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 client action is an example of the defense mechanism of displacement?

A. A man kicks his dog after an argument with his boss.
B. A woman yells at her children after a stressful day at work.
C. A student immerses herself in studying to avoid thinking about a recent breakup.
D. A person channels aggressive impulses into playing a sport.

Correct answer: B

Rationale: Displacement involves redirecting emotions, often anger or aggression, from their original source to a less threatening target. In this scenario, the woman redirects her frustration from work towards her children, who are perceived as less threatening and safer to express anger towards.

3. A nurse is providing discharge instructions to a client who has been prescribed fluoxetine (Prozac). Which information should the nurse include?

A. Take the medication with food to avoid stomach upset.
B. Avoid drinking alcohol while taking this medication.
C. Report any unusual side effects to the healthcare provider.
D. It may take several weeks for this medication to take effect.

Correct answer: B

Rationale: Clients taking fluoxetine (Prozac) should avoid alcohol to prevent adverse interactions.

4. James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for the day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?

A. There are no such things as demons. What you saw were hallucinations.
B. It is not possible for anyone to enter your room at night. You are safe here.
C. You seem very upset. Please tell me more about what you experienced last night.
D. That must have been very frightening, but we'll check on you at night and you'll be safe.

Correct answer: C

Rationale: Response C is the most therapeutic as it shows empathy and encourages the patient to express their feelings and share more about their experience. By actively listening and inviting the patient to talk, the nurse creates a supportive environment that can help the patient feel heard and understood, which is essential in building trust and rapport in therapeutic communication with individuals experiencing schizophrenia.

5. A client diagnosed with schizophrenia is prescribed an antipsychotic medication. Which of the following side effects should the nurse not monitor for? Select all that apply.

A. Tardive dyskinesia
B. Neuroleptic malignant syndrome
C. Orthostatic hypotension
D. Hyperglycemia

Correct answer: A

Rationale: The nurse should not monitor for tardive dyskinesia as it is a potential long-term side effect of antipsychotic medications. However, the nurse should monitor for neuroleptic malignant syndrome, orthostatic hypotension, and hyperglycemia as these are common side effects associated with antipsychotic medications. Tardive dyskinesia is characterized by involuntary movements of the face, tongue, and extremities and may develop after prolonged use of antipsychotic drugs.