l
tia
en
fid
on
C
, b. Clinical psychologist
c. Psychiatrist MedConnoisseur 2023
d. Psychiatric social worker
ANS: D
These are the primary responsibilities of the psychiatric social worker. The psychiatric nurse’s
primary responsibilities include assisting with the client’s activities of daily living and
managing individual, family, and group psychotherapy. The clinical psychologist is involved
in the planning of treatment and diagnostic processes, and the psychiatrist is the leader of the
team.
PTS: 1 DIF: Cognitive Level: Comprehension REF: pp. 15-16
OBJ: 6 TOP: Multidisciplinary Mental Health Care Team
KEY: Nursing Process Step: Intervention
MSC: Client Needs: Safe and Effective Care Environment
7. It is estimated that approximately million adults in the United States experience some
form of mental or emotional disorder.
a. 35.5
b. 61.5
c. 28.2
d. 59
ANS: B
Although exact statistics are unavailable, it is estimated that at any given time at least 61.5
million adults in the United States suffer from mental-emotional disorders. ―Approximately
C
18.1% of American adults—N abouRt 42ImG
U S N B.C M
illion people—live with anxiety disordersǁ (National
on
Alliance on Mental Illness, 2014).
fid
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 17
OBJ: 7 TOP: Impact of Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
en
8. A male client with a diagnosis of bipolar disorder is admitted to an inpatient unit during a
tia
severe manic episode. As a result of guidelines implemented by the Health Care Financing
Administration in 1983, the client’s Medicare will pay for his stay in this unit for:
l
a. The length of time necessary for his condition to be stabilized
b. Up to 6 months with appropriate documentation
c. A pre-determined length of time based on the diagnosis
d. 2 to 4 weeks
ANS: C
Medicare payment guidelines are based on the diagnosis, which is classified under a
diagnosis-related group (DRG), and specify a pre-determined payment for a particular
diagnosis. This cost containment strategy has also been adopted by some private insurance
companies. After the pre-determined time, the facility is responsible for additional costs
incurred by the client’s stay.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 18
OBJ: 1 TOP: Economic Issues of Mental Illness
KEY: Nursing Process Step: Assessment
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MSC: Client Needs: Safe and Effective Care Environment
9. A female client was given the diagnosis of schizophrenia and recently has lost her job. She
tells the nurse that she has enough money for only two more house payments, and if she does
not find a job, she fears she will become homeless. The nurse knows that this client falls into
the group of nearly of U.S. citizens who live below the poverty level.
a. 1%
b. 6%
c. 12%
d. 25%
ANS: C
Approximately 12% of Americans (or 33 million people) live below the poverty level. Living
in poverty often precipitates mental disorders, or mental disorders may occur while an
individual is living in poverty.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 18
OBJ: 7 TOP: Social Issues of Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
10. Addiction to recreational drugs, such as crack, cocaine, and heroin, combined with use of
psychotherapeutic drugs is associated with:
a. Permanent psychotic states
b. Bipolar disorder
c. Generalized anxiety disorder
C
d. Obsessive-compulsive disorder
on
ANS: A VERIFIED-TEST BANK
Permanent psychotic states are occurring in mental health clients who combine their
fid
psychotherapeutic medications with the abuse of recreational drugs. The combination of these
two types of drugs is not commonly associated with bipolar disorder, generalized anxiety
en
disorder, or obsessive-compulsive disorder.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 18
tia
OBJ: 7 TOP: Social Issues of Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
l
11. A female client who is undergoing therapy for depression is divorced and has two children,
ages 2 and 4. She has just enrolled in a local community college and is worried about
providing food and clothes for her family while holding down a minimum wage job and
devoting the time needed to be successful in school. The nurse determines that the best
community resource for assisting this client to meet these needs is:
a. A shelter for victims of domestic violence
b. Women, Infants, and Children (WIC)
c. A family-planning agency
d. A family recreation center
ANS: B
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Distribution of this document is illegal
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WIC gives assistance to low-income women and children up to the age of 5 who are at
nutritional risk by providing foods to supplement the diet and information on healthy eating
habits. The other options do not address her situation because she has not voiced needs related
to domestic violence or family planning, and a family recreation center will not meet her
financial needs.
