(Test Bank) Essentials of Psychiatric Mental Health Nursing

Varcarolis, 4

Nursing

Test Bank

4th Edition

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Test Bank for Essentials of Psychiatric Mental Health Nursing, The downloadable file consists of 409 pages, and the total size of the file is 5.5 MB. Purchase now only for highly discounted price.

Author(s): Varcarolis

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Test Bank for Essentials of Psychiatric Mental Health Nursing 4th Edition by Varcarolis-updated-2022-2023 Chapter 01: Science and the Therapeutic Use of Self in Psychiatric Mental Health Nursing Varcarolis: Essentials of Psychiatric Mental Health Nursabiinrbg.c:omA/teCst ommunication Approach to Evidence-Based Care, 4th Edition MULTIPLE CHOICE verified test bank 1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community and diagnosed with serious and peabrisrbis.ctoenm/ttemst ental illness? Within 3 months, the patient will demonstrate what behavior? a. Denying suicidal ideation b. Reporting a sense of well-being c. Taking medications as prescribed d. Attending clinic appointments on time ANS: B verified test bank verified test bank Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role performance. The goal of recovery is to empower the individual with mental illness to achieve a sense of meaning and satisfaction in life and to function at the highest possible level of wellness. The incorrect options focus on the classic medabicirba.lcommo/tedset l rather than recovery. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Outcomes Identification MSC: NCLEX: Health Promotion and Maintenance verified test bank 2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse‘s most caring comment. verified test bank a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.ǁ b. ―I understand why you‘re so depressed. When I got divorced, I was devastated too.ǁ c. ―You should forget about your marriage and move on awbiirtbh.coymo/uterstlife.ǁ d. ―How did you get so depressed that hospitalization was necessary?ǁ verified test bank ANS: A The nurse‘s communication should evidence caring and a acboirmb.cmomit/tmeset nt to work with the patient. This commitment lets the patient know the nurse will help. Probing and advice are not helpful for therapeutic interventions. DIF: Cognitive Level: Application (Applying) verified test bank TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 3. In the shift-change report, an off-going nurse criticizes a paabtiireb.ncotmw/tehsot wears extremely heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy? a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.ǁ b. ―Let‘s all show acceptance of this patient by wearing laobtisrbo.cfomm/teaskt eup too.ǁ c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.ǁ d. ―Our patients need our help to learn behaviors that will help them get along in society.ǁ ANS: D WWW.NURSYLAB.COM verified test bank verified test bank WWW.THENURSINGMASTERY.COM WWW.THENURSINGMASTERY.COM verified test bank abirb.com/te Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute to their well-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs to take action to ensure that others are not preajubidrbi.cceodm /taegstainst the patient. Humor can be appropriate within the privacy of a shift report but not at the expense of respect for patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion for each other. DIF: Cognitive Level: Application (Applying) verified test bank TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment verified test bank 4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which statement is an example of ―attendingǁ? a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the world.ǁ verified test bank b. ―Tell me why you felt you had to be hospitalized to receive treatment for your depression.ǁ c. ―You will feel better after we get some antidepressant ambirebd.ciocam/ttieostn started for you.ǁ d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with me.ǁ ANS: D verified test bank Attending is a technique that demonstrates the nurse‘s commitment to the relationship and reduces feelings of isolation. This technique shows respect for the patient and demonstrates caring. Generalizations, probing, and false reassurances are nontherapeutic. verified test bank DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity 5. A patient shows the nurse an article from the Internet abouatbiarb.hcoeam l/ttehstproblem. Which characteristic of the website‘s address most alerts the nurse that the site may have biased and prejudiced information? a. Address ends in ―.org.ǁ b. Address ends in ―.com.ǁ c. Address ends in ―.gov.ǁ d. Address ends in ―.net.