MH Chapter 2

A psychiatric-mental health nurse is developing the plan of care for a client with a mental disorder. The nurse reviews the client's assessment data. Which finding would the nurse identify as contributing to a more difficult recovery?

Self-care dependence

Which component of recovery occurs when the client creates a path to meet a specific goal?

Self-direction

A client with a mental illness tells the nurse, "I'm just like what others say I am. I can never be normal." The nurse interprets this statement as reflecting which of the following?

Self-stigma

The greatest social obstacle to accessing mental health treatment is ...

Society's belief that mental health treatment is ineffective

In epidemiological studies, the point prevalence refers to the ...

proportion of individuals who have the disorder at a specified point in time.

Which of the following statements is suggestive of the stigmatization of mental illness?

"I feel bad for the mentally ill, but I wish we didn't have to see them panhandling on every single corner."

A client with an anxiety disorder comes to the clinic for a follow-up visit. Which statement by the client would the nurse interpret as reflecting the health dimension of recovery?

"I'm taking my medicines as prescribed and I'm able to function well."

A nurse is assessing a client and determines that the person is achieving wellness. Which statement by the client would support the nurse's interpretation?

"I've got good relationships with my family and friends."

A nurse is giving a presentation about preventing mental illness to college freshmen. A student asks, "What does it mean to be mentally healthy?" Which of the following potential responses by the nurse is best?

"Mental health is marked by productivity, fulfilling relationships, and adaptability."

A psychiatric-mental health nurse is conducting an in-service education program for a group of nurses about recovery from mental illness. The nurse determines that the teaching was successful based on which group statement?

"Mental health recovery is a growth experience with setbacks."

A psychiatric-mental health nurse is preparing a presentation for a local community group about mental illness and the stereotypes often attributed to the persons with mental illness. Which example would the nurse most likely include? Select all that apply.

"Mentally ill people are too weak to deal with the world around them." "Mentally ill people are unpredictable and dangerous." "Most mentally ill people belong on the funny farm." "Mentally ill people are violent and just waiting to cause trouble."

In which of the following clients would the nurse be most likely to identify the phenomenon of label avoidance?

A client who insists that his diagnosis be kept secret because of the perceived risk of "career suicide"

Which are examples of public stigma? (Select all that apply.)

A film depicting an individual with a mental illness as dangerous and out of control. Mental health clinicians are described as being arrogant and manipulative during an interview. A television show depicting an individual with mental illness as being possessed by the devil

A psychiatric-mental health nurse is preparing a presentation for a community group about mental health, mental illness, and wellness. Which concept would the nurse most likely include? Select all that apply.

A person can be mentally healthy and have a mental disorder. Poverty can interfere with achieving wellness by a person with a mental illness.

One of the major problems facing individuals with mental illness and their families is stigma. Which is inconsistent with stigmatization?

Approval

Culture-bound syndromes are behaviors limited to specific cultures that have meaning within that culture. Which culture-bound syndrome tends to occur in the Latino population?

Ataque de nervios

Which statement is most accurate about the Diagnostic and Statistical Manual of Mental Disorders-5?

Boundaries separating disorders are not absolute.

While completing a rotation in a mental health facility, the nurse observes a client who is becoming increasingly agitated. He begins yelling at other clients and then picks up a chair and throws it against a wall. The nurse is asked to write a note about what she witnessed. Which of the following would be the most appropriate documentation?

Client is displaying aggression including yelling at other clients and throwing a chair.

A nurse is assessing a client who has come to the clinic for an evaluation. The nurse determines that the client is mentally healthy based on which finding? Select all that apply.

Client talks readily about doing things with friends and family. Client describes actions used to appropriately cope with life stresses. Client verbalizes a realistic depiction of surroundings and events. Client identifies strengths and weaknesses in abilities.

Which statement would a nurse integrate into an education plan for a local community group about mental illness and mental disorders?

Clusters of behaviors, thoughts, and feelings define mental disorders.

A psychiatric-mental health nurse is developing a recovery-oriented plan of care for a client with obsessive-compulsive disorder. The nurse identifies interventions to strengthen the client's social networks. The nurse is addressing which dimension to support recovery?

