The primary factor that makes an event a crisis is the:

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Question 1 of 5

The primary factor that makes an event a crisis is the:

Correct Answer: C

Rationale: The correct answer is C because the primary factor that makes an event a crisis is the ineffectiveness of one's usual coping strategies. When an event overwhelms an individual's ability to cope with it using their usual strategies, it can lead to a crisis. Choice A is incorrect because the type of loss alone does not determine if an event is a crisis. Choice B is incorrect as the nature of stress is subjective and can vary among individuals. Choice D is incorrect because the preexistence of a stress-related mental illness is not necessarily a prerequisite for an event to be considered a crisis.

Question 2 of 5

Which evaluation data supports that the client diagnosed with schizophrenia has benefited from his family's involvement in psychoeducational programming?

Correct Answer: B

Rationale: The correct answer is B because the client not relapsing in three years indicates a positive outcome from the family's involvement in psychoeducational programming. This suggests that the family's support has contributed to the client's stability and well-being. Choice A is incorrect as living with parents alone does not demonstrate the effectiveness of psychoeducational programming. Choice C is incorrect as supplementing disability income does not directly show the client's improvement. Choice D is also incorrect as providing transportation to a job does not specifically relate to the client's schizophrenia treatment outcome.

Question 3 of 5

What differentiates the Psychiatric-Mental Health Registered Nurse (RN-PMH) from the Psychiatric-Mental Health Advanced Practice Registered Nurse (APRN-PMH)?

Correct Answer: B

Rationale: The correct answer is B: The APRN-PMH exercises a greater degree of autonomy when providing care. This is because an Advanced Practice Registered Nurse (APRN-PMH) has advanced education and training, allowing them to diagnose, prescribe medications, and provide comprehensive psychiatric care independently. This higher level of autonomy distinguishes them from Registered Nurses (RN-PMH) who work under the supervision of APRNs or physicians. Incorrect choices: A: Only the APRN-PMH is responsible for milieu management - Incorrect, as RN-PMH can also be responsible for milieu management in psychiatric settings. C: Only the RN-PMH provides medication education to the client - Incorrect, as APRN-PMH can also provide medication education. D: The RN-PMH has less experience working with the mentally ill - Incorrect, as experience levels can vary among individuals regardless of their title as RN-PMH or APRN-PMH.

Question 4 of 5

What is the long-term benefit of successfully implementing a constructive coping mechanism?

Correct Answer: D

Rationale: The correct answer is D because successfully implementing a constructive coping mechanism reinforces confidence in managing stress in the future. It helps individuals develop resilience and adaptability, leading to better stress management skills. Choice A is incorrect as stressors can still impact individuals, but they are better equipped to handle them. Choice B is incorrect because avoiding stressors doesn't address the root cause of stress. Choice C is incorrect as stress can still pose challenges, but individuals can navigate them effectively with coping strategies.

Question 5 of 5

The mental health nurse is about to conduct an admissions interview with an older adult being admitted for depression. Which action demonstrates an understanding of the appropriate integration of the mental health status examination into an assessment interview?

Correct Answer: D

Rationale: The correct answer is D because integrating mental health questions among general assessment questions allows for a holistic understanding of the client's overall health. By including mental health questions throughout the interview, the nurse can gather information in a more natural and comprehensive manner. This approach helps in establishing a rapport with the client and avoids stigmatizing mental health issues. Conducting the interview in a quiet, private location (choice A) is important for confidentiality but does not specifically address the integration of mental health questions. Informing the client about the mental health assessment (choice B) is essential for informed consent but does not address the integration aspect. Asking mental health questions at the beginning of the interview (choice C) may disrupt the flow and rapport-building process. Thus, choice D is the most appropriate for a comprehensive assessment.

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