During the shift report, a nurse describes a client as crazy. Which approach by the nurse would
be best? - ANSSuggest that staff use the term mentally ill.
The psychiatric mental health nursing student is preparing to attend a meeting of the psychiatric
mental health care team to discuss possible updates to clients diagnoses. In preparing for this
meeting, the nursing student should consult which of the following references? - ANSDiagnostic
and Statistical Manual of Mental Disorders
The nurse is sharing client assessment data with the multidisciplinary health care team. Which
comment by the nurse is irrelevant and indicates a misunderstanding of the concept of a mental
disorder? - ANSThe client has some very inappropriate religious ideas and spiritual beliefs.
The nursing assistant verbalizes to the psychiatric nurse that normal people dont have mental
disorders. Which approach by the nurse would be best? - ANSInstruct the nursing assistant that
anyone can have a mental health problem.
The nurse is teaching the client regarding the concept of mental disorders. In instructing the
client, what areas should be covered in the explanation of what impacts the determination of a
mental disorder?
Standard Text: Select all that apply. - ANSSocial conditions
Biochemistry
Brain structure
Culture
The nurse is teaching staff at a community mental health clinic about what constitutes a mental
disorder. Which comment by staff indicates to the nurse the need for further teaching? -
ANSGrieving after a loss may signal a mental disorder.
The nurse is told that the client most likely has the diagnosis of obsessive-compulsive disorder.
The nurse is not sure of the assessment data and behaviors that accompany this disorder.
Which action would be most appropriate for the nurse to take? - ANSConsult the Diagnostic and
Statistical Manual of Mental Disorders for diagnostic criteria.
During an admission assessment on an adult unit, the nurse is thinking that the clients beliefs
and actions regarding commonly accepted health practices are bizarre. To help establish the
presence of a mental disorder, the nurse should first collect information about the clients:
Standard Text: Select all that apply. - ANSOccupational history.
,Psychiatric history.
Culture.
The nurse is caring for a client who was recently admitted to the unit. During the nursing
assessment of the client, the nurse finds the clients beliefs and actions related to many health
practices to stray from the norm. Which action would be most appropriate for the nurse to take
at this time? - ANSInquire as to the culture with which the client identifies.
The new nurse is working with a preceptor on a medical-surgical unit. The nurse has just
assessed a client and states to the preceptor, This client has many odd notions regarding
several common health practices. He seems like a deviant to me. In planning a response, the
preceptor is guided by: - ANSThe knowledge that beliefs and behaviors are judged by cultural
and social considerations.
A nurse educator is teaching a group of students the definition of a mentally healthy individual.
The nurse educator knows that an individual is considered mentally healthy when which of the
following concepts give evidence to psychological, emotional, and social health? - ANSBehavior
The nurse is asked to provide traits of a mentally healthy individual at a hospital in-service. The
nurse knows that mentally healthy individuals are: - ANSIndependent and autonomous.
The client has frequently presented to the clinic with multiple physical complaints. The multiple
physical complaints would warrant the nurse to screen the client for: - ANSA mental disorder.
The nurse is researching statistics of the five psychiatric disorders that comprise the top 10
causes of disability worldwide. Given this information, the nurse chooses which of the following
as a priority screening for clients? - ANSDepression
The nurse is planning care for the client who presents with frequent reports of multiple physical
complaints. Given knowledge of the leading causes of mental disability, the nurse should plan to
include further data collection in which of the following priority areas? - ANSAlcohol usage
The nurse plans to implement health promotion activities at the local senior citizen center. To
meet the goal of promoting knowledge related to maximizing mental health and functional ability,
the nurses teaching is guided by World Health Organization research and should include
discussion of which priority area specific to the leading causes of mental disability? -
ANSAlcohol
The home health nurse is caring for a number of clients with chronic illnesses. Given World
Health Organization (WHO) research, the nurse realizes that the client with which of the
following is at greatest risk for mental disability? - ANSBipolar disorder
During the evaluation of the effectiveness of the nurses discharge teaching, which client report
would indicate to the nurse that the client understands the leading cause of disability and
, decrement in health? The client reports a need to incorporate strategies to prevent: -
ANSDepression
The nurse is assessing a client in the home. Given the nurses knowledge of the top 10 causes
of disability worldwide, choose the priority area for data collection. - ANSMood and patterns of
alcohol usage
The nurse is teaching a group of students the various historical explanations of mental illness.
Which statement by the students indicates understanding of the nurses teaching regarding the
era of magico-religious explanations? - ANSMental and physical illness were the result of
superhuman forces that inflicted suffering.
The nursing assistant asks the psychiatric nurse the location of the first asylum for the mentally
ill. Which response by the nurse is most appropriate? - ANSThe first asylum for the mentally ill
was in Morocco.
The psychiatric nurse is reflecting on the treatment and care of the mentally ill throughout
history. Which of the following philosophical beliefs most guided treatment of the mentally ill
during 17th century Europe? - ANSMadness was best overcome by discipline and brutality.
The psychiatric nurse is asked to explain the primary focus in the assessment and treatment of
mental illnesses during the mid-20th century. Given this request, the nurse would emphasize
beliefs and actions related to which of the following? - ANSSocial dimension and drug treatment
The psychiatric nurse states that todays nursing practice is based on contemporary theories
concerning the etiology of mental disorder. Given this theoretical basis, the nurse would most
likely give priority to which of the following assessments?
Standard Text: Select all that apply. - ANSPsychotropic medications
PET and CT scans of the brain
A nurse is teaching a group of students about the stigma that is often associated with mental
illness. The nurse tells the group that stigma associated with mental illness is about which of the
following? - ANSDisrespect
The nurse educator is teaching a group of students about stigma. The educator states that
stigma can affect the judgment of which of the following people about the person who is labeled
as mentally ill? - ANSCo-workers
The nurses new job description at the generalist level of practice reflects the definition of
psychiatricmental health nursing and the PsychiatricMental Health Nursing Standards of
Practice (ANA, APNA, ISPN). In which of the following areas might the nurse plan programs and
intervention to fulfill employment expectations?
Standard Text: Select all that apply. - ANSStress management strategies
Parenting classes for new parents
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