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Review Questions

1 .
When considering using telehealth services to provide mental health-care treatment to rural or homebound clients, what is the priority client assessment?
  1. the client’s ability to use a computer and internet access
  2. the client’s access to transportation to get to appointments
  3. whether or not the client is having any thoughts of self-harm
  4. the client’s desire to be seen in person
2 .
A psychiatric RN working on a detox unit is following Prochaska’s Stages of Change to determine the client’s readiness for substance use rehabilitation after discharge from the hospital. When the client states they have been doing self-reevaluation through group attendance, what stage are they in?
  1. pre-contemplation
  2. contemplation
  3. preparation
  4. action
  5. maintenance
3 .
A client is preparing for discharge from the hospital after a prolonged stay related to an exacerbation of major depression. The nurse determines that they are having no thoughts of self-harm and are motivated to continue treatment, but worried about symptom management/relapse. For what type of treatment is this client a good candidate?
  1. in-home care
  2. continued inpatient hospitalization
  3. follow-up with a primary care provider
  4. the partial hospitalization program
4 .
A new nurse working in an inpatient psychiatric unit is teaching a nurse education group about positive coping skills. The participants are all young adults from different backgrounds and with different diagnoses. The nurse asks one of the participants what the benefit is to attend groups. What is a statement the client could make that would indicate that more education is warranted?
  1. “It is to give us something to do while we are in the hospital.”
  2. “Groups helps us work with and learn from one another.”
  3. “The benefit is that we learn new ways to handle our problems.”
  4. “It is helpful to hear about other people’s experiences to see if it could help us.”
5 .
A client is attending a depression support group at a community mental health center. The leader listens to the group members and allows them to help make decisions. What type of leadership does this group demonstrate?
  1. transformational leadership
  2. servant leadership
  3. participative leadership
  4. delegative leadership
6 .
A psychiatric nurse is working in a community mental health center. Their day begins by seeing a forty-year-old male client diagnosed with schizophrenia. He is due for his monthly injection of a depot medication. The nurse is already running behind and needs some help. Considering the nursing role, how can you decide to delegate tasks?
  1. Just delegate to any technician who is willing and available to help.
  2. Consider whether the delegatee has the ability to do the task according to facility rules.
  3. Consider the circumstance, person, task, direction or communication, supervision, and evaluation.
  4. Never delegate any tasks.
7 .
A nurse is involved in many layers of the therapeutic community. What benefit does it provide to clients to help them assess their connections to their families?
  1. It helps their ability to adapt to change.
  2. It improves their desire to schedule follow-up appointments.
  3. It helps them become emotionally cut off.
  4. It helps them determine their need to stay in emotional triangles.
8 .
Family support is an important part of the recovery process for a person with psychiatric-mental health problems. How does having the support of the family increase the individual’s recovery?
  1. by constantly reminding the individuals that they have an illness
  2. by hastening their clinical recovery
  3. by providing a source of hope for their personal recovery
  4. by making all treatment decisions for the individual

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