Chapter 32: Serious mental illness Exam Questions With Verified Answers

Chapter 32: Serious mental illness Exam Questions With Verified Answers A patient diagnosed with a severe and persistent mental illness tells the case manager, "I think people are laughing at me behind my back. I get real upset and anxious when I have to be around the others in the group home. It's better when I just stay by myself." The nurse should consider which nursing diagnosis? 1 Acute confusion 2 Social isolation 3 Impaired comfort 4 Risk for activity intolerance - answer2 Social isolation The nursing students are learning about assertive community treatment (ACT). When they are asked about it, which statement by a student conveys a proper understanding? 1 The patient is shifted to a community home to reduce homelessness. 2 ACT provides the needed range of services by a multidisciplinary team. 3 A 24-hour monitoring is absent in order to reduce dependency in patients. 4 ACT has a cheaper cost as a multidisciplinary team comes under one roof. - answer2 ACT provides the needed range of services by a multidisciplinary team A male patient diagnosed with a severe mental illness and institutionalized for most of his adult life recently has been transferred to a supervised community-based residential home that houses several other adult men. The patient is resistant to going to day therapy and has begun to socially isolate if allowed. He has apparent weight loss and has become uncooperative. What is the most likely reason for these changes? 1 Is experiencing a decreased sense of self 2 Has begun showing signs of independence 3 Is lazy now that he is not on a regular schedule 4 Has begun exhibiting a lack of desire to attend the day program - answer1 Is experiencing a decreased sense of self Psychiatric nurses use basic nursing interventions in all settings. The basic nursing interventions include all but which of the following? 1 Health teaching 2 Housing access 3 Crisis intervention 4 Case management - answer2 Housing access An adult diagnosed with mental illness was brought by police to the emergency department. The adult was wandering in the community, wearing provocative clothing, yelling obscenities, and threatening to shoot the mayor. Which behavior most clearly meets criteria for involuntary hospitalization of this adult? 1 Yelling obscenities