Exam 27: Adults

Severe and persistent mental illness is characterized as a:

Health maintenance and promotion efforts for patients with severe and persistent mental illness should include education about the importance of regular:

A person with serious and persistent mental illness enters a shelter for the homeless.Which intervention should be the nurse's initial priority?

A 37-year-old is involuntarily committed to outpatient treatment after sexually molesting a 12-year-old child.The patient says,"That girl looked like she was 19 years old." Which defense mechanism is this patient using?

A patient tells the nurse,"My sexual functioning is normal when my partner wears lace.Without it,I'm not interested in sex." This comment evidences:

An adult says,"When I was a child,I took medication because I couldn't follow my teachers' directions.I stopped taking it when I was about 13.I still have trouble getting organized,which causes difficulty doing my job." Which disorder is most likely?

A patient with schizophrenia tells the community mental health nurse,"I threw away my pills because they interfere with God's voice." The nurse identifies the cause of the patient's ineffective management of the medication regime as:

Which information should a nurse include in health teaching for adults who have with attention deficit hyperactivity disorder (ADHD)and their significant others? Select all that apply.

A nurse prepares a plan of care for a patient with adult attention deficit hyperactivity disorder (ADHD).Which intervention should be included?

.A patient with severe and persistent mental illness who recently moved to a homeless shelter says,"My life is out of control.I'm like a leaf at the mercy of the wind." The nurse formulates the diagnosis Powerlessness.Outcomes will focus on:

A patient living independently has command hallucinations to report terrorism to the Federal Bureau of Investigation (FBI)and to shout warnings to neighbors.After a short hospitalization,the patient is prohibited from returning to the apartment.The landlord says,"You can't come back here.You cause too much trouble." What problem is the patient experiencing?

An adult man tells the nurse,"All my life,I have felt and acted like a woman while living in the body of a man.For the past year,I have lived and dressed as a woman.I'm changing jobs to protect my new identity." Which request is the patient likely to make to the health care provider?

An adult has been feeling significant tension since losing a home through foreclosure.This person goes to a park,feeds the birds,and then impulsively exposes himself to a group of parents and children.Which term applies to this behavior?

The father of a child with schizophrenia says,"I lost my job,so we have no health insurance." The mother says,"I must watch this child all the time.Without supervision,our child becomes violent and destroys furniture." The sibling says,"My parents don't pay very much attention to me." These comments signify:

Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?

A nurse cares for a patient with paraphilia.The nurse expects the health care provider may prescribe which type of medication to reduce paraphilic behaviors?

Before working with patients regarding sexual concerns,a prerequisite for providing nonjudgmental care is:

A new staff nurse tells the clinical nurse specialist,"I'm unsure about my role when patients bring up sexual problems." Which information should the clinical nurse specialist provide? All nurses:

A patient says,"I often make careless mistakes and have trouble staying focused.Sometimes it's hard to listen to what someone is saying.I have problems putting things in the right order and often lose equipment." Which problem should the nurse document?

A nurse prepares for an initial interview with a patient with suspected adult ADHD.Questions should be focused to elicit information about which problem?