lOMoARcPSD|125 V V
042 45
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9TH
V V V V V V V
EDITION BY SHEILA L. VIDEBECK
V V V V V
| VERIFIED CHAPTER'S 1 - 24 | COMPLETE
V V V V V V V
,lOMoARcPSD|125
V V 042 45
, lOMoARcPSD|125
V V 042 45
Chapter 1, Foundations ofPsychiatric–Mental Health Nursing
V V V V V
1. The Vnurse Vis Vassessing Va Vnewly Vadmitted Vclient Vwith Vcholecystitis. VWhen
performing Vthe Vadmission Vassessment, Vwhich Vstatement Vby Vthe Vclient Vis Van
V
indicator Vof Voptimal Vmental Vhealth?
V
A. “I Vdon’t Vneed Vanyone Vin Vmy Vlife, VI Vmanage Vwell Von Vmy Vown.”
B. “I Vpractice Vyoga Vregularly Vsince Vit Vhelps Vmanage Vany Vstress VI Vam Vfeeling.”
C. “My Vfamily Vhas Vseveral Vpeople Vwith Vmental Vhealth Vproblems.”
D. “I Vhad Va Vhistory Vof Valcohol Vuse Vdisorder Vand Vhave Vbeen Vsober Vfor V2 Vmonths.”
Answer: VB
Rationale: VIndividual Vfactors Vinfluencing Vmental Vhealth Vinclude Vcoping Vor Vstress
management Vabilities. VInterpersonal Vfactors Vsuch Vas Vintimacy Vand Va Vbalance Vof
V
separateness Vand Vconnectedness Vare Vboth Vneeded Vfor Vgood Vmental Vhealth, Vand
V
therefore Va Vhealthy Vperson Vwould Vneed Vothers Vfor Vcompanionship. VA Vfamily
V
history Vof Vmental Villness Vcould Vrelate Vto Vthe Vbiologic Vmakeup Vof Van Vindividual,
V
which Vmay Vhave Va Vnegative Vimpact Von Van Vindividual’s Vmental Vhealth. VA Vrecent
V
history Vof Vthe Vuse Vof Vmaladaptive Vcoping Vmechanisms Vsuch Vas Valcohol Vdoes Vnot
V
indicate Vthat Vthe Vclient Vis Vmentally Vhealthy.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VCommunication Vand VDocumentation
V
Learning VObjective: V1
Reference: Vp. V2, VMental VHealth Vand VMental VIllness,
2. The Vnurse Vis Vperforming Van Vadmission Vassessment Vfor Va Vclient Vadmitted Vto
the Vbehavioral Vhealth Vunit. V Which Vsocial/cultural Vcategory Vwill Vthe Vnurse
V
document Vthat
V
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V V 042 45
may Vbe Vcontributing Vto Vthe Vclient’s Vdegree Vof Vmental Villness? V Select Vall Vthat Vapply.
A. The Vclient Vis Vunable Vto Vfind Vwork Vand Vdoes Vnot Vhave Venough Vmoney Vfor Vhousing.
B. The Vclient Vstates Vthat Vthey Vare Vdiscriminated Vagainst Vdue Vto Vtheir Vcountry
of Vorigin.
V
C. The Vclient Vattributes Vlife’s Vproblems Vto Vbeing Vwithout Vfamily Vsupport.
D. The Vclient Vreports Vbeing Vunable Vto Vfind Vanything Vmeaningful Vwithin Vtheir Vlife.
E. The Vclient Vreports Vnot Vbelonging Vanywhere Vand Vis Vwithout Vfamily Vsupport.
Answer: VA, VB
Rationale: VSocial Vor Vcultural Vcategories Vrelate Vto Va Vlack Vof Vresources, Vpoverty,
negative Vview Vof Vthe Vworld, Vand Vdiscrimination Vand Vmay Vresult Vin Visolation Vand
V
violent Vor Vcriminal Vbehavior. VThe Vclient Vthat Vattributes Vlife’s Vproblems Vto Vbeing
V
without Vfamily Vsupport Vis Vnot Vable Vto Vfind Vmeaning Vin Vlife. VBeing Vwithout Vsupport
V
is Vinterpersonal Vdeterminant Vof Vmental Villness.
V
Question Vformat: VMultiple VSelect
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VAnalyze
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VNursing VProcess
V
Learning VObjective: V1
Reference: Vp. V2, VMental VIllness
V
3. A Vclient Vgrieving Vthe Vrecent Vloss Vof Va Vspouse, Vasks, V“Am VI Vbecoming Vmentally Vill?
I Vfeel Vso Vsad” VWhich Vis Vthe Vnurse’s Vbest Vresponse?
