Mental Health CH 1 Pre, Post, NCLEX, Interactive Review & Chapter

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 that

The client is not conforming with social norms

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.

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 -My marriage is in trouble because I'm always so irritable -I've had a good physical and my health care provider says I'm in good health -It's hard falling asleep and even harder staying asleep; I'm restless all night

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

A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is going to kill me." Which criterion of mental health can the nurse assess as lacking?

Rational thinking

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.

According to the DSM-5, there is evidence that symptoms and causes of mental illness are influenced by:

Cultural and ethnic factors

A nursing student new to psychiatric mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:

DSM-5

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 that they will refuse the medication because of adverse effects they experienced previously.

You are caring for Kiley, a 29-year old female patient who is being admitted following a suicide attempt. Which of the following illustrates the concept of patient advocacy?

Dr. Raye, I noticed you ordered Prozac for Kiley. She has stated to me that she does not want to take Prozac because she had adverse effects when it was previously prescribed.

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

Epidemiological studies contribute to improvements in care for individual with mental disorders by:

Identifying who in the general population will develop a specific disorder

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

It is a medical psychiatric assessment system

Which statement about mental illness is true?

Mental illness changes with culture, time in history, political systems, and the groups defining it.

The intervention that can be practiced by an advanced practice registered nurse in psychiatric mental health but cannot be practiced by a basic level registered nurse is:

Psychotherapy

A nurse who is active in local and consumer mental health groups and in local and state health associations and who keeps aware of state and national legislation affecting mental illness treatment may positively affect the client for treatment by:

Reducing the stigma of mental illness and advocating for equality in treatment.

One characteristic of mental health that allows people to adapt to tragedies, trauma, and loss is:

Resilience

Which statement best describes a major difference between a DSM-5 diagnosis and a nursing diagnosis?

The DSM-5 is associated with present symptoms, whereas a nursing diagnosis considers past, present, and potential responses to actual mental health problems.

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

The degree to which an individual is logical and rational

A new nurse has accepted a position as a 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.

You have graduated with your BSN degree and have taken your first job on a psychiatric unit after becoming a licensed Registered Nurse. You are providing teaching to Mason, a newly admitted patient on the psychiatric unit, regarding his daily schedule. Which of the following would not be an appropriate teaching statement?

You will attend a psychotherapy group that I lead.