Question 1

Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention?

Accepted Answer

A)   Medication follow-up
B)   Teaching parenting skills
C)   Substance abuse counseling
D)   Making a referral for family therapyE) A) and B)
F) A) and C)

Question 2

A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the patient received a notice of eviction immediately prior to admission. Select the case manager's most appropriate action.

Accepted Answer

A)   Postpone the patient's discharge from the hospital.
B)   Contact the landlord who evicted the patient to further discuss the situation.
C)   Arrange a temporary place for the patient to stay until new housing can be arranged.
D)   Determine whether the adverse medication reaction was genuine because the patient had nowhere to live.E) A) and D)
F) A) and C)

Question 3

Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship? "My case manager (Select all that apply)

Accepted Answer

A)   talks in language I can understand."
B)   helps me keep track of my medication."
C)   gives me little gifts from time to time."
D)   looks at me as a whole person with many needs."
E)   let me do whatever I choose without interfering."F) A) and B)
G) B) and D)

Question 4

Which level of prevention activities would a nurse in an emergency department employ most often?

Accepted Answer

A)   Primary
B)   Secondary
C)   TertiaryD) B) and C)
E) A) and B)

Question 5

A person in the community asks, "People with mental illnesses went to state hospitals in earlier times. Why has that changed?" Select the nurse's accurate responses. (Select all that apply.)

Accepted Answer

A)   "Science has made significant improvements in drugs for mental illness, so now many persons may live in their communities."
B)   "There's now a better selection of less restrictive treatment options available in communities to care for people with mental illness."
C)   "National rates of mental illness have declined significantly. There actually is not a need for state institutions anymore."
D)   "Most psychiatric institutions were closed because of serious violations of patients' rights and unsafe conditions."
E)   "Federal legislation and payment for treatment of mental illness has shifted the focus to community rather than institutional settings."F) A) and D)
G) B) and D)

Question 6

The health care team at an inpatient psychiatric facility drafts these criteria for admission. Which criteria should be included in the final version of the admission policy? (Select all that apply)

Accepted Answer

A)   Clear risk of danger to self or others
B)   Adjustment needed for doses of psychotropic medication
C)   Detoxification from long-term heavy alcohol consumption needed
D)   Respite for caregivers of persons with serious and persistent mental illness
E)   Failure of community-based treatment, demonstrating need for intensive treatmentF) B) and D)
G) B) and E)

Question 7

Select the example of tertiary prevention.

Accepted Answer

A)   Helping a person diagnosed with a serious mental illness learn to manage money
B)   Restraining an agitated patient who has become aggressive and assaultive
C)   Teaching school-age children about the dangers of drugs and alcohol
D)   Genetic counseling with a young couple expecting their first childE) B) and C)
F) All of the above

Question 8

A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.

Accepted Answer

A)   "Thank you. I would enjoy having a cup of coffee with you."
B)   "Thank you, but I would prefer to proceed with the assessment."
C)   "No, but thank you. I never accept drinks from patients or families."
D)   "Our agency policy prohibits me from eating or drinking in patients' homes."E) A) and D)
F) B) and C)

Question 9

A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action.

Accepted Answer

A)   Explore ways to help the patient stop smoking.
B)   Report the situation to the manager of the shelter.
C)   Assess the patient's weight; determine foods and amounts eaten.
D)   Arrange hospitalization for the patient in order to formulate a new treatment plan.E) A) and B)
F) A) and C)

Question 10

A patient diagnosed with schizophrenia lives in the community. On a home visit, the community psychiatric nurse case manager learns that the patient: · wants to attend an activity group at the mental health outreach center.
· is worried about being able to pay for the therapy.
· does not know how to get from home to the outreach center.
· has an appointment to have blood work at the same time an activity group meets.
· wants to attend services at a church that is a half-mile from the patient's home.
Which tasks are part of the role of a community mental health nurse? (Select all that apply.)

Accepted Answer

A)   Rearranging conflicting care appointments
B)   Negotiating the cost of therapy for the patient
C)   Arranging transportation to the outreach center
D)   Accompanying the patient to church services weekly
E)   Monitoring to ensure the patient's basic needs are metF) C) and D)
G) None of the above

Question 11

A psychiatric nurse discusses rules of the therapeutic milieu and patients' rights with a newly admitted patient. Which rights should be included? The right to (Select all that apply)

Accepted Answer

A)   have visitors.
B)   confidentiality.
C)   a private room.
D)   complain about inadequate care.
E)   select the nurse assigned to their care.F) A) and C)
G) A) and E)

Question 12

A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?

Accepted Answer

A)   Psychologist
B)   Social worker
C)   Recreational therapist
D)   Occupational therapistE) A) and D)
F) C) and D)

Question 13

Select the example of primary prevention.

