which of the following is not a cultural aspect of mental illness

ATI RN

ATI Mental Health

1. Which of the following is not a cultural aspect related to mental illness?

A. Local or cultural norms define pathological behavior.
B. The higher the social class, the greater the recognition of mental illness behaviors.
C. Psychiatrists typically see patients when the family can no longer deny the illness.
D. The greater the cultural distance from the mainstream of society, the greater the likelihood that the illness will be treated with sensitivity and compassion.

Correct answer: D

Rationale: The statement in option D is incorrect. The greater the cultural distance from the mainstream of society, the more likely there will be negative responses to mental illness. In such cases, coercive treatments and involuntary hospitalizations are more common, rather than sensitivity and compassion.

2. Which statement is an example of reflection?

A. I think this feeling will pass.
B. So you are saying that life has no meaning.
C. I'm not sure I understand what you mean.
D. You look sad.

Correct answer: B

Rationale: The correct answer is B. Reflection involves restating the patient's words or feelings to show understanding and encourage further discussion. Choice B restates the patient's statement, demonstrating active listening and empathy.

3. A client with depression is experiencing anhedonia. Which statement by the client reflects this symptom?

A. I feel so anxious all the time.
B. I don't enjoy the things I used to love.
C. I can't concentrate on anything.
D. I have trouble sleeping through the night.

Correct answer: B

Rationale: Anhedonia is the inability to experience pleasure from activities usually found enjoyable. The statement 'I don't enjoy the things I used to love' directly reflects this symptom as the client is expressing a lack of pleasure from previously enjoyable activities. Choices A, C, and D do not specifically relate to anhedonia but rather indicate symptoms of anxiety, concentration difficulties, and sleep disturbances, respectively.

4. When assessing a client with bipolar disorder who is experiencing a depressive episode, which of the following findings should the nurse not expect?

A. Low energy
B. Feelings of hopelessness
C. Insomnia or hypersomnia
D. Difficulty concentrating

Correct answer: D

Rationale: In a client experiencing a depressive episode in bipolar disorder, common findings include low energy, feelings of hopelessness, insomnia or hypersomnia, and decreased appetite. Difficulty concentrating is more indicative of attention deficit disorders or cognitive impairment rather than a typical presentation of a depressive episode in bipolar disorder.

5. A healthcare professional is assessing a client with suspected substance use disorder. Which of the following findings should the healthcare professional not expect?

A. Neglect of responsibilities
B. Increased tolerance to the substance
C. Withdrawal symptoms when not using the substance
D. Unsuccessful attempts to cut down or control use

Correct answer: B

Rationale: Findings in a client with substance use disorder typically include neglect of responsibilities, withdrawal symptoms when not using the substance, and unsuccessful attempts to cut down or control use. Increased tolerance to the substance is a common phenomenon in substance use disorder and is expected as the individual requires higher doses to achieve the same effect.