Nokea
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 medication.
Correct Answer: A
Rationale: The belief that mentally ill individuals are inherently violent is a stereotype that needs addressing, as most are not significantly dangerous, unlike the other beliefs which align with evidence.
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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
Correct Answer: A
Rationale: The transitional care model relies on peer support from community-living consumers and bridging staff to maintain therapeutic relationships during the transition. Collaboration and funding are supportive but not the core components.
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 stereotypes of persons with mental illnesses
- 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 persons in the group home
Correct Answer: A
Rationale: Nurses advocate by educating communities to dispel stereotypes about mental illness, addressing fears about violence or property values. Persuasion, neighborhood safety, and group home security are not primary nursing roles.
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. Teaching parents the early signs of attention deficit disorder in children
Correct Answer: B
Rationale: Primary prevention focuses on reducing mental health risks through education, like stress management for students, before issues develop.
What is required for a transitional care model to be most effective in promoting the client's health and well-being and prevent relapse and rehospitalization?
- 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
Correct Answer: A,B,C
Rationale: Collaboration, administrative support, and adequate funding are essential for the transitional care model's success, supporting peer and bridging staff efforts to prevent relapse.
Some residential treatment settings are transitional. This means that clients are eventually expected to
- A. Become self-sufficient.
- B. Find employment.
- C. No longer need medication.
- D. Relocate to another setting.
Correct Answer: D
Rationale: Transitional housing is temporary, with clients expected to move to another setting, not necessarily to achieve self-sufficiency, employment, or medication cessation.