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

Accepted Answer

Planned change is the deliberate effort to make things different within a system.Unplanned or unexpected change often is not desired change.With both types of change,workplace dynamics is affected and change often is met with strong reactions.

Question 2

Routine health screenings,regular educational discussions,and support groups are nursing responsibilities that are:
A)Curative
B)Educational
C)Restorative
D)Preventive

Accepted Answer

All of the options are responsibilities of the nurse,but preventive best represents the criteria listed in the question.Preventive health care is an important responsibility of the nurse.Prevention reduces the incidence of illness and the difficulty associated with treatment.

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.

Accepted Answer

Planning changes for clients slowly and incrementally allow for minimal resistance.Although there may be a sense of anxiety and loss,it is diminished if done in steps.Increasing medication dosages,and not informing clients until the nurse is gone or on his last day do not provide for the open communication and preparation.

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

Accepted Answer

Some mental health problems may be specifically limited to the members of a certain group.These types of problems are called culture-bound disorders because they appear to be related to specific cultures.For example,the Hispanic disorder susto is an emotional anxiety that results from "soul loss."

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

Accepted Answer

Individuals with HIV can have signs of CNS damage that may present as a psychiatric illness before HIV or AIDS is detected.

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

Accepted Answer

While the psychiatric technician,certified nursing assistance,and home health care provider are important care team members in the collaboration effort,they do function as independently as the nurse case manager in coordination of the client's care.

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

Accepted Answer

The psychosocial (psychiatric)rehabilitation model of treatment focuses on wellness,wholeness,and the abilities of the client,and it encourages freedom of choice and self-direction.

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

Accepted Answer

Nearly half of this population work,but they do not earn enough to pay for housing.

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

Accepted Answer

These are all examples of social changes that affect today's health care system.Cultural changes are exhibited in the population served in the health care setting;the environment refers to the health care setting;and technological advances guide the level of care and the way care is delivered.

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.

Accepted Answer

The concept of least restrictive environment begins to break down when the client is unable to care for himself.Competence must be demonstrated.It is not the responsibility of a client who is not competent to request a longer length of stay.Without proper support and resources compliance with treatment will most likely not improve.

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

Accepted Answer

These are characteristics of homeless persons in the United States.

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

Accepted Answer

The need for mental health applies to all people.Every person experiences periods of emotional turmoil and crises,and,at some time,most individuals need some assistance with coping strategies.

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

Accepted Answer

Competency incorporates the four criteria of being able to make a choice,understand important information,apply reasoning,and understand one's own situation.This client is demonstrating inability in all of these areas.

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

Accepted Answer

The main function of the mental health care team is to coordinate care as the client moves from inpatient to community settings because this is the least restrictive treatment environment.The other options involve actions of care team members,but they are not directly related to the surroundings.

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

Accepted Answer

This group constituted the majority of the homeless population in the past,but the face of the homeless population has changed over time.

Question 16

In the United States,1 in __________ individuals has a diagnosable mental health disorder.
A)4
B)8
C)12
D)16

Accepted Answer

This figure equates to 58 million individuals in the United States.

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

Accepted Answer

Decreased community mental health services and lack of ability for the individual to function in daily life have led to the growing number of homeless persons with chronic mental illness.

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

Accepted Answer

The Health Insurance Portability and Accountability Act (HIPAA)of 1996 was the first national standard instituted for the protection of the privacy of an individual's health information.Informed consent refers to appropriate information given to the client in order for the client to make informed decisions regarding his care.The right to competent care refers to the right of the client to receive care from an individual who is knowledgeable and skilled in providing care;and the Americans with Disabilities Act refers to the rights of individuals with disabilities.

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

Accepted Answer

Individuals with a dual diagnosis experience two or more disorders,one of which is commonly drug abuse.

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

Accepted Answer

A health-oriented approach focuses on the possibilities and positive achievements that are within the client's grasp.The other options focus on the limitations and negative view of the client's illness.

Quiz 33: Challenges for the Future

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

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

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 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) :

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

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 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:

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

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 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?

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

The need for mental health applies to:

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

Historically,the homeless population has primarily consisted of:

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

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

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

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

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