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Test Generator Questions, Chapter 1, Mental Health and
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MentalDisorders
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Multiple Choice ilil
1. As part of a class activity, nursing students are engaged in a small group discussion about
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theepidemiology of mental illness. Which statement best explains the importance of
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epidemiology in understanding the impact of mental disorders? Epidemiology:
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A) Helps promote understanding of the patterns of occurrence associated with mental disorders. ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
B) Helps explain research findings about the neurophysiology that causes mental disorders. ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
C) Provides a thorough theoretical explanation of why specific mental disorders occur. ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
D) Predicts when a specific psychiatric client will recover from a specific mental disorder. ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
Ans: A ilil
Chapter: 1 ilil
Client Needs: Safe, ilil ilil
EffectiveCognitive Level:
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Integrated Process: Teaching/Learning Objective: 4 ilil ilil
Page Number: 2 ilil ilil
Feedback: Epidemiology is the study of patterns of disease distribution and determinants of ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
healthwithin populations. It contributes to the overall understanding of the mental health status of
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populationgroups, or aggregates, and it examines the associations among possible factors.
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Epidemiology does notexplain research findings about neurophysiology, provide theoretical
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explanations for why specific disorders occur, or predict recovery.
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2. A nurse is working in a community mental health center that provides care to a large
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population of people of Asian descent. When developing programs for this community, which of the
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following would bemost important for the nurse to address?
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A) Public stigma ilil
B) Self-stigma
C) Label avoidance ilil
D) Negative life events ilil ilil
Ans: C ilil
Chapter: 1 ilil
Client Needs: Psychosocial Integrity Cognitive Level:
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UnderstandIntegrated Process: Nursing il ilil
Process Objective: 5
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Page Number: 4 ilil ilil
Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in this ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
cultural group, label avoidance would be most important. Label avoidance or avoiding treatment/care so
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asnot to be labeled mentally ill is a type of stigma that influences why so few people with mental
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health problems actually receive assistance. Asian cultures commonly have negative views of mental
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illness that influence the willingness of members to seek treatment; they possibly ignore the symptoms
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or refuse to seek treatment because of this stigma. Negative life events affect anyone, not just those of
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the Asian culture.
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3. A nursing student is assigned to care for a client diagnosed with schizophrenia. When talking
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aboutthis client in a clinical post-conference, the student would use which terminology when referring
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to the client?
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A) Committed client ilil
B) Schizophrenic
C) Schizophrenic client ilil
D) Person with schizophrenia ilil ilil
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Ans: D Chapter: 1 ilil
Client Needs: Psychosocial Integrity Cognitive Level:
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ApplyObjective: 5 il
Page Number: 4 ilil ilil
Feedback: Just as a person with diabetes should not be referred to as a <diabetic= but rather as a ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
<person with diabetes,= a person with a mental disorder should never be referred to as a
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<schizophrenic=or <bipolar,= but rather as a <person with schizophrenia= or a <person with bipolar
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disorder.= Doing so helps to counteract the negative effects of stigma.
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4. A nursing student is reviewing journal articles about major depression. One of the articles
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describesthe number of persons newly diagnosed with the disorder during the past year. The student
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interprets this as which of the following?
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A) Rate
B) Prevalence
C) Point prevalence ilil
D) Incidence
Ans: D Chapter: 1 ilil
Client Needs: Psychosocial Integrity Cognitive Level:
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ApplyIntegrated Process: Nursing il ilil
Process Objective: 4
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Page Number: 3 ilil ilil
Feedback: The article is describing incidence, which refers to a rate that includes only new cases ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
thathave occurred within a clearly defined time period. The most common time period evaluated is 1
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year.
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Rate reflects the proportion of cases in the population compared with the total population. Prevalence
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refers to the total number of people with the disorder within a given population at a specified time,
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regardless of how long ago the disorder started. Point prevalence refers to the proportion of individuals
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inthe population that have a disorder at a specific point in time.
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5. While working in a community mental health treatment center, the nurse overhears one of the
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receptionists saying that one of the clients is <really psycho.= Later in the day, the nurse talks with
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the receptionist about the comment. This action by the nurse demonstrates an attempt to address which
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issue?
