Varcolis CH 1

what client assessment data demonstrates parity related to mental health care? a. the client is admitted for a 72 hour mental hygiene evaluation b. advance practice nurse can be certified as psych nurse specialist c. a client's mental health coverage is equal to his/her med-surg coverage d. a client who has attempted suicide is hospitalized for a mental health evaluation

c - a client's mental health coverage is equal to his/her med-surg coverage

which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated w/ ECT (electroconvulsive therapy)? a. experimental b. descriptive c. clinical d. analytic

c - clinical epidemiology represents a borad field that addresses what happens to people w/ illnesses who are seen by providers of clinical care.

What term is used to identify the quantitative study of the distribution of mental disorders in human populations? a. mortality b. prevalence c. epidemiology d. clinical epidemiology

c - epidemiology: the quantitative study of the distrubtion of mental disorders in human populations

a nursing dx for a client w/ a psychiatric disorder serves what purpose with considering the plan of care? a. justifying the use of certain psychtropic medication b. providing data essential for insurance reimbursement c. establishing a framework for selecting appropriate interventions d. completing the medical diagnostic statement

c - establishing a framework for selecting appropriate interventions

the mental health status of a particular client can be best assessed by considering which factor? a. the degree of conformity of the individual to society's norms b. the degree to which an individual is logical and rational c. status placement on a continuum from health to illness d. rate of demonstrated intellectual and emotional growth

c - status placement on a continuum from health to illness

According to the dsm-v, which statement made by an adult client supports the criteria for generalized anxiety disorder? (SATA) a. i've been really anxious for at least 2 years now b. my anxiety had to be genetic; my mom was a terrible worrier too c. my marriage is in trouble b/c i'm always so irritable d. i've had a good physical and my hcp says i'm in good health e. it's hard falling asleep and even harder staying asleep - i'm restless all night

a - i've been really anxious for at least 2 years now c - my marriage is in trouble b/c i'm always so irritable d - i've had a good physical and my hcp says i'm in good health e - it's hard falling asleep and even harder staying asleep; i'm restless at night

which statement best describes the diagnostic and statistical manual fifth edition (DSM-5)? a. it is a medical psychiatric assessment system b. it is a compendium of treatment modalities c. it offers a complete list of nursing diagnoses d. it suggests common interventions for mental disorders

a - it is amedical psychiatric assessment system

a 29-year old patient has been admitted following a suicide attempt. which nursing statement illustrates the concept of patient advocacy? a. "dr. raye, i noticed you ordered fluoxetine for this pt. during the admission interview, the client stated they will refuse the medication b/c of adverse effects they experienced previously." b. "dr. raye, during the admissions interview, the pt stated that there is a family hx of 3 other suicide attempts in the past." c. "i'd like you to tell me more about your depression and your suicide attempt." d. "i will take you on a tour of the unit and orient you to the rules so you can get adjusted to here."

a. "dr. raye, i noticed you ordered fluoxetine for this pt. during the admission interview, the client stated they will refuse the medication b/c of adverse effects they experienced previously."

according to current information, what factor is associated w/ the most disabling mental disorders? a. biological influences b. psychological trauma c. learned ways of behaving d. faulty patterns of early nurturance

a. biological influences - (and genetic factors) influence mental health.

the nurse planning care for a mentally ill client bases interventions on which concept? a. every client has a certain degree of resilience b. it is a client right to be treated respectfully c. every client comes w/ experiences that contribute to their problem d. there are universal fears that are shared by all mentally healthy individuals

a. every client has a certain degree of resilience (nurses are expected to evaluate clients w/ mental health issues for their strengths and their areas of high functioning

how can a nurse best differentiate whether an asian client is demonstrating a mental illness after having attempted suicide? a. ask the client whether he views himself as being depressed b. identify the client's culture's views regarding suicide c. explain that suicide is often regarded as a desperate act d. assess the client for other examples of depressive behaviors

b - identify the client's culture's view regarding suicide

resilience is characteristic of mental health that allows people to adapt to tragedies, trauma, and loss. which client behavior demonstrates this characteristic? a. my mother made decisions about my husband's funeral when i just couldn't do that" b. losing my job was hard, but my skills will help me get another one." c. in spite of all the tx, i know i'll never be really healthy." d. "my kids, happiness is worth any sacrifice i have to make."

b - losing my job was hard, but my skills will help me get another one"

a client tells the mental health nurse, "i am terribly frightened! i hear whispering in my head that someone is going to kill me." which criteria of mental health can the nurse assess as lacking?" a. self-control b. rational thinking c. learning and productivity d. positive self-concept

b - rational thinking

which severe mental illness is recognized across cultures? (SATA) a. antisocial disorder b. schizophrenia c. anorexia nervosa d. social phobia e. bipolar disorder f. borderline personality disorder

b - schizophrenia e - bipolar disorder

a nurse, active in local consumer mental health groups and in local and state mental health associations, keeps aware of state and national legislation affecting mental illness tx. how can this nurse positively affect the climate for effective mental health tx? a. "by becoming active in politics leading to a potential political career." b. "by educating the public on the effects that stigmatizing has on mental health clients." c. "advocating for laws that would make the involuntary long-term commitment process easier and faster for caregivers of mentally ill persons." d "advocating for reduced mental health insurance benefits to discourage abuse of the system by inappropriate psychiatric admissions."

b. "by educating the public on the effects that stigmatizing has on mental health clients."

A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client with a history of paranoia asks, "What does that title mean?" Keeping in mind the diagnosis of the patient, how should the nurse respond to this question? a. "don't be afraid, it means i am here to help, not hurt you." b. "psychiatric mental health nurses care for people w/ mental illnesses" c. "we have the specialized skills needed to care for those w/ mental illnesses" d. "the nurses who work in mental health facilities have that title"

c "we have the specialized skills needed to care for those w/ mental illnesses"

a new nurse has accepted a position as staff nurse on a psych unit. which statement made by the new nurse requires additional instructions regarding the therapies provided on the unit? a. you will participate in unit activities and groups daily b. you will be given a schedule daily of the groups we would like you to attend c. you will attend a psychotherapy group that i lead that will help you care for yourself d. you will see your provider daily in a one-to-one session

c - you will attend a psychotherapy group that i lead that will help you care for yourself (Basic level RNs cannot perform psychotherapy. The other options are all appropriate expectations of a patient's schedule on a psychiatric unit.)

an individual is found to consistenly wear only a bathrobe and neglect the cleanliness of his apt. when neighbors ask him to stop his frequent outburts of operatic arias, he acts outrated and tells them he must sing daily and will not promise to be quieter. this behavior suppirts what conclusion about this client? a. the client is demonstrating symptoms of bipolar disorder b. the client is demonstrating socially deviant behavior c. the client is engaging in egocentric behaviors d. the client is not conforming w/ social norms

d - the client is not conforming w/ social norms