Chapter 28 Mental Health and Mental Illness

Chapter 28   Mental Health and Mental Illness

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) A student is teaching a class on the impact of mental health on the community. The student should include which of the following information in the presentation?

1. An estimated 25% of the population of the United States will experience a diagnosable mental illness in any given year.
2. The incidence of depression is expected to decrease within the next ten years.
3. Mental illness is an increasing problem only in the more populated areas of the world.
4. Post-traumatic stress disorder is the most common of the anxiety disorders.

Answer:  1

Explanation:  1. In the United States an estimated quarter of adults experience a diagnosable mental illness in any given year. The lifetime risk of major depression in the United States is 16.5%. Mental illness is a growing problem throughout the world. Phobias, not post-traumatic stress disorder, are the most common anxiety disorder.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Psychosocial Integrity

Cognitive Level:  Application

Learning Outcome:  28-1

2) The population health nurse is concerned that a client with depression is at risk for deterioration of chronic health problems. The nurse is basing this concern on the client’s:

1. Inability or lack of motivation for effective self-care.
2. Side effects of the mental health medications.
3. Loss of cognitive function.
4. Feelings of inadequacy.

Answer:  1

Explanation:  1. Mental illness may result in worsening of physical health problems due to inability or lack of motivation for effective self-care. In general, side effects of the mental health medications do not result in worsening of physical health problems. Loss of cognitive function is not a reason that mental illness results in worsening of physical health problems. Feelings of inadequacy are not a reason mental illness results in worsening of physical health problems.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Psychosocial Integrity

Cognitive Level:  Analysis

Learning Outcome:  28-1

3) The population health nurse is caring for a client newly diagnosed with schizophrenia. The client asks if his son is at risk for the same health problem. On what should the nurse base a response to this client?

1. The client’s son does not have a greater risk of developing schizophrenia.
2. Schizophrenia skips a generation so the client’s son will not have a greater risk of developing schizophrenia.
3. The son has a 10% to 15% greater risk for developing schizophrenia.
4. Only the client’s daughters have a greater risk for developing schizophrenia.

Answer:  3

Explanation:  3. Siblings of persons with schizophrenia have a 7% to 8% risk of developing the disease, and the risk increases to 10% to 15% of children whose parents have schizophrenia. Risk of disease also increases with the number of family members affected. The son does have a greater risk of developing schizophrenia. Schizophrenia does not skip a generation so the son does have a greater risk of developing schizophrenia. All children have a greater risk for developing schizophrenia.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Psychosocial Integrity

Cognitive Level:  Analysis

Learning Outcome:  28-2

4) The population health nurse is concerned that a client is at risk for developing a mental health disorder. Which psychological risk factors did the nurse assess to make this clinical determination? (Select all that apply.)

1. Ninth grade education.
2. Short-tempered with staff.
3. Critical of health care workers.
4. Recently lost both parents to death.
5. Employed as a food service worker.

Answer:  1, 2, 3, 4

Explanation:  1. Personality traits, difficult temperament, experience of stressful life events, and below-average intelligence are some of the psychological factors that have been associated with the development of mental health problems. People who are excessively critical or who have difficult temperaments may alienate others, receiving less social support for dealing with everyday sources of stress. Employment status does not increase a person’s risk for developing a mental health disorder.

2. Personality traits, difficult temperament, experience of stressful life events, and below-average intelligence are some of the psychological factors that have been associated with the development of mental health problems. People who are excessively critical or who have difficult temperaments may alienate others, receiving less social support for dealing with everyday sources of stress. Employment status does not increase a person’s risk for developing a mental health disorder.
3. Personality traits, difficult temperament, experience of stressful life events, and below-average intelligence are some of the psychological factors that have been associated with the development of mental health problems. People who are excessively critical or who have difficult temperaments may alienate others, receiving less social support for dealing with everyday sources of stress. Employment status does not increase a person’s risk for developing a mental health disorder.
4. Personality traits, difficult temperament, experience of stressful life events, and below-average intelligence are some of the psychological factors that have been associated with the development of mental health problems. People who are excessively critical or who have difficult temperaments may alienate others, receiving less social support for dealing with everyday sources of stress. Employment status does not increase a person’s risk for developing a mental health disorder.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Psychosocial Integrity

Cognitive Level:  Application

Learning Outcome:  28-