ǁ ANS: B verified test bank verified test bank Financial influences on a site are a clue that the information may be biased. ―.comǁ at the end of the address indicates that the site is a commercial one. ―.govǁ indicates that the site is verified test bank maintained by a government entity. ―.orgǁ indicates that the si teis n onproprietary; the site may or may not have reliable information, but it does not profit from its activities. ―.netǁ can have multiple meanings. verified test bank DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 6. A nurse says, ―When I was in school, I learned to call upseatbirpba.ctoiem n/ttesst by name to get their attention; however, I read a descriptive research study that says that this approach does not work. I plan to stop calling patients by name.ǁ Which statement is the best appraisal of this nurse‘s comment? verified test bank a. One descriptive research study rarely provides enough evidence to change practice. WWW.THENURSINGMASTERY.COM verified test bank abirb.com/te abirb.com /test b. Staff nurses apply new research findings only with the help from clinical nurse specialists. c. New research findings should be incorporated into clinaibcirabl.caomlg/toesrtithms before using them in practice. d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change. ANS: A verified test bank Descriptive research findings provide evidence for practice but must be viewed in relation to other studies before practice changes. One study is not enough. Descriptive studies are low on the hierarchy of evidence. Clinical algorithms use flowchart s t om an age problems and do not specify one response to a clinical problem. Classic tenets of practice should change as research findings provide evidence for change. verified test bank DIF: Cognitive Level: Analysis (Analyzing) TOP: Nursing Process: Evaluation MSC: NCLEX: Health Promotion and Maintenance 7. Two nursing students discuss career plans after graduationa.bOirbn.ceoms/tteusdt ent wants to enter psychiatric nursing. The other student asks, ―Why would you want to be a psychiatric nurse? All they do is talk. You will lose your skills.ǁ Select the best response by the student interested in psychiatric nursing. verified test bank a. ―Psychiatric nurses‘ practice in safer environments than other specialties and nurse-to-patient ratios are better because of the nature of patients‘ problems.ǁ b. ―Psychiatric nurses use complex communication skills, as well as critical thinking, to solve multidimensional problems. I‘m challenged byabtirhbo.csoem/steisttuations.ǁ c. ―I think I will be good in the mental health field. I do not like clinical rotations in school, so I do not want to continue them after I graduate.ǁ d. ―Psychiatric nurses do not have to deal with as much paabiirnb.caonmd/tessutffering asmedical-surgical nurses. That appeals to me.ǁ ANS: B The practice of psychiatric nursing requires a different setaobfirbs.ckoilml/stestht an medical-surgical nursing, although substantial overlap does exist. Psychiatric nurses must be able to help patients with medical and mental health problems, reflecting the holistic perspective these nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased, similar to other specialties. Psychiatric nursing involves claibniribc.acolmp/treasct tice, not simply documentation. Psychosocial pain is real and can cause as much suffering as physical pain. DIF: Cognitive Level: Application (Applying) verified test bank TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 8. Which research evidence would most influence a group of nurses to change their practice? a. Expert committee report of recommendations for practaibcireb.com/test b. Systematic review of randomized controlled trials c. Nonexperimental descriptive study d. Critical pathway ANS: B verified test bank verified test bank WWW.THENURSINGMASTERY.COM verified test bank abirb.com/te Research findings are graded using a hierarchy of evidence. A systematic review of randomized controlled trials is level A and provides the strongest evidence for changing practice. Expert committee recommendations and descriptaibvierb.sctoumd/tieesst lend less powerful and influential evidence. A critical pathway is not evidence; it incorporates research findings after they have been analyzed. DIF: Cognitive Level: Comprehension (Understanding) MSC: NCLEX: Safe, Effective Care Environment abirbT.cOomP/:tesNt ursing Process: Planning 9. A bill introduced in Congress would reduce funding for thaebicrba.croemo/tfespt eople diagnosed with mental illnesses. A group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled? a. Advocacy b. Attending c. Recovery d. Evidence-based practice ANS: A verified test bank verified test