Nokea
A patient has been started on antidepressants. The interdisciplinary team member most responsible for monitoring effectiveness and side effects of this new medication is the
- A. Pharmacist.
- B. Psychiatrist.
- C. Psychiatric nurse.
- D. Psychologist.
Correct Answer: C
Rationale: The psychiatric nurse monitors medication effectiveness and side effects due to frequent patient interaction, unlike pharmacists, psychiatrists, or psychologists who have different primary roles.
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Which is the orientation of assertive community treatment (ACT)?
- A. Setting limits on mundane life issues
- B. Making a wide range of referrals
- C. Providing services in offices
- D. Problem-solving orientation
Correct Answer: D
Rationale: ACT adopts a problem-solving orientation, delivering direct services in clients' homes or communities, not through referrals or office-based care.
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.
Which type of psychiatric rehabilitation relies on intentional communities and rehabilitation alliances?
- A. Clubhouse model
- B. Assertive community treatment
- C. Group homes
- D. Respite housing
Correct Answer: A
Rationale: The clubhouse model emphasizes intentional communities and alliances for rehabilitation, unlike ACT's problem-solving focus or group homes and respite housing's residential focus.
The nurse is part of a group setting up a mobile crisis service in conjunction with the local police department. Community education on which of the following this team will focus includes?
- A. Teaching police officers counseling skills
- B. Crisis counseling services to be provided in the prison system
- C. Educating about the dangers of the mentally ill in the community
- D. Assisting police officers to recognize mental illness
Correct Answer: D
Rationale: Mobile crisis services train police to recognize mental illness, enabling appropriate diversion to treatment rather than arrest, not focusing on counseling skills or prison services.
A patient with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the
- A. Psychiatrist.
- B. Psychologist.
- C. Nurse manager.
- D. Recreation therapist.
Correct Answer: A
Rationale: The psychiatrist, responsible for prescribing and managing medications, must be notified for suspected lithium toxicity, a medical emergency.