Question 1

The nurse is part of a group setting up a mobile crisis service in conjunction with the local police department. Community education on which of the following this team will focus includes?

Accepted Answer

A)   Teaching police officers counseling skills
B)   Crisis counseling services to be provided in the prison system
C)   Educating about the dangers of the mentally ill in the community
D)   Assisting police officers to recognize mental illness D

Question 2

What are the two essential components of transitional care discharge model that is used in Canada and Scotland?

Accepted Answer

A)   Peer support and bridging staff
B)   Collaboration and funding
C)   Relapse and hospitalization
D)   Poverty and entitlements A

Question 3

The factor having the most influence on the current trend in treatment settings is the fact in recent years,

Accepted Answer

A)   funding for community programs has been inadequate.
B)   laws have enabled more people to be committed to treatment.
C)   state hospitals have expanded to meet the demand.
D)   community programs have been fully developed to meet treatment needs. A

Question 4

Which of the following are advantages of a crisis resolution team or home treatment team? Select all that apply.

Accepted Answer

A)   It is a residential treatment setting.
B)   It is more likely to help a client to perceive his or her situation more accurately.
C)   It is designed to assist clients in dealing with mental health crises without hospitalization.
D)   The client may feel better about asking for help.
E)   The client must meet multiple criteria to receive this type of care.

Question 5

A nurse is orienting to a new position working the infirmary in the state penitentiary. When working with prisoners who are also mentally ill, the nurse examines her own attitudes. Which of the following beliefs should the nurse discuss with her supervisor before caring for incarcerated patients?

Accepted Answer

A)   People with mental illness are inherently violent.
B)   The mentally ill can get better treatment in prison than in the community.
C)   People with mental illness are more vulnerable to victimization when incarcerated.
D)   Many mentally ill would not be in prison if they were stabilized on medication.

Question 6

The primary goal of a psychiatric rehabilitation program is to promote

Accepted Answer

A)   return to prior level of functioning.
B)   medication compliance.
C)   complete recovery from mental illness.
D)   stabilization and management of symptoms.

Question 7

A patient with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the

Accepted Answer

A)   psychiatrist.
B)   psychologist.
C)   nurse manager.
D)   recreation therapist.

Question 8

A psychiatric nurse is planning activities aimed at secondary prevention of mental illness. Which activity would be most appropriate to develop?

Accepted Answer

A)   Self-esteem building with a local after-school program
B)   Social skills training for chronic schizophrenics
C)   Parenthood classes at a local community center
D)   Depression screening in an assisted living facility

Question 9

Which is the orientation of assertive community treatment (ACT)?

Accepted Answer

A)   Setting limits on mundane life issues
B)   Making a wide range of referrals
C)   Providing services in offices
D)   Problem-solving orientation

Question 10

Which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?

Accepted Answer

A)   Progress in treatment options for mentally ill persons
B)   The growth of managed care
C)   Less stigma associated with mental illness
D)   The current use of milieu therapy

Question 11

A patient with depression is admitted to an inpatient hospital unit for treatment. The type of therapy most likely provided in this setting includes

Accepted Answer

A)   leisure skills.
B)   self-monitoring of treatment.
C)   skills for daily living.
D)   talk therapy.

Question 12

Which type of community residential treatment setting is most likely to be permanent in any state?

Accepted Answer

A)   Halfway house
B)   Respite housing
C)   Independent living programs
D)   Evolving consumer household

Question 13

A psychiatric nurse is planning an educational program addressing primary prevention strategies in the community. The nurse explores current research regarding which health-care need?

Accepted Answer

A)   Influencing schizophrenic patients to adhere to medication regimens
B)   Assisting high school students to effectively manage stress
C)   Coaching patients with depression to obtain employment
D)   Teaching parents the early signs of attention deficit disorder in children

Question 14

Which of the following is the highest priority for admission to inpatient care?

Accepted Answer

A)   Confusion or disorientation
B)   Need for medication changes
C)   Safety of self or others
D)   Withdrawal from alcohol or other drugs

Question 15

Some residential treatment settings are transitional. This means that clients are eventually expected to

Accepted Answer

A)   become self-sufficient.
B)   find employment.
C)   no longer need medication.
D)   relocate to another setting.

Question 16

A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. The nurse can effectively educate the public on the realities of group home by citing research that indicates

Accepted Answer

A)   property values quickly rebound in neighborhoods that have group homes.
B)   police surveillance will be increased to avert any violence by residents.
C)   most people with mental illness do not represent a significant danger to others.
D)   neighborhoods that provide park areas provide children a centralized and safe place to play.

Question 17

Discharge planning from inpatient care for people with severe mental illness must address which of the following to be effective? Select all that apply.

Accepted Answer

A)   Finding housing for the client
B)   Finding a job for the client
C)   Finding transportation for the client
D)   Improving family support
E)   Identifying ideal recreational activities

Question 18

The primary advantage of an evolving consumer household is that clients

Accepted Answer

A)   are provided with adequate income to combat poverty.
B)   do not have to relocate as they become more independent.
C)   have on-site staff supervision 24 hours a day.
D)   receive on-site medical care.

Question 19

A nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. The goal of which of the following levels of prevention has been achieved?

Accepted Answer

A)   Primary prevention
B)   Secondary prevention
C)   Tertiary prevention
D)   Community prevention

Question 20

Which element would be present in an assertive community treatment (ACT) program?

Accepted Answer

A)   24-hour-a-day services
B)   Infrequent contact with clients
C)   Many clients to each staff member
D)   Limited length of service

Exam 4: Treatment Settings and Therapeutic Programs