Chapter 1: Mental Health and Mental Disorders
Multiple Choice
- 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? Epidemiology:
A. Helps promote understanding of the patterns of occurrence associated with mental disorders.
B. Helps explain research findings about the neurophysiology that causes mental disorders.
C. Provides a thorough theoretical explanation of why specific mental disorders occur.
D. Predicts when a specific psychiatric client will recover from a specific mental disorder.
Ans:A
Chapter: 1
Client Needs: Safe,
Effective Cognitive
Level: Apply
Integrated Process: Teaching/Learning Objective: 4
Page Number: 2
Feedback: Epidemiology is the study of patterns of disease distribution and determinants of health
within populations. It contributes to the overall understanding of the mental health status of
populationgroups, or aggregates, and it examines the associations among possible factors.
Epidemiology does notexplain research findings about neurophysiology, provide theoretical
explanations for why specific disorders occur, or predict recovery. - 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 of the following
would bemost important for the nurse to address?
A. Public stigma
B. Self-stigma
C. Label avoidance
D. Negative life events
Ans: C
Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Understand
Integrated Process: Nursing Process Objective: 5
Page Number: 4
Feedback: Although public stigma and self-stigma may be areas needing to be addressed, in this
cultural group, label avoidance would be most important. Label avoidance or avoiding treatment/care so
asnot to be labeled mentally ill is a type of stigma that influences why so few people with mental health
problems actually receive assistance. Asian cultures commonly have negative views of mental illness
that influence the willingness of members to seek treatment; they possibly ignore the symptoms or
refuse to seek treatment because of this stigma. Negative life events affect anyone, not just those of the
Asian culture. - A nursing student is assigned to care for a client diagnosed with schizophrenia. When talking aboutthis
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
Ans:D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Objective: 5
Page Number: 4
Feedback: Just as a person with diabetes should not be referred to as a <diabetic= but rather as a
<person with diabetes, = a person with a mental disorder should never be referred to as a
<schizophrenic=or <bipolar, = but rather as a <person with schizophrenia= or a <person with bipolar
disorder.= Doing so helps to counteract the negative effects of stigma. - A nursing student is reviewing journal articles about major depression. One of the articles describes
the number of persons newly diagnosed with the disorder during the past year. The student interprets
this as which of the following?
A) Rate
B) Prevalence
C) Point prevalence
D) Incidence
Ans: D Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Integrated Process: Nursing Process Objective: 4
Page Number: 3
Feedback: The article is describing incidence, which refers to a rate that includes only new cases that
have occurred within a clearly defined time period. The most common time period evaluated is 1 year.
Rate reflects the proportion of cases in the population compared with the total population. Prevalence
refers to the total number of people with the disorder within a given population at a specified time,
regardless of how long ago the disorder started. Point prevalence refers to the proportion of individuals in
the population that have a disorder at a specific point in time. - While working in a community mental health treatment center, the 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
Ans: B Chapter: 1
Client Needs: Psychosocial Integrity Cognitive Level: Apply
Integrated Process: Nursing Process Objective: 5
Page Number: 4
Feedback: The receptionist’s negative effects of stigmatization, more specifically public stigma. Selfstigma reflects a person’s internalization of a negative stereotype; that is, the person with the mental illness
begins to believe that he or she is what the public thinks he or she is. Label avoidance refers to avoiding
treatment or care so as not to be labeled mentally ill. Lack of knowledge is often the underlying theme
associated with any type of stigma. - After educating a group of students on mental health and mental illness, the instructor determines
that the education was successful when the group identifies which of the following 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
Ans: C
Chapter: 1
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