Nokea
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.
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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.
The primary advantage of an evolving consumer household is that clients
- A. Are provided with adequate income to combat poverty.
- B. Do not have to relocate as they become more independent.
- C. Have on-site staff supervision 24 hours a day.
- D. Receive on-site medical care.
Correct Answer: B
Rationale: Evolving consumer households offer permanent living, eliminating the need for relocation as clients gain independence. They do not inherently provide income, 24-hour supervision, or on-site medical care.
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.
Which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?
- A. Progress in treatment options for mentally ill persons
- B. The growth of managed care
- C. Less stigma associated with mental illness
- D. The current use of milieu therapy
Correct Answer: B
Rationale: Managed care introduced cost-control measures like recertification, utilization review, and case management, significantly altering inpatient treatment. While treatment options and stigma have evolved, they are not the primary drivers. Milieu therapy, common in the 1980s, required longer stays and is less relevant today.
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.