PN120 PrepU Chapter 4

Which areas of discharge planning are important to ensuring client safety? Select all that apply.

Medication education Food-drug interactions Special diet instructions

The nurse works for a psychiatric-mental health facility that utilizes traditional milieu therapy. Which stage of milieu therapy allows for control and limitation of maladaptive behaviors including yelling and screaming?

Structure

Quality of case management is measured by outcomes that result from what?

Level of functioning

Which client is suitable for psychiatric transitional care services?

An individual being discharged from hospital with residual symptoms of mania

A nurse is caring for a client with severe and persistent mental illness. As a case manager, what interventions should the nurse do for the client? Select all that apply.

Arrange for financial resources required for the treatment. Teach caregivers about behavior modifications required to manage the client. Help the caregivers to cope with stress related to the illness of the client. Refer the client to other community mental health services that would be beneficial for the client.

Which program provides comprehensive, highly individualized consumer services to those with severe and persistent mental illness?

Assertive community treatment

Coordination of care uses services that enable individualized care. Which type of service is also known as the "broker" model?

Case management

The most diverse role for the nurse within community based psychiatric mental health care would most probably be what?

Case manager

Which client may be the most appropriate candidate for telepsychiatry?

A client whose depression does not warrant inpatient or outpatient care but who is motivated to maintain the client's health

A client was diagnosed with bipolar I disorder several years ago. After occasional inpatient admissions surrounding manic episodes over the past few years, the client has been receiving outpatient psychiatric services for the past 12 months. The client's care providers, however, are concerned that these outpatient services are not meeting the client's needs. Which service would best fit this client's needs at this time?

A day-treatment program

The same principles that define the nursing process are at work within the provision of community based mental health services through which interventions?

Coordination of care

Which is an example of secondary prevention in the forensic setting?

Crisis intervention

A nurse has transferred recently to a forensic practice setting from an acute care medical setting. During the orientation period, the nurse's mentor helps the nurse learn the culture of a forensic setting. The nurse learns to be alert to one of the most dominant barriers to building a therapeutic relationship with forensic clients. What is this barrier?

Clients commonly struggle with trusting others.

A nursing instructor informs a class that the trend in the United States today is to receive treatment without institutional-based intervention. What else is true concerning mental health care today?

Criteria for admission to inpatient care have become legally regulated.

The nurse is caring for a group of clients in a residential treatment facility. While the intensive outpatient programs promote education in the areas of stress management and relapse prevention, the residential treatment facility emphasizes what?

Ensuring a sustainable living situation

Which mental health clients is most likely to frequently present in the emergency department in hospital?

A 34-year-old person diagnosed with an amphetamine addiction who has overdosed

A nursing instructor is teaching a class about transitional psychiatric care. The instructor determines that additional education is needed when the class identifies which client as appropriate for this care?

A 42-year-old who would like to enter marriage counseling

Which best defines a community support system in relation to mental illness?

A network that helps to meet the needs of people with mental illness and to realize their potential without unnecessary isolation

A nursing student is preparing for a debate with another student about e-mental health. Which would the nurse include to support its use?

Ability to provide services in a variety of locations

Which is the most restrictive setting in the continuum?

Acute inpatient hospitalization

A client has threatened to kill the client's spouse, and it is not anticipated that this crisis will resolve itself. The client is to be admitted to an inpatient psychiatric unit on an involuntary basis. When explaining to the family about this plan, the nurse would identify which as the focus of care?

Acute symptom stabilization

A client with psychiatric illness is referred to the day treatment program. Which services should the nurse include while teaching the client about the program? Select all that apply.

Development of social skills. Stabilization of symptoms. Training to perform activities of daily living.

The nurse is reviewing a client's history, which reveals that the client is participating in a psychiatric rehabilitation program. The nurse understands that which is the goal of this program?

Empower clients to achieve the highest level of functioning possible

Which is a primary goal of community mental health care?

Engage clients to help determine need, policy changes, and evolution of mental health programs.

Which would the nurse include when developing the discharge plan for a client with a mental illness? Select all that apply.

Explain all instructions for after-care in detail. Provide the client with a written list of instructions Review emergency telephone numbers with the client

The greatest impact case management has had on mental health care is that it has caused what?

Has increased client access to appropriate mental health care

A psychiatric client's nurse case manager best explains to the family that case management will facilitate the client's transition back into the community by providing which services?

Identifying and meeting the client's health and human service needs

A nurse is developing a community education program for a local women's club on the topic of managed care in mental health. Which would the nurse include as the main focus?

Improved access to less costly services

A young client with severe depression and signs of hopelessness is seen in the emergency department of a large community hospital. The physician determines the need for a psychiatric consult. After the consult, the care team determines that the client is in need of hospitalization. Where should the nurse expect this client to be admitted?

In-house psychiatric unit

Which are core skill areas that must be implemented by any effective team member of an interdisciplinary team? Select all that apply.

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

The nurse working in a psychiatric institution is researching treatment systems that facilitate effective learning. The nurse believes that effective milieu therapy cannot be practiced in today's institutional settings. What disadvantage related to milieu therapy may have led the nurse to believe this?

It requires clients to have longer lengths of stay.

Which mental health treatment setting is not a residential treatment setting?

Partial hospitalization programs

Which goal for an individual client is consistent with the overall objectives of community support service programs?

The client's functional ability will improve.

One goal of transitional care in mental health care is what?

Provide an alternative for inpatient admission

The parents of a client with a mental illness being cared for at home tell the nurse that they have been feeling overwhelmed lately. They say, "We need to get away for a few days to recharge ourselves." Which care setting should the nurse recommend?

Respite residential care

The parents of a young adult diagnosed with schizophrenia are providing care for the client in their home. During a home visit, the parents state, "It's been so difficult taking care of our child. We need a break. But our child needs constant supervision." Which would be appropriate for the nurse to suggest?

Respite residential care

Which type of care provides periodic relief to caregivers of a mentally ill client?

Respite residential care

A client is to be admitted to an inpatient psychiatric unit on an involuntary basis because the client has threatened to kill the client's spouse. The nurse should explain to the client's family members that the primary focus of the client's hospitalization is what?

Stabilize acute symptoms

During milieu therapy, nurses offer positive feedback and praise for appropriate behaviors. These actions are essential to which concept of milieu therapy?

Support

The nurse explains that the primary criterion for enrollment in a day treatment program for clients with eating disorders is what?

Symptom acuity does not require psychiatric hospitalization

A patient scheduled to be released from prison in 1 month has been assigned a case manager and has been meeting with her 3 times a week. This is an example of which level of prevention?

Tertiary

Individuals may need assistance with the coordination of care and community service programs related to what?

The complexity of access to the community service programs available

A college's nursing program has added an elective in forensic nursing to the curriculum. Which phenomenon underlies the expanded role for forensic nursing that is expected in the future?

The fact that there are high rates of mental illness among the populations of jails and prisons

A client is in need of a family-like environment with a high level of support. Which would be most appropriate?

Therapeutic foster care

Initiatives that strive to strengthen links between primary care and specialized mental health services refer to ...

collaborative mental health care.