NCLEX-RN STUDY QUESTIONS AND ANSWERS FOR PSYCH 2022

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NCLEX-RN STUDY QUESTIONS AND ANSWERS FOR PSYCH 2022 Which of the following is a defining characteristic of a mental disorder? 1. A psychological group of symptoms associated with disability 2. A ps ... ychological group of symptoms associated with distress 3. A response that is other than that expected and culturally accepted to an event 4. A psychological group of symptoms associated with suffering, pain, loss of freedom, or death - ANS-3. Rationale: This characteristic distinguishes mental disorders from other disorders that nurses may encounter "Deviant behavior" itself does not define mental disorders, unless the deviance or conflict is symptomatic of the individual's dysfunction. "Deviant" behavior is defined by which of the following? Select all that apply. 1. historical and social norms 2. Situational context 3. Peer relationships 4. Understanding of human behavior 5. Political norms - ANS-1. Rationale: Today, the "ship of fools" would be described as mass murder 2. Rationale: The man on the street corner who calls himself Napoleon is deviant, yet the man at the masquerade who calls himself Napoleon is ordinary. 4. Rationale: Homosexuality was voted out of the DSM-III in 1973 5. Rationale: Soviet dissidents were diagnosed and institutionalized for deviant behavior labeled as mental illness ("Delusions of Societal Reform") One of the obstacles in describing mental disorders is that the phrase "deviant behavior": 1. Has a pejorative connotation 2. Derives its meaning from the culture 3. Is used colloquially 4. Is value-free - ANS-1. Rationale: It is challenging to describe behavior that deviates from the norm with nonjudgemental , value-neutral language In the early 19th century, individuals with mental disorders were believed to be: 1. Controlled by evil spirits 2. Influenced by the moon 3. Incurable and dangerous 4. Divinely inspired - ANS-3. Rationale: In the early 19th century the emphasis was on classification of symptoms of mental disorders. The mentally ill were seen as dangerous and incurable Mental disorders were conceptualized as disordered neurology under the purview of medicine by: 1. Freud 2. Pinel 3. Hippocrates 4. Rush - ANS-4. Rationale: Rush, the father of American psychiatry, viwed mental illness as a neurophysiological disorder. The nurse is assessing the client for a possible mental disorder using contemporary beliefs about mental illness as a theoretical base for practice. Given this approach, the nurse would definitely as about: 1. Current medications and recent stressors 2. Early childhood experiences and dreams 3. Religious practices 4. Recent blood transfusions - ANS-1. Rationale: Asking about current medications will elicit information about any current psychotropic drugs that treat mental illness from a biochemical perspective. Asking about recent stressors will elicit information from the social dimension. These areas reflect contemporary thinking related to mental illness. Which mental disorders rank among the top ten causes of disability worldwide? (Select all that apply) 1. PTSD 2. Antisocial personality disorder 3. Bipolar affective disorder 4. anxiety disorders 5. Schizophrenia - ANS-3. and 5. Which mental disorder ranks first among the top ten causes of disability worldwide? - ANS-1. Depression ranks first among the top ten causes of disability worldwide According to Healthy People 2010 report, major mental health problems do not include clients with which of the following? (Select all that apply) - ANS-1. Rationale: Only bullet 8 includes people who abuse substances (as individuals with co-occuring substance abuse and mental disorders) 2. Rationale: As veterans return from abroad, incidence and prevalence of PTSD will increase 5. Rationale: As veterans return from abroad, incidence and prevalence of cooccuring mental disorders and traumatic brain injury will increase. The Healthy People 2010 report suggests that the mental health problems listed are associated with which of the following? (Select all that apply) - ANS-2. Rationale: Bullets 5, 7, 8, 1o and 11 pertain to treatment of individuals with identified mental disorders 3. Rationale: the theme of "individuals with identified mental disorders who do not receive treatment," coupled with bullet 10 (cultural competence), suggests that stigma may interfere with treatment 4. Rationale: Bullets 1, 4, 10, 11, and 12 involve screening and identification of atrisk individuals The basis for evidence-based practice is: 1.The nursing process 2 Clinical reasearch and practice. 3. Critical thinking 4. Clinical algorithms - ANS-2. Rationale: Clinical research is the basis for evidencebased practice An outcome of evidence-based practice includes: 1. Practice guidelines 2. Standardized care 3.Reduced hospital length of stay 4. Reduced workload for nurses - ANS-1. Rationale: Based on clinical research and clinical practice, nurses can develop clinical quidelines for nursing care. Which of the following critical thinking competencies is NOT applicable to evidencebased practice?... [Show More]

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