Question 1

What factor had the greatest impact on the limited success of the deinstitutionalization of the mentally ill population?

Accepted Answer

A)   The initiative was never funded by the federal government.
B)   The mentally ill population found it too difficult to function autonomously.
C)   Community support systems were unprepared to provide the required services.
D)   The communities were biased against having the mentally ill living among them. A

Question 2

Regarding freedom-of-choice care systems,what information must the patient receive regarding the criteria for terminating treatment of a patient with mental health disorders?

Accepted Answer

A)   Patient's inability to pay for the services
B)   Aggressive behavior on the part of the patient
C)   Facility finds it uneconomical to provide the treatment
D)   Patient's noncompliance with an appropriate treatment plan D

Question 3

Which interview question demonstrates cultural competency when conducting an admission interview for a Jewish patient being admitted for severe depression?

Accepted Answer

A)   "Is there a history of depression in your family?"
B)   "Do you find comfort in your religious beliefs?"
C)   "Has been being Jewish contributed to your depression?"
D)   "How has your family responded to you since you have been depressed?" D

Question 4

Which intervention is considered an essential element of a community nurse's mental health home visit? Select all that apply.

Accepted Answer

A)   Documenting the patient's current level of function
B)   Evaluating the patient's compliance with the plan of care
C)   Ensuring that the patient's family is supportive of the patient
D)   Assessing the patient's ability to understand their condition
E)   Determining whether the patient has access to prescribed medication

Question 5

In addition to excellent assessment skills and keen insight into human behavior,what additional ability is most critical to effective community mental health nursing?

Accepted Answer

A)   Attention to economical nursing practice
B)   Willingness to advocate for the patient
C)   Familiarity with local patient-focused resources
D)   Working relationship with community medical professionals

Question 6

To best respect the mentally ill patient's rights,no restricting intervention can be implemented without:

Accepted Answer

A)   First securing the patient's informed consent
B)   Proof that the patient is a danger to self or others
C)   Initially attempting to secure the patient's cooperation
D)   Securing an order from the patient's psychiatric care provider

Question 7

Which action provides the nurse with evidence that a Hispanic patient diagnosed with schizophrenia 10 years ago is likely to continue to benefit from social support after being discharged for a psychotic break?

Accepted Answer

A)   The patient's brother and sister-in-law offer suggestions concerning the support they can provide after discharge
B)   The patient's mother expresses an understanding of the need for compliance with the treatment plan
C)   The family's religious leader visits the patient regularly and suggests part-time employment at the church
D)   Friends of the patient offer to provide transportation to and from therapy sessions that the patient is scheduled to attend

Question 8

What is the primary event that results in many "eccentric" individuals being initially diagnosed with a psychiatric disorder?

Accepted Answer

A)   They commit a crime and are incarcerated.
B)   They become both homeless and destitute.
C)   They are unable to meet their own physical needs.
D)   There is proof that they are a danger to themselves or others.

Question 9

Which statement supports the fact that a patient diagnosed with chronic schizophrenia who is being prepared for placement in an adult family home understands the unique expectations of such an arrangement?

Accepted Answer

A)   "I'll have a safe, clean place to live."
B)   "I'm excited about having a bedroom of my own."
C)   "I will help wash dishes and sweep floors but I like doing that."
D)   "I can't wait to live my life like I want to and make my own decisions."

Question 10

Which nursing intervention by a community mental health nurse demonstrates an understanding of the potential health risks that psychotropic medications present?

Accepted Answer

A)   Discussing the risk of food interactions when taking buspirone (BuSpar) 
B)   Monitoring the blood glucose levels of a patient prescribed risperidone (Risperdal) 
C)   Stressing the importance of using alprazolam (Xanax)  only as a short-term therapy
D)   Evaluating a patient's understanding of the possible weight gain resulting from escitalopram oxalate (Lexapro)  therapy

Question 11

What understanding is the most critical to the delivery of effective culturally-congruent nursing care to the mentally ill patient?

Accepted Answer

A)   Willingness to learn about the cultural beliefs of the affected population
B)   Consciousness of the role cultural beliefs play regarding the acceptance of mental health nursing interventions
C)   Attentiveness to the individual's expression of cultural beliefs and reliance on the culture for various support
D)   Awareness of the biases the culturally diverse population experiences when experiencing mental illness

Question 12

Which intervention demonstrates the community mental health nurse's understanding of the potential risks that home visits present?

Accepted Answer

A)   Calling ahead to make an appointment to visit
B)   Being sure to have access to a telephone during the actual visit
C)   Asking family members to describe the patient's recent behavior
D)   Taking a small gift to give to the patient's family during the visit

Question 13

Which behavior engaged in by a patient diagnosed with both schizophrenia and hepatitis C presents the community mental health nurse with the greatest need to share information ordinarily protected by the patient's right to confidentiality?

Accepted Answer

A)   Engaging in unprotected sex
B)   Wearing the uniform of a police officer
C)   Expressing a "real hatred for the government"
D)   Stealing clothing and food from stores in the neighborhood

Question 14

Which intervention demonstrates cultural competency regarding the care provided an African American who is experiencing depression after the death of a child?

Accepted Answer

A)   Providing information regarding local grief support groups
B)   Assessing the patient's ability to understand the grief process
C)   Encouraging family members to be present when discharge planning is discussed
D)   Consulting with the patient before discussing treatment plans with her adult children

Question 15

Which activity best reflects the role of the mental health nurse case manager?

Accepted Answer

A)   Advocating for the patient in all aspects of care
B)   Attending to the patient's physical and emotional needs
C)   Acting as the leader of a patient's multidisciplinary care team
D)   Assuming responsibility for maintaining the patient's mental health records

Exam 30: Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness