Unit 12

A nursing instructor is teaching about case management. What student statement indicates that learning has occurred? "Case management is a method used to achieve independent client care." "Case management is a method to facilitate physician reimbursement." "Case management provides coordination of services required to meet client needs." "Case management exists mainly to facilitate client admission to needed inpatient services."

"Case management provides coordination of services required to meet client needs."

When attempting to provide health-care related services to the homeless, what should be a realistic concern for a nurse? Most individuals that are homeless relocate frequently. Most individuals that are homeless are proud and will refuse charity. Most individuals that are homeless are suspicious of anyone who offers help. Most individuals that are homeless reject help.

Most individuals that are homeless relocate frequently.

The deinstitutionalization movement closed state mental hospitals and caused the discharge of individuals with mental illness. True False

True

A homeless client comes to the 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? Mononucleosis Tuberculosis Meningitis Encephalopathy

Tuberculosis

A school nurse provides education on drug abuse to a high school class. This nursing action is an example of which level of prevention? Primary prevention Primary intervention Tertiary prevention Secondary prevention

Primary prevention

A client diagnosed with schizophrenia is hospitalized due to an exacerbation of psychosis related to nonadherence with antipsychotic medications. Which level of care does the client's hospitalization reflect? Secondary prevention level of care Case management level of care Tertiary prevention level of care Primary prevention level of care

Secondary prevention level of care

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

Tertiary prevention level of care

The physician orders trazadone (desyrel) for Mrs. W, a 78 year old with depression, 150 mg to take at bedtime. Which of the following statements about this med would be appropriate for the home health nurse to make in teaching Mrs. W about trazadone? a. "You may feel dizzy when you stand up, so go slowly when you get up from sitting or lying down" b. You must be sure and note at any chocolate while taking this medication" c. We will need to draw a sample of blood to send to the lab every month while you are on this med" d. If you don't feel better right away, the doctor can order a different kind for you

a. "You may feel dizzy when you stand up, so go slowly when you get up from sitting or lying down"

Which of the following represents a nursing intervention at the tertiary level of prevention? a. serving as case manager for a mentally ill homeless client b. leading a support group for newly retired men c. teaching prepared childbirth classes d. caring for a depressed widow in the hospital

a. serving as case manager for a mentally ill homeless client

Which of the following represents a nursing intervention at the primary level of prevention? a. teaching a class in parent effectiveness training b. leading a group of adolescents in drug rehab c. referring a married couple for sex therapy d. leading a support group for battered women

a. teaching a class in parent effectiveness training

Ann is a psychiatric home health nurse. She has just received an order to begin regular visits to Mrs. W a 78 year old widow who lives alone. Mrs. W.'s primary care physician has diagnosed her as depressed. Which of the following criteria would qualify Mrs. W for home health visits? a. Mrs W never learned to drive and hast o depend on others for her transportation b. Mrs. W is physically too weak to travel without risk of injury c. Mrs. W refuses to seek assistance as suggested by her physician "because I don't have a psychiatric problem" d. Mrs W says she would prefer to have home visits than go to the physician's office

b. Mrs. W is physically too weak to travel without risk of injury

Three predominant client populations have been identified as benefiting most from psychiatric home health care. Which of the following is not included among this group? a. elderly individuals b. individuals living in poverty c. individuals with severe and persistent mental illness d. individuals in acute crisis situations

b. individuals living in poverty

Which of the following represents a nursing intervention at the secondary level of prevention? a. teaching a class about menopause to middle-aged women b. providing support in the emergency room to a rape victim c. leading a support group for women in transition d. making monthly visits to the home of a client with schizophrenia to ensure medication compliance

b. providing support in the emergency room to a rape victim

John, a homeless person, has just come to live in the shelter. The shelter nurse is assigned to his care. Which of the following is a priority intervention on the part of the nurse? a. referring John to a social worker b. Developing a plan of care for John c. conducting a behavioral and needs assessment on John d. helping John apply for social security benefits

c. conducting a behavioral and needs assessment on John

Ann is a psychiatric home health nurse. She has just received an order to begin regular visits to mrs. W a 78 year old widow who lives alone. she is diagnosed as depressed. Based on a needs assessment, which of the following problems would Ann address during her first visit? a. complicated grieving b. social isolation c. risk for injury d. sleep pattern disturbance

c. risk for injury

Mrs. W a 78 year old depressed widow, says to her home health nurse, "What's the use? I don't have anything to live for anymore." Which is the best response on the part of the nurse? a. "Of course you do, mrs. w. Why would say such a thing?" b. "You seem so sad. i'm going to do my best to cheer you up." c. "Let's talk about why you are feeling this way." d. "Have you been thinking about harming yourself in any way?"

d. "Have you been thinking about harming yourself in any way?"

John, a homeless person, has a history of schizophrenia and noncompliance with medications. Which of the following medications might be the best choice for John? a. Haldol b. Navane c. Lithium carbonate d. Prolixin decanoate

d. Prolixin decanoate