• Which statement about mental illness is true? - correct-answersMental illness changes with culture, time in history, political systems, and the groups defining it. • A nursing student new to psychiatric mental health nursing asks a peer what resources

• Which statement about mental illness is true? - correct-answersMental illness changes with culture, time in history, political systems, and the groups defining it. • A nursing student new to psychiatric mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a psychiatric disorder. The best answer would be: - correct-answersDSM – 5 • Epidemiological studies contribute to improvements in care for individuals with mental disorders by: - correct-answersIdentifying who in the general population will develop a specific disorder • Which statement best describes a major difference between a DSM - 5 diagnosis and a nursing diagnosis - correct-answersThe DSM-5 is associated with present symptoms, whereas a nursing diagnosis considers past, present, and potential responses to actual mental health problems. • The intervention that can be practiced by an advanced practice registered nurse in psychiatric mental health but cannot be practiced by a basic level registered nurse is - correct-answersPsychotherapy • Which contribution to modern psychiatric mental health nursing practice was made by Freud? - correct-answersThe theory of personality structure and levels of awareness • The theory of interpersonal relationships developed by Hildegard Peplau is based on the foundation provided by which early theorist? - correct-answersSullivan • The concepts at the heart of Sullivan's theory of personality are - correct-answersNeeds and anxiety • The premise that an individual's behavior and affect are largely determined by his or her attitudes and assumptions about the world underlies: - correct-answersCognitive-behavioral therapy • Providing a safe environment for patients with impaired cognition, planning unit activities to stimulate thinking, and including patients and staff in unit meetings are all part of: - correct-answersMilieu therapy A nurse administering a benzodiazepine should understand that the therapeutic effect of benzodiazepines results from potentiating the neurotransmitter: - correct-answersGABA Venlafaxine (Effexor) exerts its antidepressant effect by selectively blocking the reuptake of: - correct-answersSerotonin and norepinephrine The nurse administers each of the following drugs to various patients. The patient who should be most carefully assessed for fluid and electrolyte imbalances is the one receiving - correct-answerslithium Which drug group calls for nursing assessment for development of abnormal movement disorders among individuals who take therapeutic dosages - correct-answersantipsychotics Blockage of dopamine transmission can lead to increased pituitary secretions of prolactin. In women, this hyperprolactinemia can result in - correct-answersamenorrhea Which of the following factors contribute to the movement of patients out of large state institutions and into community-based mental health treatment - correct-answersa. States desire to save money by moving the patients to the community, where the federal government would pick up more of the cost, c. A system of coordinated and accessible community care was developed by forward-thinking communities and offered more effective treatment, the Community Mental Health d. Centers Act of 1963 required states to develop and offer care in community-based treatment programs, e. Patient advocates exposed deficiencies of state hospitals and took legal actions, leading to the identification of a right to treatment in the least restrictive setting, f. New psychotropic medications controlled symptoms more effectively, allowing many patient to live and receive care in less restrictive settings Levels of prevention strategies prominent in outpatient psychiatric care consist of primary prevention, secondary prevention, and ________ prevention. - correct-answerstertiary Anna, a patient at the community mental health center, tends to stop taking her medications at intervals, usually leading to decompensation. Which of the following interventions would most likely improve her adherence to her medications? - correct-answersHelp Anna to understand her illness and share in decisions about her care. A friend recognizes that his depression has returned and tells you he is suicidal and afraid he will harm himself. He wishes to be hospitalized but does not have health insurance. Which of the following responses best meets his immediate care needs and reflects the options for care a person in his position typically has? - correct-answersAssist him in obtaining an outpatient counseling appointment at an area community mental health center, and call him frequently to assure he is safe until his appointment occurs. o Which of the following nursing actions is appropriate in maintaining a safe therapeutic inpatient milieu? - correct-answersa. Interact frequently with both individuals and groups on the unit c. Initiate and support group interactions via therapeutic groups and activities d. Provide and encourage opportunities to practice social and other life skills f. Assess patient belongings and the unit for any dangerous items that could be used by patients to hurt themselves or others o The criteria for admission to an in patient psychiatric unit is that the patient - correct-answersIs in imminent danger of harming himself or others, or the patient cannot properly care for his basic needs and cannot protect himself from harm o In the DSM-5, a major change in how culture is viewed within each disorder is that - correct-answersIssues related to culture and mental illness are now integrated into the discussion of each disorder rather than separately discussing culture-bound syndromes o Julio is a 31-year-old patient who comes to your mental health outpatient clinic. Which of the following would alert you to the potential for somatization? - correct-answersJulio presents with concerns involving headaches, dizziness, and fatigue o You are caring for Maria, a patient who states that she has "ghost sickness." Which is the appropriate nursing response - correct-answersHow does 'ghost sickness' make you feel? o Which nursing actions demonstrate cultural competence? - correct-answersa. Planning mealtime around the patient's prayer schedule b. Advising a patient to visit with the hospital chaplain c. Researching foods that a lacto-ovo-vegetarian patient will eat d. Providing time for a patient's spiritual healer to visit o The nurse is planning care for a patient of the Latin American culture. Which goal is appropriate? - correct-answersPatient will visit with spiritual healer once weekly o A nurse makes a post on a social media page about his peer taking are of a patient with a crime-related gunshot wound during his shift in the emergency department. He does not use the name of the patient. It can be concluded that: - correct-answersThe nurse has violated confidentiality laws and can be held liable o Brian, a patient with schizophrenia, has been ordered an antipsychotic medication. The medication will likely benefit him, but there are side effects; in a small percentage of patients, it may cause a dangerous side effect. After medication teaching, Brian is unable to identify side effects and responds, "I won't have any side effects because I am iron and cannot be killed." Which response would be most appropriate under these circumstances? - correct-answersPetition the court to appoint a guardian as a substitute for Brian, as he is unable to comprehend the proposed treatment. o  A family who is worried that an adult female might hurt herself asks for her to be admitted to the hospital. An assessment indicates moderate depression with no risk factors for suicide other than a depressed mood. The patient denies any intent or thoughts about self-harm. The family agrees that the patient has not done or said anything to suggest that she might be a danger to herself. Which of the following responses is consistent with the concept of "least restrictive alternative" doctrine? - correct-answersArrange for an outpatient counseling appointment the next day  David has an overnight pass, and he plans to spend this time with his sister and her family. As you meet with the patient and his sister just prior to the pass, the sister mentions that she has missed her brother and needs him to babysit. You notice that the patient becomes visibly agitated when she says this. How do you balance safety and the patient's right to confidentiality? - correct-answersMeet with the patient's sister, sharing with her the patient's previous disclosure about his anger toward children and the resultant risk that his babysitting would present.  Gina is admitted for treatment of depression with suicidal ideation triggered by marital discord. Her spouse visits one night and informs Gina that he has decided to file for divorce. The staff are aware of the visit and the husband's intentions regarding divorce but take no further action, feeling that the q15-minute suicide checks Gina is already on are sufficient. Thirty minutes after the visit ends, staff make rounds and discover Gina has hanged herself in her bathroom, using hospital pajamas she had tied together into a rope. Which of the following statements best describes this situation? - correct-answersThe nurses have created liability for themselves and their employer by failing in their duty to protect Gina, The nurses have breached their duty to reassess Gina for increased suicide risk after her husband's visit, Given Gina's history, the nurses should have expected an increased risk of suicide after the husband's announcement, The nurses are subject to a tort of professional negligence for failing to prevent the suicide by increasing the suicide precautions in response to Gina's increased risk  You are assessing a 6-year-old patient. When assessing a child's perception of a difficult issue, which methods of assessment are appropriate? - correct-answersa. Engage the child in a specific therapeutic game, b. Ask the child to draw a picture c. Provide the child with an anatomically correct doll to act out a story d. allow the child to tell a story  Which are the purposes of a through mental health nursing assessment? - correct-answersa. Establish a rapport between the nurse and patient b. Assess for risk factors affecting the safety of the patient or others d. Identify the nurse's goals for treatment, e. formulate a plan of care