Deck 14: Recovery and Psychiatric Rehabilitation

Question 1

The most effective way for a nurse working in psychiatric rehabilitation to gain firsthand knowledge about a community agency is to:

A) query patients who have used the services of the agency.
B) go to the agency with someone who is requesting services.
C) read the description in a community social services directory.
D) go to the agency pretending to be someone who needs services.

Answer 1

go to the agency with someone who is requesting services.

Question 2

Which statement regarding the self-perception of the mentally ill regarding community acceptance is supported by research?

A) "Many feel stigmatized and alienated."
B) "Most feel well accepted and supported."
C) "The majority are intensely angry and hostile."
D) "Most are more concerned with their primary symptoms."

Answer 2

"Many feel stigmatized and alienated."

Question 3

In a recovery treatment program,staff members are assigned to spend time with psychiatric patients who are in crisis in the community rather than hospitalizing the patient.Staff members help patients learn to meet real-world demands.Such a program typifies:

A) respite care.
B) foster home care.
C) halfway housing.
D) training in community living.

Answer 3

training in community living.

Question 4

To ensure complete data regarding family social support needs,the nurse should consider seeking information relating to which four categories?

A) Anger quotient, resiliency, flexibility, and guilt
B) Financial, dependency, worry, and involvement
C) Emotional, feedback, cognitive, and instrumental
D) Diagnosis, treatment, relapse prediction, and violence potential

Question 5

When asked to explain how psychiatric rehabilitation under the tertiary prevention model differs from the traditional medical model,the nurse's response should stress that the focus of tertiary prevention is on:

A) disease as opposed to the coping continuum.
B) learning to receive treatment in institutional settings.
C) health and wellness and not just symptoms of disease.
D) proper diagnosis and appropriate medications to treat disorders.

Question 6

Which daily stressors would an unemployed 24-year-old diagnosed with chronic depression who lives on a family farm most likely experience?

A) Housing, school, and work problems
B) Money problems, loneliness, and boredom
C) Florid symptoms, odd dress, and bizarre behavior
D) Sexual, anger management, and medication problems

Question 7

Effective programs are essential for families of patients with severe mental illness.Which components should be included to enhance a program's effectiveness?

A) Education and empowerment
B) Political support and education
C) Financial support and a large membership
D) Empowerment and the participation of political figures

Question 8

A patient in a psychiatric rehabilitation program says,"I feel so guilty because my family gives me so much and I have so little to give in return." What is the nurse's most therapeutic reply?

A) "Your family feels good about giving to you."
B) "Remember that, and show them you are grateful."
C) "Following your treatment plan and helping with household tasks are ways you can give back."
D) "You can help most by keeping your feelings to yourself and not burdening the family when you feel upset."

Question 9

A nurse is conducting a workshop on family skill building.All participants have a family member with severe mental illness living in their household.Which method should be used to present coping skills to the participants?

A) Have a rehabilitation counselor facilitate the family-centered learning workshop.
B) Present a skill and allow participants to give feedback on the usefulness of the skill for their family member.
C) Arrange for the workshop presenter to be someone who has a family member diagnosed with serious and persistent mental illness.
D) Have someone who has experience with in-home care for the mentally ill present a talk and question-and-answer session at the workshop.

Question 10

At a community meeting,a homeowner states,"I don't want mentally ill people in the neighborhood.They're dangerous!" The community mental health nurse should respond:

A) "Former patients need care and concern, not stigmatization."
B) "I sincerely believe your fears and concerns are really unfounded."
C) "The way you act toward former patients will determine how they act toward you."
D) "Our residents are more apt to be withdrawn and timid than aggressive or violent."

Question 11

Under the recovery model,a nurse is more likely to work with a patient with a psychiatric disorder:

A) in a decision-making partnership.
B) by prescribing appropriate treatment.
C) with the assumption the patient is curable.
D) from the position of expecting compliance.

Question 12

A 27-year-old diagnosed with schizophrenia lives at home with both parents.A nurse is helping the family become better prepared to work with their child.Which nursing intervention would be most beneficial?