Community

During a follow-up visit, a client with a substance use disorder tells the psychiatric-mental health nurse, "I've made some very supportive friends in the group that I go to twice a week. They've really helped me understand and get through some tough times." The nurse interprets the client's statement as reflecting which dimension of recovery?

Community

When assessing a person with a mental disorder, which would be most important for a nurse to consider for recovery?

Degree of disability or impairment

A psychiatric-mental health nurse working at a community mental health center is using epidemiological data to plan the development of programs for the population in the future. Based on the nurse's knowledge associated with disease projections and the leading burden of disease, the nurse would work on developing programs for which condition?

Depression

According to the World Health Organization, by 2030, which mental illness is projected to be the leading burden of disease worldwide?

Depression

Which of the following is the leading cause of disease in middle- and high-income countries?

Depression

Which of the following would be associated with stigma? Select all that apply.

Disapproval Shunning Stereotyping

A psychiatric-mental health nurse is working with the staff of a local community mental health center on ways to reduce the stigma associated with mental illness. Which action would be most helpful for the nurse to suggest?

Encourage staff members to interact and have contact with individuals who have mental illness

A nurse is working as a part of a group studying the distribution patterns of depression and contributing factors within the older adult population of a geographic area. The nurse is working in which area?

Epidemiology

A client missed one week of work when she was hospitalized with bipolar disorder. She was placed on medication and was able to return to work. When asked about her absence, she informed coworkers that she was suffering from influenza. What is the most likely reason the client lied about her illness?

Fear of rejection, isolation, and discrimination based on her mental health diagnosis

One of the best ways to counteract the negative effects of stigma is to do which of the following?

Have contact with the stigmatized group.

A client with depression participates in all areas of his treatment plan such that the client is managing the condition and living in a physically and emotionally healthy manner. The client's status reflects which dimension of recovery?

Health

A group of nnurses are reviewing information about recovery from mental illness. The nurses demonstrate understanding of this concept when they identify which dimension as supporting recovery? Select all that apply.

Health Home Purpose Community

Which of the following is most accurate about the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5)?

It specifies criteria for diagnosing mental disorders.

A psychiatric-mental health nurse is providing care to a client with post-traumatic stress disorder who is homeless. The nurse is collaborating with the client to find a stable group home so that the client no longer lives on the street. The nurse is addressing which dimension of recovery?

Home

The National Consensus Statement on Mental Health Recovery stated that recovery is guided by ten fundamental components. Which component is the catalyst of the recovery process?

Hope

Joanna is a community health nurse. She has been asked to develop a plan to improve her local community's negative attitudes about those suffering from mental illness. Which of the following would assist Joanna in accomplishing this goal?

Identify myths underlying the negative attitudes in the community and improve factual knowledge about mental illness.

A nurse shows the best understanding of mental illness when defining it as the ...

Inability to function in a manner that manages both external and internal stressors effectively

A nurse is part of an epidemiologic research team that is investigating the occurrence of new cases of anorexia nervosa within the past year. The team is most likely investigating which of the following?

Incidence

When a person avoids mental health treatment for fear of being labeled mentally ill, which type of stigma is occurring?

Label avoidance

A universal condition that shapes the way we think, feel and communicate refers to:

Mental health

After teaching a class of nursing students about mental health and mental disorders, the instructor determines that additional education is needed when the class states which of the following as reflective of mental health?

Mental health involves psychological well-being but not emotional well-being

After educating a group of nursing students about mental health and wellness, which statement by a group member indicates the need for additional education?

Mental health problems have minimal effect on the process of wellness.

A family member of a client diagnosed with a mental illness asks the nurse, "What is mental illness, really?" Which information would the nurse most likely integrate into the response? Select all that apply.

Mental illness can cause significant distress Mental illness can interfere with a person's ability to function. Individuals suffering from mental illness may experience dissatisfaction with relationships and self.

A mental health nurse is describing the cultural syndrome, ataque de nervios, to the group of nurses who are working at the clinic. Which manifestation would the nurse include when describing this syndrome? Select all that apply

Muscle aches Uncontrollable crying Insomnia Tremors

A nurse is reviewing epidemiological data about anxiety in community. The nurse reads that the rate of anxiety is listed as 250/17000. The nurse interprets the 250 to represent which situation?

