EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS LATEST 2025,
ALREADY GRADED A+ WITH RATIONALES
Which homebound status criteria must be validated before an individual can receive
home health care?
A. Client takes fluphenazine (Prolixin) PO for schizophrenia.
B. Client is unable to leave home without assistance.
C. Client does not have available family support.
D. Client has been diagnosed with major depression.
B) Client is unable to leave home without assistance.
A despondent, recently widowed woman tells the home health nurse, "My husband is
lucky! I'm so lonely, there's no one to talk to, and life is not worth living with this
arthritis pain." Which nursing diagnosis takes priority?
A. Risk for suicide
B. Social isolation
C. Chronic pain
D. Complicated grieving
A risk for suicide
Risk for suicide applies when an individual is at risk for self-inflicted, life-threatening
injury. The client's statements indicate feelings of abandonment, hopelessness, and a
possible threat to end her life. Because the client's safety may be in jeopardy, the
nursing diagnosis of risk for suicide would take priority.
The assessment portion of the community health plan would include which of the
following factors regarding the homeless population?
,A. More women than men are homeless
B. About one gal of the homeless population suffers from some form of mental illness
C. There is more HIV disease among the homeless than in the general population
D. The majority of the homeless population are African American
C. There is more HIV disease among the homeless than in the general population
What are substance use disorders?
addiction
What are substance-induced disorders?
intoxication and withdrawal
Physical dependence (substance addiction)
Need for increasing amounts to produce the desired effects
-syndrome of withdrawal upon cessation
psychological dependence (substance addiction)
overwhelming desire to repeat the use of a particular drug to produce pleasure or
avoid discomfort
The prefrontal cortex is responsible for?
Impulse control
,The amygdala is associated with:
Trauma; fear
Reward pathway in the brain
involves: the ventral tegmental area (VTA), the nucleus accumbens, and the prefrontal
cortex.
When activated by a rewarding stimulus (e.g., food, water, sex), information travels
from the VTA to the nucleus accumbens and then up to the prefrontal cortex.
takes over rational choices
substance intoxication
development of a reversible syndrome of symptoms following excessive use of a
substance
-judgement is disturbed and social and occupational functioning is impaired
substance intoxication has a _______ effect on the CNS
DirectWhat is the DSM-5?
A syndrome characterized by clinically significant disturbances in an individuals
cognition, emotion regulation, or behavior that reflects a dysfunction in the
psychological, biological, or developmental processes underlying mental functioning.
What is stigma?
A sign of disgrace or shame. A state of being discredited and of being perceived to have
less value in the eyes of others.
-often ends up with the unjust treatment of those being stigmatized (discrimination)
, What are the steps to the nursing process?
Assessment
Diagnosis
Outcome identification (criteria)
Planning
Implementation
Evaluation
PMHN assessment criteria
Orientation, eye contact, mood/behaviors (withdrawal), affect (facial expression/how
they interact with others), physical appearance, meds and compliance, support,
current resources used, SI/HI (suicide/homicide), A/VH (audiovisual hallucinations),
Anxiety, depression, appetite, sleep pattern, CIWA (alcohol withdrawal), COWS (opioid
withdrawal), VAT (violence screening), VS, be mindful of culture
Therapeutic communication is?
-verbal/nonverbal
-culture
-preexisting conditions
SOLER acronym
Sit squarely facing the patient
Open posture
Lean forward toward the patient
Eye contact
Relax