TEST BANK Chapter 27: Adults Varcarolis: Essentials of Psychiatric Mental Health Nursing Questions and Answers

TEST BANK Chapter 27: Adults Varcarolis: Essentials of Psychiatric Mental Health Nursing Questions and Answers Health maintenance and promotion efforts for patients diagnosed with severe mental illness should include education about the importance of what regular intervention? a. Home safety inspections b. Monitoring of self-care abilities c. Screening for cancer, hypertension, and diabetes d. Determination of adequacy of a patient's support system c. Screening for cancer, hypertension, and diabetes How is severe and persistent mental illness best characterized? a. Mental illness with longer than 2 weeks' duration. b. Major ongoing mental illness marked by significant functional impairments. c. Mental illness accompanied by physical impairment and severe social problems. d. Major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities. b. Major ongoing mental illness marked by significant functional impairments. Which nursing diagnosis is likely to apply to the plan of care for a homeless individual diagnosed with severe and persistent mental illness? a. Insomnia b. Substance abuse c. Chronic low self-esteem d. Impaired environmental interpretation syndrome c. Chronic low self-esteem A patient diagnosed with schizophrenia tells the community mental health nurse, "I threw away my pills because they interfere with God's voice." The nurse identifies what as the likely cause of the patient's ineffective management of the medication regimen? a. Inadequate discharge planning b. Poor therapeutic alliance with clinicians c. Impaired reasoning secondary to schizophrenia d. Dislike of the side effects of antipsychotic medications c. Impaired reasoning secondary to schizophrenia A patient diagnosed with severe and persistent mental illness lives independently. This patient often has command hallucinations and shouts warnings to neighbors. After a short hospitalization, the patient's landlord says, "You can't come back here. You cause too much trouble." What problem is the patient experiencing? a. Grief b. Stigmatization c. Recidivism d. Lack of insurance parity b. Stigmatization ANS: B The inability to obtain shelter because of negative attitudes about mental illness is an example of stigmatization. Stigma is defined as damage to reputation, shame, and ridicule society places on mental illness. Data are not present to identify grief as the patient's problem. Recidivism refers to repetition of a previous offense. Insurance parity is not relevant to this scenario. A person diagnosed with severe and persistent mental illness enters a shelter for the homeless. Which intervention should be the nurse's initial priority? a. Develop a relationship. b. Find supported employment. c. Administer prescribed medication. d. Teach appropriate health care practices a. Develop a relationship. Basic psychosocial needs do not change because a person is homeless. The nurse's initial priority should be establishing rapport. Once a trusting relationship is established, then the nurse can pursue other interventions.