V
A. “You Vmay Vhave Va Vtemporary Vmental Villness Vbecause Vyou Vare Vexperiencing
so Vmuch Vpain.”
V
B. “You Vare Vnot Vmentally Vill. VThis Vis Van Vexpected Vreaction Vto Vthe Vloss Vyou
have Vexperienced.”
V
C. “Were Vyou Vgenerally Vdissatisfied Vwith Vyour Vrelationship Vbefore Vyour
husband’s Vdeath?”
V
D. “Try Vnot Vto Vworry Vabout Vthat Vright Vnow. VYou Vnever Vknow Vwhat Vthe Vfuture Vbrings.”
,
, lOMoARcPSD|125
V V 042 45
Answer: VB
Rationale: VAcute Vgrief Vreactions Vare Vexpected Vand Vtherefore Vnot Vconsidered Vmental
illness. VDownplaying Vthe Vclient’s Vgrief Vdoes Vnot Vappropriately Vaddress Vthe Vclient’s
V
concerns. VThe Vquality Vof Vthe Vrelationship Vdoes Vnot Vdetermine Vthe Vpresence Vof
V
absence Vof Vmental Villness.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VPsychosocial VIntegrity
Integrated VProcess: VCommunication Vand VDocumentation
Learning VObjective: V1
V
Reference: Vp. V2, VMental VHealth Vand VMental VIllness
4. The Vnurse Vis Vusing Vthe VDSM-5-TR Vfor Va Vnewly Vadmitted Vclient Vdiagnosed Vwith
bipolar VI Vdisorder. VWhich Vinformation Vwill Vthe Vnurse Vobtain Vto Vassist Vwith Vthe Vuse
V
of Vthis Vresource?
V
A. Devise Va Vplan Vof Vcare Vfor Va Vnewly Vadmitted Vclient
B. Predict Vthe Vclient’s Vprognosis Vof Vtreatment Voutcomes
C. Document Vthe Vappropriate Vdiagnostic Vcode Vin Vthe Vclient’s Vmedical Vrecord
D. Use Vas Va Vguide Vfor Vclient Vassessment
Answer: VD
Rationale: VThe VDSM-5-TR Vprovides Vstandard Vnomenclature, Vpresents Vdefining
characteristics, Vand Videntifies Vunderlying Vcauses Vof Vmental Vdisorders. VIt Vdoes Vnot
V
provide Vcare Vplans Vor Vprognostic Voutcomes Vof Vtreatment. VThe VDSM-5-TR Vdoes Vnot
V
provide Vcoding Vfor Vrecord-keeping Vor Vbilling Vpurposes.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
, lOMoARcPSD|125
V V 042 45
Integrated VProcess: VCommunication Vand VDocumentation
Learning VObjective: V2
V
Reference: Vp. V2, VMental VIllness
5. A Vclient Vwith Vthe Vinability Vto Vwork Vdue Vto Vrelapsing Vschizophrenia Vis
receiving VSocial VSecurity VBenefits. VWhich Vbenefit Vwill Vthis Vprovide Vto Vthe Vclient
V
experiencing Vserious Vmental Villness?
