Chapter 14: Recovery and Psychiatric Rehabilitation

Chapter 14: Recovery and Psychiatric Rehabilitation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A psychiatric nurse whose area of practice is tertiary prevention of mental illness is asked to describe the focus of this type of practice. The nurse can best describe it as:

a.	enriching the understanding of mental illness.
b.	preventing mental illness from occurring initially.
c.	limiting disability related to an episode of mental illness.
d.	increasing community awareness of the symptoms of mental illness.

 

 

ANS:  C

Psychiatric rehabilitation is the process of helping the person return to the highest possible level of functioning by focusing on the limiting of illness-caused disability.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 199

TOP:   Nursing Process: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Management of Care

 

2. When asked to explain how psychiatric rehabilitation under the tertiary prevention model differs from the traditional medical model, the nurse’s response should stress that the focus of tertiary prevention is on:

a.	disease as opposed to the coping continuum.
b.	learning to receive treatment in institutional settings.
c.	health and wellness and not just symptoms of disease.
d.	proper diagnosis and appropriate medications to treat disorders.

 

 

ANS:  C

In traditional medical rehabilitation, the focus is on disease, illness, and symptoms. Psychiatric rehabilitation focuses on wellness and health, not symptoms.

 

DIF:    Cognitive Level: Comprehension     REF:   Text Page: 200

TOP:   Nursing Process: Planning|Nursing Process: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

3. Under the recovery model, a nurse is more likely to work with a patient with a psychiatric disorder:

a.	in a decision-making partnership.
b.	by prescribing appropriate treatment.
c.	with the assumption the patient is curable.
d.	from the position of expecting compliance.

 

 

ANS:  A

The patient-helper relationship in psychiatric rehabilitation is an adult-to-adult relationship that is more egalitarian and promotes choices and empowerment, whereas the traditional medical model uses an expert-to-patient relationship.

 

DIF:    Cognitive Level: Application           REF:   Text Pages: 200-201

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Psychosocial Integrity

 

4. A patient has been treated for a mental disorder on an outpatient basis. Function has deteriorated and the patient is hospitalized in an inpatient unit; a nurse will now implement the recovery model by:

a.	comparing patient deficits to original baseline.
b.	identifying and reinforcing patient strengths.
c.	reviewing the patient’s former treatment plan for updates.
d.	reconsidering expectations when the patient is discharged.

 

 

ANS:  B

Although deficits are assessed, implementation focuses on the reinforcement of identified strengths.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 203

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Psychosocial Integrity

 

5. A nurse notes that a patient voices shame and socially isolates. The nurse will most likely interpret this behavior as:

a.	unrelated to serious mental illness.
b.	likely representing learned behaviors.
c.	associated with secondary symptoms of serious mental illness.
d.	a coincidental response that has little relationship to the illness.

 

 

ANS:  C

Secondary symptoms of mental illness are caused by a person’s response to the illness or its treatment (e.g., loneliness and social isolation).

 

DIF:    Cognitive Level: Application           REF:   Text Page: 201

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity