Ch. 4 Treatment Settings and Therapeutic Programs

The nurse wants her client to have some face-to-face interaction in his home or community. The Assertive Community Treatment (ACT) is such a program, which can attend to his needs. What does this program have?

Problem-solving orientation

A nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. The goal of which of the following levels of prevention has been achieved?

Tertiary prevention

Which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?

The growth of managed care

The factor having the most influence on the current trend in treatment settings is the fact in recent years,

funding for community programs has been inadequate.

A client with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the

psychiatrist

The primary goal of a psychiatric rehabilitation program is to promote

quality of life.

The nurse is working with the discharge planner for her client's discharge to a facility that uses a transitional care model. The nurse knows this model is effective in promoting the client's health and well-being and preventing relapse and rehospitalization due to which of the following? Select all that apply.

- Collaboration - Administrative support - Adequate funding

Discharge planning from inpatient care for people with severe mental illness must address which of the following to be effective? ~select all that apply~

- Finding housing for the client - Finding transportation for the client

Which of the following are core skill areas that are needed of any effective team member of an interdisciplinary team? ~select all that apply~

- Interpersonal skills - Teamwork skills - Communication skills - Risk assessment and risk management skills

Which of the following are advantages of crisis resolution team or home treatment team? ~select all that apply~

- It is more likely to help a client to perceive his/her situation more accurately - It is designed to assist clients in dealing with mental health crisis without hospitalization - The client may feel better about asking for help

A client has just begun daily participation in a community-based partial hospitalization program. The patient can expect the staff to assist with which of the following treatment goals? ~select all that apply~

- Stabilizing psychiatric symptoms - Improving activities of daily living - Learning to structure time - Developing social skills

A nurse reviews a client's history and knows that in preparation for discharge planning of the client, success of planning can be impeded by which of the following? Select all that apply.

-alcohol and drug abuse -violent or criminal behaviors -medication non-compliance

An inmate is brought to the ED via ambulance after a severe altercation at the prison. Which characteristics should a nurse expect to observe in a person who has been in jail? Select all that apply.

-homeless -acute and chronic mental illness -poor functioning level

The nurse has referred a client to a psychosocial rehabilitation program. The nurse explains that the benefits of being involved in such a program include which of the following? Select all that apply.

-increased independence -increased involvement in treatment decisions -recovery from mental illness -increased community integration -greater opportunities for personal growth

Which element would be present in an assertive community treatment (ACT) program?

24-hour-a-day services

The mentally ill homeless population benefits most from

A combination of housing, rehabilitation services, and community support

A psychiatric nurse is planning an educational program addressing primary prevention strategies in the community. The nurse explores current research regarding which health-care need?

Assisting high school students to effectively manage stress

The nurse is part of a group setting up a mobile crisis service in conjunction with the local police department. Community education on which of the following this team will focus includes?

Assisting police officers to recognize mental illness

A client with bipolar disorder has a long history of both hospitalizations and incarcerations. The patient has no permanent residence and has infrequent contact with his family. Upon admission to the inpatient psychiatric unit for stabilization, the nurse documents all of the following in the record. Which of the following data most suggests a positive outcome for this client?

Client reports meeting with the same case manager monthly for the last 3 years

The nurse is discharging her client today to be placed in a community rehabilitation area that will provide the client with meaningful work, relationships, a place to come to and a place to return if necessary. Which type of referral will she make?

Clubhouse model

A psychiatric nurse is planning activities aimed at secondary prevention of mental illness. Which activity would be most appropriate to develop?

Depression screening in an assisted living facility

The primary advantage of an evolving consumer household is that clients

Do not have to relocate as they become more independent

Which type of community residential treatment setting is most likely to be permanent in any state?

Evolving consumer household

Research shows that scheduled intermittent hospital admissions result in which of the following?

Increased sense of control for the client

Inpatient psychiatric care focuses on all of the following, except

Independent living skills

A patient who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. Which level of care is most appropriate for this patient at this time?

Inpatient hospital treatment

What are the two essential components of transitional care discharge model that is used in Canada and Scotland?

Peer support and bridging staff

A nurse is orienting to a new position working the infirmary in the state penitentiary. When working with prisoners who are also mentally ill, the nurse examines her own attitudes. Which of the following beliefs should the nurse discuss with her supervisor before caring for incarcerated patients?

People w/ mental illness are inherently violent

The primary purpose of psychiatric rehabilitation is to

Promote the recovery process

Managed care provides funding for psychiatric rehabilitation programs to

Provide community skills training

A patient has been started on antidepressants. The interdisciplinary team member most responsible for monitoring effectiveness and side effects of this new medication is the

Psychiatric nurse

A patient is encouraged to join in daily outdoor games with peers on the unit. The interdisciplinary team member who will monitor the patient's involvement will be the

Recreation therapist

Some residential treatment settings are transitional. This means that clients are eventually expected to

Relocate to another setting

Which of the following interventions is an example of primary prevention implemented by a public health nurse?

Teaching effective problem-solving skills to high school students

Which of the following is the highest priority for admission to inpatient care?

Safety of self or others

All are characteristics of ACT except which of the following?

Services are provided by the client's case manager

The priority of inpatient care for people with severe mental illness is

Symptom management

A patient with depression is admitted to an inpatient hospital unit for treatment. The type of therapy most likely provided in this setting includes

Talk therapy

What is an important role of the nurse with regard to residents opposing plans to establish a group home or residential facility in their neighborhood?

To provide information to correct misinformation related to stereotypes of persons with mental illnesses

A patient is being transferred from a group home to an evolving consumer household. The goal of this transition is for the patient to eventually

fulfill daily responsibilities without supervision.

A nurse is planning to discharge a client. A client's ability to remain in the community is closely related to what?

living environment

A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. The nurse can effectively educate the public on the realities of group home by citing research that indicates...

most people with mental illness do not represent a significant danger to others

Military veterans with mental issues often do not seek treatment. The nurse in a VA hospital knows which disorder is moderately higher in veterans than in the general population?

obsessive-compulsive disorder