V
A. The Vclient Vwill Vbe Vable Vto Vmaintain Vsome Vlevel Vof Vindependence Vfinancially.
B. The Vclient Vwill Vhave Vthe Voption Vto Vonly Vobtain Vinpatient Vtreatment.
C. The Vclient Vwill Vbe Vable Vto Vpay Vall Vof Vtheir Vbills Vas Vwell Vas Vpurchase Vmedication.
D. The Vclient Vwill Vhave Vthe Vability Vto Vobtain Vpsychiatric Vservice Vregardless Vof Vsetting.
Answer: VA
Rationale: VFederal Vlegislation Vwas Vpassed Vto Vprovide Van Vincome Vfor Vdisabled
persons: Vsupplemental Vsecurity Vincome V(SSI) Vand VSocial VSecurity Vdisability
V
income V(SSDI). VThis Vallowed Vpeople Vwith Vsevere Vand Vpersistent Vmental Villness Vto
V
be Vmore Vindependent Vfinancially Vand Vto Vnot Vrely Von Vfamily Vfor Vmoney. VThis Vdoes
V
not Vprevent Vthe Vclient Vin Vacute Vcrisis Vfrom Va Vrelapse Vfrom Vbeing Vadmitted Vto Vthe
V
inpatient Vsetting Vif Vthey Vare Vat Vrisk Vof Vharm Vto Vself Vor Vothers. VSocial Vsecurity Vis
V
limited Vand Vthe Vclient Vmay Vstill Vhave Vsome Vdegree Vof Vfinancial Vdifficulty. VThe
V
client Vmay Vbe Vlimited Vto Vstate Vowned Vfacilities Vand Vnot Vbe Vable Vto Vseek Vtreatment
V
at Va Vprivate Vfacility. VThis Vdoes Vnot Vdictate Vto Vthe Vclient Vthe Vlevel Vof Vcare Voffered
V
to Vthe Vclient.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VNursing VProcess
V
Learning VObjective: V3
Reference: Vp. V4, VDevelopment Vof VPsychopharmacology
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V V 042 45
6. The Vnurse Vworking Vin Vthe VED Vof Van Vurban Vhospital Vnotifies Vthe Vmanager Vthat
there Vare Vseveral Vclients Vwith Vmental Vhealth Vdisorders Vstill Vpresent Vin Vthe VED
V
that Vhave Vbeen Vthere Vover V48 Vhours. VWhich Vissue Vrelated Vto Vthis Vphenomenon
V
does Vthe Vnurse Vdiscuss Vwith Vthe Vmanager?
V
A. Temporary Vdetaining Vorders Vfor Vclients
B. Decision Vto Vpractice Vboarding
C. The Vrevolving Vdoor Vfor Vclients
D. The Vcost Vof Vholding Vclients Vin Vthe VED Vfor Vover V48 Vhours
Answer: VB
Rationale: VThe Vpractice Vof Vboarding Vis Vfrustrating Vto Vhealth Vcare Vpersonnel Vin VEDs
since Vit Vmay Vinterfere Vwith Vthe Vacute Vcare Vand Vemergencies Vthat Vare Vrequired Vin
V
that Vsetting. VClients Vbecome Vdissatisfied Vwith Vcare, Vand Vtheir Vfamilies Vfeel Vas
V
though Vclients Vare Vnot Vreceiving Vthe Vcare Vneeded Vto Vmove Vthrough Vthe Vcrisis
V
and Vsome Vbelieve Van Vincrease Vin Vsuicide. VProvision Vof Van Vadequate Vnumber Vof
V
psychiatric Vinpatient Vbeds Vcould Vbetter Vmeet Vthe Vneeds Vof Vclients Vand Vmight
V
even Vdecrease Vhomelessness, Vincarceration, Vand Vviolence. VThe Vrevolving Vdoor
V
phenomenon Vis Vthe Vincrease Vin Vshort-stay Vadmissions Vrepeatedly. VHaving Vto
V
obtain Va Vtemporary Vdetaining Vorder Vimproves Vthe Vtransition Vinto Vinpatient Vcare.
V
Cost Vis Vnot Vthe Vimmediate Vissue Vof Vthe Vnurse.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VCommunication Vand VDocumentation
V
Learning VObjective: V4
Reference: Vp. V3–4, VMental VIllness Vin Vthe V21st VCentury
7. The Vnurse Vis Vworking Vin Van Vinpatient Vmental Vhealth Vfacility Vand Vcaring Vfor
several Vclients. VWhich Vclient Vis Vmost Vlikely Vto Vexperience Vthe Vrevolving Vdoor
V
phenomenon?
V
A. A Vclient Vliving Vwith Vboth Vparents Vthat Vadheres Vto Vprescribed Vmedication Vregimen
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V V 042 45
B. A Vclient Vwith Va Vdual Vdiagnosis Vof Vheroin Vuse Vdisorder Vand Vbipolar VI Vdisorder
C. A Vclient Vthat Vhas Vdepression Von Vantidepressants Vreceiving
electroconvulsive Vtherapy.
V
D. A Vclient Vwith Van Vacute Vsituational Vcrisis Vdue Vto Va Vnatural Vdisaster
Answer: VB
Rationale: VA Vclient Vwith Va Vdual Vdiagnosis Vincluding Va Vsubstance Vuse Vdisorder Vand
a Vmood Vdisorder Vis Vmost Vlikely Vto Vcontinue Vto Vrequire Vinpatient Vservices. VMany
V
people Vhave Va Vdual Vproblem Vof Vboth Vsevere Vmental Villness Vand Va Vsubstance Vuse
V
disorder.
