mental health (ch 1, 3 questions)

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 treatment. How can this nurse positively affect the climate for effective, mental health treatment?

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

What client assessment data demonstrates parity related to mental health care?

A client's mental health coverage is equal to his/her medical/surgical coverage.

How can a nurse best differentiate whether an Asian client is demonstrating a mental illness after having attempted suicide?

Identify the client's culture's view regarding suicide.

Which severe mental illness is recognized across cultures?

Schizophrenia Bipolar disorder

Which function is classified as a circadian rhythm?

Sleep cycle

What is the function of a neuron?

Transmit information through electrical impulses Conduction of electrical impulses

Resilience is characteristic of mental health that allows people to adapt to tragedies, trauma, and loss. Which client behavior demonstrates this characteristic?

"Losing my job was hard but my skills will help me get another one."

A new nurse has accepted a position as staff nurse on a psychiatric unit. Which statement made by the new nurse requires additional instructions regarding the therapies provided on the unit?

"You will attend a psychotherapy group that I lead that will help you care for yourself."

An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts outraged and tells them he must sing daily and will not promise to be quieter. This behavior supports what conclusion about this client?

The client is not conforming with social norms.

A 29-year-old patient has been admitted following a suicide attempt. Which nursing statement illustrates the concept of patient advocacy?

"Dr. Raye, I notice you ordered fluoxetine for this patient. During the admission interview, the client stated they will refuse the medication because of adverse effects they experienced previously."

A 38-year-old patient diagnosed with major depression states, "my provider said something about the medicine I've been prescribed will affect my neurotransmitters. What exactly are neurotransmitters?" What is the nurse's best response to the patient's question?

"Neurotransmitters are chemical messengers in the brain that help regulate specific functions such as depression."

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?

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

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?

Rational thinking

When treating mental illnesses with psychotropic drugs what is the focus of the treatment?

Altering brain neurochemistry.

According to current information what factor is associated with the most disabling mental disorders?

Biological influences

The nurse caring for a client prescribed an antidepressant medication that produces anticholinergic side effects should assess for which possible side effects?

Blurred vision dry mouth constipation

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

Clinical

The nurse caring for a client prescribed risperidone observes the client carefully for which possible side effects?

Daytime sleepiness sexual discomfort weight gain

Based on the current understanding of brain physiology, which neurotransmitter would be the expected target of medication prescribed to manage depression?

Dopamine Serotonin Norepinephrine

A nursing diagnosis for a client with a psychiatric disorder serves what purpose with considering the plan of care?"

Establishing a framework for selecting appropriate interventions.

The nurse planning care for a mentally ill client bases interventions on which concept?

Every client has a certain degree of resilience.

Which organ secretes hormones that are a normal component of the body's general response to stress?

Hypothalamus pituitary gland adrenal gland

According to the DSM-V, which statement made by an adult client supports the criteria for generalized anxiety disorder?

I've been really anxious for at least 2 years now. I've had a good physical and my health care provider says I'm in good health. Its hard falling asleep and even harder staying asleep; I'm restless all night.

Which statement best describes the Diagnostic and Statistical Manual, fifth edition (DSM-5) DSM-5?

It is a medical psychiatric assessment system.

When a tumor of the cerebellum is present, the nurse should expect that the client would initially demonstrate which sign/symptom?

Impaired balance

The nurse responsible for the care of a client prescribed clonazepam should evaluate treatment as being successful when the client demonstrates which behavior?

Less anxiety

A prescription for which medication would require the nurse to monitor the client for potential development of the side effect of hypothyroidism?

Lithium

A 49-year-old patient diagnosed with schizophrenia at 22 years old is prescribed risperidone. Which nursing assessment is the priority for this patient?

Monitoring for abnormal involuntary movements

Which imaging technique can provide information about brain function?

Positron emission tomography (PET) scan

The incoherent thought and speech patterns of the client diagnosed with schizophrenia are related to the brain's inability to perform which function?

Regulate conscious mental activity.

The mental health status of a particular client can best be assessed by considering which factor?

Status placement on a continuum from health to illness

Which assessment should the nurse perform to evaluate the pharmacokinetic affect of a monoamine oxidase inhibitors (MAOIs) antidepressant medication?

The results of the liver function test

What term is used to identify the quantitative study of the distribution of mental disorders in human populations?

epidemiology

The medication prescribed for a client acts by blocking reuptake of both serotonin and norepinephrine. The nurse evaluates the treatment as successful when observing which client behavior?

laughing at a joke

What term is used to identify the structures that respond to stimuli, conduct electrical impulses, and release neurotransmitters?

neurons