Deck 12: Caring for Clients With Mental Illness and Substance Use Disorders in General Practice Settings

Question 1

A home care nurse notices the client who startles easily is exhibiting signs of posttraumatic stress disorder. The nurse asks, "Have you ever made a suicide attempt?" to which the client responds, "Yes, I have." Which response should the nurse make next?

A) Notify the primary care provider
B) Gently touch the client's arm
C) Say, "Why would you do that? I am here to help you."
D) Ask, "Are you having thoughts of suicide right now?"

Answer 1

Ask, "Are you having thoughts of suicide right now?"

Question 2

What is the first step the nurse should take to reduce stigma of mental health clients?

A) Increase social contact with mental health clients
B) Attend on-the-job training about mental health clients
C) Have a willingness to interact with mental health clients
D) Understand the person as a mental health client

Answer 2

Have a willingness to interact with mental health clients

Question 3

The nurse is providing care to a depressed, introverted client who is receiving outpatient surgery for a fractured hip. Which action should the nurse take to provide patient-centered care?

A) Refer the client for involuntary hospitalization
B) Allow the client plenty of solitude time to prepare for surgery
C) Involve the client in choosing a blue or green gown to wear
D) Develop a partnership with the spouse who is not withdrawn

Answer 3

Involve the client in choosing a blue or green gown to wear

Question 4

The client has extensive mental health problems that require medication and counseling. To which mental health-care professional should the nurse refer the client?

A) Psychologist
B) Psychiatrist
C) Licensed independent social worker
D) Peer support specialist

Question 5

The clinic nurse is caring for a client with ulcerative colitis who has signs of depression. Which additional conditions should the nurse assess for in this client? (Select all that apply.)

A) Mania
B) Cardiovascular disease
C) Metabolic syndrome
D) Diabetes
E) Emphysema

Question 6

The clinic nurse is triaging clients. The nurse should require which client with nonsuicidal self-injuring behavior to be seen immediately?

A) Is self-cutting in response to command hallucinations
B) Has a history of borderline personality disorder
C) Is on leave from the military
D) Has thoughts of being detached from the body

Question 7

In which setting should the nurse be aware that the client with a substance use disorder would most likely seek initial treatment?

A) Psychiatric hospital
B) Addiction treatment center
C) Urgent care clinic
D) Inpatient psychiatric unit

Question 8

The nurse is working in an emergency department. With which client should the nurse use the screening, brief intervention, and referral to treatment approach (SBIRT)?

A) Has suicidal thoughts
B) Has nonsuicidal self-injuring behavior
C) Has an opioid addiction
D) Has been raped

Question 9

The client with a myocardial infarction tells the intensive care nurse, "You won't have to care for me pretty soon. I will not be a burden to you or others." Which initial action should the nurse take?

A) Screen the client for suicide
B) Transfer the client to the medical unit
C) Allow the client some private, quiet time
D) Teach the client that he or she will be able to care for himself or herself

Question 10

The nurse is working in a long-term care facility. Which action by the nurse demonstrates attention to a priority issue for screening for all clients in the facility?

A) Performing crisis intervention
B) Assessing a client for trauma
C) Determining presence of hallucinations
D) Monitoring for anxiety disorders

Question 11

The nurse is preparing a staff development presentation to improve the screening, intervention, and referral process for clients in the geriatric community center. Which information should the nurse identify as barriers to this initiative? (Select all that apply.)

A) Patient concerns about privacy
B) Competing workload demands
C) New nurses
D) The staff's attitude
E) Changing screening requirements

Question 12

The nurse in the emergency department (ED) is assessing a client who with a long history of depression. The nurse finds that the client has gained weight, has dry skin, and has cold sensitivity. The nurse determines the client's depression is exacerbating, further examination and testing reveal the client has hypothyroidism. Which phenomenon occurred?

A) Depression screening
B) Social distancing
C) Trauma-informed caring
D) Diagnostic overshadowing

Question 13

The nurse is a manager of a pediatric unit. Which actions should the nurse manager take to equip staff to address neuropsychiatric symptoms in pediatric clients? (Select all that apply.)

A) Encourage use of screening tools
B) Provide education of staff members
C) Keep referrals to a minimum
D) Increase social contact with individuals with mental illness
E) Promote defensive medicine

Question 14

The nurse is caring for clients in a free community clinic. Which technique should the nurse use to conduct a trauma screening?

A) Quickly assessing the overall situation
B) Implementing a thorough head-to-toe assessment
C) Interviewing in a secluded area
D) Using empathy with the family members

Question 15

______ who choose to work in nonpsychiatric settings are the frontline responders in recognizing, intervening, and referring clients with neuropsychiatric illness for further treatment.