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Dawn, a nursing student, is discussing the patient whom she cared for that morning with a fellow student in the same clinical group. Dawn states that her patient has schizophrenia and mentions that she found out that it "runs in the patient's family." Dawn's classmate is incredulous, saying that mental illness results from traumatic circumstances. What explanation of the factors that contribute to mental illness is most accurate?
Mental health is thought to be determined by genes, circumstances, and childhood nurturing.
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.
One of the students completing her mental health clinical states that "All those people seem very crazy." It is important that the student display which type of attitude when dealing with mentally ill clients?
When providing care for mentally ill clients, it is important to remember that
Listening to the clients is more important than talking
Which of the following traits is most likely to inhibit the quality of care that a nurse provides in a psychiatric setting?
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?
An instructor is teaching a class about the concept of self-awareness. Which of the following statements by a student would indicate a need for further education?
"I should try to be less self-aware when working with clients, because my focus should be on them."
Which of the following would be associated with stigma? Select all that apply.
An example of an external factor that affects self-awareness is reflected when stating
"My brother-in-law is a schizophrenic; they are always creating problems."
A nurse who is considered to be judgmental may do what?
Choose interventions based on his or her own values
The nurse manager of a psychiatric unit immediately asks to speak with a newly assigned nurse about client care when the nurse is overheard stating ...
"I believe everyone has some control over their behaviors."
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?
Which of the following is the most dramatic manifestation of psychosis and a symptom that may be overportrayed in films and television?
Kim, a nursing student, is admittedly nervous about beginning her upcoming clinical rotation in a psychiatric setting. Reflection on which of the following questions may aid Kim's readiness for this new care setting?
"What do I envision about these clients that makes me uneasy?"
The nursing manager responds best to a nursing student's expressed fear of "saying something wrong" to a client by answering
"Always show the clients respect and caring and you will be therapeutic."
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
Which of the following is a central feature of the labeling theory?
On the first day of a psychiatric-mental health nursing clinical, a student nurse is assigned to work with a 24-year-old male client who is being treated for major depression due to a recent diagnosis of AIDS. Which of the following questions of the nurse would reflect prejudice regarding the client?
"Why do gay men seem to get depressed more often? Could it be related to IV drug abuse?"
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?
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?
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?
Widespread assumptions and myths related to mental illness neglect the fact that as many as which of the following people can effectively return to normal productive lives if they receive appropriate treatment?
8 of 10
A nurse is working with a client diagnosed with a mental disorder. In assisting the client with recovery, which of the following guiding principles would the nurse identify as the foundation for recovery?
Recovery is person-driven
A group of nursing students are reviewing information about recovery from mental illness. The students demonstrate understanding of this concept when they identify which of the following as the dimensions that support recovery? Select all that apply
Which of the following clients is most likely to face stigma from the public?
A client with schizophrenia
According to the attribution theory, attributions arise from which of the following?
When faced with a client behavior that seems irrational, the nurse responds by asking the client, "Tell me why you did that." This is an example of an
A client shows evidence of manic behavior and substance abuse. Despite increasing family problems, the client and his wife are reluctant to admit a problem exists. Which of the following is the most likely reason for their response to these circumstances?
Concern over perceived stigma from others about the client's condition
Which of the following nurses is exhibiting an open-minded attitude toward clients?
A nurse who views each client's experience with depression as unique
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 reading epidemiologic research, the rate of suicides in teenagers is described. When interpreting this finding, the nurse understands that the measurement reflects which of the following?
• The number of cases in the population compared to the total population
Horizontal violence is a warning sign of increasing job-related stress. Which of the following would not be an example of passive-aggressive behavior?
Which of the following would be the most therapeutic student nurse response to the client's question, "Hi. What is your name?"
"My name is Dorothy, and I am a student nurse at Oakdale University School of Nursing."
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