N5 class 1 test

Varcarolis: Foundations of Psychiatric Mental Health Nursing, 4th Edition
Ch 1
1.
The quantitative study of the distribution of mental disorders in human populations is called
A.mortality.
B.prevalence.
C.epidemiology.
D. clinical epidemiology.

2.
What phrase best describes the DSM-IV-TR?
A. multi-axial psychiatric assessment system
B. compendium of treatment modalities
C. offers a complete list of nursing diagnoses
D. suggests common interventions for mental disorders

3.
Current information suggests that the most disabling mental disorders are the result of
A. biological influences.
B. psychological trauma.
C. learned ways of behaving.
D. faulty patterns of early nurturance.

4.
What is the state of health insurance coverage for most mental disorders?
A. Most coverage for mental disorders is inferior to coverage for medical disorders.
B. Most coverage for mental disorders is on par with coverage for medical disorders.
C. Most coverage for mental disorders exceeds coverage for medical disorders.
D. The US Congress has mandated equal coverage for mental and medical disorders.

5.
What is the difference between distress and disability as each regards individuals with mental disorders? Distress refers to a painful symptom and disability refers to
A. the presence of deviant behavior.
B. impairment in important areas of functioning.
C. culturally appropriate responses to an event.
D. a conflict between the individual and society.

6.
While caring for a client who is very ill with a mental disorder, the nurse wonders if the client has always been so regressed or, if perhaps, he has functioned at a higher level in the recent past. The best way to obtain this information would be to
A. ask the client.
B. ask the family.
C. refer to the progress notes.
D. look at Axis V of the client's DSM-IV sheet.

7.
Which statement about diagnosis of a mental disorder is true?
A. The symptoms of each disorder are common among all cultures.
B. Culture may cause variations in symptoms for each clinical disorder.
C. All mental orders listed in the DSM-IV are seen among all other cultures.
D. Global assessment of functioning is more diagnostic than symptoms noted.

8.
The lifetime prevalence rate for substance abuse is
A. lower than the prevalence rate for anxiety disorders.
B. greater than the prevalence rate for psychotic disorders.
C. equal to the prevalence rate for psychotic disorders.
D. greater than the prevalence rate for mood disorders.

9.
N, a college student, comes to the mental health clinic with complaints of feeling blue and having occasional difficulty sleeping. He is able to manage his course work with lowered grades but states he just doesn't get as much pleasure from life as he did several months ago. The nurse making his global assessment of functioning would probably assign the rating of
A. 100.
B. 70.
C. 40.
D. 10.

10.
Mental illnesses that are recognized across cultures include
A. antisocial and borderline personality disorders.
B. schizophrenia and bipolar disorder.
C. bulimia and anorexia nervosa.
D. amok and social phobia.

11.
When planning care for a specific client, of what significance to the psychiatric nurse is the fact that the DSM-IV-TR is multi-axial?
A. Multiple aspects of client functioning and problems are reported.
B. Standardized treatment plans are available for each diagnosis.
C. Nursing diagnoses are included for each medical diagnosis.
D. There is no particular significance.

12.
A nurse conducting research is seeking data about outcomes for depressed patients who have been treated with ECT. The nurse is engaged in the field of
A. experimental epidemiology.
B. descriptive epidemiology.
C. clinical epidemiology.
D. analytic epidemiology.

13.
A client tells the mental health nurse, "I'm terribly frightened! I hear whispering that someone is going to kill me." Which criterion of mental health can the nurse assess as lacking?
A. control over behavior
B. appraisal of reality
C. effectiveness in work
D. healthy self-concept

14.
A 14-year-old who belongs to a neighborhood gang is found by her parents to lie and engage in sexually promiscuous behavior. They bring her to the mental health center. The nurse performing the assessment determines that she is happy, does well in school and sees herself as popular and well regarded by her group. The assessment the nurse will most likely make is that she
A. is displaying deviant behavior.
B. cannot accurately appraise reality.
C. is seriously and persistently mentally ill.
D. should be considered for group home placement.

15.
An important concept for nurses to remember when planning care for clients is that
A. all clients have areas of strength upon which to build.
B. clients with socially deviant behavior are psychiatrically ill.
C. clients with mental illness can be helped but rarely fully recover.
D. clients with mental illness are more different from than similar to mentally healthy individuals.

16.
A nurse suspects that a client has a personality disorder in addition to displaying symptoms of a mood disorder. To determine whether these observations are correct, the nurse could look in the client's medical record on the DSM-IV-TR
A. Axis I.
B. Axis II.
C. Axis III.
D. Axis IV.

7.
A man frequently bursts out loudly singing operatic arias. The neighbors in the next apartment find the noise disturbing. They go to his apartment to confront him and find that in the middle of the day he is clad in his bathrobe and his apartment is messy. He acts outraged and tells them he must sing several hours daily and will not promise to be quieter. What conclusion can be drawn?
A. The man is demonstrating symptoms of bipolar disorder.
B. The man is socially deviant.
C. The man is egocentric.
D. No conclusion can be drawn.

8.
A nursing diagnosis for a client with a psychiatric disorder serves the purpose of
A. justifying the use of certain psychotropic medication.
B. providing data essential for insurance reimbursement.
C. providing a framework for selecting nursing interventions.
D. identifying information to be placed on DSM-IV-TR Axis III.

19.
A client has begun to neglect her appearance and is withdrawn and stays in her room. Her mother hears her seemingly talking to others, but no one is in the room with her. Last night she threw a chair and broke the window of her bedroom. She tells the nurse nothing is wrong. The nurse rating her current global assessment of functioning would probably assign the code
A. 100.
B. 70.
C. 40.
D. 0.

20.
Mental health/mental illness of a particular client can best be assessed by considering
A. the degree of conformity of the individual to society's norms.
B. the degree to which an individual is logical and rational.
C. placement on a continuum from healthy to psychotic.
D. the rate of intellectual and emotional growth.