Nokea
A psychiatric nurse is planning activities aimed at secondary prevention of mental illness. Which activity would be most appropriate to develop?
- A. Self-esteem building with a local after-school program
- B. Social skills training for chronic schizophrenics
- C. Parenthood classes at a local community center
- D. Depression screening in an assisted living facility
Correct Answer: D
Rationale: Secondary prevention involves early identification of mental health issues, such as depression screening, to intervene before conditions worsen.
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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 is encouraged to join in daily outdoor games with peers on the unit. The interdisciplinary team member who will monitor the patient's involvement will be the
- A. Occupational therapist.
- B. Recreation therapist.
- C. Vocational rehabilitation therapist.
- D. Psychiatric nurse.
Correct Answer: B
Rationale: The recreation therapist oversees activities like outdoor games to promote leisure and balance, distinct from the roles of occupational, vocational, or psychiatric nursing.
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.
A patient has just been referred to a psychosocial rehabilitation program. The nurse explains that the benefits of being involved in such a program include.
- A. Continuous monitoring of symptoms.
- B. Increased independence.
- C. Increased involvement in treatment decisions.
- D. Recovery from mental illness.
- E. Increased community integration.
- F. Greater opportunities for personal growth.
Correct Answer: B,C,D,E,F
Rationale: Psychosocial rehabilitation promotes recovery, independence, community integration, treatment involvement, and personal growth, not continuous symptom monitoring.