Question: For patients diagnosed with severe and persistent mental illness, which approach is the major advantage of case management? a. Modification of traditional psychotherapy b. Enhanced access and use of resources c. Focus on social skills training and self-esteem building d. Bringing groups of patients together to discuss common problems
For patients diagnosed with severe and persistent mental illness, which approach is the major advantage of case management? a. Modification of traditional psychotherapy b. Enhanced access and use of resources c. Focus on social skills training and self-esteem building d. Bringing groups of patients together to discuss common problems Correct Answer b. Enhanced access and use of resources
Question: The father of a child diagnosed with schizophrenia says, “I lost my job, so we have no health insurance.” The mother says, “I must watch this child all the time. Without supervision, our child becomes violent and destructive.” A sibling says, “My parents don’t pay attention to me.” These comments signify what related stress?
The father of a child diagnosed with schizophrenia says, “I lost my job, so we have no health insurance.” The mother says, “I must watch this child all the time. Without supervision, our child becomes violent and destructive.” A sibling says, “My parents don’t pay attention to me.” These comments signify what related stress? a. Life-cycle stressors b. Psychobiological issues c. Family burden of mental illness d. Stigma associated with mental illness Correct Answer c. Family burden of mental illness
Question: The parent of an adult diagnosed with severe and persistent mental illness asks the nurse, “Why are you making a referral to that vocational rehabilitation program? My child won’t ever be able to hold a job.” Which is the nurse’s best reply? a. “We made this referral to maintain eligibility for federal funding.”
The parent of an adult diagnosed with severe and persistent mental illness asks the nurse, “Why are you making a referral to that vocational rehabilitation program? My child won’t ever be able to hold a job.” Which is the nurse’s best reply? a. “We made this referral to maintain eligibility for federal funding.” b. “Are you concerned that we’re trying to make your child too independent?” c. “If you think the program would be detrimental, we can postpone it for a time.” d. “Most patients are capable of employment at some level, competitive or supported.” Correct Answer d. “Most patients are capable of employment at some level, competitive or supported.”
Question: An adult says, “When I was a child, I took medication because I couldn’t sit still. I stopped taking it when I was about 13. I still have trouble getting organized, which causes difficulty at my job.” Which disorder is most likely? a. Stress intolerance disorder b. Generalized anxiety disorder (GAD) c. Borderline personality disorder
An adult says, “When I was a child, I took medication because I couldn’t sit still. I stopped taking it when I was about 13. I still have trouble getting organized, which causes difficulty at my job.” Which disorder is most likely? a. Stress intolerance disorder b. Generalized anxiety disorder (GAD) c. Borderline personality disorder d. Adult attention-deficit/hyperactivity disorder (ADHD) Correct Answer d. Adult attention-deficit/hyperactivity disorder (ADHD)
Question: A patient says, “I often make careless mistakes and have trouble staying focused. Sometimes it’s hard to listen to what someone is saying. I have problems putting things in the right order and often lose equipment.” Which problem should the nurse document? a. Inattention b. Impulsivity c. Hyperactivity
A patient says, “I often make careless mistakes and have trouble staying focused. Sometimes it’s hard to listen to what someone is saying. I have problems putting things in the right order and often lose equipment.” Which problem should the nurse document? a. Inattention b. Impulsivity c. Hyperactivity d. Social impairment Correct Answer a. Inattention
Question: A nurse prepares for an initial interview with a patient with suspected adult attention-deficit/hyperactivity disorder (ADHD). Questions should be focused to elicit information about which problem? a. Headaches b. Inattention c. Sexual impulses d. Trichotillomania
A nurse prepares for an initial interview with a patient with suspected adult attention-deficit/hyperactivity disorder (ADHD). Questions should be focused to elicit information about which problem? a. Headaches b. Inattention c. Sexual impulses d. Trichotillomania Correct Answer b. Inattention
Question: A nurse prepares a plan of care for a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD). Which intervention should be included? a. Remind the patient of priorities and deadlines. b. Teach work-related skills such as basic computer literacy. c. Establish penalties for failing to organize and prioritize tasks.
A nurse prepares a plan of care for a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD). Which intervention should be included? a. Remind the patient of priorities and deadlines. b. Teach work-related skills such as basic computer literacy. c. Establish penalties for failing to organize and prioritize tasks. d. Give encouragement and strategies for managing ongoing attention. Correct Answer d. Give encouragement and strategies for managing ongoing attention.
Question: The treatment team believes medication will help a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD). Which class of medications does the nurse expect will be prescribed? a. Benzodiazepines b. Stimulants c. Antipsychotics d. Anxiolytics
The treatment team believes medication will help a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD). Which class of medications does the nurse expect will be prescribed? a. Benzodiazepines b. Stimulants c. Antipsychotics d. Anxiolytics Correct Answer b. Stimulants
Question: An adult diagnosed with attention-deficit/hyperactivity disorder (ADHD) says, “I’ve always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can’t keep a job.” The nurse managing care should consider suggesting what intervention? a. Aversive therapy to extinguish negative behaviors.
An adult diagnosed with attention-deficit/hyperactivity disorder (ADHD) says, “I’ve always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can’t keep a job.” The nurse managing care should consider suggesting what intervention? a. Aversive therapy to extinguish negative behaviors. b. Cognitive therapy to help address internalized beliefs. c. Group therapy to allow comparison of feelings with others. d. Vocational counseling to identify needed occupational skills. Correct Answer b. Cognitive therapy to help address internalized beliefs.
