NURS 6005 EXAM 1 Mental Health
What is the contemporary perspective? - correct answer manipulation of chemicals in the
brain, very pharmacological focused
a model that explains behavior and mental disorders as the result of both biological and
environmental pressures. The term "diathesis" refers to a biological or genetic vulnerability or
predisposition to a certain disorder, while "stress" refers to environmental stressors or life
events? - correct answer the diathesis-stress model
Which model suggests that people are born with certain biological predispositions that make
them vulnerable to certain types of disorders, but whether or not these vulnerabilities lead to
the development of a disorder depends on the amount and type of stress they experience in
their lives. - correct answer diathesis-stress model
What are social determinants of mental health? - correct answer factors that effect our health
like socioeconomic status, education, neighborhood and physical environment, employment,
and social support networks.
which model recognizes that mental health and mental illness are not opposing ends of a single
spectrum. Rather, they are related but distinct dimensions. It means a person can have poor
mental health without a mental illness, and a person with a mental illness can experience
periods of physical and mental well-being. - correct answer The mental health continuum
Diathesis-Stress Model - correct answer considers predisposing vulnerabilities w/in the person
such as genetic, biological, physiological, cognitive, and personality related factors when
impacted by stress, including adverse events or situations that result in increased risk for
developing mental illness
HIPAA - correct answer The Health Insurance Portability and Accountability Act enacted in
1996, and includes requirements for protection of sensitive info related to a Ct's health that
cannot be disclosed w/o the Ct's consent
Cultural humility - correct answer is the practice of trying to appreciate and respect another
individual's culture and the role it plays in the individual's life and health practices
adverse childhood experiences (ACEs) - correct answer Traumatic or negative events such as
physical or emotional abuse and neglect, sexual abuse, and a dysfunctional homelife that
increase the risk for depression, anxiety, behavior, and substance use disorders.
autonomy - correct answer The concept that clients should have the ability to make rational
decisions related to their care.
beneficence - correct answer The obligation that health care providers must act in a manner of
doing good for a client and preventing harm.
bias - correct answer Stereotyping, prejudice, or even discrimination against a group of people
that in comparison to another group is unfair.
,NURS 6005 EXAM 1 Mental Health
cultural humility - correct answer The practice of trying to appreciate and respect another
individual's culture and the role it plays in the individual's life and health practices
discrimination - correct answer An unjust treatment of an individual or group of people based
on a category that they are perceived to be in
explicit bias - correct answer Intentionally displaying behaviors of discrimination toward
someone.
implicit bias - correct answer When the bias occurs outside of one's conscious awareness.
institutional stigma - correct answer When governmental policies or organizations limit
opportunities for those with mental illness; this can be both intentional and unintentional.
mental health continuum - correct answer A range of mental health functioning with adaptive
(wellness, health coping) on one end of the spectrum and maladaptive (illness, unhealthy
coping, or an inability to cope) on the other end of the spectrum. It is influenced by the
individual's response to factors including behaviors, emotions, cognition, and physical
adaptation.
prejudice - correct answer A preconceived belief about an individual not based on facts.
nonmaleficence - correct answer The concept of doing no harm to the client, or avoiding
causing pain or suffering to the client.
public stigma - correct answer When there is a negative attitude toward those who have a
mental illness; this can be expressed in discriminatory attitudes or actions.
self-stigma - correct answer When an individual adopts a negative view or internalized shame
regarding their condition.
stereotype - correct answer A generalization about a specific group of people.
stigma - correct answer When there is a negative attitude or discredit against an individual or
identifiable group in which the individual or group is labeled as being different.
A nurse is preparing an in-service for nursing staff on the concept of holistic nursing. Which of
the following components should the RN include in the teaching? - correct answer Holistic
nursing considers the client's emotional health
A charge nurse is instructing a newly licensed nurse about mental health disorders. Which of
the following statements by the RN indicates an understanding of mental health disorder? -
correct answer "Mental health disorders are broken down by their manifestations".(Mental
health disorders can be broken down into a variety of categories, often by their
manifestations.)
