Exam 1: Mental Health and Mental Illness

Two nursing students discuss their career plans after graduation.One student wants to enter psychiatric nursing.The other asks,"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.

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

A new staff nurse completes orientation to a psychiatric unit.This nurse may expect an advanced practice nurse to perform which additional interventions?

Complete this analogy.NANDA : clinical judgment :: NIC : _________________

An experienced nurse says to a new graduate,"When you've practiced as long as I have,you'll instantly know how to take care of psychotic patients." Which information should the new graduate consider when analyzing this comment? You may select more than one answer.

Which finding best indicates that the goal "Demonstrate mentally healthy behavior" was achieved? A patient:

The psychiatric nurse addresses axis I of the DSM as the focus of treatment but must also consider physical health problems that may affect treatment.Which axis contains the desired information?

Select the best response for the nurse who receives a query from another mental health professional seeking to understand the difference between a DSM-IV-TR diagnosis and a nursing diagnosis.

A nurse explains the multiaxial DSM-IV-TR to a psychiatric technician and includes information that it:

An informal group of patients discusses their perceptions of nursing care.Which comment best indicates a patient perceived the nurse was caring? "My nurse:

A nurse wants to find a description of diagnostic criteria for anxiety disorders.Which resource would have the most complete information?

A patient's relationships are intense and unstable.The patient initially idealizes the significant other and then devalues them,resulting in frequent feelings of emptiness.This patient will benefit from interventions to develop which aspect of mental health?

A patient asks the nurse,"I read an article online about psychosocial factors that influence depression.What are psychosocial factors?" Examples a nurse could cite to support the premise that a patient's depression may be influenced by psychosocial factors include: (Select all that apply)

A college student said,"Most of the time I'm happy and feel good about myself.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 newly admitted patient is uncommunicative about recent life events.The nurse suspects marital and economic problems,but the social worker's assessment is not yet available.Select the nurse's best action.

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

A nurse participating in a community health fair is asked,"What is the most prevalent mental disorder in the United States?" Select the nurse's best response.

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

A 40-year-old who lives with parents and works at an unchallenging job says,"I'm as happy as anyone else,even though I don't socialize much outside of work.My work is routine,but when new things come up,my boss explains things a few times to make sure I catch on.At home,my parents make decisions for me,and I go along with their ideas." The nurse should identify interventions to improve this patient's:

A patient in the emergency department says,"The voices say someone is stalking me.They want to kill me because I developed a cure for cancer.I have a knife and will stab anyone who is a threat." Which aspect(s)of mental health should be of greatest immediate concern to the nurse? Select all that apply.