Family members describe the patient as 'a difficult person who finds fault with others.' The patient verbally abuses nurses for their poor care. The most likely explanation lies in

Questions 40

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Mental Health Practice Questions Questions

Question 1 of 5

Family members describe the patient as 'a difficult person who finds fault with others.' The patient verbally abuses nurses for their poor care. The most likely explanation lies in

Correct Answer: C

Rationale: The correct answer is C: a personality style that externalizes problems. This is likely the most accurate explanation because the patient's behavior of finding fault with others and verbally abusing nurses suggests a tendency to blame external factors for their own problems, rather than taking responsibility. This is characteristic of a personality style that externalizes problems, where individuals attribute their issues to others or external circumstances. Poor childrearing (choice A) may contribute, but it doesn't directly address the behavior described. Automatic thinking and cognitive distortions (choice B) are related to cognitive processes, not personality styles. Delusions of harm (choice D) are not mentioned in the scenario.

Question 2 of 5

A patient is referred to a psychosocial rehabilitation program. When explaining this type of care to the patient, the nurse would emphasize which of the following?

Correct Answer: B

Rationale: The correct answer is B: Services that promote the patient's reintegration into the community. This option is correct because psychosocial rehabilitation programs focus on providing support and services that help individuals with mental health conditions to reintegrate into the community and improve their quality of life. These programs aim to help patients develop skills for independent living, social relationships, and vocational functioning. A: Intensive treatment that prepares the patient to live in the community - This option is not the best answer as psychosocial rehabilitation programs focus more on promoting reintegration rather than intensive treatment. C: Detoxification services for alcohol and drugs in an outpatient setting - This option is incorrect as psychosocial rehabilitation programs do not primarily focus on detoxification services but rather on broader aspects of recovery. D: Frequent monitoring within a therapeutic milieu for relapse prevention - While relapse prevention is important, it is not the primary focus of psychosocial rehabilitation programs, making this option less relevant compared to promoting community reintegration.

Question 3 of 5

A group of nursing students are reviewing information about counseling interventions. The students demonstrate a need for additional review when they identify counseling interventions as involving which of the following?

Correct Answer: C

Rationale: The correct answer is C: Goal of regaining functional abilities. Counseling interventions typically focus on emotional and psychological support rather than physical rehabilitation or regaining functional abilities. This choice is incorrect because counseling is not aimed at improving physical abilities but rather at addressing emotional and mental health issues. Choices A, B, and D are correct as they align with common counseling interventions, which are often specific, time-limited, focus on coping improvement, and aim to prevent disability by addressing mental health concerns.

Question 4 of 5

A nursing instructor is teaching a class on the pharmacodynamics of psychiatric medications. The instructor determines that additional teaching is needed when the students identify which of the following as a site of action?

Correct Answer: C

Rationale: The correct answer is C: Neurotransmitters. In pharmacodynamics, the site of action refers to where a drug exerts its effects in the body. Neurotransmitters are not a site of action; they are the chemical messengers that transmit signals between neurons. Drugs act on receptors, ion channels, and enzymes to produce their pharmacological effects. Receptors are proteins on cell surfaces or within cells that bind to specific drugs and initiate a response. Ion channels are proteins that regulate the flow of ions across cell membranes, affecting cell function. Enzymes are proteins that catalyze biochemical reactions. Therefore, neurotransmitters do not serve as the primary site of action for psychiatric medications.

Question 5 of 5

A nurse is planning a support group for the families of patients with psychiatric disorders. The nurse integrates knowledge of which of the following as the primary underlying issue related to stress that the families experience?

Correct Answer: C

Rationale: The correct answer is C: Stigma associated with the diagnosis. Stigma can lead to feelings of shame, isolation, and discrimination for families of patients with psychiatric disorders, causing significant stress. Families may struggle with societal judgment and misconceptions about mental illness, impacting their ability to seek support and cope effectively. Understanding and addressing stigma is crucial in supporting families. Explanation of why the other choices are incorrect: A: Severity of the patient's symptoms - While the severity of symptoms can be distressing for families, it is not the primary underlying issue related to stress. B: Barriers faced by the patient - Although barriers faced by the patient can contribute to stress, it is not the primary underlying issue experienced by families. D: Risk for relapse - While the risk for relapse can be a concern, it is not necessarily the primary underlying issue related to stress for families of patients with psychiatric disorders.

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