MENTAL HEALTH - EXAM 1 2024 UPDATE QUESTIONS AND ANSWERS

MENTAL HEALTH - EXAM 1 2024 UPDATE QUESTIONS AND ANSWERSMENTAL HEALTH - EXAM 1 2024 UPDATE QUESTIONS AND ANSWERS A person says, "Now that many state hospitals are closed, patients with psychiatric problems are free in our community. It is not safe for me." The nurse's reply should be based on knowledge that: A. depressed patients are nonviolent. B. state hospitals are no longer needed. C. anxiety disorders are most prevalent. D. bizarre behavior is viewed as sensational. - MARKED ANSC Select the most accurate characterization of treatment of the mentally ill prior to the Period of Enlightenment. A. Large asylums provided custodial care. B. Care for the mentally ill was more compassionate. C. Care focused on reducing stress and meeting basic human needs. D. The mentally ill were banished from communities or displayed for public amusement. - MARKED ANSD What concerns were shared by society during both the Period of Enlightenment and the Period of Community Mental Health? A. Moving patients out of asylums B. Studying brain structure and function C. Meeting basic human needs humanely D. Providing medication to control symptoms - MARKED ANSC A key factor motivating passage of the Community Mental Health Centers Act in 1963 was that mentally ill individuals had been: A. hospitalized only if they demonstrated violent behavior. B. geographically isolated from family and community. C. discharged before receiving adequate treatment. D. used as subjects in pharmacologic research. - MARKED ANSB Freud's contribution to psychiatry that most affects current psychiatric nursing is: A. the challenge to look at humans objectively. B. recognition of the importance of human sexuality. C. theories about the importance of sleep and dreams. D. discoveries about the effectiveness of free association. - MARKED ANSA The greatest impact in the care of the mentally ill over the past 50 years has resulted from progress and improvement in which area? A. Self-help groups B. Outpatient therapy C. Psychotropic drugs D. Patients' rights awareness - MARKED ANSC An adult with schizophrenia is discharged from a state mental hospital after 20 years of institutionalization. When planning care in the community, which premise applies? This patient is likely to: A. independently find support services to aid transition from hospitalization to community. B. adjust smoothly to the community if provided with sufficient support services. C. self-administer antipsychotic medications correctly if provided with education. D. need crisis or emergency psychiatric interventions from time to time. - MARKED ANSD A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form. Which resource should the nurse use to discern the criteria used to establish this diagnosis? A. DSM-IV-TR B. Nursing Diagnosis Manual C. A psychiatric nursing textbook D. A behavioral health reference manual - MARKED ANSA A shift in the psychiatric nursing focus during the community mental health period of the 1960s resulted in: A. disillusionment with the high numbers of people seeking treatment. B. focusing more attention on complications associated with substance abuse. C. spending more time providing services to persons with serious mental illness. D. shifting focus away from the most acutely ill and to persons with a perceived greater potential for improvement. - MARKED ANSD An adult with serious mental illness is being admitted to a community behavioral health inpatient unit. Recognizing current trends in hospitalization, this patient is likely to: A. comply readily with the prescribed treatment. B. have a clear understanding of the illness. C. display aggressive behavior. D. stabilize within 24 hours. - MARKED ANSC Which individual should the nurse assess as having the highest risk for homelessness? A. An older adult woman with mild dementia who resides in an assisted living facility B. An adult with serious mental illness and no family C. An adolescent with an eating disorder D. A married person with alcoholism - MARKED ANSB A former pediatric nurse begins working in a clinic housed in a homeless shelter. The nurse asks the clinic director, "What topic should I review to improve my effectiveness as I begin my new job?" Which topic should the clinic director suggest? A. Care of school-age children B. Psychiatric and substance abuse assessment C. Communicable disease prevention strategies D. Sexually transmitted disease signs and symptoms - MARKED ANSB Which skill is most important to a nurse working as a member of a community mental health team that strives to use a seamless continuum of care? A. Case management B. Diagnostic ability C. Physical assessment skills D. Patients' rights advocacy - MARKED ANSA The broadened scope of psychiatric nursing practice is attributable primarily to: A. increased use of psychotropic drugs. B. opening of community mental health centers. C. legislation that changed nurse practice acts across the country. D. recidivism of seriously mentally ill patients in public mental hospitals. - MARKED ANSB A patient with mental illness was initially treated in an outpatient setting and then hospitalized for a week when the disorder became acute. After discharge to a halfway house, this patient's care was managed by a community mental health nurse. Which inference applies to this community? A. Additional mental health services should be made available for the severely mentally ill. B. A seamless continuum of services is in place to serve persons with severe mental illness. C. Case management services should be expanded to care for acute as well as long- term system consumers. D. There is insufficient data to make a conclusion. - MARKED ANSB Which changes in psychiatric nursing practice are directly attributable to events occurring during the Decade of the Brain? Select all that apply. A. Homeless shelters became practice sites. B. Nurses upgraded knowledge of psychopharmacology. C. Nurses provided psychoeducation to patients and families. D. Nurses viewed psychiatric symptoms as resulting from brain irregularities. E. Nurses were more likely to advocate for patients' rights related to involuntary commitment. - MARKED ANSB, C, D A newcomer to a community support meeting asks a nurse, "Why aren't people with mental illnesses treated at state institutions anymore?" What would be the nurse's accurate responses? Select all that apply. A. "Funding for treatment of mental illness now focuses on community treatment." B. "Psychiatric institutions are no longer accepted because of negative stories in the press." C. "There are less restrictive settings available now to care for individuals with mental illness." D. "Our nation has fewer people with mental illness; therefore, fewer hospital beds are needed." E. "Better drugs now make it possible for many persons with mental illness to live in their communities." - MARKED ANSA, C, E Put these services in order from least to most intensive. A. Day treatment B. Hospitalization C. Scheduled visits at a community mental health center - MARKED ANSC, A, B A state uses the M'Naghten Rule when an individual is on trial for a crime. It would be most important for a nurse caring for a patient who will soon be tried on murder charges to document: A. the patient's participation in treatment planning. B. the patient's comments about commission of the crime. C. examples of behaviors that support psychiatric diagnoses. D. the patient's perceptions of the need for hospitalization and treatment. - MARKED ANSB A patient tells the nurse, "You better take good care of me or I'll sue you using the precedent established in Wyatt v. Stickney." The nurse can interpret this as: A. intellectualization. B. concern about rights to adequate treatment. C. a warning about being coerced into treatment. D. a request for immediate discharge from the facility. - MARKED ANSB A patient shouts, "I'm holding you responsible for mistreatment based on Rogers v. Orkin." The nurse can conclude that the patient is objecting to: A. loss of privileges to leave the unit. B. inability to make phone calls. C. taking medication. D. hospitalization. - MARKED ANSC To help preserve patients' rights to freedom from restraint and seclusion, the most important interventions that the nurse can use are based on principles of: A. therapeutic management. B. reality-based communication. C. confidentiality of documentation. D. effective use of ancillary personnel. - MARKED ANSA A nurse finds a psychiatric advance directive in the medical record of a patient experiencing psychosis. The directive was executed during a period in which the patient was stable and competent. The nurse should: A. ensure that the directives are respected in treatment planning. B. review the directive with the patient to ensure that it is current. C. consider the directive only if there is a cardiac or respiratory arrest. D. realize that such directives address only the use of psychotropic medication. -