,Essentials of Psychiatric Nursing, 3rd
Edition TEST BANK by Boyd & Luebbert, All
Chapters 1 to 31 Covered
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Boyd
q Test Bank for
q q (Test Bank PDF Files) q q q
Test Generator Questions, Chapter 1, Mental Health and Mental
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Disorders
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Multiple Choice q
1. As part of a class activity, nursing students are engaged in a small group
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discussion about the epidemiology of mental illness. Which statement best
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explainsthe importance of epidemiology in understanding the impact of mental
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disorders? Epidemiology:
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A) Helps promote understanding of the patterns of occurrence associated with
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mental disorders.
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B) Helps explain research findings about the neurophysiology that causes mental
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disorders.
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C) Provides a thorough theoretical explanation of why specific mental
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disordersoccur.
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D) Predicts when a specific psychiatric client will recover from a specific
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mentaldisorder.
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Ans: A
qChapter: 1
Client Needs: Safe, Effective CaGrR
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Management of Care q q q q q
Cognitive Level: Apply q
Integrated Process: Teaching/Learning q
Objective: 4
q
Page Number: 2
q
Feedback: Epidemiology is the study of patterns of disease distribution and q q q q q q q q q
qdeterminants of health within populations. It contributes to the overall understanding
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of the mental health status of population groups, or aggregates, and it examines the
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associations among possible factors. Epidemiology does not explain research findings
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about neurophysiology, provide theoretical explanations for why specific disorders
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qoccur, or predict recovery.
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2. A nurse is working in a community mental health center that provides care to a
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large population of people of Asian descent. When developing programs for this
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community, which of the following would be most important for the nurse to address?
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A) Public stigma q
B) Self-stigma
C) Label avoidance q
D) Negative life events q q
Ans: C
Chapter: 1
q
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Understand
q q
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Integrated Process: Nursing Process q q
Objective: 5
q
Page Number: 4 q
Feedback: Although public stigma and self-stigma may be areas needing to be q q q q q q q q q q
qaddressed, in this cultural group, label avoidance would be most important. Label
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qavoidance or avoiding treatment/care so as not to be labeled mentally ill is a type of
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stigma that influences why so few people with mental health problems actually
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qreceive assistance. Asian cultures commonly have negative views of mental illness
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qthat influence the willingness of members to seek treatment; they possibly ignore the
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symptoms or refuse to seek treatment because of this stigma. Negative life events
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qaffect anyone, not just those of the Asian culture.
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3. A nursing student is assigned to care for a client diagnosed with schizophrenia.
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When talking about this client in a clinical post-conference, the student would use
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which terminology when referring to the client?
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A) Committed client q
B) Schizophrenic
C) Schizophrenic client q
D) Person with schizophrenia q q
Ans: D
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Communica GtRioAnDaEnSdLDAoBc.
q umCOenMtation
Objective: 5
Page Number: 4 q
Feedback: Just as a person with diabetes should not be referred to as a “diabetic”
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qbut rather as a “person with diabetes,” a person with a mental disorder should never
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be referred to as a “schizophrenic” or “bipolar,” but rather as a “person with
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qschizophrenia” or a “person with bipolar disorder.” Doing so helps to counteract the
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qnegative effects of stigma. q q q
4. A nursing student is reviewing journal articles about major depression. One of the
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articles describes the number of persons newly diagnosed with the disorder during the
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past year. The student interprets this as which of the following?
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A) Rate
B) Prevalence
C) Point prevalence q
D) Incidence
Ans: D
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Nursing Process q q
Objective: 4
q
Page Number: 3 q
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Feedback: The article is describing incidence, which refers to a rate that includes q q q q q q q q q q q
only new cases that have occurred within a clearly defined time period. The most
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common time period evaluated is 1 year. Rate reflects the proportion of cases in the
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population compared with the total population. Prevalence refers to the total number
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of people with the disorder within a given population at a specified time, regardless of
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how long ago the disorder started. Point prevalence refers to the proportion of
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individuals in the 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
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overhears one of the receptionists saying that one of the clients is “really psycho.”
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Later in the day, the nurse talks with the receptionist about the comment. This action
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by the nurse demonstrates an attempt to address which issue?
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A) Lack of knowledge q q
B) Public stigma q
C) Label avoidance q
D) Self-stigma
Ans: B
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Nursing Process q q
Objective: 5
q
Page Number: 4 q
Feedback: The receptionist's stG atReA
mDeE
ntSrLeA
flB
ec.tC
sOthMe negative effects of q q q q q q
stigmatization, more specifically public stigma. Self-stigma reflects a person's q q q q q q q q
qinternalization of a negative stereotype; that is, the person with the mental illness
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qbegins 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
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qknowledge is often 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
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instructor determines that the education was successful when the group identifies
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which of the following as reflecting mental disorders?
