Chapter 32: Serious mental illness
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 - ANS2
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. - ANS2
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 - ANS1
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 - ANS2
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
2
Threats to shoot the mayor
3
Wandering in the community
4
Wearing provocative clothing - ANS2
Threats to shoot the mayor
The goal of a nurse working in psychiatric rehabilitation would be to help patients in the
community do which of the following?
1
Achieve complete mental health
2
Cope more effectively with their symptoms
3
Continue to live comfortably in a psychiatric treatment facility
4
Learn to live with dependency and be content with fewer opportunities - ANS2
Cope more effectively with their symptoms
A patient diagnosed with serious mental illness and who lives in the community says to the
nurse, "You try to be so helpful to me but I'm not worth your energy. You should spend your time
helping other patients who have a chance to get well." Which nursing diagnosis applies?
1
Anxiety
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 - ANS2
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. - ANS2
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 - ANS1
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 - ANS2
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
2
Threats to shoot the mayor
3
Wandering in the community
4
Wearing provocative clothing - ANS2
Threats to shoot the mayor
The goal of a nurse working in psychiatric rehabilitation would be to help patients in the
community do which of the following?
1
Achieve complete mental health
2
Cope more effectively with their symptoms
3
Continue to live comfortably in a psychiatric treatment facility
4
Learn to live with dependency and be content with fewer opportunities - ANS2
Cope more effectively with their symptoms
A patient diagnosed with serious mental illness and who lives in the community says to the
nurse, "You try to be so helpful to me but I'm not worth your energy. You should spend your time
helping other patients who have a chance to get well." Which nursing diagnosis applies?
1
Anxiety
