The quantitative study of the distribution of mental disorders in human populations is called Show
Which statement best describes the DSM-5? A. It is a medical psychiatric assessment system Current information suggests that the most disabling mental disorders are the result of 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?” The nurse responds best by answering: C. "We have the specialized skills needed to care for those with mental illnesses" Which
statement about diagnosis of a mental disorder is true? B. Culture may cause
variations in symptoms for each clinical disorder The prevalence rate over a 12-month period for major depressive disorder is D. greater than the prevalence rate for generalized anxiety These severe mental illnesses are recognized across cultures: B. schizophrenia and bipolar disorder Which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated with electroconvulsive therapy (ECT)? 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? A 14-year-old belongs to a neighborhood gang, engages in sexually promiscuous behavior, and has a history of school truancy but
reports that her parents are just old- fashioned and don’t understand her. The assessment data supports that the client A. is displaying deviant behavior The nurse planning care for a mentally ill client bases interventions on the concept that the client A. has areas of strength on which to
build In order to best differentiate whether an Asian client is demonstrating a mental illness when attempting suicide is to A. ask the client whether he views himself as being depressed. B. identify his culture's view regarding suicide 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 he is D. not demonstrating any definitive signs of mental illness A nursing diagnosis for a client with a psychiatric disorder serves the
purpose of C. providing a framework for selecting appropriate interventions
Which of the following best demonstrates parity related to mental health care? C. A
client's mental health coverage is equal to his medical/surgical coverage The mental health status of a particular client can best be assessed by considering C. placement on continuum from health to illness According to the DSM-5, there is evidence that symptoms and causes of mental illness are influenced by: A. cultural and ethnic factors One characteristic of mental health that allows people to adapt to tragedies, trauma, and loss is: 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? A. “Dr. Raye, I notice 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.” 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? C. "You will attend a psychotherapy group that I lead" A nurse who is active in local consumer mental health groups and in local and state mental health associations and who keeps aware of state and national legislation affecting mental illness treatment may positively
affect the climate for treatment by: B. reducing the stigma of mental illness and advocating for equality in treatment Schizophrenia is best characterized as D.
deteriorating personality Which of the following would be assessed as a negative symptom of schizophrenia? The type of altered perception most commonly experienced by clients with schizophrenia is D. auditory hallucinations The most common course of schizophrenia is an initial episode followed by A. recurrent acute exacerbations and deterioration The causation of schizophrenia is currently understood to be A. a combination of inherited and non-genetic factors Which symptom would NOT be assessed as a positive symptom of schizophrenia?
When a client diagnosed with schizophrenia hears voices saying that he is a horrible human being, the nurse can correctly assume that the hallucination A. is a projection of the client's own
feelings Which side effect of antipsychotic medication is generally nonreversible? A client diagnosed with residual schizophrenia is uninterested in community activities. He lacks initiative, demonstrates both poverty of content of speech and
poverty of speech, and seems unable to follow the schedule for taking his antipsychotic medication. The case manager continues to direct his care with the knowledge that his behavior is most likely prompted by A client diagnosed with paranoid schizophrenia refuses food,
stating the voices are saying the food is contaminated and deadly. A therapeutic response for the nurse would be C. "I understand that the voices are very real to you, but I do not hear them" A client diagnosed with disorganized schizophrenia would have greatest difficulty with the nurse C. giving multistep directions A nursing intervention designed to help a schizophrenic client manage relapse is to B. teach the client and family about behaviors associated with relapse A client diagnosed with paranoid schizophrenia tells the nurse, “I have to get away. The volmers are coming to execute me.” The term “volmers”
can be assessed as When a client diagnosed with paranoid schizophrenia tells the nurse, “I have to get away. The volmers are coming to execute me,” an appropriate response for the nurse would be D. "It must be frightening to think something is going to harm you." A desired outcome for a client diagnosed with
schizophrenia who has a nursing diagnosis of Disturbed sensory perception: auditory hallucinations related to neurobiological dysfunction would be that the client will A. ask for validation of reality A client has reached the stable plateau phase of schizophrenia. An appropriate clinical focus for planning would be D. social, vocational, and self-care skills A client, who has been receiving antipsychotic medication for 6 weeks, tells the nurse that the hallucinations are nearly gone and that concentration has improved. When the client reports flulike symptoms including a fever and a very sore throat, the nurse should C. arrange for the client to have blood drawn for a white blood cell count The purpose of the Abnormal Involuntary Movement Scale (AIMS) assessment on a persistently mentally ill client
who has been diagnosed with schizophrenia is early detection of Nico, a 22-year-old patient, is diagnosed with schizophrenia. Which of the following symptoms would alert a provider to a possible diagnosis of schizophrenia? B. hearing voices telling him to hurt his roommate Tara and Aaron are twins who are both diagnosed with schizophrenia. Aaron was
