A)

B)
C)
D)

1.Which of the following is the highest priority for admission to inpatient care?
Confusion or disorientation
Need for medication changes
Safety of self or others
Withdrawal from alcohol or other drugs

A)
B)
C)
D)

2.The priority of inpatient care for people with severe mental illness is
Family issues
Insight into illness
Social skills
Symptom management

A)
B)
C)
D)

3.Discharge planning from inpatient care for people with severe mental illness needs to
address which of the following to be effective?
Locating an outpatient therapist
Finding a job for the client
Finding housing and transportation
Improving family support

A)
B)
C)
D)

4.A nurse is working with a group of clients in a partial hospitalization program. Which of
the following is likely to require a referral for additional services not provided by the
program?
Diagnosis of illness
Medication monitoring
Social skills development
Structuring leisure time

A)
B)
C)
D)

5.The major cause of relapse and repeated hospitalizations for clients with persistent and
severe mental illness living in the community is
Homelessness
Lack of family support
Medication noncompliance
Suicide attempts

A)
B)
C)
D)

6.Some residential treatment settings are transitional. This means that clients are eventually
expected to
Become self-sufficient
Find employment
No longer need medication
Relocate to another setting
7.The primary advantage of an evolving consumer household is that clients
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A)
B)
C)
D)

Are provided with adequate income to combat poverty

Do not have to relocate as they become more independent
Have on-site staff supervision 24 hours a day
Receive on-site medical care

A)
B)
C)
D)

8.The primary goal of a psychiatric rehabilitation program is to promote

Family involvement
Medication compliance
Recovery from mental illness
Stabilization of symptoms

A)
B)
C)
D)

9.Assertive Community Treatment (ACT) is an effective approach to community-based

treatment for the mentally ill population. This type of treatment encompasses which of
the following?
24-hour-a-day services
Infrequent contact with clients
High staff-to-client ratio
Limited length of service

A)
B)
C)
D)

10.Case management is an important concept in both inpatient and community settings.

Which of the following would not be a role of the case manager?
Buying groceries
Prescribing a psychotropic medication
Accessing needed psychiatric services
Managing money

A)
B)
C)
D)

11.The largest factor influencing the current trend in treatment settings is the fact that in
recent years:
funding for community programs has been inadequate.
laws have enabled more people to be committed to treatment.
state hospitals have expanded to meet the demand.
community programs have been fully developed to meet treatment needs.

A)
B)
C)
D)

12.A patient who has continuously experienced severe symptoms of schizoaffective disorder
for the past 17 years is experiencing an acute psychotic episode. Which level of care is
most appropriate for this patient at this time?
Partial hospitalization
Residential treatment
Inpatient hospital treatment
Clubhouse

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A)
B)
C)
D)

13.A patient with depression is admitted to an inpatient hospital unit for treatment. The type
of therapy most likely provided in this setting includes:
leisure skills
self monitoring of treatment
skills for daily living
talk therapy

A)
B)
C)
D)

14.A patient is being discharged to a residential treatment setting. The patient has no
permanent home or family support. The case manager should consider which type of
residential setting for this patient?
Respite housing
Group home
Halfway house
Supervised apartment

A)
B)
C)
D)

15.A patient is being transferred from a group home to an evolving consumer household.
The goal of this transition is for the patient to eventually:
meet with a therapist on a weekly basis.
resolve crises within a shorter time period.
fulfill daily responsibilities without supervision.
use the increased emotional support of paid staff.

