Chapter 5: Mental Health Nursing in Acute Care Settings

Chapter 5: Mental Health Nursing in Acute Care Settings

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   The nurse manager has the task of introducing staff to the use of clinical pathways. The nurse manager will need to explain that clinical pathways are used in managed care settings to

ANS:   D

Clinical pathways provide guidelines for assessments, interventions, treatments, and outcomes as well as a designated timeline for accomplishment. Deviations from the timeline must be reported and investigated. Clinical pathways streamline the care process and save money. Option A: Care pathways do not identify obstacles; staff do this. Option B: Care pathways do not stabilize aggressive clients; staff are responsible for the necessary interventions. Option C: Care pathways do not relieve nurses of the responsibility of planning; pathways may, however, make the task easier.

DIF:    Cognitive Level: Application             REF:    Text Page: 76, Text Page: 77

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;

2)   Planning for clients with mental illness is facilitated by understanding that under behavioral health managed care, inpatient hospitalization is generally reserved for clients who

ANS:   B

Hospitalization is justified when the client is a danger to self or others, has dangerously decompensated, or needs intensive medical treatment. Options A, C, and D do not necessarily describe clients who would require inhospital treatment.

DIF:    Cognitive Level: Application             REF:    Text Page: 74, Text Page: 75

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Safe, Effective Care Environment;

3)   An intervention strategy in which all psychiatric mental health nurses need to be competent and that is useful in reducing the number of clients who are admitted to psychiatric units is

ANS:   D

Community-based crisis intervention, by a case manager or at a crisis clinic, often resolves or manages client problems so hospitalization may be averted. Options A, B, and C refer to interventions and processes that take place after admission.

DIF:    Cognitive Level: Comprehension      REF:    Text Page: 74, Text Page: 75

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;

4)   A client who is a member of a health maintenance organization was hospitalized after a severe reaction to a psychotropic medication. He was treated for the reaction, a new medication was ordered, and he was closely observed for side effects for 24 hours. The case manager visited before the client’s discharge to give him an appointment for an outpatient visit in 2 days and learned that the client had neglected to mention that he received notice of eviction from his apartment on the day he was admitted. The most appropriate intervention for the case manager is to

ANS:   C

The case manager should intervene by arranging temporary shelter for the client until an apartment can be found. This is part of the coordination and delivery of services that falls under the case manager role. None of the other options is a viable alternative.

DIF:    Cognitive Level: Application             REF:    Text Page: 77

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;