chapter 4 psych
a nurse is orienting to a new position working the infirmary in the state penitentiary/ When working with prisoners who are also mentally ill the nurse examines her own attitudes. WHich of the following beliefs should the nurse discuss with her supervisor before caring for incarcerated patients. A people with mental illness are inherently violent B the mentally ill can get better treatment in prison than in the community C people with mental illness are more vulnerable to victimization when incarcerated D Many mentally ill would not be in prison if they were stabilized on medications
A
The nurse is working with discharge planner for her clients discharge to facility that uses a transitional care model the nurse knows this model is effective in promoting the clients health and well being and preventing relapse and re hospitalization due to which of the following A collaboration B administrative support C adequate funding D family support E completely different providers F isolation from peers who successfully live in the community
A C
discharge planning from inpatient care for people with severe mental illness must address which of the following to be effective Select all that apply A finding housing for the client B finding a job for the client C finding transportation for the client D improving family support E identifying ideal recreational activities
A C
A client has just begun daily participation in a community based partial hospitalization program. The patient can expect the nurse and staff to assist with which of the following treatment goals Select all that apply A. stabilizing psychiatric symptoms B finding a better job C improving activities of daily living D learning to structure time E improved family support F developing social skills
A C D F
a nurse reviews a clients history and knows that in preparation for discharge planning of the client, success of planning can be impeded by which of the following? Select all that apply A alcohol and drug abuse B inability to secure employment C evolving community D violent or criminal behaviors E medication non compliance
A D E
which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present? A. progress in treatment option for mentally ill people B. the growth of managed care C. less stigma associated with mental illness D. the current use of milieu therapy
B
The nurse has referred a client to a psychosocial rehab program. The nurse explains that the benefits of being involved in such program include which of the following? Select all that apply A continuous monitioring of symptoms B increased independence C increased involvement in treatment decisions D recovery from mental illness E increased community integration F greater opportunities for personal growth
B C D E F
which of the following are advantages of a crisis resolution team or home treatment team? Select all that apply. A it is a residential treatment setting B it is more likely to help a client to perceive his or her situation more accurately C it is designed to assist clients in dealing with mental health crises without hospitalization D the client may feel better about asking for help E the client must meet multiple criteria to receive this type of care
B C E
Some residential treatment settings are transitional This means that clients are eventually expected to do which of the following A no longer need therapy B find employment C no longer need medication D relocate to another setting
D
The priority of inpatient care for people with severe mental illness is A family issues B insight into illness C social skills D Symptom management
D
which type of community residential treatment setting is most likely to be permanent in any state? A halfway house B respite housing C independent living programs D evolving consumer household
D
A client with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the A psychiatrist B psychiatric nurse C nurse manager D recreation therapist
a
The factor having the most influence on the current trend in treatment settings is the fact in recent years A funding for community programs has been inadequate B laws have enabled more people to be committed to treatment C. state hospitals have expanded to meet the demand D. community programs have been fully developed to meet new treatment needs.
