Correct Answers.
What is the difference between mental disorders and medical disorders? - Answer Unlike medical
diseases, mental disorders are defined by clusters of behaviors, thoughts and feelings, not underlying
biologic pathology. (main difference)
Other differences: mental disorders are syndromes - set of symptoms that that cluster together that may
have multiple causes also you don't use lab tests to diagnose a mental disorder. They involve thoughts,
feelings, and behaviors.
What is public stigma or what kind of statements, if made, will indicate public stigma toward mental
illness? - Answer
What steps can a nurse take to develop cultural competence? How do you attain cultural competence? -
Answer To obtain cultural competence:
-Value the patient's culture beliefs and recognizing the need to bridge language barriers
-Understand the impact of literacy levels
-Be willing and able to draw on community-based values, traditions, and customs
-Work with knowledgeable persons of and from the community
-Be linguistically competent (capacity to communicate effectively and communicate information that is
easily understood)
-Understand and appreciate cultural differences and similarities within, among, and between groups
What is the definition of cultural identity? What does it look like in a specific cultural group? - Answer
Everyone has a cultural identity (set of cultural beliefs which are used as standards of behavior).
Because culture is broadly defined many people consider themselves to have multiple identities.
In specific cultural groups, cultural identity is manifested as: behaviors, speech patters, language, sexual
orientation, religion, socioeconomic status...
,What is acculturation? - Answer The blending of two or more cultures
(When you move to America from another country, you slowly begin to pick up on cultural values from
the US and add them to your pre-existing values)
What is cultural competence? - Answer The ability to provide appropriate culturally sensitive care
related to the clients beliefs and practices.
What is linguistically competent mean? - Answer Capacity to communicate effectively with those of
different languages and communicate information that is easily understood
Psychiatric-mental health nursing and patient confidentiality - Answer If a patient is on a unit, they
have the right to confidentiality. As a nurse, you are not to share any information to anyone unless they
are a professional involved in their care (doctor) OR the patient has given you permission.
The nurse may ONLY breech confidentiality if the patient is at risk for harming themselves or another
person.
If the patient is incompetent, a proxy may receive medical/psychiatric information (I think?)
What is the definition/difference between privacy and confidentiality. What does privacy reflect? -
Answer Privacy refers to thay part of an individuals life that is not governed by society law or
government intrustion.
Confidentiality is an ethical duty of non-disclosure. Confidentiality involves 2 people: the individual that
discloses and the person with whom its shared. If confidentiality is broken then PRIVACY is violated.
Can privacy be violated with confidentiality intact? - Answer Yes, a patients privacy can be violated with
confidentiality still intact.
-Example: nurse observes adult patient watching pornography alone in his/her room. Privacy is violated,
but if the nurse doesn't tell anyone this then confidentiality is maintained.
, What is the criteria for involuntary inpatient psychiatric hospitalization or commitment? - Answer The
individual must be:
1. mentally disordered
2. dangerous to self or others
3. unable to provide for their basic needs
How can the nurse assess in the psychological domain? - Answer The psychological domain contains
the theoretical basis of psychological processes. Nurses can assess thoughts, feelings, and behaviors that
influence ones emotions, cognition, and behavior.
Definition of Justice - Answer Fairness
Definition of Autonomy - Answer Each person has the fundamental right of self-determination (right to
have own opinions, perspectives, values, and beliefs)
Definition of Paternalism - Answer Notion that knowledge and education authorize professional to
make decisions for the good of the patient
Definition of Fidelity - Answer Faithfulness to a person, cause, or belief, demonstrated by continuing
loyalty and support.
Definition of Nonmaleficence - Answer Doing no harm to the patient (Hippocratic Oath)
Definition of Beneficence - Answer Doing good and the right thing for a patient
Definition of Veracity - Answer Duty to tell the truth
Carl Rogers - Answer Humanistic theorist who developed client-centered therapy. Discusses empathy,
unconditional positive regard (non-judgmental care), and genuineness.