Chapter 24

Ms. L is being treated for depression. Which of the following statements by her indicates a need for further education? a. "My medication will cure me of my depression." b. "A side effect of my medication (Prozac) may be gastrointestinal upset." c. "I need to keep my follow-up appointment for medication management." d. "I should not stop taking my medication without checking with my doctor first."

"My medication will cure me of my depression."

Mr. B has been diagnosed with a severe mental illness. The nurse may expect Mr. B to exhibit which of the following? (Select all that apply.) a. Independence b. Low self-esteem c. Difficulty forming relationships d. Positive self-image

-low self-esteem -difficulty forming relationships

Mr. H is a patient in the primary care center where you work as a staff nurse. He tells you that he is currently participating in a stress management program. You know that this is a form of which of the following? a. Individual therapy b. Couple therapy c. Behavioral therapy d. Family therapy

Behavioral therapy

Mr. S was recently hospitalized for a stroke. While in the hospital, he was also diagnosed with diabetes. As his nurse, you know he is at risk for which of the following? a. Panic disorder b. Depression c. Schizophrenia d. Bipolar disorder

Depression

You work in a community clinic that specializes in pediatric mental health. Joy, age 12 years, has been diagnosed with depression. You know a major risk factor for depression in childhood is which of the following? a. Family history of diabetes b. Family history of abuse c. Family history of depression d. Family history of poverty

Family history of depression

You are working in a mental health facility as a nurse. You are involved with patients who have varied diagnoses. One of your patient's family members asks what biological problem causes all of these people to have mental illness. You respond that most experts believe which of the following? a. Brain structure is the problem. b. Neurotransmitters are the problem. c. Genetics are the problem. d. Many factors cause the problem.

Many factors cause the problem.

Mental illnesses adversely affect achievement of social justice. Which of the following statements related to marginalization of some populations because of mental illness is FALSE? a. About half of all inmates in jails and prisons have mental health problems. b. Mental illnesses can lead to employment difficulties, which adversely affects access to health insurance, thereby limiting treatment options. c. Most mental illnesses are caused by genetic factors; therefore, problems associated with them persist across generations and among certain racial and ethnic groups. d. Both natural and human-made disasters can adversely affect mental health; those with limited resources appear to be more directly impacted, and the effects persist longer.

Most mental illnesses are caused by genetic factors; therefore, problems associated with them persist across generations and among certain racial and ethnic groups.

Tony, age 16 years, comes to see you, the school nurse, with complaints of abdominal pain. You note that Tony exhibits signs and symptoms of depression, states he wishes he did not wake up today, and exhibits signs of anxiety. You would do which of the following? a. Refer him immediately for evaluation. b. See him back in your office next week. c. Refer him next month for evaluation. d. Do nothing; this is normal in a 16-year-old boy.

Refer him immediately for evaluation.

Mr. T has been admitted to the mental health floor for evaluation. You, the nurse, note that he has displayed hallucinations, disorganized thinking and speech, and bizarre behavior. He has a flat affect, lack of energy, and poor attention. You know that these are symptoms of what disorder? a. Schizophrenia b. Depression c. Anxiety d. Panic disorder

Schizophrenia

Ms. W, 18 years old, presents at a community clinic describing vague complaints. She explains that she recently dropped out of high school and is having trouble keeping a job. She notes that she has difficulty concentrating and has used drugs (i.e., marijuana and alcohol) when riding motorcycles with friends. When conducting the initial assessment, the RN should include questions and tools that would screen for: a. depression. b. attention-deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD). c. posttraumatic stress disorder. d. obsessive-compulsive disorder.

attention-deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD).