Mental health nursing Chapter 1-10 with complete solutions

When planning care for a specific client, of what significance to the psychiatric nurse is the fact that the DSM-IV-TR is multiaxial? a) Pertinent aspects of client functioning and problems are reported. b) Standardized treatment plans are available for each diagnosis. c) Nursing diagnoses are included for each medical diagnosis. d) No particular significance exists. a) Pertinent aspects of client functioning and problems are reported. A nurse conducting research is seeking data about outcomes for depressed patients who have been treated with electroconvulsive therapy. The nurse is engaged in the field of A) experimental epidemiology. B) descriptive epidemiology. C) clinical epidemiology. D) analytic epidemiology. C) clinical epidemiology. 00:10 01:41 A client tells the mental health nurse "I am terribly frightened! I hear whispering that someone is going to kill me." Which criterion of mental health can the nurse assess as lacking? A) Control over behavior B) Appraisal of reality C) Effectiveness in work D) Healthy self-concept B) Appraisal of reality A 14-year-old who belongs to a neighborhood gang is found by her parents to lie and engage in sexually promiscuous behavior. They bring her to the mental health center. The nurse performing the assessment is told by the 14-year-old that she is happy, does well in school, and sees herself as popular and well regarded by her group. She states her parents are just old fashioned and don't understand her. The assessment the nurse will most likely make is that she: A) is displaying deviant behavior. B) cannot accurately appraise reality. C) is seriously and persistently mentally ill. D) should be considered for group home placement. A) is displaying deviant behavior. An important concept for nurses to remember when planning care for mentally ill clients is that each client: A) has areas of strength on which to build. B) has right that must be respected. C) comes with experiences that contribute to their problem. D) share the same fears as mentally healthy individuals. A) has areas of strength on which to build. A nurse suspects that a client has a personality disorder in addition to displaying symptoms of a mood disorder. To determine whether these observations are correct, the nurse could look in the client's medical record on the DSM-IV-TR A) axis I. B) axis II. C) axis III. D) axis IV. B) axis II. A man frequently bursts out by loudly singing operatic arias. The neighbors in the next apartment find the noise disturbing. They go to his apartment to confront him and find that in he is wearing only his bathrobe and his apartment is messy. He acts outraged and tells them he must sing several hours daily and will not promise to be quieter. The conclusion that can be drawn is: A) The man is demonstrating symptoms of bipolar disorder. B) The man is socially deviant. C) The man is egocentric. D) The man may or may not be mentally ill. D) The man may or may not be mentally ill. A nursing diagnosis for a client with a psychiatric disorder serves the purpose of A) justifying the use of certain psychotropic medication. B) providing data essential for insurance reimbursement. C) providing a framework for selecting appropriate interventions. D) identifying information to be placed on DSM-IV-TR axis III. C) providing a framework for selecting appropriate interventions. A client has begun to neglect her appearance, is withdrawn and stays in her room. Her mother hears her seemingly talking to others, but no one is in the room with her. Last night she threw a chair and broke the window of her bedroom. She tells the nurse nothing is wrong. The nurse rating her current global assessment of functioning would probably assign the code A) 100. B) 70. C) 40. D) 0. C) 40. The mental health or mental illness of a particular client can best be assessed by considering A) the degree of conformity of the individual to society's norms. B) the degree to which an individual is logical and rational. C) placement on a continuum from healthy to psychotic. D) the rate of intellectual and emotional growth. C) placement on a continuum from healthy to psychotic.