Test Bank for Psychiatric Mental Health Nursing, 8th Edition Wanda Mohr

Test Bank for Psychiatric Mental Health Nursing, 8th Edition Wanda Mohr Chapter 01- Introduction to Psychiatric-Mental Health Nursing 1. A nurse is giving a presentation about preventing mental illness to college freshmen. A student asks, “What does it mean to be mentally healthy?” Which of the following potential responses by the nurse is best? A) “Mental health is difficult to define and depends on cultural norms.” B) “Mental health is marked by productivity, fulfilling relationships, and adaptability.” C) “Mental health is characterized by the absence of mental illness.” D) “Mental health is the performance of behavior that is accepted as normal.” 1. A 48-year-old independent, successful woman is recovering from a modified radical mastectomy. She states she was grateful that during the first few weeks after surgery her mother stayed with her and did “everything” for her. Which element of mental health does this reflect? A) Reality orientation B) Mastery of the environment C) Self-governance D) Tolerance of the unknown 1. Why is the document Mental Health: A Report of the Surgeon General (1999) most significant? A) Because it states clearly that there are effective treatments for mental illness B) Because it allocates research money to psychiatric facilities C) Because it sets new guidelines for use of restraints D) Because it establishes reimbursement guidelines for third-party payers 1. While a nurse is performing an admission assessment for a mental health client, the client states that all of his problems have been caused by his parents. The nurse knows that psychological factors that can influence mental health include which of the following? A) Neuroanatomy B) Emotional developmental level C) Values and beliefs D) Religion 1. What is the primary purpose of the five-axis system used in the fourth edition of theDiagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision(DSM- IV-TR)? A) To separate the various mental disorders into five related categories B) To give a comprehensive picture of client functioning C) To improve prognostic ability D) To provide a decision-making algorithm for pharmacologic treatment 1. One limitation of the DSM relates to diagnostic labels given to children. The most problematic issue caused by applying adult categories to children is which of the following? A) It prevents the proper treatment of childhood disorders. B) The criteria for diagnosis of a disorder are flexible for an adult, but not for children. C) Categories are based on manifestations of adult disorders, not research in children. D) The DSM was written before childhood psychological conditions were recognized. 1. Which of the following represents a problem complicating the treatment of people with mental illness? A) Insurers' reimbursement decisions B) Increased responsibility for care by state mental hospitals C) Overuse of the well-coordinated mental health care system D) Lack of effective treatments 1. Julie, a 47-year-old woman, missed 1 week of work when she was hospitalized with bipolar disorder. She was placed on medication and was able to return to work. When asked about her absence, Julie informed coworkers that she was suffering from influenza. What is the most likely reason Julie lied about her illness? A) This is a sign that the medication is not effectively treating her illness. B) Fear of rejection, isolation, and discrimination based on her mental health diagnosis C) Due to workplace policies that encourage the firing of those with mental illnesses D) To avoid eliciting sympathy among her coworkers 1. A 22-year-old man with a history of a recent suicide attempt is being treated for depression. Prior to becoming depressed, the client attended a prestigious art school and enjoyed many social and leisure activities. Of the following long-term goals for this client, which is consistent with an overarching recovery goal for all clients with mental disorders? A) The client will not injure himself. B) The client's symptoms will be reduced. C) The client will show interest in social and leisure activities. D) The client will resume pre-illness functioning. 1. Which of the following approaches to care best reflects cultural competence? A) Always assign nurses of a specific ethnic background to clients with the same ethnic background. B) Learn the behaviors and values associated with people of specific ethnic backgrounds. C) Assess the culturally mediated beliefs of each client. D) Believe that people are more alike than they are different. Chapter 02- Neuroscience-Biology and Behavior 1. The basic units of structure and function in the nervous system are called which of the following? A) Glial cells B) Neurons C) Axons D) Dendrites 1. The structure and function of a neuron form the basis for the overall function of the nervous system. What are the components of a neuron? A) A glial cell, nucleus, organelles, dendrites, and axons B) A glial cell, nucleus, dendrites, and synapses C) A cell body, nucleus, organelles, dendrites, and axons D) A cell body, nucleus, axon, and synapses 1. A patient has researched the role of neurotransmitters in her mental illness. What is the role of neurotransmitters? A) Excite the receptor cell located inside the synaptic cleft. B) Inhibit the receptor cell found inside of glial cells. C) Communicate information within the receptor cell. D) Communicate information from one cell or cell group to another.