Mental Health Nursing Boyd Exam 1 Questions With Correct Answers
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Course
Mental Health Nursing
Institution
Mental Health Nursing
Mental Health Nursing Boyd Exam 1
Questions With Correct Answers
One of the major problems facing individuals with mental illness and their families is stigman.
What is inconsistent with stigmatization?
a. discrimination
b. prejudice
c. misunderstanding
d. approval - answerd. approval
Stigm...
Mental Health Nursing Boyd Exam 1
Questions With Correct Answers
One of the major problems facing individuals with mental illness and their families is stigman.
What is inconsistent with stigmatization?
a. discrimination
b. prejudice
c. misunderstanding
d. approval - answer✔d. approval
Stigma can be defined as a mark of shame, disgrace, or disapproval that results in an individual
being shunned or rejected by others. Stigma leads to community misunderstanding, prejudice,
and discrimination.
When a person avoids mental health treatment for fear of being labeled mentally ill, which type
of stigma is occuring?
a. discrimination
b. label avoidance
c. self-stigma
d. public stigma - answer✔b. label avoidance
Label avoidance is the avoidance of treatment or care so as not to be labeled as mentally ill. This
is one reason so few people with mental problems actually recieve help. Self-stigma occurs when
negative stereotypes are internalized by people with mental illness. Public stigma occurs after
individuals are publically "marked" asa being mentally ill. ALthough discrimination occurs as
part of the stigma, it is not a type of stigma.
a. label avoidance
b. self-stigma
c. public stigma
d. cultural syndrome - answer✔c. public stigma
The statement about individuals being dangerous and unpredictable reflects public stigma, in
which individuals are publically marked as being mentally ill and experience prejudice and
discrimination. Self-stigma occurs when negative stereotypes are internalized by people with
mental illness. Label avoidance refers to an individual avoiding treatment in order not to be
labeled as mentally ill. Cultural syndrome is a specific pattern of symptoms that occurs within a
specific cultural group or community.
A nurse understands the importance of protecting clients' rights of self-determinism. Self-
determinism is similar to which ethical principle?
a. autonomy
b. justice
c. veracity
d. beneficence - answer✔a. autonomy
Self-determinism can be defined as being empowered by having the free will to make moral
judgements. Autonomy is the right to make one's own decisions. Personal autonomy and
avoidance of dependence on others are key values of self-determinism. Veracity is truthfulness.
Justice encompasses equal treatment for all. Beneficence is doing no harm.
Which is an accurate statement regarding an advance care directive?
a. it needs to be written by an attorney
b. it applies to those who can make their own decisions
d. it must be witnessed by two people and notarized - answer✔d. it must be witnessed by two
people and notarized
An advance care directive does not need to be written, reviewed, or signed by an attorney. It
must be witnessed by two people and notarizes, and applies only if the individual is unable to
make hir or her own decisions as a result of being incapacitated or if, in the opinion of two
physicians, the person is otherwise unable to make decisions for him-or-herself.
Which mental health client criteria to be involuntarily committed?
a. a client diagnosed with mania who is pacing the hallways
b. a client diagnosed with borderline personality disorder (BPD) who is threatening to self-harm
c. A client is diagnosed with schizophrenia who is singing in the client's room
d. a client diagnosed with anxiety disorder who is fidgeting - answer✔b. a client diagnosed
with borderline personality disorder who is threatening to self-harm
Involuntary commitment is confined hospitalization of a person without the person's consent but
with a court order. Three common elements found in most statues for involuntary commitments.
The individual must be: (1) mentally disordered, (2) dangerous to himself or herself, or (3)
unable to provide for his/her basic needs.
The client diagnosed with BPD is a danger to the self. The other clients are not in immediate
danger to themselves or others.
A psychiatric-mental health nurse is conducting a class for a community group about the rights
of individuals with mental health problems. As part of the program, the nurse is describing the
concept of self-determinism. The nurse determines that the program was successful when the
group identifies which idea as exemplifying self-determinism? (Select all that apply.)
a. Right to choose other forms of treatment
b. Right to participate in experimentation without informed consent
c. Right to obtains other opinions
d. Right to refuse treatment
e. Right to refuse treatment during emergency situation - answer✔a,c,d
The right to self-determination entitles all clients to refuse treatment (except during emergency
situation), to obtain other opinions, and to choose other forms of treatment. A client has a right
not to participate in experimentation in the absence of the client's informed, voluntary, written
consent.
A nurse is teaching a client newly diagnosed with a mental disorder and their family. What is an
important aspect of a psychiatric advance directive (PAD)?
a. It must be signed by the case manager and two witnesses
b. A physician cannot override the declaration
c. It allows family members to make the choice of treatment for incompetent individuals
d. During periods of competency, PADs can be revoked - answer✔d. During periods of
competency, PADs can be revoked
PASs are relatively new legal instructions that allow clients, while they are competent, to
document their choice of treatment and care. This declaration must be made in advance and
signed by two witnesses. Although a physician can override this declaration during times when
the client's decision making is clearly distorted because of mental illness, the client must be
informed first and the order made by the court. During periods of competency, PADs can be
revoked.
A client diagnosed with schizophrenia insists on stopping medication because it causes the client
to gain weight, The client is exercising which ethical principle?
a. beneficence
b. autonomy
c. veracity
d. justice - answer✔b. autonomy
The client is exercising autonomy and is making the client's own decision to stop taking the
medication. Although it is probably not in the client's best interest, the client does have that right.
According to the principle of beneficence, the health care provider uses knowledge of science
and incorporates the art of caring to develop an environment in which individuals achieve their
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