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Mental Health Nursing Boyd Exam 1

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Mental Health Nursing Boyd Exam 1

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  • September 12, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Mental Health Nursing Boyd
  • Mental Health Nursing Boyd
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lecAntony
MENTAL HEALTH NURSING BOYD
EXAM 1 QUESTIONS AND ANSWERS

m One of the major problems facing individuals with mental illness and their families is stigman. What is
inconsistent with stigmatization?



a. discrimination

b. prejudice

c. misunderstanding

d. approval - d. approval



Stigma can be defined as a mark of shame, disgrace, or disapproval that results in an individual being
shunned or rejected by others. Stigma leads to community misunderstanding, prejudice, and
discrimination.

When a person avoids mental health treatment for fear of being labeled mentally ill, which type of
stigma is occuring?



a. discrimination

b. label avoidance

c. self-stigma

d. public stigma - b. label avoidance



Label avoidance is the avoidance of treatment or care so as not to be labeled as mentally ill. This is one
reason so few people with mental problems actually recieve help. Self-stigma occurs when negative
stereotypes are internalized by people with mental illness. Public stigma occurs after individuals are
publically "marked" asa being mentally ill. ALthough discrimination occurs as part of the stigma, it is not
a type of stigma.

A nurse is conducting a community program with a local group that is to have an outpatient mental
health facility built in the neighborhood. One of the participants states, 'I don't want those people in this
area. They are dangerous and very unpredictable.' The nurse interprets this statement as an example of:

,a. label avoidance

b. self-stigma

c. public stigma

d. cultural syndrome - c. public stigma



The statement about individuals being dangerous and unpredictable reflects public stigma, in which
individuals are publically marked as being mentally ill and experience prejudice and discrimination. Self-
stigma occurs when negative stereotypes are internalized by people with mental illness. Label avoidance
refers to an individual avoiding treatment in order not to be labeled as mentally ill. Cultural syndrome is
a specific pattern of symptoms that occurs within a specific cultural group or community.

A nurse understands the importance of protecting clients' rights of self-determinism. Self-determinism is
similar to which ethical principle?



a. autonomy

b. justice

c. veracity

d. beneficence - a. autonomy



Self-determinism can be defined as being empowered by having the free will to make moral judgements.
Autonomy is the right to make one's own decisions. Personal autonomy and avoidance of dependence
on others are key values of self-determinism. Veracity is truthfulness. Justice encompasses equal
treatment for all. Beneficence is doing no harm.

Which is an accurate statement regarding an advance care directive?



a. it needs to be written by an attorney

b. it applies to those who can make their own decisions

c. it needs to be signed by an attorney

d. it must be witnessed by two people and notarized - d. it must be witnessed by two people and
notarized



An advance care directive does not need to be written, reviewed, or signed by an attorney. It must be
witnessed by two people and notarizes, and applies only if the individual is unable to make hir or her

,own decisions as a result of being incapacitated or if, in the opinion of two physicians, the person is
otherwise unable to make decisions for him-or-herself.

Which mental health client criteria to be involuntarily committed?



a. a client diagnosed with mania who is pacing the hallways

b. a client diagnosed with borderline personality disorder (BPD) who is threatening to self-harm

c. A client is diagnosed with schizophrenia who is singing in the client's room

d. a client diagnosed with anxiety disorder who is fidgeting - b. a client diagnosed with borderline
personality disorder who is threatening to self-harm



Involuntary commitment is confined hospitalization of a person without the person's consent but with a
court order. Three common elements found in most statues for involuntary commitments. The individual
must be: (1) mentally disordered, (2) dangerous to himself or herself, or (3) unable to provide for his/her
basic needs.

The client diagnosed with BPD is a danger to the self. The other clients are not in immediate danger to
themselves or others.

A psychiatric-mental health nurse is conducting a class for a community group about the rights of
individuals with mental health problems. As part of the program, the nurse is describing the concept of
self-determinism. The nurse determines that the program was successful when the group identifies
which idea as exemplifying self-determinism? (Select all that apply.)



a. Right to choose other forms of treatment

b. Right to participate in experimentation without informed consent

c. Right to obtains other opinions

d. Right to refuse treatment

e. Right to refuse treatment during emergency situation - a,c,d



The right to self-determination entitles all clients to refuse treatment (except during emergency
situation), to obtain other opinions, and to choose other forms of treatment. A client has a right not to
participate in experimentation in the absence of the client's informed, voluntary, written consent.

A nurse is teaching a client newly diagnosed with a mental disorder and their family. What is an
important aspect of a psychiatric advance directive (PAD)?

, a. It must be signed by the case manager and two witnesses

b. A physician cannot override the declaration

c. It allows family members to make the choice of treatment for incompetent individuals

d. During periods of competency, PADs can be revoked - d. During periods of competency, PADs can be
revoked




PASs mare mrelatively mnew mlegal minstructions mthat mallow mclients, mwhile mthey mare mcompetent, mto
mdocument mtheir mchoice mof mtreatment mand mcare. mThis mdeclaration mmust mbe mmade min madvance

mand msigned mby mtwo mwitnesses. mAlthough ma mphysician mcan moverride mthis mdeclaration mduring mtimes

mwhen mthe mclient's mdecision mmaking mis mclearly mdistorted mbecause mof mmental millness, mthe mclient

mmust mbe minformed mfirst mand mthe morder mmade mby mthe mcourt. mDuring mperiods mof mcompetency,

mPADs mcan mbe mrevoked.



A mclient mdiagnosed mwith mschizophrenia minsists mon mstopping mmedication mbecause mit mcauses mthe
mclient mto mgain mweight, mThe mclient mis mexercising mwhich methical mprinciple?




a. mbeneficence

b. mautonomy

c. mveracity

d. mjustice m- mb. mautonomy



The mclient mis mexercising mautonomy mand mis mmaking mthe mclient's mown mdecision mto mstop mtaking mthe
mmedication. mAlthough mit mis mprobably mnot min mthe mclient's mbest minterest, mthe mclient mdoes mhave

mthat mright. mAccording mto mthe mprinciple mof mbeneficence, mthe mhealth mcare mprovider muses

mknowledge mof mscience mand mincorporates mthe mart mof mcaring mto mdevelop man menvironment min mwhich

mindividuals machieve mtheir mmaximal mhealth mcare mpotential. mJustice mis mthe mduty mto mtreat mall mfairly,

mdistributing mthe mrisk mand mbenefits mequally. mVeracity mis mfaithfulness mto mobligation mand mduties.



Mandatory muse mof mhelmets mwhen mdriving ma mmotorcycle mis man mexample mof mwhich methical
mprinciple? m




a. mpaternalism m

b. mveracity

c. mfidelity

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