Chapter 02: Mental Health and Mental Disorders: Fighting Stigma and Promoting Recovery

Format: Multiple Choice

Client Needs: Safe, Effective Care Environment: Management of Care

Cognitive Level: Understand

Integrated Process: Nursing Process

Objective: 4

Page and Header: 18, Summary of Key points

1. As part of a class activity, nursing students are engaged in a small-group discussion about the epidemiology of mental illness. Which statement best explains the importance of epidemiology in understanding the impact of mental disorders?

A) Epidemiology helps promote understanding of the patterns of occurrence associated with mental disorders.

B) Epidemiology helps explain research findings about the neurophysiology that causes mental disorders.

C) Epidemiology provides a thorough theoretical explanation of why specific mental disorders occur.

D) Epidemiology predicts when a specific psychiatric client will recover from a specific mental disorder.

Page and Header: 16, Label Avoidance

2. A nurse is working in a community mental health center that provides care to a large population of people of Asian descent. When developing programs for this community, which would be most important topic for the nurse to address?

A) public stigma

B) self-stigma

C) label avoidance

D) negative life events

Page and Header: 15, Stigma

3. A nursing student is assigned to care for a client diagnosed with schizophrenia. When talking about this client in a clinical post-conference, the student would use which terminology when referring to the client?

A) Committed client

B) Schizophrenic

C) Schizophrenic client

D) Person with schizophrenia

Page and Header: 18, Summary of Key Points

4. A nurse is reviewing journal articles that discuss the occurrence of major depression. One of the articles describes the number of persons newly diagnosed with the disorder during the past year. The nurse interprets this as which type of data?

A) rate

B) prevalence

C) point prevalence

D) incidence

Page and Header: 16, Public Stigma

5. While working in a community mental health treatment center, a nurse overhears one of the receptionists saying that one of the clients is “really psycho.” Later in the day, the nurse talks with the receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue?

A) lack of knowledge

B) public stigma

C) label avoidance

D) self-stigma

Page and Header: 18, Summary of Key Points

6. After educating a group of students on mental health and mental illness, the instructor determines that the education was successful when the group identifies what as reflecting mental disorders?

A) capacity to interact with others

B) ability to deal with ordinary stress

C) alteration in mood or thinking

D) lack of impaired functioning

Page and Header: 14, Overview of Mental Health Disorders

7. A nurse is preparing a presentation for a local community group about mental disorders and plans to include how mental disorders are different from medical disorders. Which statement would be most appropriate for the nurse to include?

A) “Mental disorders are defined by an underlying biological pathology.”

B) “Numerous laboratory tests are used to aid in the diagnosis of mental disorders.”

C) “Clusters of behaviors, thoughts, and feelings characterize mental disorders.”

D) “Manifestations of mental disorders are within normal, expected parameters.”

Page and Header: 18, Summary of Key Points

8. A nurse is explaining recovery to the family of a client diagnosed with a mental disorder. Which statement about this process would be most appropriate for the nurse to include?

A) “It is a step-by-step process from being ill to being well.”

B) “The client focuses mainly on the emotional aspects of his condition.”

C) “The client is helped to live a meaningful life to the fullest potential.”

D) “Although peer support is important, the self-acceptance is essential.”

Page and Header: 17, Box 2.4 Guiding Principles of Recovery

9. A psychiatric–mental health nurse is preparing a presentation about recovery for a group of newly hired nurses at a mental health facility. Which concept would the nurse identify as crucial to recovery?

A) self-direction

B) peer support

C) respect

D) hope

Page and Header: 18, Summary of Key Points

10. After teaching a group of nursing students about recovery, the instructor determines that more education is needed when the group identifies what as a characteristic?

A) self-direction in life

B) improvement in health and wellness

C) achievement of full potential

D) one-time change situation

Page and Header: 16, Recovery from Mental Illness

11. The nurse is describing the treatment of mental illness with a client’s family members. What would a nurse identify as the primary goal?

A) functional status

B) stigma reduction

C) stress reduction

D) recovery

Page and Header: 17, Box 2.4 Guiding Principles of Recovery

12. A nurse is working as part of a multidisciplinary team and developing a plan of care for a client who is receiving recovery-oriented treatment. Which would the nurse integrate into this plan?

A) Focusing primarily on the mind

B) Limiting support from others

C) Using hope as motivation

D) Avoiding underlying trauma

Page and Header: 16, Mental Health and Wellness

13. A nurse is assessing a client to evaluate the client’s mental health and wellness. Applying the eight dimensions of wellness, which would the nurse identify as reflecting emotional wellness?

A) Finding ways to expand creative abilities

B) Recognizing the need for sleep and nutrition

C) Searching for meaning in life

D) Developing skills for dealing with stress

Page and Header: 15, Stigma

14. Which would be a major barrier affecting the treatment of individuals diagnosed with mental health problems?

A) lack of diagnostic criteria

B) inability to obtain epidemiologic data

C) stigma associated with mental health problems

D) limited hope for recovery

Page and Header: 16, Label Avoidance

15. The nurse understands the need to use appropriate language to help address public stigma surrounding mental health issues. Which statement best reflects this understanding?

A) “The client diagnosed with schizophrenia needs additional assistance.”

B) “The bipolar in room 222 is really out of control today.”

C) “That client down the hall is a raving maniac.”

D) “That hyperactive client is acting like a psycho.”

Page and Header: 18, Summary of Key Points

16. Which The nurse is documenting a specific pattern of symptoms that occurs within a community. What term will the nurse use?

A) stigma

B) wellness

C) stereotype

D) cultural syndrome

Page and Header: 16, Label Avoidance

17. The nurse is interviewing a client diagnosed with a mental illness. The nurse determines that the client is experiencing label avoidance when the client makes what statement?

A) “I’m at the cause of my illness.”

B) “I’ll never be able to function in the world.”

C) “I’m as crazy as everybody thinks I am.”

D) “I really don’t need professional help.”

Page and Header: 17, Recovery-Oriented Care and Trauma-Informed Care

18. A nurse is describing the four dimensions of recovery to a group of new psychiatric–mental health nurses. Which dimension is the nurse describing when addressing relationships and social networks?

A) health

B) home

C) purpose

D) community