Varcarolis Chapter 1: Mental Health Flashcards

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Questions and Answers

A new staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional interventions? (Select all that apply)

Conduct mental health assessments

Prescribe psychotropic medication (correct)

Establish therapeutic relationships

Individualize nursing care plans

Why would you want to be a psychiatric nurse? The only thing they do is talk. You'll lose all your skills. Select the best response.

Psychiatric nurses use complex communication skills as well as critical thinking to solve multidimensional problems. I am challenged by those situations. (correct)

Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios must be better because of the nature of the patients' problems.

I think I will be good in the mental health field. I did not like clinical rotations in school, so I do not want to continue them after I graduate.

Psychiatric nurses do not have to deal with as much pain and suffering as medical-surgical nurses do. That appeals to me.

Which role have the nurses fulfilled by writing letters in opposition to legislation that would reduce funding for care of persons with mental illness?

Advocacy (correct)

Evidence-based practice

Attending

Recovery

Which comment best indicates a patient perceived the nurse was caring?

My nurse spends time listening to me talk about my problems. That helps me feel like I'm not alone. Signup and view all the answers

Which finding best indicates that a patient has a mental illness?

Reports mood is consistently sad, discouraged, and hopeless. Signup and view all the answers

Which finding indicates that the goal 'Demonstrate mentally healthy behavior' was achieved?

Sees self as approaching ideals and capable of meeting demands. Signup and view all the answers

To determine criteria used to establish a diagnosis for an unfamiliar psychiatric disorder, the nurse should consult which resource?

Diagnostic and Statistical Manual of Mental Disorders Signup and view all the answers

Which documentation of diagnosis would a nurse expect in a psychiatric treatment setting?

Major Depression; Avoidant Personality Disorder; Hypertension; Home destroyed by hurricane last year; 80 Signup and view all the answers

The multiaxial DSM-IV-TR focuses on aspects of functioning in mental disorders. What does it classify?

Problems in multiple areas of functioning. Signup and view all the answers

Which resource would have the most complete information on diagnostic criteria for anxiety disorders?

Diagnostic and Statistical Manual of Mental Disorders Signup and view all the answers

Which comment most clearly shows a speaker views mental illness with stigma?

Most people with mental illness are unmotivated. Signup and view all the answers

Complete this analogy: NANDA : clinical judgment :: NIC : _____________

nursing actions Signup and view all the answers

Which number on the mental health continuum should the nurse select for a college student who feels happy and has learned that effort correlates with outcomes?

5 Signup and view all the answers

What is the nurse's best action when a newly admitted patient is uncommunicative and suspected of having marital and economic problems?

Refer to axis IV of the DSM-IV-TR in the medical record. Signup and view all the answers

The DSM-IV-TR classifies:

Mental disorders people have. Signup and view all the answers

What is the most prevalent mental disorder in the United States?

Alzheimer's disease Signup and view all the answers

In the majority culture of the United States, which individual has the greatest risk to be labeled mentally ill?

Describes hearing God's voice speaking. Signup and view all the answers

A patient's relationships are intense and unstable. This patient will benefit from interventions to develop which aspect of mental health?

Fulfilling relationships Signup and view all the answers

What is the patient's global assessment of functioning score if they are depressed, mute, and have not bathed or eaten for a week?

10 Signup and view all the answers

Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?

Assessment findings in mental disorders reflect a person's cultural patterns. Signup and view all the answers

What type of study is evident when half of the depressed patients receive supportive interventions and antidepressant medication while the other half receives only medication?

Clinical epidemiology Signup and view all the answers

How should a nurse respond to a spouse of a patient with schizophrenia who questions the role of childhood nurturing in the patient's illness?

New findings show that this condition more likely has biological rather than psychological origins. Signup and view all the answers

What should the nurse identify as interventions to improve a 40-year-old who lives with parents and has a poorly developed self-concept?

Self-concept Signup and view all the answers

Which axis contains information relevant to general medical conditions that may affect psychiatric treatment?

III Signup and view all the answers

What is the best response for the nurse explaining the difference between a DSM-IV-TR diagnosis and a nursing diagnosis?

The DSM-IV-TR diagnosis affects the choice of medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for phenomena a patient is experiencing. Signup and view all the answers

What are psychosocial factors that influence depression? (Select all that apply)

Experiencing the death of a parent a month before the onset of depression Signup and view all the answers

Which aspect(s) of mental health should be of greatest immediate concern to the nurse in the scenario described? (Select all that apply)

Healthy self-concept Signup and view all the answers

Which family member's comment best reflects a mentally healthy perspective?