a
The nurse is discharging her client today to be placed in a community rehab area that will provide the client with meaningful work relationship a place to come to and a place to return if necessary. Which type of referral will she make? A clubhouse model B assertive community treatment C group home D respite housing
a
What are the two essential components of transitional care discharge model that is used in canada and scotland A peer support and bridging staff B collaboration and funding C relapse and hospitalization D poverty and entitlements
a
a client with bipolar disorder has a long history of both hospitalizations and incarcerations. The client has no permanent residence and has infrequent contact with his family. Upon admission to the inpatient psychiatric unit for stabilization the nurse documents all of the following in the record. Which of the following data most suggests a positive outcome for this client. A client reports meeting with the same case manager monthly for the last 3 years B history of residential stays at several local homeless shelters C last contact with siblings 4 years ago D income from day labor for 2 days last month
a
a nurse is planning to discharge a client. a clients ability to remain in the community is closely related to what? A living environment B participation in social events C taking meals at the food bank D supporting neighborhood watch programs
a
what is an important role of the nurse with regard to residents opposing plans to establish a group home or residential facility in their neighborhood A To provide information to correct misinformation related to sterotypes of persons with mental illness B to persuade neighborhood residents that mentally ill people need safe affordable and desirable housing C to provide for the safety and security of the neighborhood D to ensure the security of person in the group home
a
which element would be present in an assertive community treatment program? A 24 hour a day services B infrequent contact with clients C many clients to each staff member D limited length of service
a
A client is encouraged to join daily outdoor games with peers on the unit. The interdisciplinary team member who will monitor the clients involvement will be the A occupational therapist B recreation therapist C vocational rehab therapist D psychiatric nurse
b
A psychiatric nurse is planning an educational program addressing primary prevention strategies in the community. The nurse explores current research regarding which health care need. A influencing schizophrenic patients to adhere to medication regimens B assisting high school students to effectively manage stress C coaching patients with depression to obtain employment D informing parents of the early signs of attention deficit disorder in children
b
The primary advantage of an evolving consumer household is that clients A are provided with adequate income to combat poverty B do not have to relocate as they become more independent C have on site staff supervision 24 hours a day D receive on site medical care
b
An inmate is brought to the ED via ambulance after a severe altercation at the prison. Which characteristics should a nurse expect to observe in a person who has been to jail. A non educated B homeless C frequently changes jobs D acute and chronic mental illness E poor functioning level
b d e
A client has been started on antidepressants. The interdisciplinary team member most responsible for monitoring effectiveness and side effects of the new medications is the A pharmacist B psychiatrist C psychiatric nurse D psychologist
c
A client is being transferred from a group home to an evolving consumer household the goal of this transition is for the patient to eventually do what ? A meet with a therapist on a weekly basis B resolve crisis within a shorter period of time C fulfill daily responsibilities without supervision D use the increased emotional support of paid staff
c
A client who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this client in time A partial hospitialization B. residential treatment C inpatient hospital treatment D clubhouse
c
A nurse is meeting with the city council to advocate for mentally ill people and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. The nurse can effectively educate the public on the realities of group home by citing research that indicates A property values quickly rebound in neighborhoods that have group homes B police surveillance will be increased to avert any violence by residents C most people with mental illness do not represent a significant danger to others D neighborhoods that provide park areas provide children a centralized and safe place to play
c
The primary goal of a psychiatric rehab program is to promote A return to prior level of functioning B medication compliance C quality of life D stabilization and management of symptoms
c
a nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. The goal of which of the following levels of prevention has been achieved. A primary prevention B secondary prevention C tertiary prevention D community prevention
c
military veterans with mental issues often do not seek treatment. The nurse in a VA hospital knows which disorder is moderately higher in veterans than in the general population? A bipolar disorder B paranoid disorder C obsessive compulsive disorder D depressive disorder
c
which of the following is the highest priority for admission to inpatient care A confusion and disorientation B need for medication changes C safety of self or others D withdrawal from alcohol or other drugs
c
A client with depression is admitted to an inpatient hospital unit for treatment The type of therapy most likely provided in this setting includes A leisure skills B self monitoring of treatment C skills for daily living D talk therapy
d
The nurse is part of a group setting up a mobile crisis service in conjunction with the local police department. Community education on which of the following will the teams focus include. A teaching police officers counseling skills B crisis counseling services to be provided in the prison system C educating about the dangers of the mentally ill in the community D assisting police officers to recognize mental illness
d
The nurse wants her client to have some face to face interaction in his home or community. The assertive community treatment is such program which can attend to his needs. What does this program have? A setting limits on mundane life issues B making a wide range of referrals C providing services in offices D problem solving orientation
d
a psychiatric nurse is planning activities aimed at secondary prevention of mental illness. Which activity would be most appropriate to develop? A self esteem building with a local after school program B social skills training for chronic schizophrenics C parenthood classes at a local community center D depression screening in an assisted living facility
d