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Mental Health Exam 1 PP and practice exam questions & Answers
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Mental Health Exam 1 PP andpractice exam questions & Answers
The assessment portion of the community health plan would include which of
the following factors regarding the homeless population?
A. More women than men are homeless.
B. About one-half of the homeless population suffers from some form of
mental illness.
C. There is more HIV disease among the homeless than in the general
population.
D. The majority of the homeless population are African American. - -Correct
answer: C
The National Coalition for the Homeless reports that an estimated 3.4
percent of the homeless population is HIV-positive compared to 0.4 percent
within the general population. It is estimated that up to 50 percent of
persons living with HIV disease are expected to need housing assistance of
some kind during their lifetimes.
-An elderly client, newly admitted to a nursing home, refuses to participate
in activities of daily living (ADLs). Which nursing intervention would best help
the client to be as independent as possible in meeting self-care needs?
A- Assign a variety of caregivers so that one person does not do everything
for the client.
B- Establish a specified amount of time for ADL completion.
C- Set client expectations at the beginning of each day.
D- Structure the activities of daily living to mirror previous home routines. - -
Correct answer: D
Structuring the activities of daily living to mirror previous home routines can
help foster independence in activities of daily living. Maintaining familiar
routines will ease the transition to residential care and increase client
compliance in meeting self-care needs.
-A despondent, recently widowed woman tells the home health nurse, "My
husband is lucky! I'm so lonely, there's no one to talk to, and life is not worth
living with this arthritis pain." Which nursing diagnosis takes priority?
A. Risk for suicide
B. Social Isolation
C. Chronic pain
D. Complicated grieving - -Correct answer: A
, Risk for suicide applies when an individual is at risk for self-inflicted, life-
threatening injury. The client's statements indicate feelings of abandonment,
hopelessness, and a possible threat to end her life. Because the client's
safety may be in jeopardy, the nursing diagnosis of risk for suicide would
take priority.
-Which therapy is most effective in decreasing depression in elderly clients?
A- Crisis intervention
B- Group therapy
C- Orientation therapy
D- Reminiscence therapy - -Correct answer: D
Reminiscence therapy encourages clients to think about and reflect on the
past. Studies have shown that clients who participate in this therapy have
increased self-esteem and are less likely to suffer from depression.
Reminiscence therapy helps older adults to work through their losses and
maintain self-esteem.
-A 25-year-old man barely avoids a motor vehicle accident. His heart is
pounding, his palms are sweaty, and his respirations are increased. This is an
example of which stage of the general adaptation syndrome?
A. Alarm reaction stage
B. Stage of resistance
C. Stage of exhaustion
D. Stage of biological stress - -Correct answer: A
The physiological responses of the "fight or flight syndrome" are initiated in
the alarm reaction stage of the general adaptation syndrome. These
physiological responses generally include an increase in heart rate and
respirations and may include other symptoms such as headache, sweaty
palms, and a sensation of dizziness.
-Which charting entry is an example of the documentation of a subjective
symptom?
A. Temperature 101.4o F
B. No muscle rigidity or drooling noted
C. Client is hypervigilant and scanning the environment.
D. Client states, "I'm seeing green men in my room." - -Correct answer: D
The client statement, "I'm seeing green men in my room," is documentation
of a subjective symptom reported by the client.
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