Which nursing statement best describes the current nature of mental health care in the community?
A. "All homeless people have a history of institutionalization and are frequently admitted to acute care settings."
B. "In the United States, the rate of serious mental illness in the prison population is the same as the general population."
C. "The deinstitutionalization movement in the United States was successful in transitioning clients into the community."
D. "Today, the majority of clients admitted to psychiatric hospitals are in a crisis stage, and the treatment goal is stabilization."
ANS: D
The majority of clients admitted to psychiatric hospitals are in a crisis stage, and the treatment goal is stabilization and reintroduction into the community. Crisis situations can occur because of treatment noncompliance and exacerbations of the chronic mental illness.
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A patient with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise period. Which action best indicates understanding of condition management?
a. The patient reduces insulin use during days when exercise periods are planned. b. The patient administers insulin after exer-cise rather than before exercise. c. The patient eats a high-carbohydrate snack before the exercise period. d. The patient consumes a simple carbohy-drate snack after 30 minutes of activity.
When weighing a patient who can stand unassisted, the nurse must make sure to
1. Let the patient get out of bed and walk to the scale unassisted, to respect the patient's boundaries and help maintain the patient's sense of control. 2. Weigh the patient at different times of day to get an average weight over time. 3. Place a hand a few inches behind the patient's back when he steps on the scale, in case the patient loses his balance. 4. Allow the patient to hold on to something while being weighed, if he wishes.
When compared to the use of divalproex, treatment of bipolar disorder with lithium has been associated with:
a. decreased risk of suicide b. worsening of rapid cycling c. provocation of switching d. better and quicker control of acute mania
A resident is being transferred to another unit. Which will help reassure the person?
a. Telling the person that everything will be OK. b. Avoid discussing the transfer with the person. c. Suggesting that the person wait until the following day to meet new residents so that they can adjust to the new surround-ings. d. Introducing the person to the new room-mate and other residents.