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Mental Health Care for Adults with Serious Mental Illness Combined

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Mental Health Care For Adults With Serious Mental Illness
Combined Exam Questions And Answers


Which guidance would the nurse provide a patient with a serious mental illness (SMI) in
an effort to reduce the likelihood of developing metabolic syndrome? - answer Reduce
the overall fat in your diet.

Take blood pressure medication as prescribed.

Exercise by briskly walking an average of 12 miles per week.

Which rationale would the nurse provide when the family of a patient admitted with an
exacerbation of a severe mental illness (SMI) become upset when the patient is
questioned about substance use? - answer The worsening of symptoms may be the
result of substance misuse.

Patients with a SMI may turn to illicit substances as a way to experience pleasure.

Patients with an SMI are among the leading population of smokers in the United States.

Which explanation justifies the nurse cautioning the patient with a severe mental illness
(SMI) regarding the potential for victimization? - answer SMI impairs judgement, putting
a patient at risk of victimization.

Which statement is true of caregivers for individuals with severe mental illness (SMI)? -
answer Medication adherence is a priority.

Which consequences of medication nonadherence would the nurse discuss with the
caregiver and patient diagnosed with severe mental illness (SMI)? - answer Increased
risk of suicide

Increase in risk-taking behaviors

Rehospitalization due to exacerbation of symptoms

Which benefits of a peer specialist program would the nurse present to a patient with a
severe mental illness (SMI) when discussing community resource options? - answer
Guidance can be provided regarding how to access health care services.

The peer specialist has experienced what the patient is experiencing.

Assistance in understanding the plan of care can be provided by the peer specialist.

The nursing student demonstrates understanding of the goals of psychoeducation by
making which statement? - answer "The patient will gain an understanding of disease
process and prognosis."

, Match the description with the corresponding community treatment. - answer Inpatient
treatment during the day and at home at night = Partial Hospitalization

Rentals from companies who can offer rent-controlled housing = housing sevice

Encourages and focuses on positive interactions = supportive psychotherapy

May include urgent, short-term hospitalization = crisis intervention



Which action by the patient would the nurse assess as requiring involuntary treatment
based on posing risk to self or others? - answer Not eating for 3 days in a row

Which outcome related to the patient's caregiver would be appropriate for the nurse to
include in the plan of care of a patient with a severe mental illness (SMI)? - answer The
caregiver has a replacement at least twice weekly.

Which explanation would the nurse provide to family members of a patient with a severe
mental illness (SMI) regarding why playing board games with the patient is beneficial? -
answer Playing games gives the patient a chance to practice connecting with others.

Match the resource with one of the services it provides. - answer Educates the nation
regarding mental health issues =Mental Health America

Advocates for patients with SMI and their family and friends = National Alliance on
Mental Illness (NAMI)

Provides research findings relevant to mental health issues = National Institute of Mental
Health

Assists participants in becoming patient advocates = NAMI Family-to-Family

Match the patient intervention with the rationale for carrying out the activity. - answer
The patient will be more likely to be adherent to the treatment plan. = goal

The patient will be less anxious about the treatment plan. = consistent

The patient will be more likely to cooperate with the treatment plan. = trust

The patient will be more likely to engage in positive interactions. = social



Which statement about serious mental illness (SMI), if made by a nursing student,
indicates an understanding of this mental health concern? - answer "The disordered
thought processes are persistent and impair daily functioning."

The disordered thought processes characteristic of SMIs are ongoing disorders and
ultimately prevent the person from functioning effectively in a highly complex society.

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