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Mental Health Nursing Exam Questions

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Psychiatric Nursing 8th Edition Test Bank – Boyd Luebbert | Mental Health Nursing Exam Questions & Study Guide

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Psychiatric Nursing 8th Edition Test Bank – Boyd
Luebbert | Mental Health Nursing Exam Questions
& Study Guide
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

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