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Test bank for mental health nursing 6th edition by fontaine

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http://getbooksolutions.comLink full download:https://getbooksolutions.com/download/test-bank-formental-health-nursing-6th-edition-by-fontaineTest Bank for Mental Health Nursing 6th Edition by Fontaine Chapter 1: Introduction to Mental Health Nursing MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question. 1) The nurse is teaching the family various factors that are important in understanding the concepts of mental health and mental illness. What factors should be included in the nurse’s teaching? Select all that apply. A) Interpersonal factors B) Personal factors C) Culture D) Brain function E) Social conditions Answer: A, B, C, D, E Explanation: A) Movement toward the mental illness end of the continuum may begin with a sense of disharmony that is distressing to family or friends. Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrityhttp://getbooksolutions.comB) Movement toward the mental illness end of the continuum may begin with a sense of disharmony that is distressing to the individual. Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity C) Behavior that can be considered as being at the mental illness end of the continuum in one culture can be considered normal and acceptable in another culture. Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity D) Research has shown that brain chemicals and processes are frequently altered in mental illnesses. Cognitive Level: Application Nursing Process: Planning Client Need: Psychosocial Integrity E) Movement toward the mental illness end of the continuum may begin with a sense of disharmony that is distressing to the community or society. Cognitive Level: Applicationhttp://getbooksolutions.comNursing Process: Planning Client Need: Psychosocial Integrity 2) During the nursing assessment of an adult client, the nurse finds the client’s beliefs and actions related to common health practices to be “bizarre.” Which action would be most appropriate for the nurse to take at this time? A) Write a nursing diagnosis to address the “bizarre” beliefs and actions. B) Repeat the assessment later in the day. C) Inquire as to the culture with which the client identifies. D) Communicate the findings to the health care team. Answer: C 1 Explanation: A) A thorough assessment is needed before proceeding with other steps of the nursing process. Cultural beliefs strongly influence what is defined as mental illness or mental health. Behavior that is considered bizarre in one cultural context may be considered desirable in another. While findings will be communicated and used for nursing diagnosis formulation later in the process, these steps are built upon a thorough assessment. Repeating the assessment without thehttp://getbooksolutions.comcultural assessment will most likely result in the same incomplete data. Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity B) A thorough assessment is needed before proceeding with other steps of the nursing process. Cultural beliefs strongly influence what is defined as mental illness or mental health. Behavior that is considered bizarre in one cultural context may be considered desirable in another. While findings will be communicated and used for nursing diagnosis formulation later in the process, these steps are built upon a thorough assessment. Repeating the assessment without the cultural assessment will most likely result in the same incomplete data. Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity C) A thorough assessment is needed before proceeding with other steps of the nursing process. Cultural beliefs strongly influence what is defined as mental illness or mental health. Behavior that is considered bizarre in one cultural context may be considered desirable in another. Whilehttp://getbooksolutions.comfindings will be communicated and used for nursing diagnosis formulation later in the process, these steps are built upon a thorough assessment. Repeating the assessment without the cultural assessment will most likely result in the same incomplete data. Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity D) A thorough assessment is needed before proceeding with other steps of the nursing process. Cultural beliefs strongly influence what is defined as mental illness or mental health. Behavior that is considered bizarre in one cultural context may be considered desirable in another. While findings will be communicated and used for nursing diagnosis formulation later in the process, these steps are built upon a thorough assessment. Repeating the assessment without the cultural assessment will most likely result in the same incomplete data. Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity 3) The nurse is sharing client assessment data with the mental health care team. Which comment by the nurse ishttp://getbooksolutions.commost likely irrelevant and indicates a misunderstanding of mental illness? “The client reports: A) Significant emotional distress about the current situation.” B) A lot of time is spent in fear and anxiety.” C) A loss of interest in usual pleasurable interpersonal relationships.” D) Some very different religious ideas and spiritual beliefs.” Answer: D Explanation: A) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as symptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society. Therefore, this choice indicates a misunderstanding of the concept of mental illness. Reports of fear, anxiety, emotional distress, and disharmony with interpersonal relationships are very relevant and are indications of the client’s movement toward the mental illness end of the continuum. Cognitive Level: Application Nursing Process: Evaluation Client Need: Psychosocial Integrity 2 B) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled ashttp://getbooksolutions.comsymptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society. Therefore, this choice indicates a misunderstanding of the concept of mental illness. Reports of fear, anxiety, emotional distress, and disharmony with interpersonal relationships are very relevant and are indications of the client’s movement toward the mental illness end of the