Test Bank Questions, Chapter 1, Foundations of Psychiatric–
Mental Health Nursing
1
, 1. The nurse is working in an inpatient mental health facility and caring for several clients. Which client
is most likely to experience the revolving door phenomenon? A. A client living with both parents that
adheres to prescribed medication regimen
B. A client with a dual diagnosis of heroin use disorder and bipolar I disorder C. A client that has
depression on antidepressants receiving electroconvulsive therapy.
D. A client with an acute situational crisis due to a natural disaster
Answer: B
Rationale: A client with a dual diagnosis including a substance use disorder and a
mood disorder is most likely to continue to require inpatient services. Many people have a dual problem
of both severe mental illness and a substance use disorder. Use of alcohol and drugs exacerbates
symptoms of mental illness, again making rehospitalization more likely. Substance use disorders cannot
be dealt within 3 to 5 days typical for admissions in the current managed care environment. A client
adhering to a medication regiment and having family support will not likely require readmission
frequently. A client with depression and receiving electroconvulsive therapy may receive this on an
outpatient basis and not require admission. An acute situational crisis will pass over a period of time with
appropriate cognitive behavioral therapy that is used on an outpatient basis.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Analyze
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Learning Objective: 4
Reference: p. 4, Revolving Door
Mental Health Nursing
1
, 1. The nurse is working in an inpatient mental health facility and caring for several clients. Which client
is most likely to experience the revolving door phenomenon? A. A client living with both parents that
adheres to prescribed medication regimen
B. A client with a dual diagnosis of heroin use disorder and bipolar I disorder C. A client that has
depression on antidepressants receiving electroconvulsive therapy.
D. A client with an acute situational crisis due to a natural disaster
Answer: B
Rationale: A client with a dual diagnosis including a substance use disorder and a
mood disorder is most likely to continue to require inpatient services. Many people have a dual problem
of both severe mental illness and a substance use disorder. Use of alcohol and drugs exacerbates
symptoms of mental illness, again making rehospitalization more likely. Substance use disorders cannot
be dealt within 3 to 5 days typical for admissions in the current managed care environment. A client
adhering to a medication regiment and having family support will not likely require readmission
frequently. A client with depression and receiving electroconvulsive therapy may receive this on an
outpatient basis and not require admission. An acute situational crisis will pass over a period of time with
appropriate cognitive behavioral therapy that is used on an outpatient basis.
Question format: Multiple Choice
Chapter 1: Foundations of Psychiatric–Mental Health Nursing
Cognitive Level: Analyze
Client Needs: Safe and Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Learning Objective: 4
Reference: p. 4, Revolving Door