PTS: 1 DIF: Cognitive Level: Application REF: p. 13
OBJ: 4 TOP: Delivery of Community Mental Health Services
KEY: Nursing Process Step: Intervention
MSC: Client Needs: Safe and Effective Care Environment
12. The home care nurse is providing care to an older adult client with a diagnosis of depression
who is caring for his wife with Alzheimer’s disease. He states that he hardly has enough
energy to cook and clean the house. The couple has no children, and no relatives live within a
close distance. Which community agency would be of greatest benefit to this client?
a. A recreational club
b. An adult education program
c. A day care center for the elderly
d. Meals on Wheels
ANS: D
By providing food, Meals on Wheels would remove one responsibility for this client. A
recreational club or an adult education program is appropriate, but the priority need for this
couple is food. A day care center for the elderly may be necessary in the future, but it is not a
priority at this time.
C
on
PTS: 1 DIF: Cognitive Level: Application REF: p. 13
OBJ: 4 TOP: DN veR
eliU rySoI
fC G
N T
ommB
un. C
ity O
MMental Health Services
fid
KEY: Nursing Process Step: Intervention
MSC: Client Needs: Safe and Effective Care Environment
en
13. A 9-year-old girl is given the diagnosis of depression. She has low self-esteem, does not enjoy
group therapy, and does not show her emotions. The nurse has had difficulty establishing
tia
rapport with this client and decides to ask for assistance from another treatment team member.
Which team member would best assist in this situation?
a. Psychiatric assistant
l
b. Dietitian
c. Occupational therapist
d. Expressive therapist
ANS: D
Expressive therapists work well with children who have difficulty expressing their thoughts
and feelings. Expressive therapists use creative methods that appeal to children. The dietitian
would not be the best team member to meet the needs of the client at this time. The
psychiatric assistant, or technician, assists the nurse with daily activities and in monitoring
clients during leisure activities. The occupational therapist works primarily with
rehabilitational therapy, such as socialization and vocational retraining.
PTS: 1 DIF: Cognitive Level: Application REF: p. 16
OBJ: 6 TOP: Multidisciplinary Mental Health Care Team
KEY: Nursing Process Step: Intervention
Downloaded by: drfaith |
Distribution of this document is illegal
tia
en
fid
on
C
, b. Clinical psychologist
c. Psychiatrist MedConnoisseur 2023
d. Psychiatric social worker
ANS: D
These are the primary responsibilities of the psychiatric social worker. The psychiatric nurse’s
primary responsibilities include assisting with the client’s activities of daily living and
managing individual, family, and group psychotherapy. The clinical psychologist is involved
in the planning of treatment and diagnostic processes, and the psychiatrist is the leader of the
team.
PTS: 1 DIF: Cognitive Level: Comprehension REF: pp. 15-16
OBJ: 6 TOP: Multidisciplinary Mental Health Care Team
KEY: Nursing Process Step: Intervention
MSC: Client Needs: Safe and Effective Care Environment
7. It is estimated that approximately million adults in the United States experience some
form of mental or emotional disorder.
a. 35.5
b. 61.5
c. 28.2
d. 59
ANS: B
Although exact statistics are unavailable, it is estimated that at any given time at least 61.5
million adults in the United States suffer from mental-emotional disorders. ―Approximately
C
18.1% of American adults—N abouRt 42ImG
U S N B.C M
illion people—live with anxiety disordersǁ (National
on
Alliance on Mental Illness, 2014).
fid
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 17
OBJ: 7 TOP: Impact of Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
en
8. A male client with a diagnosis of bipolar disorder is admitted to an inpatient unit during a
tia
severe manic episode. As a result of guidelines implemented by the Health Care Financing
Administration in 1983, the client’s Medicare will pay for his stay in this unit for:
l
a. The length of time necessary for his condition to be stabilized
b. Up to 6 months with appropriate documentation
c. A pre-determined length of time based on the diagnosis
d. 2 to 4 weeks
ANS: C
Medicare payment guidelines are based on the diagnosis, which is classified under a
diagnosis-related group (DRG), and specify a pre-determined payment for a particular
diagnosis. This cost containment strategy has also been adopted by some private insurance
companies. After the pre-determined time, the facility is responsible for additional costs
incurred by the client’s stay.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 18
OBJ: 1 TOP: Economic Issues of Mental Illness
KEY: Nursing Process Step: Assessment
Downloaded by: drfaith |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
MSC: Client Needs: Safe and Effective Care Environment
9. A female client was given the diagnosis of schizophrenia and recently has lost her job. She
tells the nurse that she has enough money for only two more house payments, and if she does
not find a job, she fears she will become homeless. The nurse knows that this client falls into
the group of nearly of U.S. citizens who live below the poverty level.