bank An advocate defends or asserts another‘s cause, particularly when the other person lacks the ability to do that for him or herself. Examples of individual advocacy include helping patients understand their rights or make decisions. On a communitaybisrcb.acolem,/taesdtvocacy includes political activity, public speaking, and publication in the interest of improving the individuals with mental illness; the letter-writing campaign advocates for that cause on behalf of patients who are unable to articulate their own needs. DIF: Cognitive Level: Comprehension (Understanding) verified test bank TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment 10. An informal group of patients discuss their perceptions ofanbuirbr.scionmg/tecsat re. Which comment best indicates a patient‘s perception that his or her nurse is caring? a. ―My nurse always asks me which type of juice I want to help me swallow my medication.ǁ verified test bank b. ―My nurse explained my treatment plan to me and asked for my ideas about how to make it better.ǁ c. ―My nurse told me that if I take all the medicines the doctor prescribes, I will get discharged soon.ǁ verified test bank d. ―My nurse spends time listening to me talk about my problems. That helps me feel like I‘m not alone.ǁ ANS: D verified test bank Caring evidences empathic understanding as well as competency. It helps change pain and suffering into a shared experience, creating a human connection that alleviates feelings of isolation. The incorrect options give examples of statemenatbsirbth.caotmd/teesmt onstrate advocacy or giving advice. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Evaluation MSC: NCLEX: Psychosocial Integrity verified test bank verified test bank WWW.THENURSINGMASTERY.COM verified test bank abirb.com/te 11. A patient who immigrated to the United States from Honduras was diagnosed with schizophrenia. The patient took an antipsychotic medication for 3 weeks but showed no improvement. Which resource should the treatment team caobinrbs.ucoltm /fteosrt information on more effective medications for this patient? a. Clinical algorithm b. Clinical pathway c. Clinical practice guideline verified test bank d. International Statistical Classification of Diseases and Related Health Problems (ICD) ANS: A verified test bank A clinical algorithm is a guideline that describes diagnostic and/or treatment approaches drawn from large databases of information. These guidelines help the treatment team make decisions cognizant of an individual patient‘s needs, such aabsireb.tchonmi/tcesot rigin, age, or gender. A clinical pathway is a map of interventions and treatments related to a specific disorder. Clinical practice guidelines summarize best practices about specific health problems. The ICD classifies diseases. verified test bank DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Evaluation MSC: NCLEX: Safe, Effective Care Environment verified test bank 12. A team of nurses wants to integrate evidence-based practice into a facility‘s clinical pathways. Which step should the team implement first? a. Acquire findings from published literature. b. Apply the research findings to clinical practice. c. Assess the outcomes of using new research findings. verified test bank d. Ask questions to identify clinical problems that should be changed. ANS: D verified test bank Integrating evidence-based practice is a multistep process rather than a single change event. The first step is to identify clinical problems that should be changed. Each step must proceed in order when integrated into a clinical environment. verified test bank DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Planning MSC: NCLEX: Safe, Effective Care Environment verified test bank 13. A nurse consistently strives to demonstrate caring behaviors during interactions with patients. Which reaction reported by a patient indicates this nurse is most effective? a. Feeling less distrustful of others b. Sensing a connection with others verified test bank c. Experiencing only minimal uneasiness about the future d. Being somewhat encouraged with efforts to improve ANS: B verified test bank A patient is likely to respond most to caring with a sense of connectedness with others. The absence of caring can make patients feel some degree of distrustful, disconnection, unease, and discouragement. verified test bank DIF: Cognitive Level: Comprehension (Understanding) TOP: Nursing Process: Evaluation MSC: NCLEX: Psychosocial Integrity verified test bank WWW.THENURSINGMASTERY.COM verified test bank abirb.com/te MULTIPLE RESPONSE 1. An experienced nurse says to a new graduate, ―When you‘avbierbp.croamc/tteiscted as long as I have, you will instantly know how to take care of psychotic patients.