Question 1

Which of the following have been assessed as the most common types of mental illness identified among homeless individuals?

Accepted Answer

A)  Schizophrenia 
B)  Body dysmorphic disorder 
C)  Antisocial personality disorder 
D)  Neurocognitive disorder 
E)  Conversion disorder
Other 
A)  Schizophrenia 
B)  Body dysmorphic disorder 
C)  Antisocial personality disorder 
D)  Neurocognitive disorder 
E)  Conversion disorder
Other A,C,D

Question 2

When intervening with a married couple experiencing relationship discord, which nursing action reflects an intervention at the secondary level of prevention?

Accepted Answer

A)  Teaching assertiveness skills in order to meet assessed needs 
B)  Supplying the couple with guidelines related to marital seminar leadership 
C)  Teaching the couple about various methods of birth control 
D)  Counseling the couple related to open and honest communication skills 
A)  Teaching assertiveness skills in order to meet assessed needs 
B)  Supplying the couple with guidelines related to marital seminar leadership 
C)  Teaching the couple about various methods of birth control 
D)  Counseling the couple related to open and honest communication skills D

Question 3

A newly admitted homeless client diagnosed with schizophrenia states, "I have been living in a cardboard box for two weeks. Why did the government let me down?" Which is an appropriate nursing response?

Accepted Answer

A)  "Your discharge from the state hospital was done prematurely. Had you remained in the state hospital longer, you would not be homeless." 
B)  "Your premature discharge from the state hospital was not intended for patients diagnosed with chronic schizophrenia." 
C)  "Your discharge from the state hospital was based on firm principles; however, the resources were not available to make the transition a success." 
D)  "Your discharge from the state hospital was based on presumed family support, and this was not forthcoming." 
A)  "Your discharge from the state hospital was done prematurely. Had you remained in the state hospital longer, you would not be homeless." 
B)  "Your premature discharge from the state hospital was not intended for patients diagnosed with chronic schizophrenia." 
C)  "Your discharge from the state hospital was based on firm principles; however, the resources were not available to make the transition a success." 
D)  "Your discharge from the state hospital was based on presumed family support, and this was not forthcoming." C

Question 4

When attempting to provide health-care services to the homeless, what should be a realistic concern for a nurse?

Accepted Answer

A)  Most individuals that are homeless reject help. 
B)  Most individuals that are homeless are suspicious of anyone who offers help. 
C)  Most individuals that are homeless are proud and will often refuse charity. 
D)  Most individuals that are homeless relocate frequently. 
A)  Most individuals that are homeless reject help. 
B)  Most individuals that are homeless are suspicious of anyone who offers help. 
C)  Most individuals that are homeless are proud and will often refuse charity. 
D)  Most individuals that are homeless relocate frequently.

Question 5

A client at the mental health clinic tells the case manager, "I can't think about living another day, but don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality." Which case manager response is most appropriate?

Accepted Answer

A)  "The treatment team is composed of many specialists who are working to improve your ability to function. Sharing this information with the team is critical to your care." 
B)  "Let's discuss steps that will resolve negative lifestyle choices that may have increased your suicidal risk." 
C)  "You seem to be preoccupied with self. You should concentrate on hope for the future." 
D)  "This information is secure with me because of client confidentiality." 
A)  "The treatment team is composed of many specialists who are working to improve your ability to function. Sharing this information with the team is critical to your care." 
B)  "Let's discuss steps that will resolve negative lifestyle choices that may have increased your suicidal risk." 
C)  "You seem to be preoccupied with self. You should concentrate on hope for the future." 
D)  "This information is secure with me because of client confidentiality."

Question 6

When a home health nurse administers an outpatient's injection of haloperidol decanoate (Haldol decanoate), which level of care is the nurse providing?

Accepted Answer

A)  Primary prevention level of care 
B)  Secondary prevention level of care 
C)  Tertiary prevention level of care 
D)  Case management level of care 
A)  Primary prevention level of care 
B)  Secondary prevention level of care 
C)  Tertiary prevention level of care 
D)  Case management level of care

Question 7

A school nurse provides education on drug abuse to a high school class. This nursing action is an example of which level of preventive care?

