Exam 27: Adults

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The parent of an adult who is severely and persistently mentally ill asks the nurse,"Why are you making a referral to that vocational rehabilitation program? My child won't ever be able to hold a job." Which is the nurse's best reply?

(Multiple Choice)
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An adult with attention deficit hyperactivity disorder (ADHD)says,"I've always been stupid.I never had friends when I was a child.My parents often punished me because I made mistakes.Now,I can't keep a job." The nurse managing care should first consider:

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Which statements most clearly indicate that the speaker views mental illness with stigma? Select all that apply.

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A homeless patient with serious and persistent mental illness became suspicious and delusional.The patient was given depot antipsychotic medication,and housing for the patient was obtained in a local shelter.After 2 weeks,which statement by the patient indicates significant improvement?

(Multiple Choice)
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The treatment team believes medication will help a patient diagnosed with adult attention deficit hyperactivity disorder (ADHD).Which class of medications does the nurse expect will be prescribed?

(Multiple Choice)
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Which economic factors are most critical to the success of discharge planning for a patient with severe and persistent mental illness? Select all that apply.

(Multiple Choice)
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An adult patient tells the case manager,"I don't have bipolar disorder anymore,so I don't need medicine.After I was in the hospital last year,you helped me get an apartment and disability checks.Now I'm bored and don't have any friends." Where should the nurse refer the patient? Select all that apply.

(Multiple Choice)
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Which nursing diagnosis is likely to apply to an individual with severe and persistent mental illness who is homeless?

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The manager of a health club put a hidden camera in the women's locker room and videotaped women as they showered and dressed.Which sexual dysfunction is evident?

(Multiple Choice)
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A patient who is severely and persistently mentally ill and lives in a homeless shelter has the nursing diagnosis Powerlessness.Which intervention should be included in the plan of care?

(Multiple Choice)
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For patients with severe and persistent mental illness,what is the major advantage of case management? A case manager can:

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