Deck 33: Challenges for the Future

Question 1

The deliberate effort to make things different within a system is called:

A)Planned change
B)Unplanned change
C)Unexpected change
D)Workplace dynamics

Answer 1

Planned change

Question 2

Routine health screenings,regular educational discussions,and support groups are nursing responsibilities that are:

A)Curative
B)Educational
C)Restorative
D)Preventive

Answer 2

Preventive

Question 3

A nurse at the mental health clinic is leaving his job and relocating to another part of the country in six months.What is the best way for him to deal with his clients?

A)Begin to prepare clients for his departure by assisting to transition them to another nurse.
B)Increase dosage of medications for each client in anticipation of the effect his leaving will have on their progress.
C)Do not inform clients until after the nurse leaves to avoid additional anxiety.
D)Wait until the nurse's last day to inform clients to allow them to say goodbye,but avoid additional anxiety.

Answer 3

Begin to prepare clients for his departure by assisting to transition them to another nurse.

Question 4

A woman whose culture believes her depression is the result of being possessed by the spirit of a deceased relative is considered to have a(an):

A)Impaired coping mechanism
B)Culture-bound disorder
C)Medically diagnosed disorder
D)Projection based disorder

Question 5

Each complaint of people with HIV/AIDS must be investigated carefully because CNS problems can be mistaken for:

A)Anxiety
B)Delusions
C)Compulsions
D)Psychiatric problems

Question 6

A treatment team member works with a client who is living in a residential treatment facility with a diagnosis of severe paranoid schizophrenia.The team member who collaborates with the physician to coordinate the client's therapy and medications and necessary referrals is the:

A)Nurse case manager
B)Psychiatric technician
C)Certified nursing assistant
D)Home health care provider

Question 7

A way of helping people with mental health problems to readjust and adapt to life in the community that is based on a nonmedical model of treatment is:

A)Client advocacy
B)Psychosocial treatment
C)Compliance with medications
D)Psychosocial rehabilitation

Question 8

Families without a home now make up __________% of the homeless population in the United States.

A)14
B)28
C)38
D)44

Question 9

An aging population,an overburdened welfare system,and a cost conscious U.S.Congress exerting its influence on the health care system are all examples of ____ changes.

A)Social
B)Cultural
C)Environmental
D)Technological

Question 10

A person suffering from paranoid schizophrenia is discharged from an inpatient facility before community mental health services can be established for him.Which statement most appropriately describes this action?

A)The client has a right to be discharged to the least restrictive environment.
B)The client is not competent to be discharged without community mental health resources for his transition to a less restrictive environment.
C)The client has a responsibility to ask to remain in the inpatient setting.
D)The client will demonstrate improved compliance with treatment once in a less restrictive environment.

Question 11

In the United States today,the seriously mentally ill constitute (Select all that apply):

A)The neglected,the abused,and the confined
B)A large segment of jail and prison populations
C)More than half of all homeless persons
D)More than one third of the homeless population
E)The main pool of workers covered under the ADA

Question 12

The need for mental health applies to:

A)All persons
B)People with illnesses
C)All married persons
D)People with mental problems

Question 13

A male client was discharged to home from an inpatient setting with the diagnosis of obsessive-compulsive disorder.Upon discharge,he was able to reason,understand,and make informed choices regarding his care.Now,he is unable to leave his house,is engaging in compulsive behaviors,and is not taking his medication.The best description of this situation is that the client is lacking in:

A)Competency
B)Client rights
C)Self-direction
D)Self-determination

Question 14

To implement the concept of the least restrictive treatment environment,health care team members:

A)Monitor the medications schedule
B)Assess the client's ability to live alone
C)Assess available financial resources
D)Assess available community resources

Question 15

Historically,the homeless population has primarily consisted of:

A)Families
B)African American men over 40 years of age
C)White male adults with an average age of 50 years
D)Individuals in their 30s with mental and physical disabilities

Question 16

In the United States,1 in __________ individuals has a diagnosable mental health disorder.

A)4
B)8
C)12
D)16

Question 17

Adults with chronic mental illness account for approximately __________ of the homeless population.

A)Forty percent
B)One-third
C)One-half
D)Fifty percent

Question 18

A nurse is overheard by a family member of a client discussing the condition of the client.This nurse is in violation of the:

A)Client's informed consent
B)Right to competent care
C)Americans with Disabilities Act
D)Health Insurance Portability and Accountability Act

Question 19

As many as 75% of people with chronic mental health disorders

A)Live alone
B)Refuse to take their medications
C)Use or abuse drugs
D)Use or abuse their prescribed medications

Question 20

The nurse who advocates for a health-oriented approach to clients is likely to encourage the development of which outcome?

A)The client will maintain compliance in medication administration
B)The client will adjust to the limitations of chronic illness
C)The client will keep in mind his limitations as a barrier to achievement of goals
D)The client will focus on continued progress and improvements in planning goals

Question 21

The __________ is the member of the mental health treatment team who has advanced certified nursing assistant training and provides care in both inpatient and community settings.

Question 22

Because of the active role of the consumer in today's society,the term __________ is used frequently to describe the consumer of health care.

Question 23

In order to be actively involved in a plan of care the client must demonstrate which of the following responsibilities? (Select all that apply. )

A)Truthfulness
B)Education
C)Acceptance
D)Responsibility
E)Cooperation

Question 24

A person is considered __________ according to the Americans with Disabilities Act (ADA)if he has a mental or physical impairment that significantly limits one or more major life activities.