Accepted Answer

A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Primary intervention 
A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Primary intervention

Question 8

An instructor is teaching nursing students about the difference between partial and inpatient hospitalization. In what way does partial hospitalization differ from traditional inpatient hospitalization?

Accepted Answer

A)  Partial hospitalization does not provide medication administration and monitoring. 
B)  Partial hospitalization does not use an interdisciplinary team. 
C)  Partial hospitalization does not offer a comprehensive treatment plan. 
D)  Partial hospitalization does not provide supervision 24 hours a day. 
A)  Partial hospitalization does not provide medication administration and monitoring. 
B)  Partial hospitalization does not use an interdisciplinary team. 
C)  Partial hospitalization does not offer a comprehensive treatment plan. 
D)  Partial hospitalization does not provide supervision 24 hours a day.

Question 9

Order the goals of the levels of prevention as they progress through the public health model set forth by Gerald Caplan.
________ Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness
________ Services aimed at reducing the residual defects that are associated with severe and persistent mental illness
________ Services aimed at reducing the incidence of mental disorders within the population

Accepted Answer

The correc

Question 10

The ________________________ movement closed state mental hospitals and caused the discharge of individuals with mental illness.

Accepted Answer

deinstitut

Question 11

A nurse is implementing care within the parameters of tertiary prevention. Which nursing action is an example of this type of care?

Accepted Answer

A)  Teaching an adolescent about pregnancy prevention 
B)  Teaching a client the reportable side effects of a newly prescribed neuroleptic medication 
C)  Teaching a client to cook meals, make a grocery list, and establish a budget 
D)  Teaching a client about his or her new diagnosis of bipolar disorder 
A)  Teaching an adolescent about pregnancy prevention 
B)  Teaching a client the reportable side effects of a newly prescribed neuroleptic medication 
C)  Teaching a client to cook meals, make a grocery list, and establish a budget 
D)  Teaching a client about his or her new diagnosis of bipolar disorder

Question 12

A nursing instructor is teaching about case management. What student statement indicates that learning has occurred?

Accepted Answer

A)  "Case management is a method used to achieve independent client care." 
B)  "Case management provides coordination of services required to meet client needs." 
C)  "Case management exists mainly to facilitate client admission to needed inpatient services." 
D)  "Case management is a method to facilitate physician reimbursement." 
A)  "Case management is a method used to achieve independent client care." 
B)  "Case management provides coordination of services required to meet client needs." 
C)  "Case management exists mainly to facilitate client admission to needed inpatient services." 
D)  "Case management is a method to facilitate physician reimbursement."

Question 13

A client diagnosed with schizophrenia is hospitalized owing to an exacerbation of psychosis related to nonadherence with antipsychotic medications. Which level of care does the client's hospitalization reflect?

Accepted Answer

A)  Primary prevention level of care 
B)  Secondary prevention level of care 
C)  Tertiary prevention level of care 
D)  Case management level of care 
A)  Primary prevention level of care 
B)  Secondary prevention level of care 
C)  Tertiary prevention level of care 
D)  Case management level of care

Question 14

A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. Which disease, which has recently become more prevalent among the homeless community, should a nurse suspect?

Accepted Answer

A)  Meningitis 
B)  Tuberculosis 
C)  Encephalopathy 
D)  Mononucleosis 
A)  Meningitis 
B)  Tuberculosis 
C)  Encephalopathy 
D)  Mononucleosis

Question 15

Which of the following clients should a nurse recommend for a structured day program?

Accepted Answer

A)  An acutely suicidal teenager 
B)  A chronically mentally ill woman who has a history of medication nonadherence 
C)  A socially isolated older individual 
D)  A depressed individual who is able to contract for safety 
E)  A client who is hearing voices that tell the client to harm others 
A)  An acutely suicidal teenager 
B)  A chronically mentally ill woman who has a history of medication nonadherence 
C)  A socially isolated older individual 
D)  A depressed individual who is able to contract for safety 
E)  A client who is hearing voices that tell the client to harm others

Question 16

A nursing instructor is teaching about the Community Health Centers Act of 1963. What was a deterring factor to the proper implementation of this act?

