I LLNESS
Halter: Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: A
Clinical Approach, 9th Edition
MULTIPLE CHOICE
1. An adult says, “Most of the time I’m happy and feel good about m yself. I
have learned that what I get out of something is proportional to the effort
I put into it.” Which number on this mental health continuum should the
nurse select?
Mental Illness Mental Health
1 2 3 4 5
a. 1
b. 2
c. 3
d. 4
e. 5
ANS: E
The adult is generally happy and has an adequate self-concept. The
statement indicates the adult is realit y -oriented, works effectivel y, and
has control over own behavior. Mental health does not mean that a
person is always happy.
, PTS: 1 DIF: Cognitive Level: Appl y (Application)
TOP: Nursing Process : Assessment MSC: Client Needs:
Psychosocial Integrity
2. Which disorder is an example of a culture -bound syndrome?
a. Epilepsy
b. Schizophrenia
c. Running amok
d. Major depressive disorder
ANS: C
Culture-bound syndromes occur in specific sociocultural contexts and
are easil y recognized by people in those cultures. A syndrome
recognized in parts of Southeast Asia is running amok, in which a
person (usuall y a male) runs around engaging in furious, almost
indiscriminate violent behavior.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: Client Needs:
Psychosocial Integrity
3. What does the DSM-V classify?
a. deviant behaviors
b. present disabilit y or distress
c. people with mental disorders
d. mental disorders
ANS: D
, The DSM-V classifies disorders people have rather than people
themselves. The terminology of the tool reflects this distinction by
referring to individuals with a disorder rather than as a “schizophrenic”
or “alcoholic,” for example. Deviant behavior is not generall y
considered a mental disorder. Present disabilit y or distress is onl y one
aspect of the diagnosis.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client
Needs: Safe, Effective Care Environment
4. A citizen at a communit y health fair asks the nurse, “What is the most
prevalent mental disorder in the United States?” Select the nurse’s correct
response.
a. Schizophrenia
b. Bipolar disorder
c. Dissociative fugue
d. Alzheimer’s disease
ANS: D
The 12-month prevalence for Alzheimer’s disease is 10% for persons
older than 65% and 50% for persons older than 85. The prevalence of
schizophrenia is 1.1% per year. The prevalence of bipolar disorder is
2.6%. Dissociative fugue is a rare disorder.
PTS: 1 DIF: Cognitive Leve l: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client
Needs: Health Promotion and Maintenance