Mental Health and Mental Illness Varcarolis: Essentials of Psychiatric Mental Health Nursing, 3rd Edition
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Course
: Mental Health and Mental Illness
Institution
: Mental Health And Mental Illness
Chapter 02: Mental Health and Mental Illness
Varcarolis: Essentials of Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. An 86-year-old, previously healthy and independent, falls after an episode of vertigo. Which
behavior by this patient best demonstrates resilien...
Chapter 02: Mental Health and Mental Illness
Varcarolis: Essentials of Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. An 86-year-old, previously healthy and independent, falls after an episode of vertigo.
Which
behavior by this patient best demonstrates resilience? The patient:
a. says, “I knew this would happen eventually.”
b. stops attending her weekly water aerobics class.
c. refuses to use a walker and says, “I don’t need that silly thing.”
d. says, “Maybe some physical therapy will help me with my balance.”
ANS: D
Resiliency is the ability to recover from or adjust to misfortune and change. The correct
response indicates that the patient is hopeful and thinking positively about ways to adapt to
the vertigo. Saying “I knew this would happen eventually” and discontinuing healthy
activities suggest a hopeless perspective on the health change. Refusing to use a walker
indicates denial.
2. Which basic intervention should a psychiatric mental health nurse plan to provide for a
patient
diagnosed with a mood disorder?
a. Sharing clinical expertise to enhance patient treatment
b. Performing individual or group psychotherapy for the patient
c. Using appropriate diagnostic tests to monitor patient condition
d. Conducting stress management and health maintenance classes
ANS: D
Conducting stress management and health maintenance classes is the basic intervention
that
should be performed by a psychiatric mental health nurse. These classes will provide
individualized guidance to patients to prevent or reduce mental illness and improve mental
health. Community screenings and stress management classes are examples of health
maintenance classes. Consulting nurses from other disciplines to share clinical expertise
, and
enhance patient treatment is an advanced practice psychiatric mental health nursing
intervention. Performing individual and group psychotherapy and performing diagnostic
tests
like blood pressure, etc., are also advanced practice psychiatric mental health nursing
interventions.
3. A patient is admitted to the psychiatric hospital. Which assessment finding best indicates
that
the patient has a mental illness? The patient:
a. describes coping and relaxation strategies used when feeling anxious.
b. describes mood as consistently sad, discouraged, and hopeless.
c. can perform tasks attempted within the limits of own abilities.
d. reports occasional problems with insomnia.
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ANS: B
A patient who reports having a consistently negative mood is describing a mood alteration.
The incorrect options describe mentally healthy behaviors and common problems that do
not
indicate mental illness.
4. The goal for a patient is to increase resiliency. Which outcome should a nurse add to the
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