Accepted Answer

A)  Many prospective clients did not meet criteria for mental illness diagnostic-related groups. 
B)  Zoning laws discouraged the development of community mental health centers. 
C)  States could not match federal funds to establish community mental health centers. 
D)  There was not a sufficient employment pool to staff community mental health centers. 
A)  Many prospective clients did not meet criteria for mental illness diagnostic-related groups. 
B)  Zoning laws discouraged the development of community mental health centers. 
C)  States could not match federal funds to establish community mental health centers. 
D)  There was not a sufficient employment pool to staff community mental health centers.

Question 17

Which of the following are characteristics of a Program of Assertive Community Treatment (PACT), as described by the National Alliance on Mental Illness (NAMI)?

Accepted Answer

A)  PACT offers nationally based treatment to people with serious and persistent mental illnesses. 
B)  PACT is a type of case-management program. 
C)  The PACT team provides services 24 hours a day, 7 days a week, 365 days a year. 
D)  The PACT team provides highly individualized services directly to consumers. 
E)  PACT is a multidisciplinary team approach. 
A)  PACT offers nationally based treatment to people with serious and persistent mental illnesses. 
B)  PACT is a type of case-management program. 
C)  The PACT team provides services 24 hours a day, 7 days a week, 365 days a year. 
D)  The PACT team provides highly individualized services directly to consumers. 
E)  PACT is a multidisciplinary team approach.

Exam 27: Community Mental Health Nursing

Which of the following have been assessed as the most common types of mental illness identified among homeless individuals?

When intervening with a married couple experiencing relationship discord, which nursing action reflects an intervention at the secondary level of prevention?

A newly admitted homeless client diagnosed with schizophrenia states, "I have been living in a cardboard box for two weeks. Why did the government let me down?" Which is an appropriate nursing response?

When attempting to provide health-care services to the homeless, what should be a realistic concern for a nurse?

A client at the mental health clinic tells the case manager, "I can't think about living another day, but don't tell anyone about the way I feel. I know you are obligated to protect my confidentiality." Which case manager response is most appropriate?

When a home health nurse administers an outpatient's injection of haloperidol decanoate (Haldol decanoate), which level of care is the nurse providing?

A school nurse provides education on drug abuse to a high school class. This nursing action is an example of which level of preventive care?

An instructor is teaching nursing students about the difference between partial and inpatient hospitalization. In what way does partial hospitalization differ from traditional inpatient hospitalization?

The ________________________ movement closed state mental hospitals and caused the discharge of individuals with mental illness.

A nurse is implementing care within the parameters of tertiary prevention. Which nursing action is an example of this type of care?

A nursing instructor is teaching about case management. What student statement indicates that learning has occurred?

A client diagnosed with schizophrenia is hospitalized owing to an exacerbation of psychosis related to nonadherence with antipsychotic medications. Which level of care does the client's hospitalization reflect?

A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. Which disease, which has recently become more prevalent among the homeless community, should a nurse suspect?

Which of the following clients should a nurse recommend for a structured day program?

A nursing instructor is teaching about the Community Health Centers Act of 1963. What was a deterring factor to the proper implementation of this act?

Which of the following are characteristics of a Program of Assertive Community Treatment (PACT), as described by the National Alliance on Mental Illness (NAMI)?

Mental Health and Mental Illness

Biological Implications

Ethical and Legal Issues

Psychopharmacology

Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing

Relationship Development and Therapeutic Communication

The Nursing Process in Psychiatricmental Health Nursing

Milieu Therapythe Therapeutic Community

Interventions in Groups

Intervening in Crises

The Recovery Model

Suicide Prevention

Neurocognitive Disorders

Substance Use and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Other Related Disorders

Anxiety, Obsessive-Compulsive, and Related Disorders

Trauma and Stressor-Related Disorders

Somatic Symptom and Dissociative Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

The Bereaved Individual

Military Families

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