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A) Capacity to interact with others q q q q
B) Ability to deal with ordinary stress q q q q q
C) Alteration in mood or thinking q q q q
D) Lack of impaired functioning q q q
Ans: C
Chapter: 1
q
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Understand
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Integrated Process: Teaching/Learning
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Objective: 3
q
Page Number: 3 q
Feedback: Mental disorders are health conditions characterized by alterations in q q q q q q q q
thinking, mood, or behavior and are associated with distress or impaired functioning.
q q q q q q q q q q q q
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Mental health is the emotional and psychological well-being of an individual who has
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the capacity to interact with others, deal with ordinary stress, and perceive one's
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qsurroundings realistically. q
7. A nurse is preparing a presentation for a local community group about mental
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disorders and plans to include how mental disorders are different from medical
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disorders. Which statement would be most appropriate for the nurse to include?
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A) “Mental disorders are defined by an underlying biological pathology.”
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B) “Numerous laboratory tests are used to aid in the diagnosis of mental disorders.”
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C) “Clusters of behaviors, thoughts, and feelings characterize mental disorders.”
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D) “Manifestations of mental disorders are within normal, expected parameters.” q q q q q q q q
Ans: C
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Teaching/Learning q
Objective: 3
q
Page Number: 2 q
Feedback: Unlike many medical disorders, mental disorders are defined by clusters q q q q q q q q q
of behaviors, thoughts, and feelings, not underlying biologic pathology. The
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qalterations in thoughts, behaviors, and feelings are unexpected and outside the
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normal, culturally defined limits. Laboratory tests are not used in diagnosing mental
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disorders.
q
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8. A psychiatric–mental health nurse is providing care for a client with a mental
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disorder. The client is participating in the decision-making process. The nurse
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interprets this as which component of recovery?
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A) Self-direction
B) Collaborative
C) Person-centered
D) Holistic
Ans: B
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Nursing Process q q
Objective: 6
q
Page Number: 4 q
Feedback: In recovery-oriented care, the person with a mental health problem
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develops a partnership with a clinician to manage the illness, strengthen coping
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abilities, and build resilience for life’s challenges. Being involved in decision making
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qhelps the client transition from a dependent-driven relationship to a collaborative
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qrecovery-oriented one. Self-direction is reflected as individuals define their own goals
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and design a path to meet those goals. Individualized and person-centered is
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qreflected by the individual's use of his or her own unique strengths and resilience as
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well as needs, preferences, experiences, and cultural background. Holistic involves
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the whole life of the individual—mind, body, spirit, and community.
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9. A nurse is explaining recovery to the family of a client diagnosed with a mental
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qdisorder. Which statement would be most appropriate for the nurse to include about
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this process?
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A) “It is a step-by-step process from being ill to being well.”
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B) “The client focuses mainly on the emotional aspects of their condition.”
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C) “The client is helped to live a meaningful life to their fullest potential.”
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D) “Although peer support is important, the self-acceptance is essential.”
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Ans: C
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Teaching/Learning q
Objective: 6
q
Page Number: 4q
Feedback: Recovery from mental disorders and/or substance use disorders is a q q q q q q q q q
qprocess of change through which individuals improve their health and wellness, live a
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self-directed life, and strive to reach their full potential. It is a nonlinear process with
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setbacks. It also is strength-based. Peer support is important, but so is respect by the
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community and consumers, along with self-acceptance to ensure inclusion and
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qparticipation in all aspects of life. q q q q q
GRADESLAB.COM
10. After teaching a group of nursing students on recovery, the instructor
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qdetermines that more education is needed when the group identifies which of the
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following as a characteristic?
q q q q
A) Self-direction in life q q
B) Improvement in health and wellness q q q q
C) Achievement of full potential q q q
D) One-time change situation q q
Ans: D
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Teaching/Learning q
Objective: 6
q
Page Number: 4q
Feedback: Recovery from mental disorders and/or substance use disorders is a q q q q q q q q q
qprocess of change through which individuals improve their health and wellness, live a
q q q q q q q q q q q q
self-directed life, and strive to reach their full potential.
q q q q q q q q q
11. When describing the treatment of mental illness, which of the following would a
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nurse identify as the primary goal?
q q q q q q
A) Functional status q
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B) Stigma reduction q
C) Stress reduction q
D) Recovery
Ans: D
Chapter: 1
q
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Understand
q q
Integrated Process: Nursing Process
q q q
Objective: 6
q
Page Number: 4 q
Feedback: Although reducing stigma, reducing stress, and improving functional q q q q q q q
status are important components involved in the treatment of mental illness, recoveryis
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the single most important goal for individuals with mental disorders.
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12. A nurse is working as part of the multidisciplinary team and developing a plan of
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care for a client who is receiving recovery-oriented treatment. Which of the following
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would the nurse integrate into this plan?
