Psychiatric–Mental Health Nursing
Comprehensive Final Exam Review.
A family discusses the impact of a seriously mental ill member. Insurance partially
covers treatment expenses, but the family spends much of their savings for care.
The client's sibling says, "My parents have no time for me." The parents are
concerned that when they are older, there will be no one to care for the client.
Which response by the nurse would be most helpful?
A. Acknowledge their concerns and consult w treatment team about ways to bring
theclient's symptoms under better control.
B. Give them names of financial advisors that could help them save/borrow
sufficient funds to leave a trust fund to care for their loved one.
C. Refer them to crisis intervention services to learn ways to manage caregiver
stress and provide titles of some helpful books for families.
D. Discuss benefits of participating in National Alliance on Mental Illness (NAMI)
programs and ways to help the client become more independent - Correct
Answer:D. Discuss benefits of participating in National Alliance on Mental Illness
(NAMI) programs and ways to help the client become more independent.
The family has raised a number of concerns, but themajor issues appear to be
theeffects caregiving has had on thefamily and their concerns about theclient's
future. NAMI offers support, education, resources, and access to other families
who have experience with theissues now facing this family. NAMI can help
address caregiver burden and planning for thefuture needs of SMI persons.
Improving theclient's symptom control and general functioning can help reduce
caregiver burden but would likely be a slow process, whereas NAMI involvement
,could benefit them on a number of fronts, possibly in a shorter time period.
thefamily will need more than financial planning; their issues go beyond financial.
thefamily is distressed but not in crisis. Crisis intervention is not an appropriate
resource for thelonger-term issues and needs affecting this family
A client diagnosed with a serious mental illness (SMI) lives independently and
attends a psychosocial rehabilitation program. The client presents at the
emergency department seeking hospitalization. The client has no acute symptoms
but says, "I have no money to pay my rent or refill my prescription." What is the
nurse's best action?
A. Involve the client's case manager to provide crisis intervention.
B. Send the client to a homeless shelter until housing can be arranged.
C. Arrange for a short in-client admission and begin discharge planning.
D. Explain that one must have active psychiatric symptoms to be admitted. -
Correct Answer:A. Involve the client's case manager to provide crisis
intervention.
Impaired stress tolerance and problem-solving abilities can cause persons with
SMI to experience relatively minor stressors as crises. This client has run out of
money, and this has overwhelmed her ability to cope, resulting in a crisis for which
crisis intervention would be an appropriate response. Inpatient care is not
clinically indicated nor is theclient homeless (although she may fear she is). Telling
theclient that she is not symptomatic enough to be admitted may prompt
malingering.
,The nurse wants to enroll a client with poor social skills in a training program for
clients diagnosed with schizophrenia. Which description accurately describes
social skills training?
A. Clients learn to improve their attention and concentration.
B. Group leaders provide support without challenging clients to change.
C. Complex interpersonal skills are taught by breaking them into simpler
behaviors.
D. Clients learn social skills by practicing them in a supported employment setting
- Correct Answer:C. Complex interpersonal skills are taught by breaking them into
simpler behaviors.
In social skills training, complex interpersonal skills are taught by breaking them
down into component behaviors that are covered in a stepwise fashion. Social
skills training is not based in employment settings, although such skills can be
addressed as part of supported employment services. the other distracters are
less relevant to social skills training.
A client diagnosed with a serious mental illness (SMI) died suddenly at age 52. The
client lived in the community for 5 years without relapse and held supported
employment the past 6 months. The distressed family asks, "How could this
happen?" Which response by the nurse accurately reflects research and addresses
the family's question?
A. "A certain number of people die young from undetected diseases, and it's just
one of those sad things that sometimes happen."
, B. "Mentally ill people tend to die much younger than others, perhaps because
they do not take as good care of their health, smoke more, or are overweight."
C. "We will have to wait for the autopsy to know what happened. There were
some medical problems, but we were not expecting death."
D. "We are all surprised. The client had been doing so well and saw the nurse
every other week." - Correct Answer:B. "Mentally ill people tend to die much
younger than others, perhaps because they do not take as good care of their
health, smoke more, or are overweight."
The family is in distress. Because they do not understand his death, they are less
able to accept it and seek specific information to help them understand what
happened. Persons with SMI die an average of 25 years prematurely. Contributing
factors include failing to provide for their own health needs (e.g., forgetting to
take medicine), inability to access or pay for care, higher rates of smoking, poor
diet, criminal victimization, and stigma. themost accurate answer indicates that
seriously mentally ill people are at much higher risk of premature death for a
variety of reasons. Staff would not have been surprised that theclient died
prematurely, and they would not attribute his death to random, undetected
medical problems. Although thecause of death will not be reliably established
until theautopsy, this response fails to address thefamily's need for information.
Many persons brought before a criminal court have mental illness, have
committed minor offenses, and are non-medication adherent. The judge consults
the nurse at the local community mental health center for guidance about how to
respond when handling such cases. Which advice from the nurse would be most
appropriate?
A. "Sometimes a little time in jail makes a person rethink what they've been doing
and puts them back on the right track."