A)
B)
C)
D)
E)
F)

16.A patient has just begun daily participation in a community-based partial hospitalization
program. The patient can expect the staff to assist with which of the following treatment
goals? (Select all that apply):
Stabilizing psychiatric symptoms
Improved vocational functioning
Improving activities of daily living
Learning to structure time
Reintegrating into the community
Developing social skills

A)
B)
C)
D)
E)
F)

17.A patient has just been referred to a psychosocial rehabilitation program. The nurse
explains that the benefits of being involved in such a program include: (Select all that
apply):
Continuous monitoring of symptoms
Increased independence
Increased involvement in treatment decisions
Education on medication management
Increased community integration
greater opportunities for personal growth

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A)
B)
C)
D)

A)
B)
C)
D)

18.Assertive community treatment (ACT) has been shown to be one of the most effective
approaches to community-based treatment for people with mental illness. One of the
features of ACT that contributes to this success is:
ACT services allow for extended periods of unsupervised functioning.
the ACT team makes a wide range of referrals.
ACT services meet immediate short-term needs.
services are provided directly by the ACT team.
19.A nurse is meeting with the city council to advocate the need for a group home in an area
where the plans have been strongly opposed by the neighbors. The nurse can effectively
educate the public on the realities of group home by citing research that indicates:
property values quickly rebound in neighborhoods that have group homes.
police surveillance will be increased to avert any violence by residents.
group homes pose no increased dangers to neighborhoods.
neighborhoods that provide park areas provide children a centralized and safe place
to play.

A)
B)
C)
D)

20.A patient with bipolar disorder has a long history of both hospitalizations and
incarcerations. The patient has no permanent residence and has infrequent contact with
his family. Upon admission to the inpatient psychiatric unit for stabilization, the nurse
documents all of the following in the record. Which data most suggests a positive
outcome for this patient?
Reporting meeting with the same case manager monthly for the last 3 years
History of residential stays at several local homeless shelters
Last contact with siblings 4 years ago
Income from day labor for 10 days last month

A)
B)
C)
D)

21.A nurse is orienting to a new position working the infirmary in the state penitentiary.
When working with prisoners who are also mentally ill, the nurse examines her own
attitudes. Which of the following beliefs should the nurse discuss with her supervisor
before caring for incarcerated patients?
People with mental illness are inherently violent
The mentally ill can get better treatment in prison than in the community
People with mental illness are more vulnerable to victimization when incarcerated
Many mentally ill would not be in prison if they were stabilized on medication

22.The nurse is part of a group setting up a mobile crisis service in conjunction with the
local police department. Community education on which this team will focus includes:
A)
teaching police officers counseling skills.
B)
crisis counseling services to be provided in the prison system.

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C)
D)

educating about the dangers of the mentally ill in the community.

assisting police officers to recognize mental illness.

A)
B)
C)
D)

23.A patient has been started on antidepressants. The interdisciplinary team member most
responsible for monitoring effectiveness of this new medication is:
Pharmacist
Psychiatrist
Psychiatric nurse
Psychologist

A)
B)
C)
D)

24.A patient is encouraged to join in daily outdoor games with peers on the unit. The
interdisciplinary team member who will monitor the patients involvement will be:
Occupational therapist
Recreation therapist
Vocational rehabilitation therapist
Psychiatric nurse

A)
B)
C)
D)

25.A patient with bipolar disorder taking lithium returns from a walk outside and reports
feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to
the lithium and immediately notifies the:
Psychiatrist
Psychologist
Nurse manager
Recreation therapist

A)
B)
C)
D)

26.A psychiatric nurse is planning an educational program addressing primary prevention

strategies in the community. The nurse explores current research regarding which health
care need?
Influencing schizophrenic patients to adhere to medication regimens
Assisting high school students to effectively manage stress
Coaching patients with depression to obtain employment
Teaching parents the early signs of attention deficit disorder in children

A)
B)
C)
D)

27.A psychiatric nurse is planning activities aimed at secondary prevention of mental illness.
Which activity would be most appropriate to develop?
Self-esteem building with a local after-school program
Social skills training for chronic schizophrenics
Parenthood classes at a local community center
Depression screening in an assisted living facility

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Page 6

Answer Key
1.C
2.D
3.C
4.A
5.C
6.D
7.B
8.C
9.A
10.B
11.A
12.C
13.D
14.B
15.C
16.A, C, D, F
17.B
18.D
19.C
20.A
21.A
22.D
23.C
24.B
25.A
26.B
27.D

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