a. 1%
b. 6%
c. 12%
d. 25%
ANS: C
Approximately 12% of Americans (or 33 million people) live below the poverty level. Living
in poverty often precipitates mental disorders, or mental disorders may occur while an
individual is living in poverty.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 18
OBJ: 7 TOP: Social Issues of Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
10. Addiction to recreational drugs, such as crack, cocaine, and heroin, combined with use of
psychotherapeutic drugs is associated with:
a. Permanent psychotic states
b. Bipolar disorder
c. Generalized anxiety disorder
C
d. Obsessive-compulsive disorder
on
ANS: A VERIFIED-TEST BANK
Permanent psychotic states are occurring in mental health clients who combine their
fid
psychotherapeutic medications with the abuse of recreational drugs. The combination of these
two types of drugs is not commonly associated with bipolar disorder, generalized anxiety
en
disorder, or obsessive-compulsive disorder.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 18
tia
OBJ: 7 TOP: Social Issues of Mental Illness
KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity
l
11. A female client who is undergoing therapy for depression is divorced and has two children,
ages 2 and 4. She has just enrolled in a local community college and is worried about
providing food and clothes for her family while holding down a minimum wage job and
devoting the time needed to be successful in school. The nurse determines that the best
community resource for assisting this client to meet these needs is:
a. A shelter for victims of domestic violence
b. Women, Infants, and Children (WIC)
c. A family-planning agency
d. A family recreation center
ANS: B
Downloaded by: drfaith |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
WIC gives assistance to low-income women and children up to the age of 5 who are at
nutritional risk by providing foods to supplement the diet and information on healthy eating
habits. The other options do not address her situation because she has not voiced needs related
to domestic violence or family planning, and a family recreation center will not meet her
financial needs.
PTS: 1 DIF: Cognitive Level: Application REF: p. 13
OBJ: 4 TOP: Delivery of Community Mental Health Services
KEY: Nursing Process Step: Intervention
MSC: Client Needs: Safe and Effective Care Environment
12. The home care nurse is providing care to an older adult client with a diagnosis of depression
who is caring for his wife with Alzheimer’s disease. He states that he hardly has enough
energy to cook and clean the house. The couple has no children, and no relatives live within a
close distance. Which community agency would be of greatest benefit to this client?
a. A recreational club
b. An adult education program
c. A day care center for the elderly
d. Meals on Wheels
ANS: D
By providing food, Meals on Wheels would remove one responsibility for this client. A
recreational club or an adult education program is appropriate, but the priority need for this
couple is food. A day care center for the elderly may be necessary in the future, but it is not a
priority at this time.
C
on
PTS: 1 DIF: Cognitive Level: Application REF: p. 13
OBJ: 4 TOP: DN veR
eliU rySoI
fC G
N T
ommB
un. C
ity O
MMental Health Services
fid
KEY: Nursing Process Step: Intervention
MSC: Client Needs: Safe and Effective Care Environment
en
13. A 9-year-old girl is given the diagnosis of depression. She has low self-esteem, does not enjoy
group therapy, and does not show her emotions. The nurse has had difficulty establishing
tia
rapport with this client and decides to ask for assistance from another treatment team member.
Which team member would best assist in this situation?
a. Psychiatric assistant
l
b. Dietitian
c. Occupational therapist
d. Expressive therapist
ANS: D
Expressive therapists work well with children who have difficulty expressing their thoughts
and feelings. Expressive therapists use creative methods that appeal to children. The dietitian
would not be the best team member to meet the needs of the client at this time. The
psychiatric assistant, or technician, assists the nurse with daily activities and in monitoring
clients during leisure activities. The occupational therapist works primarily with
rehabilitational therapy, such as socialization and vocational retraining.
PTS: 1 DIF: Cognitive Level: Application REF: p. 16
OBJ: 6 TOP: Multidisciplinary Mental Health Care Team
KEY: Nursing Process Step: Intervention
Downloaded by: drfaith |
Distribution of this document is illegal
