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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.
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Which element would be present in an assertive community treatment (ACT) program?
- A. 24-hour-a-day services
- B. Infrequent contact with clients
- C. Many clients to each staff member
- D. Limited length of service
Correct Answer: A
Rationale: ACT provides 24-hour, intensive, ongoing support in clients' communities, with low client-to-staff ratios and unlimited service duration.
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 patient with bipolar disorder has a long history of both hospitalizations and incarcerations. The patient has no permanent residence and has infrequent contact with his family. Upon admission to the inpatient psychiatric unit for stabilization, the nurse documents all of the following in the record. Which of the following data most suggests a positive outcome for this patient?
- A. Reporting meeting with the same case manager monthly for the last 3 years
- B. History of residential stays at several local homeless shelters
- C. Last contact with siblings 4 years ago
- D. Income from day labor for 10 days last month
Correct Answer: A
Rationale: Consistent case manager contact indicates stable support, a positive factor for outcomes, unlike transient shelter stays, family disconnection, or inconsistent income.
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.
A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed. The nurse can effectively educate the public on the realities of group home by citing research that indicates
- A. Property values quickly rebound in neighborhoods that have group homes.
- B. Police surveillance will be increased to avert any violence by residents.
- C. Most people with mental illness do not represent a significant danger to others.
- D. Neighborhoods that provide park areas provide children a centralized and safe place to play.
Correct Answer: C
Rationale: Research shows most mentally ill individuals are not dangerous, countering community stereotypes about group homes, which is more relevant than property values or unrelated park areas.