Answer to Question 1
ANS: A, B, C
Rationale: Cost constraints will continue. More people will need mental health services, making
scarce services even more scarce. Costs will rise because of the sheer numbers of individuals
requiring care. Community-based care will continue to increase in an attempt to keep costs as low as
possible. New services will evolve as innovative responses to need. Case management is necessary
because it ensures that care is provided as efficiently and effectively as possible, thus saving scarce
dollars. Option D is incorrect. The prevalence of dementia is expected to rise as the population ages.
Increased need for institutions to care for clients with dementia is expected. Option E is incorrect.
Cultural diversity in the United States is increasing. Nursing cultural competence is necessary.
Answer to Question 2
ANS: A, B, D
Rationale: A basic level psychiatric mental health nurse does not have prescriptive privileges to
adjust medication dosages. All other activities are within the realm of the basic level psychiatric
mental health nurse and are important in promoting medication compliance.
The nurse assists the patient in reflecting on his feelings
A, A nurse is adding a medication to an IV line as a piggyback
Critical thinking and the process of planning care
To check pupillary reflexes the nurse first holds the penlight
The Last Century Trends
Predicted Temperature Trends Through the 21st Century