Ch. 1 Meantal Health & Illness

Which of the following illustrates the concept of patient advocacy for a female patient who was admitted after a suicide attempt?

"The patient has stated to me that she does not want to take the prescribed medication because she had adverse effects when it was prescribed previously."

Which patient is demonstrating behaviors associated with mental illness?

A 19-year-old man begins to hear voices that no one else hears during lectures in his college math course.

Which mental illness can be treated on the basis of germ theory?

AIDS Dementia Complex

What is mental health caused by according to germ theory?

According to germ theory, mental illness is caused by a single identifiable agent like a bacteria or virus. The treatment of the illness focuses on eliminating the pathogen (or the agent causing the illness). AIDS Dementia Complex is caused by Human Immunodeficiency Virus (HIV) infection, and therefore the treatment is based on germ theory. Conditions such as mania, schizophrenia, and obsessive-compulsive disorder have no specific causative agent. Therefore, the treatment of these illnesses would not be explained on the basis of germ theory.

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

Basic level RNs cannot perform psychotherapy. Administration of psychotropic medications, arrangements for patients, and conducting a mental health assessment are all appropriate expectations of this level of mental health nursing.

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 basic level psychiatric nursing interventions and so considered within the scope of practice of a basic level psychiatric mental health nurse (PMHN)?

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

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

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

What achievements were made in the field of neuroscience and brain research during the "Decade of the Brain"?

Identifying the roles of cytokines in brain disorders such as depression Mapping of the genes involved in neurological illnesses like Alzheimer's Refinement of neuroimaging techniques, such as magnetic resonance imaging (MRI) scans

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 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

What are the functions of a registered nurse (RN) in a psychiatric facility?

Planning nursing interventions for patients Teaching stress management techniques to caregivers Explaining drug prescriptions and regimens

Which personal attributes are considered by the World Health Organization (WHO) when defining mental health as a state of well-being?

Possesses healthy stress management techniques Capable of understanding and implementing new concepts Expressing happiness and hope

A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention should the nurse include in the therapy?

Provide and maintain a safe and therapeutic environment in collaboration with others

What characteristic of mental health allows people to adapt to tragedies, trauma, and loss?

Resilience

what is resilience, dependence, pessimism, and altruism?

Resilience is a characteristic that helps individuals cope with loss and trauma that may occur in life. Dependence is described as being dependent on others for decision making and care. Pessimism is a life philosophy that things are more likely to go wrong than right. Altruism is described as putting others before oneself.

Which statements will help a nurse effectively understand the concept of resilience as it affects the mental health of a patient facing a traumatic loss?

Resilience is associated with an individual's ability to adapt to unpleasant situations. Being able to seek out appropriate support is a characteristic of the resilient individual. The resilient individual has the advantage of increased oxytocin release.

The nurse is preparing a care plan for a patient with depression and suicidal ideation, considering all the key areas of care promoted by QSEN (Quality and Safety Education of Nurses). The head nurse reviews the care plan and says that all the areas of care, such as patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, and informatics, have been covered except one. What interventions does the head nurse expect the nurse to add in the care plan?

Steps to ensure that the patient does not cause self-harm

On reviewing the care plan prepared by the staff nurse for a patient with depression, the head nurse finds that six domains of the Nursing Outcomes Classification (NOC) have been included in the expected outcome list. The six domains include functional health, physiologic health, psychosocial health, perceived health, family health, and community health. The nurse has failed to address one other NOC domain. Interventions based on which other NOC domain is the nurse expected to add to the care plan?

The patient describes the schedule and dosages of the medications.

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

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