Continuum of Treatment

A nurse is discussing treatment options with a client. The client asks, "What alternatives are available to help me with my depression other than the inpatient facility?" Which of the following responses should the nurse make? "A community health center can provide counseling sessions, medication follow up, support groups, and home care visits." "Inpatient facilities offer all levels of care to address your symptoms of depression." "The community center will look into your housing needs and if you are without housing, you might have to go into the psychiatric facility for your mental health care." "There are alternatives available in your community, but only for older adult clients who have mental illness."

√"A community health center can provide counseling sessions, medication follow up, support groups, and home care visits." Public mental health care in the community offers resources to treatment alternatives such as counseling, support groups, client education, medical care, first aid, disease screenings, and mental illness services.

A nurse is caring for a school-age child who is experiencing significant functional impairment at school and reports feelings of worthlessness and hopelessness. Which of the following recommendations should the nurse give to the child's parents? "Your child is experiencing a severe mental health crisis and should be treated for danger of self-harm or suicide immediately." "It is recommended that children who are experiencing severe symptoms such as these be treated at an in-patient hospital setting." "Since all children experience a fluctuation of emotions, it is important that you monitor your child's mental health condition for more severe symptoms before seeking professional care." "Due to the severity of symptoms, it is recommended that you seek professional care for your child very soon and monitor their mood for any worsening symptoms."

√"Due to the severity of symptoms, it is recommended that you seek professional care for your child very soon and monitor their mood for any worsening symptoms." The child is in the injured zone and is experiencing significant functional impairment due to symptoms of depression. At this level, professional care is required, and the child's mental health might quickly deteriorate into a crisis situation.

A nurse is collecting data from a client in the community center. Which of the following statements by the client suggests they are at risk for experiencing manifestations of a mental illness? "I want to move back to my parents in Florida." "I have received an offer to go back to school on full scholarship." "I have been living in my car for more than a month." "I just moved to the area and I want to volunteer here."

√"I have been living in my car for more than a month." There is a high number of clients without housing who experience mental illness due to losing housing or their mental illness has caused them to lose housing.

A nurse is communicating via telephone with a client who reports a history of a depressive disorder and is currently experiencing suicidal ideation. To which of the following facilities should the nurse refer the client? ·A forensic care center ·A crisis stabilization facility ·A respite care center ·A state hospital

√A crisis stabilization facility A crisis stabilization facility can help a client who is experiencing a mental health emergency, such as suicidal ideation, to receive care.

A nurse is collecting data about disparities in access to mental health care for clients who live in a rural area. Which of the following primary consequences should the nurse expect? ·A greater likelihood of being diagnosed with a substance abuse disorder ·A longer period of time between the onset of symptoms of mental illness and treatment ·A shorter schedule between appointments for mental health care ·Diagnostic assessments that are not accurate for most rural residents

√A longer period of time between the onset of symptoms of mental illness and treatment One of the primary consequences of disparities for clients who live in a rural area is that the disparities often lead to a longer period of time between the onset of symptoms of mental illness and treatment.

A nurse is planning care for a client who has a mental health disorder and a substance use disorder. To which of the following facilities should the client be referred for treatment? ·A family services center A community-based hospital A respite care facility A substance use disorder center

√A substance use disorder center A substance use disorder center can help clients to receive care for substance use and mental health disorders.

A nurse is collaborating on an aftercare plan with a client who was recently discharged from inpatient treatment and creates a list of local support groups for grief services. Which of the following nursing roles does this demonstrate? ·Consultant ·Educator ·Case manager ·Therapist

√Case manager Case management addresses the client's specific needs by assessing the client, working on a plan of care, and providing local community mental health services for follow-up care.

A nurse is talking with a client who says that although they do not have any mental illness, they have felt extremely depressed, and have considered suicide lately. The nurse should identify that this client is in which of the following zones of the mental health continuum? ·Thriving ·Surviving ·Struggling ·Crisis

√Crisis A client who is in the crisis zone experiences severe symptoms, even if they do not have a diagnosis of a mental health illness, and might consider suicide as an option to cope. This client needs immediate intervention. In the struggling zone, the client is experiencing extreme symptoms, but is not in immediate danger or considering suicide as a way to cope.

A nurse is learning to speak a second language to provide care to clients whose primary language is different from the nurse. Which of the following disparities is the nurse attempting to reduce? Acceptability disparities Availability disparities Culturally competent care disparities Accessibility disparity

√Culturally competent care disparities Language can be a significant culturally competent care disparity for clients who speak languages that their nurses and other mental health providers do not speak. By learning to speak a language to better communicate with clients, the nurse is trying to reduce the culturally competent care disparity.

A nurse is assisting with planning an educational presentation about adolescent mental health issues. Which of the following topics should the nurse include as primary prevention strategies? ·Identifying behaviors of suicide ·First aid courses ·Adolescent pregnancy ·Eating disorders

√Identifying behaviors of suicide Education about recognizing the symptoms of depression and suicide is using a primary prevention strategy, allowing the nurse to intervene before a problem occurs.