I will make some changes in my behavior for the good of the family. Signup and view all the answers

Which resource would have the most complete information about diagnostic criteria for anxiety disorders?

DSM-V Signup and view all the answers

Which individual is demonstrating the highest level of resilience?

One who takes a temporary job to maintain financial stability after loss of a permanent job. Signup and view all the answers

Which disorder is an example of a culture-bound syndrome?

Running amok Signup and view all the answers

What term best applies to the new cases of PTSD diagnosed in the community after a tornado?

Incidence Signup and view all the answers

Which component of treatment of mental illness is specifically recognized by QSEN?

Care is centered on the patient. Signup and view all the answers

What is the functional difference between a diagnosis in DSM-V and a nursing diagnosis?

The DSM-V diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing. Signup and view all the answers

Which nursing intervention is part of the scope of an advanced practice psychiatric/mental health nurse?

Psychotherapy Signup and view all the answers

Which findings are signs of a person who is mentally healthy? (Select all that apply)

Considers past experiences when deciding about the future. Signup and view all the answers

How can the mental health status of a particular client best be assessed?

By considering placement on a continuum from health to illness. Signup and view all the answers

What best demonstrates parity related to mental health care?

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

What purpose does a nursing diagnosis serve for a client with a psychiatric disorder?

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

What does the described behavior indicate about the individual?

Not demonstrating any definitive signs of mental illness. Signup and view all the answers

What should be identified to assess whether an Asian client is demonstrating mental illness when attempting suicide?

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

What concept should the nurse base interventions on for a mentally ill client?

The client has areas of strength on which to build. Signup and view all the answers

What does the assessment data support regarding the client displaying deviant behavior?

A is displaying deviant behavior. Signup and view all the answers

Which criterion of mental health is lacking in the client experiencing auditory hallucinations?

Appraisal of reality. Signup and view all the answers

Which branch of epidemiology is involved when seeking outcomes for patients treated with electroconvulsive therapy?

Clinical Signup and view all the answers

Which severe mental illnesses are recognized across cultures?

Schizophrenia and bipolar disorder. Signup and view all the answers

What is the prevalence rate over a 12-month period for major depressive disorder compared to generalized anxiety?

Greater than the prevalence rate for generalized anxiety. Signup and view all the answers

Culture may cause variations in symptoms for each clinical disorder.

True Signup and view all the answers

What does the title 'Psychiatric Mental Health Nurse' mean?

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

Current information suggests that the most disabling mental disorders are the result of?

Biological influences. Signup and view all the answers

What best describes the DSM-5?

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

What is the quantitative study of the distribution of mental disorders in human populations called?

Epidemiology. Signup and view all the answers

Study Notes

Mental Health & Mental Illness Overview

Advanced practice nurses can prescribe psychotropic medications, requiring specialized training; basic-level nurses focus on assessments and care planning.
Psychiatric nursing demands complex communication and critical thinking skills to address both mental and medical health problems.
Advocacy is a key role for nurses; they protect the rights of patients, especially concerning funding and resources for mental health care.

Patient Perception and Care Dynamics

Caring behaviors in nursing are indicated by empathetic understanding and establishing a connection, essential for alleviating patients' feelings of isolation.
Notable indicators of mental illness include consistent reports of sadness, discouragement, and hopelessness.
Evaluating the effectiveness of mental health appears in self-assessment; a patient demonstrating mentally healthy behavior sees themselves positively and handles responsibilities well.

Diagnostic Tools and Resources

The DSM-IV-TR is the primary resource for establishing criteria for mental health diagnoses, providing a multiaxial system that addresses clinical disorders, personality issues, psychosocial/environmental challenges, and global functioning assessment.
Knowledge of diagnostic criteria, especially for anxiety disorders, can be found in the DSM, while other resources may not provide the same depth of information.

Stigma and Cultural Considerations

Stigmatization of mental illness often derives from negative stereotypes, impacting public perceptions and patient care.
Acknowledging cultural influences on mental health is crucial for patient advocacy; different cultures understand and react to mental illness in diverse ways.

Assessment and Evaluation of Patients

Global assessment of functioning scores provide insight into a patient's ability to manage personal care and interactions.
Psychosocial factors such as family dynamics, personal experiences, and loss significantly contribute to mental health and conditions like depression.

Treatment and Interventions

Interventions for patients with unstable and intense relationships should focus on fostering fulfilling and stable relationships.
Supportive nursing attitudes and behaviors are vital in guiding patients toward better self-concept and autonomy, especially in adult patients with care dependencies like living with parents.