Comprehensive Final Exam Review.
A family discusses the impact of a seriously mental ill member. Insurance partially
covers treatment expenses, but the family spends much of their savings for care.
The client's sibling says, "My parents have no time for me." The parents are
concerned that when they are older, there will be no one to care for the client.
Which response by the nurse would be most helpful?
A. Acknowledge their concerns and consult w treatment team about ways to bring
theclient's symptoms under better control.
B. Give them names of financial advisors that could help them save/borrow
sufficient funds to leave a trust fund to care for their loved one.
C. Refer them to crisis intervention services to learn ways to manage caregiver
stress and provide titles of some helpful books for families.
D. Discuss benefits of participating in National Alliance on Mental Illness (NAMI)
programs and ways to help the client become more independent - Correct
Answer:D. Discuss benefits of participating in National Alliance on Mental Illness
(NAMI) programs and ways to help the client become more independent.
The family has raised a number of concerns, but themajor issues appear to be
theeffects caregiving has had on thefamily and their concerns about theclient's
future. NAMI offers support, education, resources, and access to other families
who have experience with theissues now facing this family. NAMI can help
address caregiver burden and planning for thefuture needs of SMI persons.
Improving theclient's symptom control and general functioning can help reduce
caregiver burden but would likely be a slow process, whereas NAMI involvement
,could benefit them on a number of fronts, possibly in a shorter time period.
thefamily will need more than financial planning; their issues go beyond financial.
thefamily is distressed but not in crisis. Crisis intervention is not an appropriate
resource for thelonger-term issues and needs affecting this family
A client diagnosed with a serious mental illness (SMI) lives independently and
attends a psychosocial rehabilitation program. The client presents at the
emergency department seeking hospitalization. The client has no acute symptoms
but says, "I have no money to pay my rent or refill my prescription." What is the
nurse's best action?
A. Involve the client's case manager to provide crisis intervention.
B. Send the client to a homeless shelter until housing can be arranged.
C. Arrange for a short in-client admission and begin discharge planning.
D. Explain that one must have active psychiatric symptoms to be admitted. -
Correct Answer:A. Involve the client's case manager to provide crisis
intervention.
Impaired stress tolerance and problem-solving abilities can cause persons with
SMI to experience relatively minor stressors as crises. This client has run out of
money, and this has overwhelmed her ability to cope, resulting in a crisis for which
crisis intervention would be an appropriate response. Inpatient care is not
clinically indicated nor is theclient homeless (although she may fear she is). Telling
theclient that she is not symptomatic enough to be admitted may prompt
malingering.
,The nurse wants to enroll a client with poor social skills in a training program for
clients diagnosed with schizophrenia. Which description accurately describes
social skills training?
A. Clients learn to improve their attention and concentration.
B. Group leaders provide support without challenging clients to change.
C. Complex interpersonal skills are taught by breaking them into simpler
behaviors.
D. Clients learn social skills by practicing them in a supported employment setting
- Correct Answer:C. Complex interpersonal skills are taught by breaking them into
simpler behaviors.
In social skills training, complex interpersonal skills are taught by breaking them
down into component behaviors that are covered in a stepwise fashion. Social
skills training is not based in employment settings, although such skills can be
addressed as part of supported employment services. the other distracters are
less relevant to social skills training.
A client diagnosed with a serious mental illness (SMI) died suddenly at age 52. The
client lived in the community for 5 years without relapse and held supported
employment the past 6 months. The distressed family asks, "How could this
happen?" Which response by the nurse accurately reflects research and addresses
the family's question?
A. "A certain number of people die young from undetected diseases, and it's just
one of those sad things that sometimes happen."
, B. "Mentally ill people tend to die much younger than others, perhaps because
they do not take as good care of their health, smoke more, or are overweight."
C. "We will have to wait for the autopsy to know what happened. There were
some medical problems, but we were not expecting death."
D. "We are all surprised. The client had been doing so well and saw the nurse
every other week." - Correct Answer:B. "Mentally ill people tend to die much
younger than others, perhaps because they do not take as good care of their
health, smoke more, or are overweight."
The family is in distress. Because they do not understand his death, they are less
able to accept it and seek specific information to help them understand what
happened. Persons with SMI die an average of 25 years prematurely. Contributing
factors include failing to provide for their own health needs (e.g., forgetting to
take medicine), inability to access or pay for care, higher rates of smoking, poor
diet, criminal victimization, and stigma. themost accurate answer indicates that
seriously mentally ill people are at much higher risk of premature death for a
variety of reasons. Staff would not have been surprised that theclient died
prematurely, and they would not attribute his death to random, undetected
medical problems. Although thecause of death will not be reliably established
until theautopsy, this response fails to address thefamily's need for information.
Many persons brought before a criminal court have mental illness, have
committed minor offenses, and are non-medication adherent. The judge consults
the nurse at the local community mental health center for guidance about how to
respond when handling such cases. Which advice from the nurse would be most
appropriate?
A. "Sometimes a little time in jail makes a person rethink what they've been doing
and puts them back on the right track."