ǁ What is the new graduate‘s best analysis of this comment? (Select all that apply.) a. The experienced nurse may have lost sight of patients‘ individuality, which may compromise the integrity of practice. verified test bank b. New research findings must be continually integrated into a nurse‘s practice to provide the most effective care. c. Experience provides mental health nurses with the tooalsbirabn.cdoms/kteisltls needed foreffective professional practice. d. Experienced psychiatric nurses have learned the best ways to care for psychotic patients through trial and error. e. Effective psychiatric nurses should be continually guidaebidrb.bcoyma/tnesitntuitive sense of patients‘ needs. ANS: A, B Evidence-based practice involves using research findings taobirpb.rcoovmi/dteestthe most effective nursing care. Evidence is continually emerging; therefore, nurses cannot rely solely on experience. The effective nurse also maintains respect for each patient as an individual. Overgeneralization compromises that perspective. Intuitioanbiarbn.cdomtr/tieaslt and error are unsystematic approaches to care. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Evaluation MSC: NCLEX: Safe, Effective Care Environment verified test bank 2. Which patient statements identify qualities of nursing practice with high therapeutic value? ―My nurse: (Select all that apply.) a. ―The nurses talk in language I can understand.ǁ verified test bank b. ―The nursing staff helps me keep track of my medications.ǁ c. ―My nurse is willing to go to social activities with me.ǁ d. ―The staff lets me do whatever I choose without interfeabriirnb.gco.ǁm/test e. ―My nurses look at me as a whole person with different needs.ǁ ANS: A, B, E Each correct answer demonstrates caring is an example ofaabpirbp.croopm/rteisatte nursing foci: communicating at a level understandable to the patient, using holistic principles to guide care, and providing medication supervision. The incorrect options suggest a laissez-faire attitude on the part of the nurse when the nurse should instead provideabtirhbo.cuomg/htetsftul feedback and help patients test alternative solutions or violate boundaries. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Implementation MSC: NCLEX: Psaybcirhb.ocsoomc/tieaslt Integrity verified test bank verified test bank NURSING N/AEssentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Nursing Test Bank Chapter 02: Mental Health and Mental Illness Varcarolis: Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4th Edition MULTIPLE CHOICE verified test bank verified test bank 1. An 86 year old, previously healthy and independent, falls after an episode of vertigo. Which statement made by this patient best demonstrates resilience? a. ―I knew this would happen eventually.ǁ verified test bank b. ―Attending my weekly water aerobics class is too risky.ǁ c. ―I don‘t need that silly walker to get around by myself.ǁ d. ―Maybe some physical therapy will help me with my balance.ǁ verified test bank ANS: D Resiliency is the ability to recover from or adjust to misfortune and change. The correct response indicates that the patient is hopeful and thinking apboirsbi.ctoivme/tleyst about ways to adapt to the vertigo. Saying ―I knew this would happen eventuallyǁ and discontinuing healthy activities suggest a hopeless perspective on the health change. Refusing to use a walker indicates denial. DIF: Cognitive Level: Analysis (Analyzing) verified test bank TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 2. Which basic intervention should a psychiatric mental healathbirnb.ucrosme/tepsltan to provide for a patient diagnosed with a mood disorder? a. Sharing clinical expertise to enhance patient treatment b. Performing individual or group psychotherapy for the apbairtbi.econtm/test c. Using appropriate diagnostic tests to monitor patient condition d. Conducting stress reduction and health maintenance classes ANS: D verified test bank Conducting stress reduction and health maintenance classes is the basic intervention that should be performed by a psychiatric mental health nurse. These classes will provide individualized guidance to patients to prevent or reduce mental illness and improve mental health. Community screenings and stress management clasasbeirbs.caorme/teesxtamples of health maintenance classes. Consulting nurses from other disciplines to share clinical expertise and enhance patient treatment is an advanced practice psychiatric mental health nursing intervention. Performing individual and group psychotheraabpiryb.aconmd/tepsetrforming diagnostic tests like blood pressure, etc., are also advanced practice psychiatric mental health nursing