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A) Focusing primarily on the mind q q q q
B) Limiting support from others q q q
C) Using hope as motivation q q q
D) Avoiding underlying trauma q q
Ans: C
Chapter: 1 GRADESLAB.COM
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Nursing Process q q
Objective: 6
q
Page Number: 5 q
Feedback: Recovery emerges from hope: The belief that recovery is real q q q q q q q q q
qprovides the essential and motivating message of a better future—that people can
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qand do overcome the internal and external challenges, barriers, and obstacles that
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qconfront them.. Recovery is also holistic, addressing an individual's whole life,
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qincluding body, mind, spirit and community. Recovery is supported by peers and allies
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and through relationships and social networks. Finally, recovery is supported by
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qaddressing trauma, such that services and supports should be trauma-informed to
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qfoster safety. q
13. A nurse is assessing a client to evaluate the client's mental health and wellness.
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Applying the eight dimensions of wellness, which of the following would the nurse
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identify as reflecting emotional wellness?
q q q q q
A) Finding ways to expand creative abilities q q q q q
B) Recognizing the need for sleep and nutrition q q q q q q
C) Searching for meaning in life q q q q
D) Developing skills for dealing with stress q q q q q
Ans:
q D
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Chapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Nursing Process q q
Objective: 1
q
Page Number: 2 q
Feedback: The emotional dimension of wellness focuses on developing skills and
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qstrategies to cope with stress. The intellectual dimension focuses on recognizing
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qcreative abilities and finding ways to expand one's knowledge and skills. The physical
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dimension focuses on recognizing the need for physical activity, diet, sleep and
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qnutrition. The spiritual dimension focuses on the search for meaning and purpose in
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the human experience.
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14. Which of the following would be a major barrier affecting the treatment
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ofindividuals with mental health problems?
q q q q q q
A) Lack of a diagnostic criteriaq q q q
B) Inability to obtain epidemiologic data q q q q
C) Stigma associated with mental health problems q q q q q
D) Limited hope for recovery q q q
Ans: C
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Nursing ProGcReA ssDESLAB.COM
q q
Objective: 3
Page Number: 3 q
Feedback: Stigma is one of the major treatment barriers facing individuals with q q q q q q q q q q
qmental health problems and their families. Diagnostic criteria have been
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qestablishedfor mental disorders, and evidence through epidemiologic research
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provides valuableinformation about the mental health status of population groups
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qand associated factors. A guiding principle of recovery is hope, the belief that recovery
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is real and thatthe people can and do overcome the internal and external challenges,
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qbarriers and obstacles confronting them.
q q q q
15. Which statement best reflects measures to address public stigma?
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A) “The client with schizophrenia needs additional assistance.”
q q q q q q
B) “The bipolar in room 222 is really out of control today.”
q q q q q q q q q q
C) “That client down the hall is a raving maniac.”
q q q q q q q q
D) “That hyperactive client is acting like a psycho.”
q q q q q q q
Ans: A
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Nursing Process q q
Objective: 5
q
Page Number: 4 q
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Feedback: One way to reduce public stigma is to use nonstigmatizing language. q q q q q q q q q q
Rather than referring to the client as schizophrenic or bipolar, it is more appropriate to
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say "the client with schizophrenia" or "the client with bipolar disorder." Terms such as
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maniac and psycho reinforce the negative images of mental illness.
q q q q q q q q q q
16. When assessing a client with a mental illness, the nurse determines that the
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client is experiencing label avoidance when the client states which of the following?
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A) “I'm at the cause of my illness.”q q q q q q
B) “I'll never be able to function in the world.”
q q q q q q q q
C) “I'm as crazy as everybody thinks I am.”
q q q q q q q
D) “I really don't need to see anyone.”
q q q q q q
Ans: D
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Nursing Process q q
Objective: 5
q
Page Number: 4
q
Feedback: Label avoidance involves an individual not seeking treatment so as not to q q q q q q q q q q q
be labeled as mentally ill. The statement about not really needing to see anyone
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qsuggests label avoidance. The statements about being the cause of the illness, not
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qbeing able to function in the world, and being as crazy as everyone says reflect
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self-stigma, the internalization of negative stereotypes by individuals with mental
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illness. GRADESLAB.COM
17. A nurse is describing the four dimensions of recovery to a group of new
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psychiatric--mental health nurses. Which dimension is the nurse describing when
q q q q q q q q q q
addressing relationships and social networks?
q q q q q
A) Health
B) Home
C) Purpose
D) Community
Ans: D
qChapter: 1
Client Needs: Psychosocial Integrity
q q
Cognitive Level: Apply
q q
Integrated Process: Teaching/Learning q
Objective: 6
q
Page Number: 4
q
Feedback: There are four dimensions that support recovery: health (managing q q q q q q q q
qdisease and living in a physically and emotionally healthy way), home (a safe and
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stable place to live), purpose (meaningful daily activities and independence,
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qresources and income), and community (relationships and social networks).
q q q q q q q q
18. A nurse is reading a journal article about epidemiologic research and mental
q q q q q q q q q q q
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