The nurse should refer which of the following patients to a partial hospitalization program? A patient who

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Question 1 of 5

The nurse should refer which of the following patients to a partial hospitalization program? A patient who

Correct Answer: D

Rationale: The correct answer is D because the patient is expressing difficulty in avoiding alcohol use, which indicates a potential substance use disorder. Referral to a partial hospitalization program is appropriate for patients struggling with substance use issues as they require intensive treatment and support. Choice A is incorrect as the patient is compliant with lithium therapy. Choice B is incorrect as psychoeducation can be provided in outpatient settings. Choice C is incorrect as the patient needs immediate inpatient care due to active suicidal ideation.

Question 2 of 5

The following are important legislative and policy efforts influencing current mental health care. Which of the following is the most recent?

Correct Answer: A

Rationale: The correct answer is A: Mental Health: A Report of the Surgeon General, as it was published in 1999, making it the most recent compared to the other choices. The Surgeon General's report highlighted the importance of mental health and influenced policy changes. Explanation: 1. A is the most recent among the choices. 2. Published in 1999, addressing current mental health issues. 3. Emphasized the significance of mental health in policy-making. 4. Influenced subsequent legislative and policy efforts. Summary: B: New Freedom Commission on Mental Health was established in 2002, making it less recent. C: Action for Mental Health was published in 1961, making it the oldest choice. D: Mental Retardation Facilities and Community Mental Health Centers Construction Act was passed in 1963, predating the Surgeon General's report.

Question 3 of 5

A nursing instructor is integrating Piaget's theory of cognitive development into the discussion of learning and mental health issues affecting adolescents. The instructor would identify this age group as in which stage?

Correct Answer: C

Rationale: The correct answer is C: Formal operations. Adolescents are typically in Piaget's formal operations stage, which occurs around ages 11 to adulthood. In this stage, individuals develop abstract thinking, logical reasoning, hypothetical thinking, and problem-solving skills. This stage allows adolescents to think about possibilities, consequences, and hypothetical situations. Choices A, B, and D are incorrect because they correspond to earlier stages of cognitive development. Concrete operations (choice A) typically occur between ages 7 to 11, preoperational (choice B) between ages 2 to 7, and sensorimotor (choice D) from birth to 2 years old. These stages do not align with the cognitive abilities and characteristics of adolescents.

Question 4 of 5

A nursing instructor is preparing a class lecture about cognitive behavioral therapy (CBT). Which of the following would the instructor use to best describe this process?

Correct Answer: D

Rationale: The correct answer is D because cognitive behavioral therapy (CBT) focuses on helping patients change their thoughts and behaviors to improve their mental health. In CBT, patients work collaboratively with the therapist to identify and challenge negative thought patterns and behaviors. By changing these cognitive distortions and maladaptive behaviors, patients can improve their emotional well-being. Choice A is incorrect because CBT is not about solving patients' problems for them, but rather empowering them to solve their own issues. Choice B is incorrect as it focuses solely on behavior modification and does not address the cognitive component of CBT. Choice C is incorrect because CBT aims to challenge and change distorted beliefs rather than reinforcing them.

Question 5 of 5

A psychiatric mental health nurse is responsible for performing admission assessments of a population that primarily involves young and middle-aged adults. When performing these assessments, which area would be a priority?

Correct Answer: D

Rationale: The correct answer is D: Suicide risk. When assessing young and middle-aged adults, identifying suicide risk is a critical priority to ensure their safety. Suicide risk assessment involves evaluating factors like past attempts, suicidal ideation, impulsivity, and access to means. Understanding and addressing suicide risk is crucial in psychiatric care to prevent harm. A: Coping skills - While important, assessing coping skills may not be as urgent as identifying suicide risk in this population. B: Cognition - Assessing cognition is valuable but may not be an immediate priority compared to addressing suicide risk. C: Self-esteem - Self-esteem assessment is relevant, but identifying suicide risk takes precedence due to the potential for immediate harm.

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