Question: A nurse counsels a patient diagnosed with serious and persistent mental illness. The patient lives at home with family. Which resource could the nurse suggest assisting the patient and family to cope with the stigma of mental illness as well as provide support and education? a. American Psychiatric Association (APA)
A nurse counsels a patient diagnosed with serious and persistent mental illness. The patient lives at home with family. Which resource could the nurse suggest assisting the patient and family to cope with the stigma of mental illness as well as provide support and education? a. American Psychiatric Association (APA) b. National Alliance on Mental Illness (NAMI) c. Community Mental Health Centers (CMHCs) d. Programs of Assertive Community Treatment (PACT) Correct Answer b. National Alliance on Mental Illness (NAMI)
Question: Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning? a. Acquire knowledge of the patient’s sexual roles and preferences. b. Develop an understanding of human sexual responses. c. Assess the patient’s sexual functioning. d. Clarify the nurse’s own personal values.
Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning? a. Acquire knowledge of the patient’s sexual roles and preferences. b. Develop an understanding of human sexual responses. c. Assess the patient’s sexual functioning. d. Clarify the nurse’s own personal values. Correct Answer d. Clarify the nurse’s own personal values.
Question: A patient tells the nurse, “My sexual functioning is normal when my partner wears lace. Without it, I’m not interested in sex.” This comment evidences which sexual disorder? a. Exhibitionism b. Voyeurism c. Pedophilia d. Fetishism
A patient tells the nurse, “My sexual functioning is normal when my partner wears lace. Without it, I’m not interested in sex.” This comment evidences which sexual disorder? a. Exhibitionism b. Voyeurism c. Pedophilia d. Fetishism Correct Answer d. Fetishism
Question: A man tells the nurse, “All my life, I have felt and acted like a woman while living in a man’s body. For the past year, I have lived and dressed as a woman. I changed jobs to protect my new identity.” Which request is the patient likely to make to the health care provider? a. “Can you refer me for psychological testing?”
A man tells the nurse, “All my life, I have felt and acted like a woman while living in a man’s body. For the past year, I have lived and dressed as a woman. I changed jobs to protect my new identity.” Which request is the patient likely to make to the health care provider? a. “Can you refer me for psychological testing?” b. “Will you prescribe hormone therapy?” c. “Will you alter my medical records?” d. “What should I tell my parents?” Correct Answer b. “Will you prescribe hormone therapy?”
Question: The manager of a health club put a hidden camera in the women’s locker room and videotaped women as they showered and dressed. Which sexual dysfunction is evident? a. Frotteurism b. Exhibitionism c. Pedophilia d. Voyeurism
The manager of a health club put a hidden camera in the women’s locker room and videotaped women as they showered and dressed. Which sexual dysfunction is evident? a. Frotteurism b. Exhibitionism c. Pedophilia d. Voyeurism Correct Answer d. Voyeurism
Question: Before working with patients regarding sexual concerns, what is a prerequisite for providing nonjudgmental care? a. Sympathy b. Assertiveness training c. Sexual self-awareness d. Effective communication
Before working with patients regarding sexual concerns, what is a prerequisite for providing nonjudgmental care? a. Sympathy b. Assertiveness training c. Sexual self-awareness d. Effective communication Correct Answer c. Sexual self-awareness
Question: A patient diagnosed with schizophrenia tells the community mental health nurse, “I threw away my pills because they interfere with God’s voice.” The nurse identifies what as the likely cause of the patient’s ineffective management of the medication regimen? a. Inadequate discharge planning b. Poor therapeutic alliance with clinicians
A patient diagnosed with schizophrenia tells the community mental health nurse, “I threw away my pills because they interfere with God’s voice.” The nurse identifies what as the likely cause of the patient’s ineffective management of the medication regimen? a. Inadequate discharge planning b. Poor therapeutic alliance with clinicians c. Impaired reasoning secondary to schizophrenia d. Dislike of the side effects of antipsychotic medications Correct Answer c. Impaired reasoning secondary to schizophrenia
Question: A nurse cares for a patient diagnosed with paraphilia. The nurse expects the health care provider may prescribe which type of medication to reduce paraphilic behaviors? a. Stimulants b. Erectile dysfunction medication c. Atypical antipsychotic medication d. Mood stabilizer
A nurse cares for a patient diagnosed with paraphilia. The nurse expects the health care provider may prescribe which type of medication to reduce paraphilic behaviors? a. Stimulants b. Erectile dysfunction medication c. Atypical antipsychotic medication d. Mood stabilizer Correct Answer d. Mood stabilizer
Question: A patient diagnosed with severe and persistent mental illness who recently moved to a homeless shelter says, “My life is out of control. I’m like a leaf at the mercy of the wind.” The nurse formulates the diagnosis Powerlessness. Outcomes will focus on which goal? a. Instilling hope b. Controlling anxiety
A patient diagnosed with severe and persistent mental illness who recently moved to a homeless shelter says, “My life is out of control. I’m like a leaf at the mercy of the wind.” The nurse formulates the diagnosis Powerlessness. Outcomes will focus on which goal? a. Instilling hope b. Controlling anxiety c. Planning social activities d. Developing personal autonomy Correct Answer d. Developing personal autonomy
Question: Which interventions should the nurse plan for a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD)? (Select all that apply.) a. Tendency for genetic transmission b. Prevention strategies related to substance abuse c. Negative reinforcement strategies to help modify behaviors
Which interventions should the nurse plan for a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD)? (Select all that apply.) a. Tendency for genetic transmission b. Prevention strategies related to substance abuse c. Negative reinforcement strategies to help modify behaviors d. Selective serotonin reuptake inhibitors (SSRIs) are usually prescribed for hyperactivity e. Cognitive therapy may help resolve internalized negative beliefs about self Correct Answer a. Tendency for genetic transmission b. Prevention strategies related to substance abuse e. Cognitive therapy may help resolve internalized negative beliefs about self