Nursing Elites

1. A client in an acute mental health facility is being discharged and requires supervision due to a severe mental illness. The client’s partner works all day but is home by late afternoon. Which of the following strategies should the nurse suggest for follow-up care?

• A. Receiving daily care from a home health aide
• B. Having a weekly visit from a nurse case worker
• C. Attending a partial hospitalization program
• D. Visiting a community mental health center on a daily basis

Correct answer: C

Rationale: For clients requiring supervision due to severe mental illness, attending a partial hospitalization program provides structured care and support while allowing the client to return home in the evenings, making it a suitable option for follow-up care. The other choices are less appropriate: A home health aide may not provide the necessary level of care and supervision, a weekly visit from a nurse case worker may not be sufficient for the client's needs, and visiting a community mental health center on a daily basis may not offer the structured support required for someone with a severe mental illness.

2. Which symptom is most indicative of obsessive-compulsive disorder (OCD)?

• A. Flashbacks of traumatic events
• B. Persistent, intrusive thoughts
• C. Frequent mood swings
• D. Auditory hallucinations

Correct answer: B

Rationale: Persistent, intrusive thoughts are a hallmark symptom of obsessive-compulsive disorder. Individuals with OCD experience persistent and unwanted thoughts or obsessions that are intrusive and cause significant distress. These thoughts often lead to repetitive behaviors or compulsions to try to alleviate the anxiety or distress caused by the obsessions. Flashbacks of traumatic events (Choice A), frequent mood swings (Choice C), and auditory hallucinations (Choice D) are not typical symptoms of OCD. Flashbacks are more commonly associated with post-traumatic stress disorder, mood swings can be seen in mood disorders, and auditory hallucinations are more characteristic of psychotic disorders.

3. While being treated in an inpatient facility, what is the most appropriate intervention for a patient with anorexia nervosa?

• A. Allowing the patient to eat alone to reduce stress
• B. Monitoring the patient's weight daily
• C. Encouraging the patient to exercise daily
• D. Providing the patient with a high-calorie diet

Correct answer: B

Rationale: Monitoring the patient's weight daily is the most appropriate intervention for a patient with anorexia nervosa being treated in an inpatient facility. This approach helps healthcare providers track the patient's progress, assess nutritional status, and promptly identify any concerning changes or trends that may require intervention.

4. What is a primary goal of treatment for a patient with obsessive-compulsive disorder (OCD)?

• A. To eliminate all obsessive thoughts and compulsive behaviors
• B. To reduce the frequency and intensity of obsessive thoughts
• C. To increase the patient’s social interactions
• D. To improve the patient’s sleep quality

Correct answer: B

Rationale: The primary goal of treating obsessive-compulsive disorder (OCD) is to reduce the frequency and intensity of obsessive thoughts and compulsive behaviors. While complete elimination of all obsessive thoughts and compulsive behaviors may be an ideal outcome, it is often unrealistic. Focusing on reducing the impact of these symptoms on the patient's daily life and functioning is more achievable and practical. Choices C and D are incorrect as they are not primary goals in the treatment of OCD. Increasing social interactions and improving sleep quality may be beneficial as part of a comprehensive treatment plan, but they are not the primary focus when managing OCD.

5. Which therapeutic intervention is most appropriate for a patient diagnosed with dissociative amnesia?

• A. Cognitive-behavioral therapy
• B. Hypnotherapy
• C. Electroconvulsive therapy
• D. Pharmacotherapy

Correct answer: B

Rationale: Hypnotherapy is the most appropriate therapeutic intervention for a patient diagnosed with dissociative amnesia. This approach aims to help the patient recover lost memories in a controlled environment, allowing them to process and integrate their memories effectively. Hypnotherapy can assist in uncovering and addressing the underlying issues contributing to dissociative amnesia. Cognitive-behavioral therapy focuses on changing negative patterns of thinking or behavior and may not directly address memory recovery. Electroconvulsive therapy is typically used for severe depression or certain mental disorders, not dissociative amnesia. Pharmacotherapy involves medication and is not the primary intervention for dissociative amnesia.

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