NUR210CH05

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Author:
TomWruble
ID:
196260
Filename:
NUR210CH05
Updated:
2013-03-17 12:15:00
Tags:
nur210q1 Psychiatric Mental Health Nursing Community Settings
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Description:
Psychiatric Mental Health Nursing in Community Settings
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  1. The community mental health movement was least influenced by 

    A. the advent of antipsychotic medications.
    B. the proliferation of federal entitlement programs, making it possible to move the mentally ill out of hospitals.
    C. the increasingly larger numbers of advanced practice nurses prepared to care for the mentally ill in the community.
    D. increasing public awareness of the poor care given in some large psychiatric hospitals.
    C. the increasingly larger numbers of advanced practice nurses prepared to care for the mentally ill in the community.

    At the time the community mental health movement began, relatively few advanced practice psychiatric nurses were practicing, and fewer still who were prepared to care for the mentally ill in the community.Text page: 87
    (this multiple choice question has been scrambled)
  2. In addition to physicians, what other mental health discipline members have been identified as possessing the knowledge, skill, ability, and legal authority to intervene in the full range of mental health care? 

    A. Nurses
    B. Social workers
    C. Clinical psychologists
    D. Chemical dependency counselors
    A. Nurses

    Nurses are the only caregivers listed who can provide both physical and psychological care for mental health clients.Text page: 91
    (this multiple choice question has been scrambled)
  3. Which criterion is necessary to refer a client to a partial hospitalization program? 

    A. The client is able to care for his or her own physical and psychological needs.
    B. The client is able to return home each day.
    C. The client is hospitalized at night in an inpatient setting.
    D. The client must be able to provide his or her own transportation daily.
    B. The client is able to return home each day.

    Movement along the continuum is fluid, from higher to lower levels of intensity, and changes are not necessarily step by step. On discharge from acute hospital care or a 24-hour supervised crisis bed, many clients need intensive services to maintain their initial gains or to "step down" in care. Multiple studies show that failure to follow up in outpatient treatment increases the likelihood of rehospitalization and other adverse outcomes.Text page: 93
    (this multiple choice question has been scrambled)
  4. The psychiatric community health nurse engages in primary prevention when: 

    A. Visiting a homeless shelter to provide crisis intervention for its clients
    B. Discussing the need for proper nutrition with a depressed new mother
    C. Providing stress reduction seminars at the local senior center
    D. Visits the home of a client currently displaying manic behavior
    C. Providing stress reduction seminars at the local senior center

    Primary prevention is directed at healthy individuals with the purpose of preventing mental illness.Text page: 88
    (this multiple choice question has been scrambled)
  5. In 1963 the Community Mental Health Centers Act was signed with the primary purpose of: 

    A. Providing mental health care on an outpatient basis in order to maintain the client as a member of an established community
    B. Having mental health care services funded by the federal government while provided by state government
    C. Providing mental health care to the uninsured in an economical reasonable manner
    D. Assuring all Americans the mental health care services they need and/or desire
    A. Providing mental health care on an outpatient basis in order to maintain the client as a member of an established community

    Community mental health centers were created as a result of the 1963 Community Mental Health Centers Act for the purpose of providing mental health services while maintaining the client in his own community.Text page: 88
    (this multiple choice question has been scrambled)
  6. A community mental health nurse whose culture is Hispanic is assigned to a mobile mental health care unit in a locale where the majority culture is Vietnamese. A measure that will help the nurse plan and implement culturally sensitive care for clients is 

    A. reading about the predominant health beliefs held by members of Asian cultures.
    B. treat clients in the same manner that clients of the Hispanic culture find satisfying.
    C. arranging for the services of an interpreter and cultural consultant.
    D. to try to place self in the position of being an unassimilated member of a culture.
    C. arranging for the services of an interpreter and cultural consultant.

    Use of a translator is helpful with language and with gaining explanations of culture as it might affect health care.Text page: 97
    (this multiple choice question has been scrambled)
  7. The community mental health nurse recognizes that the mental ill population will require: 

    A. government assistance in the form of health insurance and housing
    B. frequent assessment for physical illness both acute and chronic in mature
    C. continuous supervision in order to assure that their physical needs are met
    D. legal assistance to assure they retain there civic rights
    B. frequent assessment for physical illness both acute and chronic in mature

    Repeated studies have shown the people with mental illnesses also have a higher risk for medical disorder than the general populationText page: 90
    (this multiple choice question has been scrambled)

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