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Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4e 4th Edition
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Question 1 of 5

Health maintenance and promotion efforts for patients diagnosed with severe mental illness should include education about the importance of what regular intervention?

A. Home safety inspections

B. Monitoring of self-care abilities

C. Screening for cancer, hypertension, and diabetes

D. Determination of adequacy of a patient's support system

Correct Answer:

Rationale:

Question 2 of 5

How is severe and persistent mental best characterized?

A. Mental illness with longer than 2 weeks' duration.

B. Major ongoing mental illness marked by significant functional impairments.

C. Mental illness accompanied by physical impairment and severe social problems.

D. Major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities.

Correct Answer:

Rationale:

Question 3 of 5

A 37 year old is involuntarily committed to outpatient treatment after sexually molesting a 12-year-old child. The patient says, 'That girl looked like she was 19 years old.' Which defense mechanism is this patient using?

A. Denial

B. Identification

C. Displacement

D. Rationalization

Correct Answer:

Rationale:

Question 4 of 5

Which nursing diagnosis is likely to apply to the plan of care for a homeless individual diagnosed with severe and persistent mental illness?

A. Insomnia

B. Substance abuse

C. Chronic low self-esteem

D. Impaired environmental interpretation syndrome

Correct Answer:

Rationale:

Question 5 of 5

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:

Rationale:

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