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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.
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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 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.
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.
A nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. The goal of which of the following levels of prevention has been achieved?
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Community prevention
Correct Answer: C
Rationale: Tertiary prevention involves rehabilitation and reintegration, such as helping a patient secure employment, to support recovery and reduce relapse.
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.