A nurse is collecting data from a client who lives in a rural area and is experiencing symptoms of anxiety that are causing them to miss work. Which of the following is the most likely reason why this client may experience greater disparities now than the client would have in the past in receiving mental health treatment? ·Many rural hospitals have closed, creating an even greater gap in availability of mental health resources. Diversity is decreasing in rural areas so obtaining culturally competent care is even more difficult. The stigma of mental illnesses has increased in rural areas. Accessing public transportation is challenging for those in rural areas.

√Many rural hospitals have closed, creating an even greater gap in availability of mental health resources. In the past, rural residents who were experiencing acute mental health episodes could obtain emergency treatment at rural hospitals. With many rural hospitals closing, it reduces the resources for rural residents.

A nurse is collecting data from a client who lives in a rural area and is seeking treatment for anxiety. Which of the following is the benefit of the nurse asking the questions about possible mental health care disparities? ·Mental health care disparities can require clients to have more visits than a client without mental health care disparities. Mental health disparities can lower the quality of life for the clients who experience them. Mental health disparities can mean that men are more likely to be diagnosed psychotropic drugs. Mental health disparities can decrease the time needed between the initial onset of symptoms of mental illness and treatment.

√Mental health disparities can lower the quality of life for the clients who experience them. Clients who experience mental health disparities can have a lower quality of life and social well-being due to these disparities and their effects.

A nurse is planning to collect data about the community and determine populations at high risk for a mental illness. Which of the following populations are at a higher risk of experiencing a mental illness? Children who are attending school in a suburban community A group of employed young adults working in an urban community Older adults who live in an urban community A group of first-time homeowners in an urban community

√Older adults who live in an urban community The population of older adults are recognized as a population at increased risk for a mental illness.

A nurse is collecting data with a client who struggles with being nervous and forgetful while at work. In which of the following areas of a mental health self-check should the nurse expect the client to be? Healthy Reacting Injured Ill

√Reacting A client who is in the reacting area of a mental health self-check would likely experience symptoms such as irritability, nervousness, forgetfulness, sleeplessness, or low energy.

A nurse is caring for a client who has been admitted to a state mental health facility by a court order. The nurse should identify that clients who have been admitted by court order will typically remain at the facility for a minimum of which of the following durations? Overnight 3 days 1 week Several months

√Several months The length of stay for court-appointed admission to a state hospital facility is typically several months, years, or may be permanent.

A nurse is screening a group of clients for mental health disorders. The nurse should identify that male clients have a higher risk than female clients of developing which of the following conditions? Substance use disorder Depression Somatic disorders Anxiety

√Substance use disorder Men are more likely than women to be diagnosed with a substance use disorder. This may be due to gender disparirities such as stereotypes or life experiences that affect genders differently.

A nurse is reinforcing teaching about adverse effects of a newly prescribed medication to a client who lives 45 miles from the outpatient clinic. Which of the following resources should the nurse consider using for continued monitoring of the client? Telehealth services Mobile crisis team Day treatment center Peer services

√Telehealth services Telehealth services can provide medication monitoring for clients who might have difficulty visiting an outpatient facility in-person.

A nurse is caring for a client who is in the excelling zone on the mental health continuum. Which of the following findings should the nurse expect to observe? ·The client reports successfully coping with manifestations of a mental illness. The client reports dealing very well with stressful situations in their life. The client reports relying on positive self-care to balance a demanding workload. The client reports they are having positive experiences in their relationships at work and at home.

√The client reports they are having positive experiences in their relationships at work and at home. The excelling zone of the mental health continuum is the highest level of function when a client is at their peak of wellbeing, without any concerns.

A nurse is assisting with the care of a client who has been taking antidepressant medication for 6 weeks. Which of the following findings should the nurse identify as an indication that the client is in the "thriving zone" of the mental health continuum? The client reports having some difficulty sleeping at night. The client reports using relaxation techniques to manage negative emotions. The client reports feeling as depressed as they were prior to taking the medication. The client reports being unable to go to work due to overwhelming sadness.

√The client reports using relaxation techniques to manage negative emotions. Being able to manage negative emotions through healthy coping mechanisms, such as relaxation techniques, is an indication that the client is in the thriving zone of mental health.

A nurse is planning care for a client who is completing a diversion program. Which of the following goals is appropriate for a client in this type of program? ·The client will successfully adapt to residential long-term care. ·The client will successfully transition from military to civilian life. ·The client will achieve stabilization following a crisis situation. ·The client will achieve integration back into the community after incarceration.

√The client will achieve integration back into the community after incarceration. A client who is completing a diversion program is seeking to transition from the criminal justice system and would set the goal of integration back into the community.