Mental Health Chapter 1 Flashcards

Questions and Answers

According to the DSM-V, which statement made by an adult client supports the criteria for generalized anxiety disorder? (Select all that apply)

My anxiety has to be genetic; my mom was a terrible worrier too. (correct)

My marriage is in trouble because I'm always so irritable. (correct)

It's hard falling asleep and even harder staying asleep; I'm restless all night. (correct)

I've had a good physical and my health care provider says I'm in good health.

I've been really anxious for at least 2 years now. (correct)

Which client behavior demonstrates resilience?

Losing my job was hard but my skills will help me get another one. (correct)

My kids' happiness is worth any sacrifice I have to make.

In spite of all the treatment, I know I'll never be really healthy.

My mother made decisions about my husband's funeral when I just couldn't do that.

How can a nurse active in mental health advocacy positively affect the climate for effective mental health treatment?

Advocating for reduced mental health insurance benefits to discourage abuse of the system by inappropriate psychiatric admissions.

By becoming active in politics leading to a potential political career.

By educating the public on the effects that stigmatizing has on mental health clients. (correct)

Advocating for laws that would make the involuntary long-term commitment process easier and faster for caregivers of mentally ill persons.

Which statement made by a new nurse requires additional instructions regarding the therapies provided on the psychiatric unit?

You will attend a psychotherapy group that I lead that will help you care for yourself. Signup and view all the answers

Which nursing statement illustrates the concept of patient advocacy for a client who has attempted suicide?

Dr. Raye, I notice you ordered fluoxetine for this patient. During the admission interview, the client stated they will refuse the medication because of adverse effects they experienced previously. Signup and view all the answers

What term is used to identify the quantitative study of the distribution of mental disorders in human populations?

Epidemiology Signup and view all the answers

How should a nurse respond to a client who asks about the term 'Psychiatric Mental Health Nurse'?

We have the specialized skills needed to care for those with mental illnesses. Signup and view all the answers

A nursing diagnosis for a client with a psychiatric disorder serves what purpose in considering the plan of care?

Establishing a framework for selecting appropriate interventions. Signup and view all the answers

The nurse planning care for a mentally ill client bases interventions on which concept?

Every client has a certain degree of resilience. Signup and view all the answers

According to current information, what factor is associated with the most disabling mental disorders?

Biological influences Signup and view all the answers

Which severe mental illness is recognized across cultures? (Select all that apply)

Schizophrenia Signup and view all the answers

Which branch of epidemiology is the nurse involved in when seeking outcomes for patients whose depression was treated with electroconvulsive therapy (ECT)?

Clinical Signup and view all the answers

Which statement best describes the Diagnostic and Statistical Manual, fifth edition (DSM-5)?

It is a medical psychiatric assessment system. Signup and view all the answers

A client tells the mental health nurse, 'I am terribly frightened! I hear whispering in my head that someone is going to kill me.' Which criteria of mental health can the nurse assess as lacking?

Rational thinking Signup and view all the answers

What client assessment data demonstrates parity related to mental health care?

A client's mental health coverage is equal to his/her medical/surgical coverage. Signup and view all the answers

The mental health status of a particular client can best be assessed by considering which factor?

Status placement on a continuum from health to illness Signup and view all the answers

An individual is found to consistently wear only a bathrobe and neglect the cleanliness of his apartment. When neighbors ask him to stop his frequent outbursts of operatic arias, he acts outraged and tells them he must sing daily and will not promise to be quieter. This behavior supports what conclusion about this client?

The client is not conforming with social norms. Signup and view all the answers

How can a nurse best differentiate whether an Asian client is demonstrating a mental illness after having attempted suicide?

Identify the client's culture's view regarding suicide. Signup and view all the answers

Study Notes

Generalized Anxiety Disorder Criteria

Symptoms must persist for at least 6 months to qualify for a diagnosis.
Genetic predisposition is often cited as a factor; family history can influence anxiety.
Irritability and sleep disturbances are common issues associated with anxiety.

Resilience in Mental Health

Resilience allows individuals to adapt following trauma or loss.
Demonstrated by positive outlook and ability to seek new opportunities after setbacks.

Advocacy in Mental Health Treatment

Nurses can reduce stigma by educating the public about mental health issues.
Advocacy includes supporting laws that enhance mental health treatment resources.

Role of Nurses in Psychiatric Settings

Nurses facilitate group activities and structure schedules for patients.
Basic RNs cannot conduct psychotherapy sessions; that requires advanced training.

Patient Advocacy Importance

Nurses must communicate patient preferences to healthcare providers.
Respecting patient autonomy is critical in treatment decisions.

Epidemiology of Mental Disorders

Epidemiology studies the distribution and determinants of mental disorders in populations.
Key terms include prevalence (how widespread a condition is) and clinical epidemiology (outcomes of treated patients).

Understanding DSM-5

The DSM-5 categorizes mental disorders, detailing diagnostic criteria and descriptions.
It serves as a guide for healthcare providers in formulating treatment plans.

Assessing Mental Health and Illness

Rational thinking and the ability to perceive reality accurately are critical for mental health.
Parity in mental health care ensures equity in treatment compared to physical health care.

Behavioral Indicators of Mental Disorders

Nonconformity to social norms may indicate potential mental health issues, but not all atypical behaviors signify illness.
Cultural context is essential in understanding behaviors such as suicide, which may be viewed differently across cultures.

Mental Health Continuum

The mental health status of individuals can be viewed along a continuum from wellness to illness.
Understanding where a client falls on this spectrum aids in appropriate treatment planning.

Cultural Considerations in Mental Health

Cultural views influence the perception of mental health and illness, such as attitudes towards suicide.
It’s important for practitioners to recognize and consider cultural attitudes in assessment and care.

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Description

Test your knowledge with these practice questions from Mental Health Chapter 1. Focus on the DSM-V criteria for generalized anxiety disorder and understand key concepts in mental health evaluation. These flashcards are designed to help you grasp essential terminology and diagnostic criteria.