Chapter 30: Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness

Chapter 30: Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. In addition to excellent assessment skills and keen insight into human behavior, what additional ability is most critical to effective community mental health nursing?

a.	Attention to economical nursing practice
b.	Willingness to advocate for the patient
c.	Familiarity with local patient-focused resources
d.	Working relationship with community medical professionals

 

ANS: C

The role of the community mental health nurse is to help the patient to maintain his or her highest level of functioning and independence within the community. It is critical for the nurse to be familiar with the available community resources and community networks, so they can work with the multidisciplinary treatment team to help patients and their families adjust to the community. The remaining options are appropriate but are not unique to community mental health nursing and its role in facilitating the patient’s ability to live and function as a member of a community.

 

DIF:   Cognitive Level: Analysis             REF:  Page 678

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

 

2. What factor had the greatest impact on the limited success of the deinstitutionalization of the mentally ill population?

a.	The initiative was never funded by the federal government.
b.	The mentally ill population found it too difficult to function autonomously.
c.	Community support systems were unprepared to provide the required services.
d.	The communities were biased against having the mentally ill living among them.

 

ANS: A

During deinstitutionalization, federal dollars were designated for community mental health facilities; however, the enacted legislation was never funded. The effects of the other options would have been directly related to the lack of sufficient funding.

 

DIF:   Cognitive Level: Analysis             REF:  Page 678

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

 

 

 

3. What is the primary event that results in many “eccentric” individuals being initially diagnosed with a psychiatric disorder?

a.	They commit a crime and are incarcerated.
b.	They become both homeless and destitute.
c.	They are unable to meet their own physical needs.
d.	There is proof that they are a danger to themselves or others.

 

ANS: D

The family may describe the person’s behavior as “odd” or “eccentric” without realizing or being willing to admit that the family member has a psychiatric illness that needs professional help. The family generally seeks treatment for the ill member when the behavior becomes irrational, threatening, assaultive, or self-destructive. Although the remaining options are characteristic of mental illness, they are generally not sufficient to warrant a mental illness diagnosis.

 

DIF:   Cognitive Level: Analysis             REF:  Page 679

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

 

4. To best respect the mentally ill patient’s rights, no restricting intervention can be implemented without:

a.	First securing the patient’s informed consent
b.	Proof that the patient is a danger to self or others
c.	Initially attempting to secure the patient’s cooperation
d.	Securing an order from the patient’s psychiatric care provider

 

ANS: B

Mentally ill persons who are disturbed or actively psychotic are not required to obtain psychiatric treatment unless they are a threat to themselves or others. In cases where safety is a concern, informed consent is not required and actions can be approved by the care provider postintervention.

 

DIF:   Cognitive Level: Application        REF:  Page 679        TOP:  Nursing Process: Planning

MSC: NCLEX: Psychosocial Integrity