Accepted Answer

A)   Assisting a person diagnosed with a serious mental illness to fill a pill-minder
B)   Helping school-age children identify and describe normal emotions
C)   Leading a psychoeducational group in a community care home
D)   Medicating an acutely ill patient who assaulted a staff personE) None of the above
F) A) and B)

Question 14

Which patient would be most appropriate to refer for assertive community treatment (ACT) ? A patient diagnosed with

Accepted Answer

A)   a phobic fear of crowded places.
B)   a single episode of major depressive disorder.
C)   a catastrophic reaction to a tornado in the community.
D)   schizophrenia and four hospitalizations in the past year.E) A) and B)
F) B) and C)

Question 15

A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rights?

Accepted Answer

A)   Prohibited a patient from using the telephone
B)   In patient's presence, opened a package mailed to patient
C)   Remained within arm's length of patient with homicidal ideation
D)   Permitted a patient with psychosis to refuse oral psychotropic medicationE) A) and C)
F) A) and B)

Question 16

A nurse surveys medical records. Which finding signals a violation of patients' rights?

Accepted Answer

A)   A patient was not allowed to have visitors.
B)   A patient's belongings were searched at admission.
C)   A patient with suicidal ideation was placed on continuous observation.
D)   Physical restraint was used after a patient was assaultive toward a staff member.E) All of the above
F) A) and B)

Question 17

A community mental health nurse has worked for months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and could no longer afford prescribed medications. The patient says, "Only a traitor would make me go to the hospital." Select the nurse's best initial intervention.

Accepted Answer

A)   With the patient's consent, contact resources to provide medications without charge temporarily.
B)   Arrange a bed in a local homeless shelter with nightly on-site supervision.
C)   Hospitalize the patient until the symptoms have stabilized.
D)   Ask the patient, "Do you feel like I am a traitor?"E) None of the above
F) All of the above

Exam 4: Treatment Settings

A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.

Correct Answer
verified

A nurse surveys medical records. Which finding signals a violation of patients' rights?

Correct Answer
verified

A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action.

Correct Answer
verified

Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention?

Correct Answer
verified

A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rights?

Correct Answer
verified

A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the patient received a notice of eviction immediately prior to admission. Select the case manager's most appropriate action.

Correct Answer
verified

A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?

Correct Answer
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A person in the community asks, "People with mental illnesses went to state hospitals in earlier times. Why has that changed?" Select the nurse's accurate responses. (Select all that apply.)

Correct Answer
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Select the example of tertiary prevention.

Correct Answer
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Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship? "My case manager (Select all that apply)

Correct Answer
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Correct Answer
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A psychiatric nurse discusses rules of the therapeutic milieu and patients' rights with a newly admitted patient. Which rights should be included? The right to (Select all that apply)

Correct Answer
verified

Which patient would be most appropriate to refer for assertive community treatment (ACT) ? A patient diagnosed with

Correct Answer
verified

The health care team at an inpatient psychiatric facility drafts these criteria for admission. Which criteria should be included in the final version of the admission policy? (Select all that apply)

Correct Answer
verified

Correct Answer
verified

Which level of prevention activities would a nurse in an emergency department employ most often?

Correct Answer
verified

Select the example of primary prevention.

Correct Answer
verified

Exam 4: Treatment Settings

A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.

Correct AnswerverifiedShow Answer

A nurse surveys medical records. Which finding signals a violation of patients' rights?

Correct AnswerverifiedShow Answer

A suspicious, socially isolated patient lives alone, eats one meal a day at a local shelter, and spends the remaining daily food allowance on cigarettes. Select a community psychiatric nurse's best initial action.

Correct AnswerverifiedShow Answer

Which activity is appropriate for a nurse engaged exclusively in community-based primary prevention?

Correct AnswerverifiedShow Answer

A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rights?

Correct AnswerverifiedShow Answer

A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the case manager learned that the patient received a notice of eviction immediately prior to admission. Select the case manager's most appropriate action.

Correct AnswerverifiedShow Answer

A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?

Correct AnswerverifiedShow Answer

A person in the community asks, "People with mental illnesses went to state hospitals in earlier times. Why has that changed?" Select the nurse's accurate responses. (Select all that apply.)

Correct AnswerverifiedShow Answer

Select the example of tertiary prevention.

Correct AnswerverifiedShow Answer

Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship? "My case manager (Select all that apply)

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A psychiatric nurse discusses rules of the therapeutic milieu and patients' rights with a newly admitted patient. Which rights should be included? The right to (Select all that apply)

Correct AnswerverifiedShow Answer

Which patient would be most appropriate to refer for assertive community treatment (ACT) ? A patient diagnosed with

Correct AnswerverifiedShow Answer

The health care team at an inpatient psychiatric facility drafts these criteria for admission. Which criteria should be included in the final version of the admission policy? (Select all that apply)

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which level of prevention activities would a nurse in an emergency department employ most often?

Correct AnswerverifiedShow Answer

Select the example of primary prevention.

Correct AnswerverifiedShow Answer

Correct Answer
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