst possible score on the scale and indicates that the patient is extremely compromised and does not have favorable nursing outcomes. The patient is low risk if the Likert score is 4 or 5. The Likert scale score does not determine whether the patient can have visitors. The Likert scale score does not indicate whether the patient can provide self-care.

The nurse is performing a follow-up assessment of a patient with bipolar mood disorder. The patient tells the nurse, "I feel so good and alive. There is so much I want to do now. I feel I am capable of doing anything I want and there is nothing that can stop me." What does the nurse interpret from this patient's behavior?

The patient is in the manic phase.

The nurse assesses a patient who reports insomnia and weight loss related to an inability to cope with ending a three-year relationship. The patient tells the nurse, "I'm barely able to concentrate at work, and I'm afraid my performance is going downhill." What does the nurse infer about this patient?

The patient is showing signs of a mental health problem.

The nurse is caring for a Southeast Asian patient who has been diagnosed with Amok. What outcome does the nurse expect while preparing the treatment plan for the patient?

The patient stops exhibiting violent behavior.

A patient says to the nurse, "Once in a while I have some anxiety about my job but otherwise, life is good." Where is this patient on the mental health-mental illness continuum?

Well-being

A nurse who is aware of the future challenges to the role of the psychiatric mental health nurse will encourage which of the following? Select all that apply.

Working toward certification as an advanced psychiatric mental health nurse Attending a seminar on meeting the needs of the patient diagnosed with advanced dementia Being aware of the culturally focused needs represented in the area's current patient population Volunteering to help establish a website that provides online screening for depression and anxiety