Test Bank for Varcarolis Essentials of Psychiatric Mental Health Nursing 5th
Edition Fosbre / All Chapters 1-28 / Full Complete 2024
Health maintenance and promotion efforts for patients diagnosed with
severe mental illness should include education about the importance of
what regular intervention?
a. Home safety inspections
b. Monitoring of self-care abilities
c. Screening for cancer, hypertension, and diabetes
d. Determination of adequacy of a patient's support system -
ANSWER>>>c. Screening for cancer, hypertension, and diabetes
How is severe and persistent mental illness best characterized?
a. Mental illness with longer than 2 weeks' duration.
b. Major ongoing mental illness marked by significant functional
impairments.
c. Mental illness accompanied by physical impairment and severe social
problems.
d. Major mental illness that cannot be treated to prevent deterioration of
cognitive and social abilities. - ANSWER>>>b. Major ongoing mental
illness marked by significant functional 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 interpretation syndrome - ANSWER>>>c.
Chronic low self-esteem
A patient diagnosed with schizophrenia tells the community mental health
nurse, "I threw away my pills because they interfere with God's voice." The
nurse identifies what as the likely cause of the patient's ineffective
management of the medication regimen?
a. Inadequate discharge planning
b. Poor therapeutic alliance with clinicians
c. Impaired reasoning secondary to schizophrenia
d. Dislike of the side effects of antipsychotic medications - ANSWER>>>c.
Impaired reasoning secondary to schizophrenia
, A patient diagnosed with severe and persistent mental illness lives
independently. This patient often has command hallucinations and shouts
warnings to neighbors. After a short hospitalization, the patient's landlord
says, "You can't come back here. You cause too much trouble." What
problem is the patient experiencing?
a. Grief
b. Stigmatization
c. Recidivism
d. Lack of insurance parity - ANSWER>>>b. Stigmatization
ANS: B The inability to obtain shelter because of negative attitudes about
mental illness is an example of stigmatization. Stigma is defined as
damage to reputation, shame, and ridicule society places on mental illness.
Data are not present to identify grief as the patient's problem. Recidivism
refers to repetition 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 intervention should be the nurse's initial
priority?
a. Develop a relationship.
b. Find supported employment.
c. Administer prescribed medication.
d. Teach appropriate health care practices - ANSWER>>>a. Develop a
relationship.
Basic psychosocial needs do not change because a person is homeless.
The nurse's initial priority should be establishing rapport. Once a trusting
relationship is established, then the nurse can pursue other interventions.
A patient diagnosed with severe and persistent mental illness lives in a
homeless shelter. The priority nursing diagnosis for this patient is
Powerlessness. Which intervention should be included in the plan of care?
a. Encourage mutual goal setting.
b. Verbally communicate empathy.
c. Reinforce participation in activities.
Edition Fosbre / All Chapters 1-28 / Full Complete 2024
Health maintenance and promotion efforts for patients diagnosed with
severe mental illness should include education about the importance of
what regular intervention?
a. Home safety inspections
b. Monitoring of self-care abilities
c. Screening for cancer, hypertension, and diabetes
d. Determination of adequacy of a patient's support system -
ANSWER>>>c. Screening for cancer, hypertension, and diabetes
How is severe and persistent mental illness best characterized?
a. Mental illness with longer than 2 weeks' duration.
b. Major ongoing mental illness marked by significant functional
impairments.
c. Mental illness accompanied by physical impairment and severe social
problems.
d. Major mental illness that cannot be treated to prevent deterioration of
cognitive and social abilities. - ANSWER>>>b. Major ongoing mental
illness marked by significant functional 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 interpretation syndrome - ANSWER>>>c.
Chronic low self-esteem
A patient diagnosed with schizophrenia tells the community mental health
nurse, "I threw away my pills because they interfere with God's voice." The
nurse identifies what as the likely cause of the patient's ineffective
management of the medication regimen?
a. Inadequate discharge planning
b. Poor therapeutic alliance with clinicians
c. Impaired reasoning secondary to schizophrenia
d. Dislike of the side effects of antipsychotic medications - ANSWER>>>c.
Impaired reasoning secondary to schizophrenia
, A patient diagnosed with severe and persistent mental illness lives
independently. This patient often has command hallucinations and shouts
warnings to neighbors. After a short hospitalization, the patient's landlord
says, "You can't come back here. You cause too much trouble." What
problem is the patient experiencing?
a. Grief
b. Stigmatization
c. Recidivism
d. Lack of insurance parity - ANSWER>>>b. Stigmatization
ANS: B The inability to obtain shelter because of negative attitudes about
mental illness is an example of stigmatization. Stigma is defined as
damage to reputation, shame, and ridicule society places on mental illness.
Data are not present to identify grief as the patient's problem. Recidivism
refers to repetition 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 intervention should be the nurse's initial
priority?
a. Develop a relationship.
b. Find supported employment.
c. Administer prescribed medication.
d. Teach appropriate health care practices - ANSWER>>>a. Develop a
relationship.
Basic psychosocial needs do not change because a person is homeless.
The nurse's initial priority should be establishing rapport. Once a trusting
relationship is established, then the nurse can pursue other interventions.
A patient diagnosed with severe and persistent mental illness lives in a
homeless shelter. The priority nursing diagnosis for this patient is
Powerlessness. Which intervention should be included in the plan of care?
a. Encourage mutual goal setting.
b. Verbally communicate empathy.
c. Reinforce participation in activities.