,NURS 6005 EXAM 1 Mental Health
A nurse is reviewing a client's medical record. The RN should anticipate which of the following
as a classification w/in the DSM-V TR? - correct answer Neurodevelopmental disorders
A nurse is discussing mental health parity in policy with a newly licensed nurse. Which of the
following statements should the nurse include in the discussion about the mental health parity,
an addiction, equity act? - correct answer The act requires that there's insurance coverage for
mental health conditions
A nurse is discussing the diathesis stress model with a newly licensed nurse, which of the
following statements by the licensed nurse, indicates an understanding of the model? - correct
answer The diathesis stress, model assists in identifying risk factors, or vulnerabilities for stress
A nurse is completing an assessment of a client. Which of the following information should the
nurse anticipate the provider will use in the diagnosis of the mental health disorder? - correct
answer Psychosocial history
A nurse is working with a client who reports following holistic practices at home. The nurse
should identify which of the following is an example of a holistic practice that the client might
follow? - correct answer Acupuncture
A nurse is describing the concept of cultural competence to a newly licensed nurse. Which of
the following examples should the nurse include? - correct answer A nurse ask the client if
they have any culture believes the nurse needs to be a
A nurse is teaching about sources of psychological stress to a group of newly licensed nurses.
The nurse should identify which of the following qualifies as a source of psychological distress? -
correct answer Being the only person of their ethnicity in a school setting
A nurse is discussing the difference between mental illness and mental health with a newly
licensed nurse. which of the following statements by the newly licensed nurse indicates an
understanding? - correct answer Mental illness is when there's a disruption in a persons, ability
to complete acts of daily living, whereas mental health is one person cope with daily stressors
A nurse is speaking with a newly licensed nurse who reports that they fear a client might be
dangerous to others due to the clients diagnosis of schizophrenia. Which of the following types
of stigma should the nurse identify as being associated with this fear? - correct answer Public
A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include
which of the following as an ethical principle? - correct answer Justice
A nurse is discussing bias issues in mental health with a newly licensed nurse. Which of the
following statements should the nurse include in the discussion? - correct answer There is
negative stigmatization for mental illness
, NURS 6005 EXAM 1 Mental Health
A nurse is determining which steps should be taken when prioritizing client care using the
Clinical Judgement Actin Model. Which of the following actions should the nurse take? -
correct answer Cluster the collected information
A nurse is caring for a client and notes that the client appears disheveled, frightened, and
seems to be talking to someone who is not there. The nurse should identify that this is an
example of which of the following steps of the nursing process? - correct answer Assessment
An RN on a behavioral health uint is assessing a client. The RN plans to delegate part of the
nursing process to an Licenesed practical nurse (LPN). WHich of the folliwng statements by the
RN indicates appropriate delegation to the LPN? - correct answer "Please verify with the client
which of the following medications they are taking."
A nurse is discussing the evaluating outcomes step of the Clinical Judgment Action Model
(CJAM) with a newly licensed nurse. Which of the following statements by the newly licensed
nurse indicates an understanding of this step? - correct answer "After relaxation, I will evaluate
the client's level of anxiety"
A nurse is admitting a client to the unit. Which of the following client statements should the
nurse include in the client's history? (select all that apply)
a. "I am 24 years old."
b. "I am here because I am hearing voices."
c. "I have religious beliefs."
d. "I cannot remember today's date."
e. "The words you asked me to repeat are cat-pear-house."
f. "I had surgery on my right arm when I was 16." - correct answer a, b, c, f
A nurse is caring for a client who has been admitted for thoughts to harm self and others.
Which of the following actions by the nurse demonstrates the taking action of the Clinical
Judgement Action Model? (select all that apply)
Forming a therapeutic relationship
Focusing on holistic care
Determining client risk and protective factors
Documenting nursing actions accurately
Identifying outcomes
Collaborating with other caregivers on the unit - correct answer Forming a therapeutic
relationship