Chapter 33 Challenges for the Future

Chapter 33  Challenges for the Future

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The need for mental health applies to:
a.
All persons
b.
People with illnesses
c.
All married persons
d.
People with mental problems

ANS: A
The need for mental health applies to all people. Every person experiences periods of emotional turmoil and crises, and at some time, most individuals need some assistance with coping strategies.

DIF: Cognitive Level: Knowledge REF: p. 384 OBJ: 1
TOP: Introduction KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

2. An aging population, an overburdened welfare system, and a cost conscious U.S. Congress exerting its influence on the health care system are all examples of ____ changes.
a.
Social
b.
Cultural
c.
Environmental
d.
Technological

ANS: A
These are all examples of social changes that affect today’s health care system. Cultural changes are exhibited in the population served in the health care setting; the environment refers to the health care setting; and technological advances guide the level of care and the way care is delivered.

DIF: Cognitive Level: Knowledge REF: p. 384 OBJ: 6
TOP: Changes in Mental Health Care KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

3. Families without a home now make up _____% of the homeless population in the United States.
a.
14
b.
28
c.
38
d.
44

ANS: C
Nearly half of this population work, but they do not earn enough to pay for housing.

DIF: Cognitive Level: Comprehension REF: p. 385 OBJ: 2
TOP: Homelessness KEY: Nursing Process Step: Assessment
MSC: Client Needs: Psychosocial Integrity

4. To implement the concept of the least restrictive treatment environment, care team members:
a.
Monitor the medications schedule.
b.
Assess the client’s ability to live alone.
c.
Assess available financial resources.
d.
Assess available community resources.

ANS: D
The main function of the mental health care team is to coordinate care as the client moves from inpatient to community settings because this is the least restrictive treatment environment. The other options involve actions of care team members, but they are not directly related to the surroundings.

DIF: Cognitive Level: Synthesis REF: p. 387 OBJ: 4
TOP: The Mental Health Care Team
KEY: Nursing Process Step: Planning | Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity

5. A treatment team member works with a client who is living in a residential treatment facility who has a diagnosis of severe paranoid schizophrenia. The team member who collaborates with the physician to coordinate the client’s therapy and medications and necessary referrals is the:
a.
Nurse case manager
b.
Psychiatric technician
c.
Certified nursing assistant
d.
Home health care provider

ANS: A
While the psychiatric technician, certified nursing assistance, and home health care provider are important care team members in the collaboration effort, they do function as independently as the nurse case manager in coordination of the client’s care.

DIF: Cognitive Level: Knowledge REF: p. 390 OBJ: 7
TOP: Providers of Care KEY: Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity