Chapter 6: Mental Health Nursing in Community Settings

Chapter 6: Mental Health Nursing in Community Settings

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   Nurse A works in an inpatient unit in the community mental health center. Nurse B is a community mental health nurse. To provide comprehensive care to clients, which skill must nurse B use that nurse A does not currently use?

ANS:   C

A community mental health nurse must be able to work with schools, corrections facilities, shelters, health care providers, and employers. The mental health nurse working in an inpatient unit needs only to be able to work within the single setting. Option A: This manner would be needed by nurses in both settings. Option B: Problem-solving skills are needed by all nurses. Option D: Nurses in both settings must have knowledge of psychopharmacology.

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 89

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;

2)   The community mental health nurse calls on a highly suspicious psychiatric client, saying “I’m a nurse from the mental health center. I’d like to come in and find out how you’re doing.” The client refuses to allow the nurse access to her apartment, saying “My neighbor talks to me every day. I don’t know you. You could be from the IRS or the CIA. The less you know about me, the better.” The best initial intervention for the nurse to take to try to gain access would be to

ANS:   A

Having a person the client trusts intercede on the nurse’s behalf may smooth the way for the nurse and client to develop a trusting relationship. Option B: This measure would be a last resort. Option C: This would be ineffective because of the client’s high level of suspicion. Option D: This is a threat that could be construed as an assault.

DIF:    Cognitive Level: Application             REF:    Text Page: 86, Text Page: 87

TOP:    Nursing Process: Implementation

MSC:   NCLEX: Safe, Effective Care Environment;

3)   A desirable treatment outcome for a seriously mentally ill client in an inpatient setting might be that “The client will show stabilization of symptoms and return to the community.” In contrast, an identified outcome for a seriously mentally ill client being treated in a community setting should be that “The client will demonstrate

ANS:   A

Symptoms often worsen when the client is discharged from the hospital and no longer has the support and structure of the hospital setting. The client can remain in the community if he or she can cope with the symptoms and situational demands (i.e., maintain stability). The goals listed in the other options are unrealistically high.

DIF:    Cognitive Level: Application             REF:    Text Page: 88

TOP:    Nursing Process: Planning (Outcome Identification)

MSC:   NCLEX: Psychosocial Integrity

4)   Which intervention strategy would the community psychiatric nurse include when planning care for a mentally ill client being cared for in the community?

ANS:   B

A long-term relationship is necessary to care for clients in the community because the time span of care is lengthy. Because hospitalizations are currently so brief, establishing a short-term relationship is all that can be expected. Options A, C, and D are interventions that would occur in the hospital rather than in the community.

DIF:    Cognitive Level: Application             REF:    Text Page: 88

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