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A) Lack of knowledge ilil ilil
B) Public stigma ilil
C) Label avoidance ilil
D) Self-stigma
Ans: B Chapter: 1 ilil
Client Needs: Psychosocial Integrity Cognitive Level:
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ApplyIntegrated Process: Nursing il ilil
Process Objective: 5
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Page Number: 4 ilil ilil
Feedback: The receptionist's negative effects of stigmatization, more specifically public stigma. ilil ilil ilil ilil ilil ilil ilil ilil ilil
Self- stigma reflects a person's internalization of a negative stereotype; that is, the person with the
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mental illnessbegins to believe that he or she is what the public thinks he or she is. Label avoidance
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refers to avoiding treatment or care so as not to be labeled mentally ill. Lack of knowledge is often
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the underlying theme associated with any type of stigma.
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6. After educating a group of students on mental health and mental illness, the instructor
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determinesthat the education was successful when the group identifies which of the following as
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reflecting mental disorders?
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A) Capacity to interact with others ilil ilil ilil ilil
B) Ability to deal with ordinary stress ilil ilil ilil ilil ilil
C) Alteration in mood or thinking ilil ilil ilil ilil
D) Lack of impaired functioning ilil ilil ilil
Ans: C
Chapter: 1
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Client Needs: Psychosocial Integrity Cognitive Level: Understand Integrated
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Process:Teaching/Learning Objective: ilil 3 il ilil
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Feedback: Mental disorders are health conditions characterized by alterations in thinking, mood, ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
orbehavior and are associated with distress or impaired functioning.
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Mental health is the emotional and psychological well-being of an individual who has the capacity
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tointeract with others, deal with ordinary stress, and perceive one's surroundings realistically.
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7. A nurse is preparing a presentation for a local community group about mental disorders and
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plansto include how mental disorders are different from medical disorders. Which statement would
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be most appropriate for the nurse to include?
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A) <Mental disorders are defined by an underlying biological pathology.= ilil ilil ilil ilil ilil ilil ilil ilil
B) <Numerous laboratory tests are used to aid in the diagnosis of mental disorders.= ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
C) <Clusters of behaviors, thoughts, and feelings characterize mental disorders.= ilil ilil ilil ilil ilil ilil ilil ilil
D) <Manifestations of mental disorders are within normal, expected parameters.= ilil ilil ilil ilil ilil ilil ilil ilil
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level:
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ApplyIntegrated Process: il ilil
Teaching/Learning Objective: 3 ilil
Page Number: 2 ilil ilil
Feedback: Unlike many medical disorders, mental disorders are defined by clusters of behaviors, ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
thoughts, and feelings, not underlying biologic pathology. The alterations in thoughts, behaviors, and
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feelings are unexpected and outside the normal, culturally defined limits. Laboratory tests are not used
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indiagnosing mental disorders.
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8. A psychiatric–mental health nurse is providing care for a client with a mental disorder. The client
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isparticipating in the decision-making process. The nurse interprets this as which component of
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recovery?
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A) Self-direction
B) Collaborative
C) Person-centered
D) Holistic
Ans: B Chapter: 1 ilil
Client Needs: Psychosocial Integrity Cognitive Level:
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ApplyIntegrated Process: Nursing il ilil
Process Objective: 6
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Page Number: 4 ilil ilil
Feedback: In recovery-oriented care, the person with a mental health problem develops a ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
partnership with a clinician to manage the illness, strengthen coping abilities, and build resilience for
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life9s challenges.Being involved in decision making helps the client transition from a dependent-driven
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relationship to a collaborative recovery-oriented one. Self-direction is reflected as individuals define
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their own goals and design a path to meet those goals. Individualized and person-centered is reflected
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by the individual's use ofhis or her own unique strengths and resilience as well as needs, preferences,
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experiences, and cultural background. Holistic involves the whole life of the individual4mind, body,
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spirit, and community.
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9. A nurse is explaining recovery to the family of a client diagnosed with a mental disorder.
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Whichstatement would be most appropriate for the nurse to include about this process?
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A) <It is a step-by-step process from being ill to being well.= ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
B) <The client focuses mainly on the emotional aspects of their condition.= ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
C) <The client is helped to live a meaningful life to their fullest potential.= ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
D) <Although peer support is important, the self-acceptance is essential.= ilil ilil ilil ilil ilil ilil ilil ilil
Ans: C Chapter: 1 ilil
Client Needs: Psychosocial Integrity Cognitive Level:
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ApplyIntegrated Process: il ilil
Teaching/Learning Objective: 6 ilil
Page Number: 4 ilil ilil
Feedback: Recovery from mental disorders and/or substance use disorders is a process of change ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil ilil