V
Use Vof Valcohol Vand Vdrugs Vexacerbates Vsymptoms Vof Vmental Villness, Vagain Vmaking
rehospitalization Vmore Vlikely. VSubstance Vuse Vdisorders Vcannot Vbe Vdealt Vwithin V3 Vto
V
5 Vdays Vtypical Vfor Vadmissions Vin Vthe Vcurrent Vmanaged Vcare Venvironment. VA
V
client Vadhering Vto Va Vmedication Vregiment Vand Vhaving Vfamily Vsupport Vwill Vnot
V
likely Vrequire Vreadmission Vfrequently. VA Vclient Vwith Vdepression Vand Vreceiving
V
electroconvulsive Vtherapy Vmay Vreceive Vthis Von Van Voutpatient Vbasis Vand Vnot
V
require Vadmission. VAn Vacute Vsituational Vcrisis Vwill Vpass Vover Va Vperiod Vof Vtime
V
with Vappropriate Vcognitive Vbehavioral Vtherapy Vthat Vis Vused Von Van Voutpatient
V
basis.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VAnalyze
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VNursing VProcess
V
Learning VObjective: V4
Reference: Vp. V4, VRevolving
V
Door
V
8. The Vnurse Vis Vcaring Vfor Vclients Vin Van Voutpatient Vfacility Vfor Vthose Vthat Vhave
persistent Vor Vsevere Vmental Vhealth Vdisorders. VWhich Vfactor(s) Vdoes Vthe Vnurse
V
assess Vthat Vindicates Vthe Voutcome Vof Vnontreatment Vof Vthis Vclient Vpopulation?
V
Select Vall Vthat Vapply.
V
A. Seeking Vassistance Vfrom Vother Vmental Vhealth Vproviders
B. Criminal Vbehavior Vand Vincarceration
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V V 042 45
C. Deterioration Vof Vpersonal Vrelationships
D. Worsening Vof Vthe Vuntreated Vmental Vhealth Vdisorder
E. Physical Vhealth Vdisorders
Answer: VB, VC, VD, VE
Rationale: VNontreatment Vof Vmental Vhealth Vdisorders Vwill Vcause Vmany Vfactors Vto
surface Vsince Vthe Vunderlying Vdisorder Vis Vnot Vbeing Vcontrolled Vwith Vmedication,
V
therapy, Vor Vsupport. VCriminal Vbehavior Vand Vincarceration Vmay Voccur Vsince Vthe
V
behavior Vmay Vinclude Vtaking Vrisks Vthat Vwould Vbe Votherwise Vcontrolled Vwith
V
medication Vand Vtherapy. VThe Vdeterioration Vof Vrelationships Vwith Vfriends Vand
V
family Vwill Voccur Vthrough Vself-isolation Vor Vthat Vothers Vmay Vnot Vwant Vto Vbe
V
around Vthe Vescalating Vmentally Vill Vclient. VWithout Vtreatment, Vthe Vcondition Vwill
V
worsen Vuntil Vthe Vclient Vis Vnot Vable Vto Vfunction Vwithin Vsocietal Vnorms. VSince Vthe
V
client Vis Vnot Vable Vto Vcare Vfor Vtheir Vmental Vhealth, Vthey Vwill Vbe Vunlikely Vto Vcare
V
for Vtheir Vphysical Vneeds. VSeeking Vassistance Vfrom Vother Vmental Vhealth Vproviders
V
would Vindicate Vthe Vclient Vis Vattending Vto Vtheir Vmental Vhealth Vneeds.
V
Question Vformat: VMultiple VSelect
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VPhysiological VIntegrity: VBasic VCare Vand VComfort
Integrated VProcess: VNursing VProcess
V
Learning VObjective: V4
Reference: Vp. V5, VCommunity-Based VCare
9. Which Vsignificant Vchange Vin Vthe Vtreatment Vof Vpeople Vwith Vmental Villness
occurred Vin Vthe V1950s?
