chapter 06- Jarvis 3rd edition- test bank - for final exam
Health Assessment (Athabasca University)
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Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank
Chapter 06: Mental Health Assessment
Jarvis: Physical Examination & Health Assessment, 3rd Canadian edition
MULTIPLE CHOICE
1. During the health history interview, the patient informs the nurse that she has not been able to
keep a consistent job for the past 2 years, that she was evicted from her apartment, and that
her fiancée just left her. She states, “I don’t know what to do. I wish I could go to sleep and
never wake up.” The nurse recognizes that the patient is:
a. Undergoing abuse
b. Facing mental wellness
c. Demonstrating mental violence
d. Experiencing mental disorder
ANS: D
Mental disorder is the medical term for mental illness and is defined and diagnosed in Canada
according to criteria specified in the Diagnostic and Statistical Manual of Mental Disorders,
Fifth Edition (DSM-5) by the American Psychiatric Association. Mental disorders are
depicted as constellations of co-occurring symptoms that may involve alterations in thought,
experience, and emotion that are serious enough to cause distress and impair functioning,
cause difficulties in sustaining interpersonal relationships and performing jobs, and sometimes
lead to self-destructive behaviour and suicide.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
N R I G B.C M
U S N family,
2. During a home visit with an Indigenous T theO nurse observes that the family members
are very supportive of each other. The mother states that they maintain their cultural practices
and are very connected with the Elder and their Indigenous community. This situation
supports:
a. Psychological neglect
b. Mental wellness
c. Psychological abuse
d. Mental disorder
ANS: B
Within Indigenous communities, mental wellness encompasses support by culture, language,
Elders, families and creation. Purpose, hope, belonging, and meaning are important wellness
outcomes which enrich whole health, balance, and interconnectedness.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse is concerned after a conversation with a patient who appears very upset and
distressed and, through tears, states, “I can’t go on anymore. There is nothing to live for. I
need to end this.” The nurse is concerned that the patient is:
a. Experiencing a cardiovascular event
b. Displaying signs of abuse
c. Demonstrating self-destructive and suicidal behaviour
d. Exhibiting feelings of content and hope
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