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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.
Correct Answer: A
Rationale: Epidemiology studies the distribution and determinants of mental disorders in populations, helping to identify patterns of occurrence, risk factors, and prevalence to inform public health strategies.
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While working in a community mental health treatment center, the nurse overhears one of the receptionists saying that one of the patients 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
Correct Answer: B
Rationale: The receptionist?s use of 'psycho' reflects public stigma, a negative stereotype about mental illness. The nurse?s action aims to address this stigma by promoting respectful language and attitudes.
A nurse is working in a community mental health center that provides care to a large population of Asian descent. When developing programs for this community, which of the following would be most important for the nurse to address?
- A. Public stigma
- B. Self-stigma
- C. Label avoidance
- D. Negative life events
Correct Answer: B
Rationale: Self-stigma, where individuals internalize negative stereotypes about mental illness, is particularly significant in Asian communities due to cultural emphasis on collectivism and fear of shame, making it a critical focus for culturally sensitive mental health programs.
A patient?s global assessment functioning reveals that he has minimal symptoms with good functioning in all areas. Which score would the nurse correlate with these findings?
- A. 94
- B. 82
- C. 75
- D. 63
Correct Answer: A
Rationale: The Global Assessment of Functioning (GAF) score of 91-100 indicates minimal or no symptoms with good functioning in all areas. A score of 94 aligns with this description, reflecting superior functioning.
A psychiatric-mental health nurse is preparing a presentation about recovery for a group of newly hired nurses for the mental health facility. Which of the following would the nurse identify as one of the most important concepts?
- A. Self-direction
- B. Peer support
- C. Respect
- D. Hope
Correct Answer: D
Rationale: Hope is a foundational concept in the recovery model, as it inspires individuals to believe in their potential for recovery and motivates engagement in treatment and personal growth.
A nursing instructor is describing the DSM-IV-TR to a group of nursing students. Which of the following would the instructor include as the primary purpose of this classification?
- A. Provide a commonly understood diagnostic category for clinical practice.
- B. Describe treatment modalities for psychiatric disorders and mental illnesses.
- C. Identify various etiologies for mental disorders based on family histories.
- D. Provide optimal outcomes for treatment for individuals with mental illnesses.
Correct Answer: A
Rationale: The primary purpose of the DSM-IV-TR is to provide a standardized, commonly understood diagnostic framework for mental disorders to ensure consistency in clinical practice, research, and communication among healthcare professionals.