A) Having the family members remind the patient often about appointments and the schedule of daily activities
B) Helping the family members with scheduling regular daily activities and suggesting the family members allow the patient privacy and personal space
C) Suggesting that family members spend as much time as possible with the patient and continuously reassure the patient that he or she will never be left alone
D) Suggesting that a family member help the patient plan activities of daily living (ADLs) and make sure that all family members understand the need for vigilance with the patient

Question 13

A psychiatric nurse whose area of practice is tertiary prevention of mental illness is asked to describe the focus of this type of practice.The nurse can best describe it as:

A) enriching the understanding of mental illness.
B) preventing mental illness from occurring initially.
C) limiting disability related to an episode of mental illness.
D) increasing community awareness of the symptoms of mental illness.

Question 14

A patient has been treated for a mental disorder on an outpatient basis.Function has deteriorated and the patient is hospitalized in an inpatient unit; a nurse will now implement the recovery model by:

A) comparing patient deficits to original baseline.
B) identifying and reinforcing patient strengths.
C) reviewing the patient's former treatment plan for updates.
D) reconsidering expectations when the patient is discharged.

Question 15

A nurse notes that a patient voices shame and socially isolates.The nurse will most likely interpret this behavior as:

A) unrelated to serious mental illness.
B) likely representing learned behaviors.
C) associated with secondary symptoms of serious mental illness.
D) a coincidental response that has little relationship to the illness.

Question 16

The family burden associated with having a mentally ill family member is evidenced by:

A) decreased family stress and conflict.
B) family members blaming each other for the illness.
C) increased understanding and acceptance of the illness.
D) too little time, energy, and money given to the ill member.

Question 17

A patient who dropped out of college when diagnosed with schizophrenia repeatedly states,"I want to get a job.I can work." Which statement made by the nurse would be the most therapeutic in facilitating the patient's need to be more productive?

A) "If you return to school and get a degree you can graduate from college and get a better job in 5 or 6 years."
B) "School will be stressful. Let's just look at the classified ads and find something you are capable of doing right now."
C) "You could return to school by taking courses where class size is small; this would help your self-esteem and allow you to be more independent."
D) "Work part-time and go back to school part-time; you'll get a good job when you finish a degree."

Question 18

A psychiatric nurse is assessing the family and home of a patient who is being discharged within the next few days from an inpatient unit.The assessment component with the highest priority is:

A) how the family members will make changes to meet the needs of the patient.
B) the attitudes and feelings of family members toward the mentally ill member.
C) how family members will cope with the responsibility of caring for the patient.
D) who will be responsible for helping the client with his or her activities of daily living (ADLs).

Question 19

A patient diagnosed with major affective disorder expresses concern to a nurse about how to spend time after discharge.The patient states,"I don't want to just sit at home alone but I'm a little afraid of how others will respond to me." The nurse should suggest:

A) "Just try to get out and meet people."
B) "You should really take it easy when you get home."
C) "Try taking a course at your local community college."
D) "Consider going to a consumer-run psychosocial program."

Question 20

A nurse is assessing the community living skills of a 28-year-old patient.The nurse ascertains that the patient has poor personal hygiene and has never assumed responsibility or management of any aspect of self-care.Based on the data,the nurse makes the assessment that the patient:

A) has low readiness for function in the community.
B) will be too much of a burden to live in a foster setting.
C) is too psychotic to be considered for community placement.
D) requires stabilization to profit from psychiatric rehabilitation.

Question 21

In addition to the psychiatric nurse,which professional would be considered a multidisciplinary rehabilitative treatment team member in a community mental health center? (Select all that apply.)

A) Psychologist
B) Pharmacist
C) Social worker
D) Psychiatrist
E) Employment specialist

Question 22

To promote positive outcomes,nurses in psychiatric rehabilitation practices should be skilled in: (Select all that apply.)

A) teaching the patient living skills.
B) actively listening to patient complaints.
C) assisting the patient in developing his or her strengths.
D) helping patients accept their own disabilities.
E) accessing the appropriateness of environmental support.

Question 23

All recovery programs should be evaluated regularly to ensure: (Select all that apply.)

A) accountability.
B) cost effectiveness.
C) relevancy of services.
D) geographical service area.
E) appropriate grant funding.