PN120 PrepU Chapter 4 Exam Questions
With Correct Answers
Which client may be the most appropriate candidate for telepsychiatry? - answer✔✔A client
whose depression does not warrant inpatient or outpatient care but who is motivated to maintain
the client's health
The nurse is caring for a group of clients in a residential treatment facility. While the intensive
outpatient programs promote education in the areas of stress management and relapse
prevention, the residential treatment facility emphasizes what? - answer✔✔Ensuring a
sustainable living situation
Initiatives that strive to strengthen links between primary care and specialized mental health
services refer to ... - answer✔✔collaborative mental health care.
Which type of care provides periodic relief to caregivers of a mentally ill client? -
answer✔✔Respite residential care
Which is the most restrictive setting in the continuum? - answer✔✔Acute inpatient
hospitalization
A psychiatric client's nurse case manager best explains to the family that case management will
facilitate the client's transition back into the community by providing which services? -
answer✔✔Identifying and meeting the client's health and human service needs
Which best defines a community support system in relation to mental illness? - answer✔✔A
network that helps to meet the needs of people with mental illness and to realize their potential
without unnecessary isolation
A nurse has transferred recently to a forensic practice setting from an acute care medical setting.
During the orientation period, the nurse's mentor helps the nurse learn the culture of a forensic
setting. The nurse learns to be alert to one of the most dominant barriers to building a therapeutic
relationship with forensic clients. What is this barrier? - answer✔✔Clients commonly struggle
with trusting others.
Which client is suitable for psychiatric transitional care services? - answer✔✔An individual
being discharged from hospital with residual symptoms of mania
The parents of a client with a mental illness being cared for at home tell the nurse that they have
been feeling overwhelmed lately. They say, "We need to get away for a few days to recharge
ourselves." Which care setting should the nurse recommend? - answer✔✔Respite residential care
Which goal for an individual client is consistent with the overall objectives of community
support service programs? - answer✔✔The client's functional ability will improve.
The nurse works for a psychiatric-mental health facility that utilizes traditional milieu therapy.
Which stage of milieu therapy allows for control and limitation of maladaptive behaviors
including yelling and screaming? - answer✔✔Structure
Quality of case management is measured by outcomes that result from what? - answer✔✔Level
of functioning
A nursing instructor is teaching a class about transitional psychiatric care. The instructor
determines that additional education is needed when the class identifies which client as
appropriate for this care? - answer✔✔A 42-year-old who would like to enter marriage
counseling
The nurse is reviewing a client's history, which reveals that the client is participating in a
psychiatric rehabilitation program. The nurse understands that which is the goal of this program?
- answer✔✔Empower clients to achieve the highest level of functioning possible
Which is an example of secondary prevention in the forensic setting? - answer✔✔Crisis
intervention
The greatest impact case management has had on mental health care is that it has caused what? -
answer✔✔Has increased client access to appropriate mental health care
Which mental health clients is most likely to frequently present in the emergency department in
hospital? - answer✔✔A 34-year-old person diagnosed with an amphetamine addiction who has
overdosed
A client was diagnosed with bipolar I disorder several years ago. After occasional inpatient
admissions surrounding manic episodes over the past few years, the client has been receiving
outpatient psychiatric services for the past 12 months. The client's care providers, however, are
concerned that these outpatient services are not meeting the client's needs. Which service would
best fit this client's needs at this time? - answer✔✔A day-treatment program
A college's nursing program has added an elective in forensic nursing to the curriculum. Which
phenomenon underlies the expanded role for forensic nursing that is expected in the future? -
answer✔✔The fact that there are high rates of mental illness among the populations of jails and
prisons
The parents of a young adult diagnosed with schizophrenia are providing care for the client in
their home. During a home visit, the parents state, "It's been so difficult taking care of our child.
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