Which activity for the core psychiatric mental health disciplines is considered most important in national mental health care.
A. The promotion and
... [Show More] protection of mental health
B. The prevention and treatment of mental disorders
C. Recovery and rehabilitation
D. All the above
D. All the above
Each of the phases of mental health care has equal importance when promoting holistic care and quality of life
Select the statement that best describes successful treatment for mental disorders in the United States.
A. Treatment outcomes were most successful when they focused on biological interventions.
B. Treatment for mental disorders has greatly improved in the 21st century and is reflected in the reduction of mental disorders.
C. Statistics for the prevalence of mental disorders in the United States remain static.
D. The combination of medications, interactive therapies, and biologic therapies have been most successful in reducing prevalence of mental disorders.
C. Statistics for the prevalence of mental disorders in the United States remain static.
Despite advances in biological and psychological research and treatment options, statistics reflect the prevalence of mental disorders in the United States has remained static.
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The following identify mental disorders:
A. A 67-year-old woman says that she has not spent one day without crying several hours a day since her husband died last month.
B. A mother says her 15-year-old child spends all his spare hours in his room with the computer and even misses meals.
C. A 19-year-old man begins to hear voices that no one else hears during lectures in his college math course.
D. All of the above
C. A 19-year-old man begins to hear voices that no one else hears during lectures in his college math course.
Hallucinations are false perceptions that have no relationship to reality. (1) Crying is a normal response of mourning the loss of a loved one; and (2) the 15-year-old child's behavior is typical.
The following statements are true about psychiatric mental health nursing
A. Nurses may be certified in their specialty at the entry level or at the advanced practice level
B. The art of PMH nursing is more important than the science of nursing
C. Integrated care is reserved for psychiatrists and is not for nurses
D. None of the above
A. Nurses may be certified in their specialty at the entry level or at the advanced practice level
The ANA standards state that nurses may be certified at the entry level (RN-BSN) or at the advanced level (APRN—MSN or Doctorate).
The art and science of nursing are equally important in psychiatric mental health nursing. Integrated, or holistic, care is within the scope of nursing.
Risk factors for developing physical or mental disorders include:
A. A parent who gets drunk every night after work saying it is relaxing
B. A new school where students either ignore or bully the new students
C. Higher than average intelligence and many satisfying hobbies
D. A large circle of friends who play sports together
A. A parent who gets drunk every night after work saying it is relaxing
and
B. A new school where students either ignore or bully the new students
Stressful environmental and socio-cultural factors, such as bullying, can impact a person's feeling of self-worth. Absence of a caring parent, dysfunctional family functions, and abusive behavior place the person at risk for anxiety or depression.
Your friend has just been laid off from his job. Which of the following responses on your part would most likely contribute to enhanced resilience?
1. Using your connections to set up an interview with your employer
2. Connecting him with a friend of the family who owns his own business
3. Supporting him in arranging, preparing for, and completing multiple interviews
4. Helping him to understand that the layoff resulted from troubles in the economy and is
not his fault
3. Supporting him in arranging, preparing for, and completing multiple interviews
Rationale: Resilience develops from the process of resolving distress through adaptive coping. It
is enhanced when a person experiences success as a result of his own efforts, which gives the
person an increased sense of control or mastery over stressful events. This is illustrated in the
choice involving helping your friend to obtain and succeed in interviewing for a replacement job.
In the other choices, you are helping the person deal with his situation and/or find a replacement
job but not in a manner that leads him to experience success via his own efforts. As a result,
these approaches do not provide your friend with an opportunity to experience a sense of mastery
over stress, so they are less likely to contribute to increased resiliency.
Which of the following situations best supports the stress-diathesis model of mental illness
development?
1. The rate of suicide increases during times of national disaster and despair.
2. Four of five siblings in the Jones family develop bipolar disorder by the age of 30.
3. A man with no prior mental health problems experiences sadness after his divorce.
4. A man develops schizophrenia, but his identical twin remains free of mental illness.
4. A man develops schizophrenia, but his identical twin remains free of mental illness.
Rationale: The stress-diathesis theory states that some persons are born with a biological
predisposition to mental illness, but that mental illness does not necessarily develop unless those
susceptible persons are exposed to stressors which trigger the illness. Thus for two persons with
the same genetic profile, one might develop a mental illness due to stressful life experiences,
whereas his counterpart, despite having the same genetic makeup, has a different life experience
and fails to develop the illness. This scenario is best demonstrated in the case of the man who
develops schizophrenia, while his identical twin, with the same genetic makeup, remains free of the disorder. The remaining choices do not necessarily involve a combination of a common biological predisposition and exposure to a stressor working together to trigger a mental disorder.
Identify all of the following statements about mental illness which are correct:
1. In any given year, about 20% of adults experience a mental disorder.
2. Mental health is best represented as a continuum of levels of functioning.
3. Mental disorders and diagnoses occur very consistently across cultures.
4. Most serious mental illnesses are psychological rather than biological in nature.
5. The President's New Freedom Commission highlighted significant gaps in care.
6. "Parity" refers to relating to mentally ill persons the same as to the non-mentally ill.
1. In any given year, about 20% of adults experience a mental disorder.
2. Mental health is best represented as a continuum of levels of functioning.
5. The President's New Freedom Commission highlighted significant gaps in care.
Rationale: About 21% of the U.S. population experiences a diagnosable mental illness in any one
year. "Mental health" is not an absolute that one either has or does not have. As with physical
health, persons vary in how mentally fit and able to function they are, and mental illnesses vary
in their impact at different times and in different patients. Although providers of mental health
care strive to make diagnoses in a culturally neutral manner, there are significant variations in the
prevalence of some mental illnesses in certain cultures. For example, anorexia nervosa is usually
diagnosed less frequently outside the United States, whereas some cultures have identified
mental disorders that are not prevalent in the United States. Most serious mental illnesses such as
schizophrenia and mood disorders are believed to have a biological basis. The President's New
Freedom Commission noted that mental health care delivery was fragmented and not meeting the
needs of many persons with mental illness and called for major changes in the delivery of care to
persons with mental illnesses. "Parity" as it relates to mental health refers to insurance and other
third-party payers reimbursing for mental health care in a manner comparable to reimbursement
for the care of physical illnesses, without restrictions or limitations specific to mental disorders.
Which of the following disorders would be included on Axis I of the DSM IV-TR?
1. Major depression, dementia, and alcoholism
2. Diabetes type I or II, Parkinson's disease, and seizure disorders
3. Narcissistic, borderline, and paranoid personality disorders
4. Mental retardation and psychosocial stressors such as divorce
1. Major depression, dementia, and alcoholism
Rationale: Axis I disorders include disorders of thought (cognition), feeling, and/or behavior
which are not developmental in nature. Examples include most of the major mental disorders such as mood disorders, psychotic disorders, substance use disorders, and cognitive disorders
(such as dementia).
Disorders which are developmental in nature (i.e., occur very early in life
and persist thereafter), such as mental retardation and personality disorders, are grouped on Axis
II.
Concurrent or contributing medical conditions such as cardiovascular disease or diabetes,
when present, are listed on Axis III.
Contributing psychosocial stressors are listed on Axis IV
*Latest version no longer uses axis but you may encounter in charts and need to know for that purpose .* [Show Less]