V
A. Community Vsupport Vservices Vwere Vestablished.
B. Legislation Vdramatically Vchanged Vcivil Vcommitment Vprocedures.
C. The VPatient’s VBill Vof VRights Vwas Venacted.
D. Psychotropic Vdrugs Vbecame Vavailable Vfor Vuse.
042 45
TEST BANK FOR PSYCHIATRIC MENTAL HEALTH NURSING, 9TH
V V V V V V V
EDITION BY SHEILA L. VIDEBECK
V V V V V
| VERIFIED CHAPTER'S 1 - 24 | COMPLETE
V V V V V V V
,lOMoARcPSD|125
V V 042 45
, lOMoARcPSD|125
V V 042 45
Chapter 1, Foundations ofPsychiatric–Mental Health Nursing
V V V V V
1. The Vnurse Vis Vassessing Va Vnewly Vadmitted Vclient Vwith Vcholecystitis. VWhen
performing Vthe Vadmission Vassessment, Vwhich Vstatement Vby Vthe Vclient Vis Van
V
indicator Vof Voptimal Vmental Vhealth?
V
A. “I Vdon’t Vneed Vanyone Vin Vmy Vlife, VI Vmanage Vwell Von Vmy Vown.”
B. “I Vpractice Vyoga Vregularly Vsince Vit Vhelps Vmanage Vany Vstress VI Vam Vfeeling.”
C. “My Vfamily Vhas Vseveral Vpeople Vwith Vmental Vhealth Vproblems.”
D. “I Vhad Va Vhistory Vof Valcohol Vuse Vdisorder Vand Vhave Vbeen Vsober Vfor V2 Vmonths.”
Answer: VB
Rationale: VIndividual Vfactors Vinfluencing Vmental Vhealth Vinclude Vcoping Vor Vstress
management Vabilities. VInterpersonal Vfactors Vsuch Vas Vintimacy Vand Va Vbalance Vof
V
separateness Vand Vconnectedness Vare Vboth Vneeded Vfor Vgood Vmental Vhealth, Vand
V
therefore Va Vhealthy Vperson Vwould Vneed Vothers Vfor Vcompanionship. VA Vfamily
V
history Vof Vmental Villness Vcould Vrelate Vto Vthe Vbiologic Vmakeup Vof Van Vindividual,
V
which Vmay Vhave Va Vnegative Vimpact Von Van Vindividual’s Vmental Vhealth. VA Vrecent
V
history Vof Vthe Vuse Vof Vmaladaptive Vcoping Vmechanisms Vsuch Vas Valcohol Vdoes Vnot
V
indicate Vthat Vthe Vclient Vis Vmentally Vhealthy.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VCommunication Vand VDocumentation
V
Learning VObjective: V1
Reference: Vp. V2, VMental VHealth Vand VMental VIllness,
2. The Vnurse Vis Vperforming Van Vadmission Vassessment Vfor Va Vclient Vadmitted Vto
the Vbehavioral Vhealth Vunit. V Which Vsocial/cultural Vcategory Vwill Vthe Vnurse
V
document Vthat
V
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V V 042 45
may Vbe Vcontributing Vto Vthe Vclient’s Vdegree Vof Vmental Villness? V Select Vall Vthat Vapply.
A. The Vclient Vis Vunable Vto Vfind Vwork Vand Vdoes Vnot Vhave Venough Vmoney Vfor Vhousing.
B. The Vclient Vstates Vthat Vthey Vare Vdiscriminated Vagainst Vdue Vto Vtheir Vcountry
of Vorigin.
V
C. The Vclient Vattributes Vlife’s Vproblems Vto Vbeing Vwithout Vfamily Vsupport.
D. The Vclient Vreports Vbeing Vunable Vto Vfind Vanything Vmeaningful Vwithin Vtheir Vlife.
E. The Vclient Vreports Vnot Vbelonging Vanywhere Vand Vis Vwithout Vfamily Vsupport.
Answer: VA, VB
Rationale: VSocial Vor Vcultural Vcategories Vrelate Vto Va Vlack Vof Vresources, Vpoverty,
negative Vview Vof Vthe Vworld, Vand Vdiscrimination Vand Vmay Vresult Vin Visolation Vand
V
violent Vor Vcriminal Vbehavior. VThe Vclient Vthat Vattributes Vlife’s Vproblems Vto Vbeing
V
without Vfamily Vsupport Vis Vnot Vable Vto Vfind Vmeaning Vin Vlife. VBeing Vwithout Vsupport
V
is Vinterpersonal Vdeterminant Vof Vmental Villness.
V
Question Vformat: VMultiple VSelect
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VAnalyze
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VNursing VProcess
V
Learning VObjective: V1
Reference: Vp. V2, VMental VIllness
V
3. A Vclient Vgrieving Vthe Vrecent Vloss Vof Va Vspouse, Vasks, V“Am VI Vbecoming Vmentally Vill?
I Vfeel Vso Vsad” VWhich Vis Vthe Vnurse’s Vbest Vresponse?
