TEST BANK Adults Varcarolis Essentials of Psychiatric Mental Health Nursing A Communication Approach well illustrated

TEST BANK Chapter 27: Adults Varcarolis: Essen als of Psychiatric
Mental Health Nursing: A Communica on Approach to Evidence-Based
Care


Health maintenance and promo on efforts for pa ents diagnosed with severe mental illness should
include educa on about the importance of what regular interven on?
a. Home safety inspec ons
b. Monitoring of self-care abili es
c. Screening for cancer, hypertension, and diabetes
d. Determina on of adequacy of a pa ent'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' dura on.
b. Major ongoing mental illness marked by significant func onal impairments.
c. Mental illness accompanied by physical impairment and severe social problems.
d. Major mental illness that cannot be treated to prevent deteriora on of cogni ve and social abili es.

b. Major ongoing mental illness marked by significant func onal 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 interpreta on syndrome

c. Chronic low self-esteem



A pa ent diagnosed with schizophrenia tells the community mental health nurse, "I threw away my pills
because they interfere with God's voice." The nurse iden fies what as the likely cause of the pa ent's
ineffec ve management of the medica on regimen?
a. Inadequate discharge planning
b. Poor therapeu c alliance with clinicians
c. Impaired reasoning secondary to schizophrenia
d. Dislike of the side effects of an psycho c medica ons

c. Impaired reasoning secondary to schizophrenia

A pa ent diagnosed with severe and persistent mental illness lives independently. This pa ent o en has
command hallucina ons and shouts warnings to neighbors. A er a short hospitaliza on, the pa ent's
landlord says, "You can't come back here. You cause too much trouble." What problem is the pa ent

, experiencing?
a. Grief
b. S gma za on
c. Recidivism
d. Lack of insurance parity

b. S gma za on


ANS: B The inability to obtain shelter because of nega ve a tudes about mental illness is an example of
s gma za on. S gma is defined as damage to reputa on, shame, and ridicule society places on mental
illness. Data are not present to iden fy grief as the pa ent's problem. Recidivism refers to repe on 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
interven on should be the nurse's ini al priority?
a. Develop a rela onship.
b. Find supported employment.
c. Administer prescribed medica on.
d. Teach appropriate health care prac ces

a. Develop a rela onship.


Basic psychosocial needs do not change because a person is homeless. The nurse's ini al priority should
be establishing rapport. Once a trus ng rela onship is established, then the nurse can pursue other
interven ons.



A pa ent diagnosed with severe and persistent mental illness lives in a homeless shelter. The priority
nursing diagnosis for this pa ent is Powerlessness. Which interven on should be included in the plan of
care?
a. Encourage mutual goal se ng.
b. Verbally communicate empathy.
c. Reinforce par cipa on in ac vi es.
d. Demonstrate an accep ng a tude.

a. Encourage mutual goal se ng.

For pa ents diagnosed with severe and persistent mental illness, what is the major advantage of case
management?
a. Modifica on of tradi onal psychotherapy
b. Efficient access and use of resources
c. Focus on social skills training and self-esteem building
d. Bringing groups of pa ents together to discuss common problems

b. Efficient access and use of resources