Exam 12: Caring for Clients With Mental Illness and Substance Use Disorders in General Practice Settings

The nurse is caring for clients in a free community clinic. Which technique should the nurse use to conduct a trauma screening?

The nurse is a manager of a pediatric unit. Which actions should the nurse manager take to equip staff to address neuropsychiatric symptoms in pediatric clients? (Select all that apply.)

The client with a myocardial infarction tells the intensive care nurse, "You won't have to care for me pretty soon. I will not be a burden to you or others." Which initial action should the nurse take?

The nurse is preparing a staff development presentation to improve the screening, intervention, and referral process for clients in the geriatric community center. Which information should the nurse identify as barriers to this initiative? (Select all that apply.)

The client has extensive mental health problems that require medication and counseling. To which mental health-care professional should the nurse refer the client?

The nurse in the emergency department (ED) is assessing a client who with a long history of depression. The nurse finds that the client has gained weight, has dry skin, and has cold sensitivity. The nurse determines the client's depression is exacerbating, further examination and testing reveal the client has hypothyroidism. Which phenomenon occurred?

The nurse is working in a long-term care facility. Which action by the nurse demonstrates attention to a priority issue for screening for all clients in the facility?

The nurse is working in an emergency department. With which client should the nurse use the screening, brief intervention, and referral to treatment approach (SBIRT)?

The nurse is providing care to a depressed, introverted client who is receiving outpatient surgery for a fractured hip. Which action should the nurse take to provide patient-centered care?

The clinic nurse is triaging clients. The nurse should require which client with nonsuicidal self-injuring behavior to be seen immediately?

A home care nurse notices the client who startles easily is exhibiting signs of posttraumatic stress disorder. The nurse asks, "Have you ever made a suicide attempt?" to which the client responds, "Yes, I have." Which response should the nurse make next?

In which setting should the nurse be aware that the client with a substance use disorder would most likely seek initial treatment?

______ who choose to work in nonpsychiatric settings are the frontline responders in recognizing, intervening, and referring clients with neuropsychiatric illness for further treatment.

The clinic nurse is caring for a client with ulcerative colitis who has signs of depression. Which additional conditions should the nurse assess for in this client? (Select all that apply.)

What is the first step the nurse should take to reduce stigma of mental health clients?