V
A. “You Vmay Vhave Va Vtemporary Vmental Villness Vbecause Vyou Vare Vexperiencing
so Vmuch Vpain.”
V
B. “You Vare Vnot Vmentally Vill. VThis Vis Van Vexpected Vreaction Vto Vthe Vloss Vyou
have Vexperienced.”
V
C. “Were Vyou Vgenerally Vdissatisfied Vwith Vyour Vrelationship Vbefore Vyour
husband’s Vdeath?”
V
D. “Try Vnot Vto Vworry Vabout Vthat Vright Vnow. VYou Vnever Vknow Vwhat Vthe Vfuture Vbrings.”
,
, lOMoARcPSD|125
V V 042 45
Answer: VB
Rationale: VAcute Vgrief Vreactions Vare Vexpected Vand Vtherefore Vnot Vconsidered Vmental
illness. VDownplaying Vthe Vclient’s Vgrief Vdoes Vnot Vappropriately Vaddress Vthe Vclient’s
V
concerns. VThe Vquality Vof Vthe Vrelationship Vdoes Vnot Vdetermine Vthe Vpresence Vof
V
absence Vof Vmental Villness.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VPsychosocial VIntegrity
Integrated VProcess: VCommunication Vand VDocumentation
Learning VObjective: V1
V
Reference: Vp. V2, VMental VHealth Vand VMental VIllness
4. The Vnurse Vis Vusing Vthe VDSM-5-TR Vfor Va Vnewly Vadmitted Vclient Vdiagnosed Vwith
bipolar VI Vdisorder. VWhich Vinformation Vwill Vthe Vnurse Vobtain Vto Vassist Vwith Vthe Vuse
V
of Vthis Vresource?
V
A. Devise Va Vplan Vof Vcare Vfor Va Vnewly Vadmitted Vclient
B. Predict Vthe Vclient’s Vprognosis Vof Vtreatment Voutcomes
C. Document Vthe Vappropriate Vdiagnostic Vcode Vin Vthe Vclient’s Vmedical Vrecord
D. Use Vas Va Vguide Vfor Vclient Vassessment
Answer: VD
Rationale: VThe VDSM-5-TR Vprovides Vstandard Vnomenclature, Vpresents Vdefining
characteristics, Vand Videntifies Vunderlying Vcauses Vof Vmental Vdisorders. VIt Vdoes Vnot
V
provide Vcare Vplans Vor Vprognostic Voutcomes Vof Vtreatment. VThe VDSM-5-TR Vdoes Vnot
V
provide Vcoding Vfor Vrecord-keeping Vor Vbilling Vpurposes.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
, lOMoARcPSD|125
V V 042 45
Integrated VProcess: VCommunication Vand VDocumentation
Learning VObjective: V2
V
Reference: Vp. V2, VMental VIllness
5. A Vclient Vwith Vthe Vinability Vto Vwork Vdue Vto Vrelapsing Vschizophrenia Vis
receiving VSocial VSecurity VBenefits. VWhich Vbenefit Vwill Vthis Vprovide Vto Vthe Vclient
V
experiencing Vserious Vmental Villness?