diagnosed at 23 years and Tara at 31 years. Based on your knowledge of early and late onset of schizophrenia, which of the following is true? D. Tara has a better chance for positive outcomes because of later onset Which of the following is true regarding schizophrenia treatment and outcomes? C. Patients with schizophrenia often do not fully respond to treatment and have varying degrees of disability Declan is a 26-year-old patient with schizophrenia. He states to you, “My, oh my. My mother is brother. Anytime now it can happen to my mother.” Your best response would be: D. "I'm sorry. I didn't understand that. Do you want to talk more about your mother as we did yesterday?" Declan is being discharged from the psychiatric unit on risperidone (Risperdal). You are providing medication teaching to Declan and his mother, who is his primary
caregiver. Which of the following statements is the appropriate response to Declan’s mother’s question regarding the risk for extrapyramidal side effects (EPSs) while taking risperidone? C. Risperidone is a newer antipsychotic medication and has a lower risk of ESPs than older antipsychotics The first-line drug used to treat mania is A. lithium carbonate (Lithium) A person who has numerous hypomanic and dysthymic episodes can be assessed as demonstrating characteristics of
A bipolar client tells the nurse, “I have the finest tenor voice in the world. The three tenors who do all those TV concerts are going to retire because they can’t compete with me.” The nurse would make the assessment that the client is displaying Which behavior would be most characteristic
of a client during a manic episode? A. Going rapidly from one activity to another The nurse can
expect a client demonstrating typical manic behavior to be attired in clothing that is B. colorful and outlandish An outcome for a manic client during the acute phase that would indicate that the treatment plan was
successful would be that the client When a client experiences four or more mood episodes in a 12-month period, the client is said to be Which room placement would be best for a client experiencing a manic episode? C. A single room near the nurses' station When
a hyperactive manic client expresses the intent to strike another client, the initial nursing intervention would be to When a client reports that lithium causes an upset stomach, the nurse suggests taking the medication: The priority nursing diagnosis for a hyperactive manic client during the acute phase is An acute phase nursing intervention aimed at reducing
hyperactivity is redirecting the client to A bipolar client whose continuing phase treatment consists of lithium therapy and cognitive-behavioral therapy may become noncompliant with medication. Which factor would be of least concern to the nurse developing a
psychoeducation plan to foster compliance? B. The voices tell the client to stop taking it A manic
client tells a nurse “Bud. Crud. Dud. I’m a real stud! You’d like what I have to offer. Let’s go to my room.” The best approach for the nurse to use would be C. "It's time to work on your art project" A desired outcome for the maintenance phase of treatment for a manic client would be that the client will B. adhere to follow-up
medical appointments What action should the nurse take on learning that a manic client’s serum lithium level is 1.8 mEq/L? A. Withhold medication and notify the physician To plan care for a manic client the nurse must consider that lithium cannot be started until A. the physical examination and laboratory tests are analyzed A desirable short-term goal for the nursing diagnosis Defensive coping related to biochemical changes as evidenced by aggressive verbal
and physical behaviors would be A. making no attempts at self-harm within
12 hours of admission Which side effects of lithium can be expected at therapeutic levels? A. Fine hand tremor and polyuria
When the wife of a manic client asks about genetic transmission of bipolar disorder, the nurse’s answer should be predicated on the knowledge that D. the rate of bipolar disorder is higher in relatives of people with bipolar disorder Which of the following is true of the relationship between bipolar disorder and suicide? B. Suicide is a serious risk because nearly 20% of those diagnosed with bipolar disorder commit suicide Tyler is a 31-year-old patient admitted with acute mania. He tells the staff and the other patients that he is on a secret mission given to him by the President of the United States to monitor citizens for terrorist activity. He states, “I am the only one he trusts, because I am the best!” For documentation purposes you know that this behavior is referred to as: Tyler is being discharged home to his family. Which of the following is important teaching to include for the patient and the family to recognize possible signs of impending mania? Which of the following describe the
symptoms of the manic phase of bipolar disorder? (select all that apply): Which characteristics of mental health allows people to adapt to tragedies?Resilience is the capacity people have to adapt swiftly and successfully to stressful/traumatic events while not reverting to the original state.
What are the 5 characteristics of mental health?Characteristics of Mental Health. They feel good about themselves.. They do not become overwhelmed by emotions, such as fear, anger, love, jealousy, guilt, or anxiety.. They have lasting and satisfying personal relationships.. They feel comfortable with other people.. They can laugh at themselves and with others.. Which characteristic of mental health allows people to secure the resources they need to support their well being?Resilience refers to an ability and capacity to secure resources needed to support one's well-being.
How do people adapt to mental illness?Resilience Factors & Strategies. Factors in Resilience.. Strategies For Building Resilience.. Make connections. ... . Avoid seeing crises as insurmountable problems. ... . Accept that change is a part of living. ... . Move toward your goals. ... . Take decisive actions. ... . Look for opportunities for self-discovery.. What are three characteristics of mental health?emotional stability: feeling calm and able to manage emotions. resilience: the ability to cope with the stresses of daily life. optimism: feeling positive about your life and future. self-esteem: feeling positive about yourself.
Which characteristics are associated with a patient with mental illness?Examples of signs and symptoms include:. Feeling sad or down.. Confused thinking or reduced ability to concentrate.. Excessive fears or worries, or extreme feelings of guilt.. Extreme mood changes of highs and lows.. Withdrawal from friends and activities.. Significant tiredness, low energy or problems sleeping.. |
Which of the following is a characteristic of mental health that allows people to adapt to tragedies trauma and loss?
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