continuum. Cognitive Level: Application Nursing Process: Evaluation Client Need: Psychosocial Integrity C) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as symptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society. Therefore, this choice indicates a misunderstanding of the concept of mental illness. Reports of fear, anxiety, emotional distress, and disharmony with interpersonal relationships are very relevant and are indications of the client’s movement toward the mental illness end of the continuum. Cognitive Level: Application Nursing Process: Evaluationhttp://getbooksolutions.comClient Need: Psychosocial Integrity D) Religious ideas and spiritual beliefs are culturally grounded and are not generally labeled as symptoms of mental illness, unless the deviance is causing a sense of disharmony to the individual, family, friends, community, or society. Therefore, this choice indicates a misunderstanding of the concept of mental illness. Reports of fear, anxiety, emotional distress, and disharmony with interpersonal relationships are very relevant and are indications of the client’s movement toward the mental illness end of the continuum. Cognitive Level: Application Nursing Process: Evaluation Client Need: Psychosocial Integrity 3 4) The psychiatric-mental health nurse is collecting data regarding the client’s position on the mental health-mental illness continuum. Which client behavior will be most relevant to the assessment of insight? The client is: A) Laughing at a few humorous aspects of the current situation. B) Identifying goals and making plans for the future. C) Demonstrating the ability to accomplish simple problem-solving.http://getbooksolutions.comD) Self-evaluating personal values, attitudes, and behaviors. Answer: D Explanation: A) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers indicates the degree of insight. While finding humor in situations, problem-solving, identifying goals and making plans are indications of the mental health factor of resilience; these do not directly measure insight. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity B) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers indicates the degree of insight. While finding humor in situations, problem-solving, identifying goals and making plans are indications of the mental health factor of resilience; these do not directly measure insight. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrityhttp://getbooksolutions.comC) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers indicates the degree of insight. While finding humor in situations, problem-solving, identifying goals and making plans are indications of the mental health factor of resilience; these do not directly measure insight. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity D) The ability to self-evaluate or ask difficult interpersonal questions and give honest answers indicates the degree of insight. While finding humor in situations, problem-solving, identifying goals and making plans are indications of the mental health factor of resilience; these do not directly measure insight. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity 5) The client’s spouse is verbalizing feelings of guilt and asks the cause of the client’s mental illness. What is the nurse’s correct response?http://getbooksolutions.comA) “Mental illness is the result of a brain disorder.” B) “No one really knows the cause of mental illness.” C) “Why do you think the mental illness occurred?” D) “Sometimes people just let their problems make themselves sick.” Answer: A 4 Explanation: A) Genetic and neurobiological data indicate that mental illness is basically a brain disorder. All functions of the mind reflect functions in the brain. Research has provided many theories as to the cause of mental illness. Even though cultural, intrapersonal, and interpersonal factors impact movement on the mental illness-mental health continuum, the overall causative factors are neurobiological and not the “fault” of the individual. This “at-fault” belief contributes to the stigma associated with mental illness. Asking the spouse their perception as to why the mental illness occurred does not take the opportunity to teach, puts the spouse in a perceived defensive position, does not answer the spouse’s question, and contributes to the inaccurate perception that mental illness might be under personal control. Cognitive Level: Applicationhttp://getbooksolutions.comNursing Process: Implementation Client Need: Psychosocial Integrity B) Genetic and neurobiological data indicate that mental illness is basically a brain disorder. All functions of the mind reflect functions in the brain. Research has provided many theories as to the cause of mental illness. Even though cultural, intrapersonal, and interpersonal factors impact movement on the mental illness-mental health continuum, the overall causative factors are neurobiological and not the “fault” of the individual. This “at-fault” belief contributes to the stigma associated with mental illness. Asking the spouse their perception as to why the mental illness occurred does not take the opportunity to teach, puts the spouse in a perceived defensive position, does not answer the spouse’s question, and contributes to the inaccurate perception that mental illness might be under personal control. Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity C) Genetic and neurobiological data indicate that mental illness is basically a brain disorder. Allhttp://getbooksolutions.comfunctions of the mind reflect functions in the brain. Research has provided many theories as to the cause of mental illness. Even though cultural, intrapersonal, and interpersonal factors impact movement on the mental illness-mental health continuum, the overall causative factors are neurobiological and not the “fault” of the individual. This “at-fault” belief contributes to the stigma associated with mental illness. Asking the spouse their perception as to why the mental illness occurred does not take the opportunity to teach, puts the spouse in a perceived defensive position, does not answer the spouse’s question, and contributes to the inaccurate perception that mental illness might be under personal control. Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity D) Genetic and neurobiological data indicate that mental illness is basically a brain disorder. All functions of the mind reflect functions in the brain. Research has provided many theories as to the cause of mental illness. Even though cultural, intrapersonal, and interpersonal factorshttp://getbooksolutions.comimpact movement on the mental illness-mental health continuum, the overall causative factors are neurobiological and not the “fault” of the individual. This “at-fault” belief contributes to the stigma associated with mental illness. Asking the spouse their perception as to why the mental illness occurred does not take the opportunity to teach, puts the spouse in a perceived defensive position, does not answer the spouse’s question, and contributes to the inaccurate perception that mental illness might be under personal control. Cognitive Level: Application Nursing Process: Implementation Client Need: Psychosocial Integrity 5 6) The psychiatric-mental health nurse is employed in a community mental health center that uses a neurobiological theoretical perspective to guide treatment. The nurse understands that the neurobiological principle that supports the use of counseling and therapy is that these treatment modalities: A) Increase the client’s capacity for self-discovery of unconscious personality components. B) Allow for reinforcement of desirable thoughts, feelings, and behaviors.http://getbooksolutions.comC) Create changes through learning that in turn create changes in neuronal functioning. D) Encourage completion of developmental tasks that were not successfully completed earlier in life. Answer: C Explanation: A) Neurobiological theory offers the belief that all functions of the mind reflect functions of the brain and includes the principle that counseling and therapy can create long-term changes through learning which in turn creates changes in neuronal functioning. Selfdiscovery of unconscious personality components, completion of developmental tasks, and reinforcement of desirable thoughts, feelings, and behaviors describe earlier prebiological models of mental disorders rather than principles associated with neurobiological theory. Cognitive Level: Analysis Nursing Process: Planning Client Need: Psychosocial Integrity B) Neurobiological theory offers the belief that all functions of the mind reflect functions of the brain and includes the principle that counseling and therapy can create long-term changes through learning which in turn creates changes in neuronal functioning. Selfdiscovery ofhttp://getbooksolutions.comunconscious personality components, completion of developmental tasks, and reinforcement of desirable thoughts, feelings, and behaviors describe earlier prebiological models of mental disorders rather than principles associated with neurobiological theory. Cognitive Level: Analysis Nursing Process: Planning Client Need: Psychosocial Integrity C) Neurobiological theory offers the belief that all functions of the mind reflect functions of the brain and includes the principle that counseling and therapy can create long-term changes through learning which in turn creates changes in neuronal functioning. Selfdiscovery of unconscious personality components, completion of developmental tasks, and reinforcement of desirable thoughts, feelings, and behaviors describe earlier prebiological models of mental disorders rather than principles associated with neurobiological theory. Cognitive Level: Analysis Nursing Process: Planning Client Need: Psychosocial Integrity D) Neurobiological theory offers the belief that all functions of the mind reflect functions of thehttp://getbooksolutions.combrain and includes the principle that counseling and therapy can create long-term changes through learning which in turn creates changes in neuronal functioning. Selfdiscovery of unconscious personality components, completion of developmental tasks, and reinforcement of desirable thoughts, feelings, and behaviors describe earlier prebiological models of mental disorders rather than principles associated with neurobiological theory. Cognitive Level: Analysis Nursing Process: Planning Client Need: Psychosocial Integrity 6 7) The psychiatric-mental health nurse is admitting a new client to the psychiatric unit. Given the contemporary neurobiological perspective of mental disorders, the nurse’s priority assessment is: A) A family history of mental illness. B) The content and frequency of recent dreams. C) The degree of satisfaction with interpersonal relationships. D) A description of self-esteem. Answer: A Explanation: A) Neurobiological research theorizes a genetic susceptibility and a familial genetic anticipation;http://getbooksolutions.comtherefore, a family history of mental illness becomes priority information in a nursing assessment. While self-esteem, interpersonal relationships, and perhaps dreams will be assessed at some point, these concepts are derived from earlier prebiological theories and are not the priority in this situation. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity B) Neurobiological research theorizes a genetic susceptibility and a familial genetic anticipation; therefore, a family history of mental illness becomes priority information in a nursing assessment. While self-esteem, interpersonal relationships, and perhaps dreams will be assessed at some point, these concepts are derived from earlier prebiological theories and are not the priority in this situation. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity C) Neurobiological research theorizes a genetic susceptibility and a familial genetic anticipation;http://getbooksolutions.comtherefore, a family history of mental illness becomes priority information in a nursing assessment. While self-esteem, interpersonal relationships, and perhaps dreams will be assessed at some point, these concepts are derived from earlier prebiological theories and are not the priority in this situation. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity D) Neurobiological research theorizes a genetic susceptibility and a familial genetic anticipation; therefore, a family history of mental illness becomes priority information in
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