V
A. The Vclient Vwill Vbe Vable Vto Vmaintain Vsome Vlevel Vof Vindependence Vfinancially.
B. The Vclient Vwill Vhave Vthe Voption Vto Vonly Vobtain Vinpatient Vtreatment.
C. The Vclient Vwill Vbe Vable Vto Vpay Vall Vof Vtheir Vbills Vas Vwell Vas Vpurchase Vmedication.
D. The Vclient Vwill Vhave Vthe Vability Vto Vobtain Vpsychiatric Vservice Vregardless Vof Vsetting.
Answer: VA
Rationale: VFederal Vlegislation Vwas Vpassed Vto Vprovide Van Vincome Vfor Vdisabled
persons: Vsupplemental Vsecurity Vincome V(SSI) Vand VSocial VSecurity Vdisability
V
income V(SSDI). VThis Vallowed Vpeople Vwith Vsevere Vand Vpersistent Vmental Villness Vto
V
be Vmore Vindependent Vfinancially Vand Vto Vnot Vrely Von Vfamily Vfor Vmoney. VThis Vdoes
V
not Vprevent Vthe Vclient Vin Vacute Vcrisis Vfrom Va Vrelapse Vfrom Vbeing Vadmitted Vto Vthe
V
inpatient Vsetting Vif Vthey Vare Vat Vrisk Vof Vharm Vto Vself Vor Vothers. VSocial Vsecurity Vis
V
limited Vand Vthe Vclient Vmay Vstill Vhave Vsome Vdegree Vof Vfinancial Vdifficulty. VThe
V
client Vmay Vbe Vlimited Vto Vstate Vowned Vfacilities Vand Vnot Vbe Vable Vto Vseek Vtreatment
V
at Va Vprivate Vfacility. VThis Vdoes Vnot Vdictate Vto Vthe Vclient Vthe Vlevel Vof Vcare Voffered
V
to Vthe Vclient.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VNursing VProcess
V
Learning VObjective: V3
Reference: Vp. V4, VDevelopment Vof VPsychopharmacology
, lOMoARcPSD|125
V V 042 45
6. The Vnurse Vworking Vin Vthe VED Vof Van Vurban Vhospital Vnotifies Vthe Vmanager Vthat
there Vare Vseveral Vclients Vwith Vmental Vhealth Vdisorders Vstill Vpresent Vin Vthe VED
V
that Vhave Vbeen Vthere Vover V48 Vhours. VWhich Vissue Vrelated Vto Vthis Vphenomenon
V
does Vthe Vnurse Vdiscuss Vwith Vthe Vmanager?
V
A. Temporary Vdetaining Vorders Vfor Vclients
B. Decision Vto Vpractice Vboarding
C. The Vrevolving Vdoor Vfor Vclients
D. The Vcost Vof Vholding Vclients Vin Vthe VED Vfor Vover V48 Vhours
Answer: VB
Rationale: VThe Vpractice Vof Vboarding Vis Vfrustrating Vto Vhealth Vcare Vpersonnel Vin VEDs
since Vit Vmay Vinterfere Vwith Vthe Vacute Vcare Vand Vemergencies Vthat Vare Vrequired Vin
V
that Vsetting. VClients Vbecome Vdissatisfied Vwith Vcare, Vand Vtheir Vfamilies Vfeel Vas
V
though Vclients Vare Vnot Vreceiving Vthe Vcare Vneeded Vto Vmove Vthrough Vthe Vcrisis
V
and Vsome Vbelieve Van Vincrease Vin Vsuicide. VProvision Vof Van Vadequate Vnumber Vof
V
psychiatric Vinpatient Vbeds Vcould Vbetter Vmeet Vthe Vneeds Vof Vclients Vand Vmight
V
even Vdecrease Vhomelessness, Vincarceration, Vand Vviolence. VThe Vrevolving Vdoor
V
phenomenon Vis Vthe Vincrease Vin Vshort-stay Vadmissions Vrepeatedly. VHaving Vto
V
obtain Va Vtemporary Vdetaining Vorder Vimproves Vthe Vtransition Vinto Vinpatient Vcare.
V
Cost Vis Vnot Vthe Vimmediate Vissue Vof Vthe Vnurse.
V
Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VCommunication Vand VDocumentation
V
Learning VObjective: V4
Reference: Vp. V3–4, VMental VIllness Vin Vthe V21st VCentury
7. The Vnurse Vis Vworking Vin Van Vinpatient Vmental Vhealth Vfacility Vand Vcaring Vfor
several Vclients. VWhich Vclient Vis Vmost Vlikely Vto Vexperience Vthe Vrevolving Vdoor
V
phenomenon?
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A. A Vclient Vliving Vwith Vboth Vparents Vthat Vadheres Vto Vprescribed Vmedication Vregimen
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B. A Vclient Vwith Va Vdual Vdiagnosis Vof Vheroin Vuse Vdisorder Vand Vbipolar VI Vdisorder
C. A Vclient Vthat Vhas Vdepression Von Vantidepressants Vreceiving
electroconvulsive Vtherapy.
V
D. A Vclient Vwith Van Vacute Vsituational Vcrisis Vdue Vto Va Vnatural Vdisaster
Answer: VB
Rationale: VA Vclient Vwith Va Vdual Vdiagnosis Vincluding Va Vsubstance Vuse Vdisorder Vand
a Vmood Vdisorder Vis Vmost Vlikely Vto Vcontinue Vto Vrequire Vinpatient Vservices. VMany
V
people Vhave Va Vdual Vproblem Vof Vboth Vsevere Vmental Villness Vand Va Vsubstance Vuse
V
disorder.
