Exam 6: Psychiatric Mental Health Nursing in Community Settings

A community mental health nurse has worked for months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and could no longer afford prescribed medications. The patient says, "Only a traitor would make me go to the hospital." Select the nurse's best initial intervention.

Which statements most clearly reflect the stigma of mental illness? Select all that apply.

The case manager plans to discuss the treatment plan with a patient's family. Select the case manager's first action.

A nurse receives the following three phone calls regarding a community patient. ·The psychiatrist wants to complete a follow-up assessment. ·An internist wants to schedule a physical examination. ·The patient's attorney wants an appointment with the patient. The nurse schedules the activities for the patient. Which role has the nurse fulfilled?

A person in the community asks, "People with mental illnesses went to isolated hospitals in earlier times. Why has that changed?" Select the nurse's accurate responses. Select all that apply.

A patient diagnosed with schizophrenia has been stable for 2 months. Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking. The patient forgot to refill the prescription. The nurse arranges a refill. Select the best outcome to add to the plan of care.

A psychiatrist prescribed depot injections every 3 weeks at the clinic for a patient with a history of medication noncompliance. For this plan to be successful, which factor will be of critical importance?

Which characteristic would be more applicable to a community mental health nurse than to a nurse working in an operating room?

Select the response that is an example of primary prevention.

A patient with which of the following diagnoses would be most appropriate to refer for assertive community treatment (ACT)?

The nurse should refer which of the following patients to a partial hospitalization program?

A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.

The nurse assigned to assertive community treatment (ACT) should explain the program's treatment goal as which of the following?

Which level of prevention activities would a nurse in an emergency department employ most often?

Select the response that is an example of tertiary prevention.

Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention?

Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship? Select all that apply.

A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to which of the following: Select all that apply.

A Category V tornado hits a community, destroying many homes and businesses. Which nursing intervention would best demonstrate compassion and caring?

A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action.