Number of cases of anxiety

A nurse is orienting to a new position working the infirmary in the state penitentiary. When working with prisoners who are mentally ill, the nurse examines the nurse's own attitudes. Which beliefs should the nurse discuss with a supervisor before caring for incarcerated clients?

People with mental illness are inherently violent.

After teaching a group of nursing students about mental disorders, the instructor determines that the education was successful when the group identifies which of the following as the most important goal for individuals with mental disorders?

Recovery

A nurse is working as part of a research team that is examining the proportion of individuals in a population who have bipolar disorder on a particular date. What would the team most likely be measuring?

Point prevalence

A nurse is reading an epidemiologic research study on depression. Which of the following would the nurse need to keep in mind?

Population rates, not raw numbers, are used to describe the measurement.

When describing wellness and mental disorders, which of the following factors would the nurse address as commonly interfering with the individual's ability to achieve wellness? Select all that apply.

Poverty Employment issues Trauma Lack of education

The nurse overhears a family member saying that people with mental illness are not fit to be out in society. The family member is exhibiting which of the following?

Prejudice

While visiting a mental health clinic during an observational experience, the student nurse overhears a client's relative talking about the client in a very demeaning manner. The family member is most likely exhibiting which type of behavior?

Prejudice

A nurse is reviewing the literature in preparation for a research study about eating disorders. The nurse wants to find out information about the total number of people with eating disorders occurring within a population of girls between the ages of 12 to 18 years. The nurse is not concerned about when the disorder had its onset for this population. Which epidemiological data would the nurse identify?

Prevalence

A nurse is watching a movie which tells the story of a person previously confined to a psychiatric hospital for several years. The movie shows the individual going on a violent murder spree after discharge. Which of the following is the movie depicting?

Public Stigma

During a post-conference, the instructor overhears several nursing students talking about clients with schizophrenia. One of the students says "People with schizophrenia are dangerous and unpredictable. I hope I don't have to deal with any clients like this." The instructor interprets this statement as reflecting which of the following?

Public stigma

A psychiatric-mental health nurse is collaborating with a client on ways to promote recovery. The client is diagnosed with a substance use problem. As part of the process, the person tells the nurse, "I want to be drug-free and show everyone that I can be a responsible person." The nurse interprets this statement as reflecting which principle of recovery?

Recovery is person-driven

A psychiatric-mental health nurse is working with a client who has a mental health disorder on ways to develop self-determination and self-direction. The nurse is integrating which principle of recovery into the plan of care?

Recovery is person-driven.

A psychiatric-mental health nurse is collecting data related to the incidence of depression in a population over a period of one year. When collecting this data, the nurse would obtain data at which time? Select all that apply.

Start date of the one year time frame End of the one year period.

It is not uncommon for new psychiatric mental health students to be fearful of interacting with individuals suffering from mental illness. The fear and misunderstanding of those with mental illness is known as which of the following?

Stigma

A nurse is reading a journal article about cultural syndromes. Which of the following would the nurse identify as having been well documented?

Susto

A client has sought care for a prolonged history of depressed mood and has been diagnosed with major depression. The client is readily open to beginning pharmacologic treatment but is unwilling to attend a support group, despite easy geographic access and a flexible schedule. What explanation for the client's behavior should the nurse explore?

The client is uncomfortable with being labeled as mentally ill

A key element in the definition of mental illness is that ...

The individual must have difficulties in functioning that cause distress and/or impairment of some type.

When describing the effects of stigma by society on individuals with mental illness, which would a nurse most likely include?

The stigma tends to increase the more the person's behavior differs from the norm.

Which of the following is accurate with regards to cultural syndromes?

They are specific disorders found in a particular locality.

A nurse is conducting a research study about mental health issues and wellness. When conducting a literature review, which factor would the nurse most likely find as a factor impacting mental health? Select all that apply.

Trauma Unemployment Poverty

The nurse is trying to effectively provide culturally competent care for a client. To best meet the client's needs, what should the nurse do?

acquire knowledge about the cultural group