Research and Evidence-Based Practice

Clinical epidemiology studies the outcomes of varied treatments, such as supportive interventions combined with medication, to gauge effectiveness in mental health settings.
Continuous integration of new research findings is critical in psychiatric nursing to ensure patient care remains relevant and effective.

Concluding Insights on Mental Health

Various beliefs and understandings impact both the treatment of mental disorders and the outlook on patients' experiences and choices in life.
Addressing the nuances of mental health requires an empathetic, culturally aware, and scientifically-informed approach to nursing practice.### Biological Influences on Mental Health Treatment
Biological agents, such as antidepressant medications, represent a significant approach in mental health treatment.

Assessment of Mental Health Concerns

Accurate appraisal of reality is crucial; auditory hallucinations and delusions can indicate serious mental health issues.
Control over behavior is essential; plans of violence highlight a lack of control.
A healthy self-concept is important; delusions of grandeur signify a compromised self-image.

Family Dynamics and Mental Health

Mentally healthy perspectives often include willingness to change behaviors for family wellbeing.

Resources for Mental Health Diagnosis

DSM-V provides the most comprehensive criteria for diagnosing anxiety disorders.

Resilience in Mental Health

Resilience is the ability to adapt to stress and loss; taking temporary jobs after a job loss demonstrates this quality.

Culture-Bound Syndromes

Running amok is identified as a culture-bound syndrome, indicating specific cultural contexts for mental health expressions.

Post-Traumatic Stress Disorder (PTSD) Incidence

Incidence refers to new cases of mental disorders; such as the 140 diagnosed individuals after a tornado disaster.

Quality and Safety in Mental Health

Patient-centered care is emphasized in standards set by Quality and Safety Education for Nurses (QSEN).

Differences Between DSM-V Diagnosis and Nursing Diagnosis

DSM-V aids in medical treatment, while nursing diagnoses guide interventions for patient issues.

Scope of Advanced Practice Nursing

Psychotherapy is specifically within the scope of advanced practice psychiatric/mental health nursing.

Indicators of Mental Health

Signs of mental health include recognizing personal weaknesses while feeling valued by family and friends, and reflecting on past experiences for future decisions.

Mental Health Assessment Continuum

Mental health status can be assessed along a continuum from health to illness.

Mental Health Care Parity

Ensuring clients have equal mental health and medical/surgical coverage reflects the principle of parity in mental health care.

Purpose of Nursing Diagnoses

Nursing diagnoses provide a structural framework for selecting appropriate interventions for psychiatric disorders.

Contextual Behavior Assessment

Unconventional behaviors, such as living in a bathrobe, do not automatically indicate a definitive mental illness if there are no clear signs of dysfunction.

Cultural Considerations in Mental Health

Understanding cultural perspectives is key when assessing clients expressing suicidal behavior, particularly in different cultural contexts.

Strength-Based Care Approach

Mental health care should focus on clients' strengths to support rehabilitation and recovery.

Assessment of Deviant Behavior

Engaging in behaviors like truancy and promiscuity can reflect deviant behavior rather than severe mental illness.

Appraisal of Reality in Mental Health

Hallucinations or paranoid fears signify a lack of accurate appraisal of reality.

Epidemiology in Mental Health Outcomes

Clinical epidemiology evaluates outcomes for patients undergoing treatments like electroconvulsive therapy (ECT).

Recognition of Severe Mental Illnesses

Schizophrenia and bipolar disorder are mental illnesses recognized across various cultures.

Prevalence of Major Depressive Disorder

Major depressive disorder prevalence rates exceed those of generalized anxiety disorder over a 12-month period.

Diagnostic Understanding of Mental Disorders

Cultural influences can lead to variations in symptom presentation for mental disorders diagnosed in the DSM.

Role of Psychiatric Mental Health Nurses

Psychiatric mental health nurses possess specialized skills to address the needs of individuals with mental illnesses.

Disablement of Mental Disorders

The most debilitating mental disorders are often attributed to biological influences rather than solely psychological or learned behaviors.

Overview of DSM-5

The DSM-5 serves as a medical psychiatric assessment system that classifies mental disorders.

Definition of Epidemiology

Epidemiology is the study of the distribution and determinants of mental disorders in populations.

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Description

This quiz focuses on the key concepts from Chapter 1 of Varcarolis, covering mental health and mental illness. Test your knowledge on the roles and responsibilities of advanced practice nurses in psychiatric settings. Ideal for nursing students preparing for clinical practice.