A parent is admitted to a chemical dependency treatment unit. The patients spouse and adolescent children participate in a family session. What is the most important aspect of this familys assessment?
- A. Spouses codependent behaviors
- B. Interactions among family members
- C. Patients reaction to the familys anger
- D. Childrens responses to the family sessions
Correct Answer: B
Rationale: Interactions among all family members are the raw material for family problem solving. By observing interactions, the nurse can help the family make its own assessments of strengths and deficits. The other options are narrower in scope when compared with the correct option.
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Of the 11 topics of priority conditions selected in the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG), which one topic from the following list is included?
- A. Anxiety neurosis.
- B. Epilepsy.
- C. Obsessive compulsive disorder.
- D. Post-traumatic stress disorder.
Correct Answer: B
Rationale: Epilepsy is a priority condition in mhGAP-IG due to its prevalence and impact.
In order to become political advocates for the mentally ill, psychiatric nurses must first:
- A. Be willing to learn the legislative and regulatory processes at both the federal and state levels.
- B. Recognize the need to work in partnership with the American Medical Association.
- C. Be willing to put aside differences and unite for a common mental health cause.
- D. Recognize the value of their understanding of the needs of the mentally ill.
Correct Answer: D
Rationale: The correct answer is D because psychiatric nurses must understand the unique needs of the mentally ill to effectively advocate for them. By recognizing the value of their understanding, nurses can tailor their advocacy efforts to address these specific needs. Choice A is incorrect as legislative knowledge is important but not the primary requirement. Choice B is incorrect as partnership with the AMA is not necessary for advocacy. Choice C is incorrect as unity alone is not sufficient without a clear understanding of the mental health issues.
The nuclear family means
- A. Two generation unit of parents and their children
- B. A group of people sharing living accommodation and meals
- C. Network of relatives extended with or between generations
- D. The new family created when an adult leaves home and gets married
Correct Answer: A
Rationale: The nuclear family is parents and children, a two-generation unit.
A widow grieving her husbands sudden death tells the nurse, Im not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away. Which is the nurses most appropriate action?
- A. Assess for recent substance abuse.
- B. Suggest a referral to the mental health clinic.
- C. Arrange for an evaluation for antidepressant medication.
- D. Counsel the widow that visualizations are a normal part of grieving.
Correct Answer: D
Rationale: Grieving patients often dream about, visualize, think about, or search for the lost loved one. The patient should be told that this is considered a normal phenomenon and not a sign of mental illness. Visualization does not suggest substance abuse or mental illness in this case.
The Montessori approach includes learning through
- A. Direct instructions
- B. Hands-on activities
- C. Lectures
- D. Worksheets
Correct Answer: B
Rationale: Montessori prioritizes hands-on, experiential learning.
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