Nokea
Some residential treatment settings are transitional. This means that clients are eventually expected to
- A. Become self-sufficient.
- B. Find employment.
- C. No longer need medication.
- D. Relocate to another setting.
Correct Answer: D
Rationale: Transitional housing is temporary, with clients expected to move to another setting, not necessarily to achieve self-sufficiency, employment, or medication cessation.
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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 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.
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 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.
What are the two essential components of transitional care discharge model that is used in Canada and Scotland?
- A. Peer support and bridging staff
- B. Collaboration and funding
- C. Relapse and hospitalization
- D. Poverty and entitlements
Correct Answer: A
Rationale: The transitional care model relies on peer support from community-living consumers and bridging staff to maintain therapeutic relationships during the transition. Collaboration and funding are supportive but not the core components.