interventions. DIF: Cognitive Level: Application (Applying) MSC: NCLEX: Psychosocial Integrity abirbT.cOomP/:tesNt ursing Process: Planning 3. A patient is admitted to the psychiatric hospital. Which asasebisrbs.mcoemn/ttesftinding best indicates that the patient has a mental illness? The patient: 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 aabbiirlbi.tcioems./test d. reports occasional problems with insomnia. NURSING N/AEssentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Nursing Test Bank WWW.NURSYLAB.COM verified test bank NURSING N/AEssentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Nursing Test Bank verified test bank WWW.THENURSINGMASTERY.COM NURSING N/AEssentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Nursing Test Bank WWW.THENURSINGMASTERY.COM verified test bank abirb.com/te WWW.NURSYLAB.COM ANS: B A patient who reports having a consistently negative mood is describing a mood alteration that affects the ability to function optimistically. The incorarbeircbt.coopm /ttieostns describe mentally healthy behaviors and common problems that do not indicate mental illness. DIF: Cognitive Level: Application (Applying) verified test bank TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 4. The goal for a patient is to increase resiliency. Which outcome should a nurse add to the plan of care to be achieved within 3 days? verified test bank a. Patient describes feelings associated with loss and stress. b. Patient meet own needs before considering the rights of others. c. Patient will identify healthy coping behaviors in responabsireb.tcooms/ttreestssful events. d. Patient will allow others to assume responsibility for major areas of own life. ANS: C The patient‘s ability to identify healthy coping behaviors ianbdiribc.caotme/steastdaptive, 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 (Analyzing) TOP: Nursing Process: Outcomes Identification MSC: NCLEX: Psychosocial Integrity verified test bank verified test bank 5. A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient‘s insurance form. Which resource should the nurse consult to discern the criteria used to establish this diagnosis? a. A psychiatric nursing textbook b. NANDA International (NANDA-I) c. A behavioral health reference manual verified test bank d. Diagnostic and Statistical Manual of Mental Disordersab(irDb.cSoMm/-te5s)t ANS: D The DSM-5 gives the criteria used to diagnose each mental disorder. The NANDA-I focuses on nursing diagnoses. A psychiatric nursing textbook or behaavbiiorbr.caolmh/teeastlth reference manual may not contain diagnostic criteria. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Analysis | Nursing Process: Diagnosis MSC: NCLEX: Safe, Effective Care Environment verified test bank 6. A nurse must assess several new patients at a community mabeirbn.tcaomlh/teesat lth center. Conclusions concerning current functioning should be made on the basis of what factor? a. The degree of conformity of the individual to society‘s norms. b. The degree to which an individual appears logical and rational. c. A continuum from mentally healthy to mentally unheaalbthirby.c.om/test d. The rate of their intellectual and emotional growth. ANS: C verified test bank NURSING N/AEssentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Nursing Test Bank WWW.THENURSINGMASTERY.COM verified test bank abirb.com/te WWW.NURSYLAB.COM Because mental health and mental illness are relative concepts, assessment of functioning is made by using a continuum. Mental health is not based on conformity; some mentally healthy individuals do not conform to society‘s norms. Most indivaibdiruba.closmo/tcesctasionally display illogical or irrational thinking. The rate of intellectual and emotional growth is not the most useful criterion to assess mental health or mental illness. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Diagnosis | Nursing Process: Analysis MSC: NCLEX: Psychosocial Integrity verified test bank verified test bank 7. A 40-year-old adult living with parents‘ states, ―I‘m happy but I don‘t socialize much. My work is routine. When new things come up, my boss explains them a few times to make sure I understand. At home, my parents make decisions for me, and I go along with them.ǁ A nurse should identify interventions to improve which patient chaarbaircbt.ceormis/tteisct? a. Self-concept b. Overall happiness c. Appraisal of reality d. Control over behavior ANS: A verified test bank The patient feels the need for multiple explanations of newabtirabs.ckosma/tetswt ork and, despite being 40 years of age, allows both parents to make all decisions. These behaviors indicate a poorly developed self-concept. Although the patient reports being happy, the subsequent comments refute that self-appraisal. The patient‘s comments do not indicate that he/she is out of touch with reality. The patient‘s needs are broader than control oavbierbr.coowm/ntesbtehavior. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity verified test bank 8. A patient tells a nurse, ―I have psychiatric problems and am in and out of hospitals all the time. Not one of my friends or relatives has these problems.ǁ What is the nurse‘s best response? verified test bank a. ―Comparing yourself with others has no real advantages.ǁ b. ―Why do you blame yourself for having a psychiatric illness?ǁ c. ―Mental illness affects 50% of the adult population in any given year.ǁ d. ―Are you are concerned that others don‘t experience thaebirsba.cmoem/tceshtallenges as you.ǁ ANS: D Mental illness affects many people at various times in their lives. No class, culture, or creed is immune to the challenges of mental illness. The correct reasbpirobn.csoem/atelssto demonstrates the use of reflection, a therapeutic communication technique. It is not true that mental illness affects 50% of the population in any given year. Asking patients if they blame themselves is an example of probing. verified test bank DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity verified test bank 9. A critical care nurse asks a psychiatric nurse about the difference between a diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and a nursing diagnosis. What is the psychiatric nurse‘s best response? verified test bank a. ―No functional difference exists between the two diagnoses. Both serve to identify NURSING N/AEssentials of Psychiatric Mental Health Nursing 4th Edition Varcarolis Nursing Test Bank WWW.THENURSINGMASTERY.COM verified test bank abirb.com/te WWW.NURSYLAB.COM abirb.com /test a human deviance.ǁ b. ―The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes cultural variables.ǁ verified test bank c. ―The DSM-5 diagnosis profiles present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems.ǁ d. ―The DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for probleambisrba.copma/tteisetnt has or may experience.ǁ ANS: D The medical diagnosis, defined according to the DSM-5, is c oncer ne d with the patient‘s disease state, causes, and cures, whereas the nursing diagnosis focuses on the patient‘s response to stress and possible caring interventions. Both the DSM-5 and a nursing diagnosis consider culture. Nursing diagnoses also consider potentiaalbpirrbo.cbolme/tmesst . DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment verified test bank 10. The partner of a patient diagnosed with schizophrenia says, ―I don‘t understand why childhood experiences have anything to do with this disabling illness.ǁ Which nurse‘s response will best help the partner understand this conditioanbi?rb.com/test a. ―Psychological stress is actually at the root of most mental disorders.ǁ b. ―We now know that all mental illnesses are the result of genetic factors.ǁ c. ―It must be frustrating for you that your spouse is sick so much of the time.ǁ d. ―Research has shown schizophrenia has a biological raatbhirebr.cothma/tnestpsychological origin.ǁ ANS: D Many of the most prevalent and disabling mental disordersabhirba.vcoemb/teesetn found to have strong biological influences. Helping the partner understand the importance of his or her role as a caregiver is also important. Empathy is important but does not increase the spouse‘s level of knowledge about the cause of the patient‘s condition. Not aablilrbm.coemn/tteaslt illnesses are the result of genetic factors. Psychological stress is not at the root of most mental disorders. DIF: Cognitive Level: Application (Applying) TOP: Nursing Process: Implementation MSC: NCLEX: Heabailrtbh.coPmro/tmesot tion and Maintenance 11. Which belief by a nurse supports the highest degree of patient advocacy during a multidisciplinary patient care planning session? a. All mental illnesses are culturally determined. verified test bank b. Schizophrenia and bipolar disorder are cross-cultural disorders. c. Symptoms of mental disorders are constant from culture to culture. d. Some symptoms of mental disorders may reflect a persaobinrb‘.scocmu/tletsut ral patterns. ANS: D A nurse who understands that a patient‘s symptoms are influenced by culture will be able to advocate for the patient to a greater degree than a nurse whaboirbb.ceolime/tveests that culture is of little relevance. All mental illnesses are not culturally determined. Schizophrenia and bipolar disorder are cross-cultural disorders, but this understanding has little relevance to patient advocacy. Symptoms of mental disorders change from culatubirrbe.ctoom/cteusltture.