Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
Essentials of Psychiatric Mental Health Nursing ,2nd Edition by Elizabeth M. Varcarolis
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Chapter 2: Mental Health and Mental Illness
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | It is a template for treatment planning. |
| b. | Nursing and medical diagnoses are included. |
| c. | Assessments of several aspects of functioning are included. |
| d. | It incorporates the framework of a specific biopsychosocial theory. |
ANS: C
The use of five axes requires an assessment beyond the diagnosis of a mental disorder and includes relevant medical conditions, psychosocial and environmental problems, and global assessment of functioning. The Diagnostic and Statistical Manual of Mental Disorders (fourth edition, text revision) (DSM-IV-TR) is not a template for treatment planning and does not use a specific biopsychosocial theory. Nursing diagnoses are not included in multiaxial diagnoses.
DIF: Cognitive Level: Comprehension REF: Page: 18
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
| a. | I Rheumatoid arthritis
II 100 III Posttraumatic stress disorder IV Arrested for shoplifting 2 months earlier V None |
| b. | I Mental retardation
II Histrionic personality disorder III 75 IV Hypertension V Home destroyed by tornado last year |
| c. | I Schizophrenia, paranoid
II Death of spouse last year III 40 IV None V Alcohol abuse |
| d. | I Generalized anxiety disorder
II Avoidant personality disorder III Fibromyalgia IV Declared bankruptcy 6 months ago V 60 |
ANS: D
The option beginning with a diagnosis of generalized anxiety disorder places a clinical disorder on Axis I, a personality disorder on Axis II, a medical problem on Axis III, a psychosocial problem on Axis IV, and global assessment of functioning (GAF) on Axis V. The other options misplace and incorrectly order the clinical data.
DIF: Cognitive Level: Application REF: Page: 18
TOP: Nursing Process: Assessment MSC: NCLEX: Safe, Effective Care Environment
| a. | describes coping and relaxation strategies used when feeling anxious. |
| b. | describes mood as consistently sad, discouraged, and hopeless. |
| c. | can perform tasks attempted within the limits of own abilities. |
| d. | reports occasional problems with insomnia. |
ANS: B
A patient who reports having a consistently negative mood is describing a mood alteration. The incorrect options describe mentally healthy behaviors and common problems that do not indicate mental illness.
DIF: Cognitive Level: Application REF: Page: 19
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | describe feelings associated with loss and stress. |
| b. | meet own needs without considering the rights of others. |
| c. | identify healthy coping behaviors in response to stressful events. |
| d. | allow others to assume responsibility for major areas of own life. |
ANS: C
The patient’s ability to identify healthy coping behaviors indicates adaptive, healthy behavior and demonstrates an increased ability to recover from severe stress. Describing feelings associated with loss and stress does not move the patient toward adaptation. The remaining options are maladaptive behaviors.
DIF: Cognitive Level: Analysis REF: Page: 14
TOP: Nursing Process: Outcomes Identification
MSC: NCLEX: Psychosocial Integrity
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