Delivery of Psychiatric Nursing Care

Delivery of Psychiatric Nursing Care
Order 5893238
Delivery of Psychiatric Nursing Care
1. Which of the following factors contributed to the
development of large mental institutions in the
19th century? Select all that apply.
1. The fear of mental illness by the general public.
2. Superstitions regarding mental illness.
3. A need to increase the social skills of the mentally ill.
4. A need to protect society from the affected individuals.
5. A need to increase independence in the mentally ill.
2. Which of the following led to the deinstitutionalization movement?
1. Dorothea Dix advocated for deinstitutionalization.
2. Clients with mental illness were feared by the
general population.
3. The Community Mental Health Centers Act was
passed.
4. The National Institute of Mental Health was
established.
3. The therapist, as a member
of the interdisciplinary treatment team, focuses on rehabilitation and vocational training in which clients
learn to be productive, thereby enhancing self-esteem.
4. A nursing instructor is teaching about the reasons
clients are admitted to an inpatient psychiatric unit.
Which student statement indicates that more instruction is needed?
1. “This client should be admitted because he is
threatening to kill his mother.”
2. “This client should be admitted because he is
convinced that all clergy go first to purgatory
and then hell.”
3. “This client should be admitted because of an
attempted jump from a bridge.”
4. “The client should be admitted because voices tell
him to eliminate all people who look like terrorists.”
5. Order the following interventions as they progress
through the primary, secondary, and tertiary prevention levels of the public health model.
1. Identifying client problems early
and promptly initiating effective
treatment, to include hospitalization,
and crisis intervention.
2. Assisting individuals to cope effectively with stress and targeting and
diminishing stressors within the
environment.
3. Preventing complications, reducing
residual impairment, and promoting
rehabilitation directed toward achievement of maximum functioning.
6. According to the public health model, a service
aimed at reducing the incidence of mental disorders
within the population is referred to as
prevention.
7. A client is interacting with a nurse on an inpatient
unit. Which represents a nursing intervention at the
tertiary level of prevention?
1. As part of discharge planning, the nurse teaches
strategies for medication adherence.
2. The nurse assists the client in reducing anxiety
with deep-breathing exercises.
3. The nurse and the client role-play techniques for
controlling client anger.
4. The nurse encourages the client to attend occupational therapy.
8. A nursing instructor is explaining various treatment
alternatives to inpatient psychiatric hospitalization.
Which student statement indicates a need for further
instruction?
1. “The goal of a community mental health center is
to improve client coping ability and prevent exacerbation of acute symptoms.”
2. “A Program of Assertiveness Community
Treatment (PACT) provides transitional
housing for clients with serious mental illness.”
3. “Day/evening treatment/partial hospitalization
programs are designed to prevent institutionalization and/or to ease the transition from inpatient
hospitalization to community living.”
4. “Psychiatric home health care nurses provide services to clients who are unable to leave the home
without considerable difficulty. The care is provided within the home with an emphasis on medication adherence.”
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