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Mental Health Nursing Chapter 1

Terms in this set (31)

What is the most common mental disease in people aged 65-85?
Alzheimer's
Ability and capacity to secure resources needed to support well-being
Resilience
A person has a high level of resilience. Which other characteristic would the nurse expect this person to have?
Optimism
Which of these mental health problems has the highest annual prevalence in the United States?
a. Schizophrenia
b. Alzheimer's
c. Major depressive disorder
d. Generalized anxiety disorder
c. Major depressive disorder
A state of welling being in which each individual is able to realize his or her own potential , cope with normal stresses of life, work productively, and make a contribution to the community.
Mental health
All mental disorders with a definable diagnoses
Mental illness
Diathesis represents biological predisposition, and stress represents environmental stress or trauma. It is the most accepted explanation for mental illness.
Diathesis-stress model
The quantitative study of the distribution of mental disorder in human population
Epidemiology
Having more than one mental disorder at a time
Comorbid condition
The number of new cases of mental disorders in a healthy population within a given period of time
Incidence
The total number of cases, new and existing, in a given population during a specific period of time, regardless of when they became ill
Prevalence
Promoting mental health through the assessment, diagnosis, and the treatment of human responses to mental health problems and psychiatric disorders.
Psychiatric mental health nursing
Sensitivity to different cultural views regarding health, illness, and response to treatment
Cultural competence
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
Which statement about mental illness is true?
a. Mental illness is a matter of individual nonconformity with societal norms.
b. Mental illness is present when individual irrational and illogical behaviors occur.
c. Mental illness changes with culture, time in history, political systems, and the groups defining it
d. Mental illness is evaluated solely by considering individual control over behavior and appraisal of reality
c. Mental illness changes with culture, time in history, political systems, and the groups defining it
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
Epidemiological studies contribute to improvements in care for individuals with mental health disorders by
Identifying who in the general population will develop a specific disorder
Which statement best describes a major difference between a DSM-5 diagnosis and a nursing diagnosis?
a. There is no functional difference between the two; both serve to identify a human deviance
b. The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account
c. The DSM-5 is associated with present symptoms, whereas a nursing diagnosis considers past, present, and potential responses to actual mental health problems
d. The DSM-5 diagnosis impacts the choice of medical treatment, whereas the nursing diagnosis offers a framework for identifying multidisciplinary interventions
c. The DSM-5 is associated with present symptoms, whereas a nursing diagnosis considers past, present, and potential responses to actual mental health problems
A client tells the mental health nurse "I am terribly frightened! I hear whispering in my head that someone is going to kill me." Which criteria of mental health can the nurse assess as lacking?
Rational thinking
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.
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 what conclusion about this client?
The client is not conforming with social norms.
What client assessment data demonstrates parity related to mental health care?
a. The client is admitted for a 72-hour mental hygiene evaluation.
b. Advance practice nurse can be certified as psychiatric nurse specialist.
c. A client's mental health coverage is equal to his/her medical/surgical coverage.
d. A client who has attempted suicide is hospitalized for a mental health evaluation.
c. A client's mental health coverage is equal to his/her medical/surgical coverage.
The mental health status of a particular client can best be assessed by considering which factor?
Status placement on a continuum from health to illness
Which statement best describes the Diagnostic and Statistical Manual, fifth edition (DSM-5) DSM-5?
It is a medical psychiatric assessment system.
What term is used to identify the quantitative study of the distribution of mental disorders in human populations?
epidemiology
According to current information what factor is associated with the most disabling mental disorders?
Biological influences
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?" Keeping in mind the diagnosis of the patient, how should the nurse respond to this question?
We have the specialized skills needed to care for those with mental illnesses.
Which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated with electroconvulsive therapy (ECT)?
Clinical
A nursing diagnosis for a client with a psychiatric disorder serves what purpose with considering the plan of care?
Establishing a framework for selecting appropriate interventions.
The nurse planning care for a mentally ill client bases interventions on which concept?
Every client has a certain degree of resilience
Which severe mental illness is recognized across cultures?
Schizophrenia
Bipolar disorder
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