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Use Vof Valcohol Vand Vdrugs Vexacerbates Vsymptoms Vof Vmental Villness, Vagain Vmaking
rehospitalization Vmore Vlikely. VSubstance Vuse Vdisorders Vcannot Vbe Vdealt Vwithin V3 Vto
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5 Vdays Vtypical Vfor Vadmissions Vin Vthe Vcurrent Vmanaged Vcare Venvironment. VA
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client Vadhering Vto Va Vmedication Vregiment Vand Vhaving Vfamily Vsupport Vwill Vnot
V
likely Vrequire Vreadmission Vfrequently. VA Vclient Vwith Vdepression Vand Vreceiving
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electroconvulsive Vtherapy Vmay Vreceive Vthis Von Van Voutpatient Vbasis Vand Vnot
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require Vadmission. VAn Vacute Vsituational Vcrisis Vwill Vpass Vover Va Vperiod Vof Vtime
V
with Vappropriate Vcognitive Vbehavioral Vtherapy Vthat Vis Vused Von Van Voutpatient
V
basis.
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Question Vformat: VMultiple VChoice
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VAnalyze
V
Client VNeeds: VSafe Vand VEffective VCare VEnvironment: VManagement Vof VCare
Integrated VProcess: VNursing VProcess
V
Learning VObjective: V4
Reference: Vp. V4, VRevolving
V
Door
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8. The Vnurse Vis Vcaring Vfor Vclients Vin Van Voutpatient Vfacility Vfor Vthose Vthat Vhave
persistent Vor Vsevere Vmental Vhealth Vdisorders. VWhich Vfactor(s) Vdoes Vthe Vnurse
V
assess Vthat Vindicates Vthe Voutcome Vof Vnontreatment Vof Vthis Vclient Vpopulation?
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Select Vall Vthat Vapply.
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A. Seeking Vassistance Vfrom Vother Vmental Vhealth Vproviders
B. Criminal Vbehavior Vand Vincarceration
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C. Deterioration Vof Vpersonal Vrelationships
D. Worsening Vof Vthe Vuntreated Vmental Vhealth Vdisorder
E. Physical Vhealth Vdisorders
Answer: VB, VC, VD, VE
Rationale: VNontreatment Vof Vmental Vhealth Vdisorders Vwill Vcause Vmany Vfactors Vto
surface Vsince Vthe Vunderlying Vdisorder Vis Vnot Vbeing Vcontrolled Vwith Vmedication,
V
therapy, Vor Vsupport. VCriminal Vbehavior Vand Vincarceration Vmay Voccur Vsince Vthe
V
behavior Vmay Vinclude Vtaking Vrisks Vthat Vwould Vbe Votherwise Vcontrolled Vwith
V
medication Vand Vtherapy. VThe Vdeterioration Vof Vrelationships Vwith Vfriends Vand
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family Vwill Voccur Vthrough Vself-isolation Vor Vthat Vothers Vmay Vnot Vwant Vto Vbe
V
around Vthe Vescalating Vmentally Vill Vclient. VWithout Vtreatment, Vthe Vcondition Vwill
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worsen Vuntil Vthe Vclient Vis Vnot Vable Vto Vfunction Vwithin Vsocietal Vnorms. VSince Vthe
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client Vis Vnot Vable Vto Vcare Vfor Vtheir Vmental Vhealth, Vthey Vwill Vbe Vunlikely Vto Vcare
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for Vtheir Vphysical Vneeds. VSeeking Vassistance Vfrom Vother Vmental Vhealth Vproviders
V
would Vindicate Vthe Vclient Vis Vattending Vto Vtheir Vmental Vhealth Vneeds.
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Question Vformat: VMultiple VSelect
Chapter V1: VFoundations Vof VPsychiatric–Mental VHealth VNursing
Cognitive VLevel: VApply
V
Client VNeeds: VPhysiological VIntegrity: VBasic VCare Vand VComfort
Integrated VProcess: VNursing VProcess
V
Learning VObjective: V4
Reference: Vp. V5, VCommunity-Based VCare
9. Which Vsignificant Vchange Vin Vthe Vtreatment Vof Vpeople Vwith Vmental Villness
occurred Vin Vthe V1950s?
V
A. Community Vsupport Vservices Vwere Vestablished.
B. Legislation Vdramatically Vchanged Vcivil Vcommitment Vprocedures.
C. The VPatient’s VBill Vof VRights Vwas Venacted.
D. Psychotropic Vdrugs Vbecame Vavailable Vfor Vuse.
