Test Bank for Essentials of Psychiatric Nursing 2nd Edition by Mary Ann Boyd New Update .pdf
Test Bank for Essentials of Psychiatric Nursing 2nd Edition by Mary Ann Boyd New Update .pdf
Test Bank for Essentials of Psychiatric Nursing 2nd Edition by Mary Ann Boyd New Update .pdf
Test Bank for Ess...
Test Bank Essentials
of Psychiatric
Nursing 2nd Edition
by Mary Ann Boyd
New Update
, Test Generator Questions, Chapter 1, Mental Health and Mental
Disorders
Multiple Choice
1. As part of a class activity, nursing students are engaged in a small group
discussion about the epidemiology of mental illness. Which statement best explains
the importance of epidemiology in understanding the impact of mental disorders?
Epidemiology:
A) Helps promote understanding of the patterns of occurrence associated with
mental disorders.
B) Helps explain research findings about the neurophysiology that causes mental
disorders.
C) Provides a thorough theoretical explanation of why specific mental disorders occur.
D) Predicts when a specific psychiatric client will recover from a specific mental
disorder.
Ans: A
Chapter: 1
Client Needs: Safe, Effective Care Environment: Management oG
MRADESLAB.CO f Care
Cognitive Level: Apply
Integrated Process: Teaching/Learning
Objective: 4
Page Number: 2
Feedback: Epidemiology is the study of patterns of disease distribution and
determinants of health within populations. It contributes to the overall understanding
of the mental health status of population groups, or aggregates, and it examines the
associations among possible factors. Epidemiology does not explain research findings
about neurophysiology, provide theoretical explanations for why specific disorders
occur, or predict recovery.
2. A nurse is working in a community mental health center that provides care to a
large population of people of Asian descent. When developing programs for this
community, which of the following would be most important for the nurse to address?
A) Public stigma
B) Self-stigma
C) Label avoidance
D) Negative life events
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity
,Cognitive Level: Understand
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: Although public stigma and self-stigma may be areas needing to be
addressed, in this cultural group, label avoidance would be most important. Label
avoidance or avoiding treatment/care so as not to be labeled mentally ill is a type of
stigma that influences why so few people with mental health problems actually
receive assistance. Asian cultures commonly have negative views of mental illness
that influence the willingness of members to seek treatment; they possibly ignore
the symptoms or refuse to seek treatment because of this stigma. Negative life
events affect anyone, not just those of the Asian culture.
3. A nursing student is assigned to care for a client diagnosed with schizophrenia.
When talking about this client in a clinical post-conference, the student would use
which terminology when referring to the client?
A) Committed client
B) Schizophrenic
C) Schizophrenic client
D) Person with schizophrenia
Ans: D
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Communication and Documentation
G
MRADESLAB.CO
Objective: 5
Page Number: 4
Feedback: Just as a person with diabetes should not be referred to as a ³diabetic´
but rather as a ³person with diabetes,´ a person with a mental disorder should never
be referred to as a ³schizophrenic´ or ³bipolar,´ but rather as a ³person with
schizophrenia´ or a ³person with bipolar disorder.´ Doing so helps to counteract the
negative effects of stigma.
4. A nursing student is reviewing journal articles about major depression. One of the
articles describes the number of persons newly diagnosed with the disorder during
the past year. The student interprets this as which of the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence
Ans: D
Chapter: 1
, Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 4
Page Number: 3
Feedback: The article is describing incidence, which refers to a rate that includes
only new cases that have occurred within a clearly defined time period. The most
common time period evaluated is 1 year. Rate reflects the proportion of cases in the
population compared with the total population. Prevalence refers to the total number
of people with the disorder within a given population at a specified time, regardless
of how long ago the disorder started. Point prevalence refers to the proportion of
individuals in the population that have a disorder at a specific point in time.
5. While working in a community mental health treatment center, the nurse
overhears one of the receptionists saying that one of the clients is ³really psycho.´
Later in the day, the nurse talks with the receptionist about the comment. This action
by the nurse demonstrates an attempt to address which issue?
A) Lack of knowledge
B) Public stigma
C) Label avoidance
D) Self-stigma
Ans: B
Chapter: 1
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Integrated Process: Nursing Process
Objective: 5
Page Number: 4
Feedback: The receptionist's statement reflects the nG
MRADESLAB.CO egative effects of
stigmatization, more specifically public stigma. Self-stigma reflects a person's
internalization of a negative stereotype; that is, the person with the mental illness
begins to believe that he or she is what the public thinks he or she is. Label avoidance
refers to avoiding treatment or care so as not to be labeled mentally ill. Lack of
knowledge is often the underlying theme associated with any type of stigma.
6. After educating a group of students on mental health and mental illness, the
instructor determines that the education was successful when the group identifies
which of the following as reflecting mental disorders?
A) Capacity to interact with others
B) Ability to deal with ordinary stress
C) Alteration in mood or thinking
D) Lack of impaired functioning
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