Mental Health Unit 1 Chapter 4 PrepU

Which client is suitable for psychiatric transitional care services?

An individual being discharged from hospital with residual symptoms of mania

The Fountain House in New York developed the clubhouse model in the 1940s. Which is an important characteristic of a clubhouse?

Members receive mental health treatment from providers in the community.

The nurse is planning care for a client in a forensic setting. Which are essential assessment considerations for this client? Select all that apply.

-Development of rapport -Assessment of risk -Early recognition of aggression

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

-Medication education -Special diet instructions -Food-drug interactions

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

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

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.

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.

Which are functions of assertive community treatment? Select all that apply.

-Reduces inpatient service use -Promotes continuity of outpatient care -Increases the stability of people with serious mental illnesses

The introduction of psychotropic medications occurred in which decade?

1950s

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

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

A forensic nurse working in a prison must view all clients as people who deserve respect and professionalism. What should the nurse do to enforce this viewpoint?

Conduct ongoing self-reflection and self-awareness.

Which would not be considered an impediment to successful discharge planning?

Compliance with the therapeutic regimen

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

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

One essential component of a community support system is having a case manager. The role of the case manager is to do what?

Help the individual make informed choices and ensure timely access to needed assistance.

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

Ability to provide services in a variety of locations

In-patient Hospital

Which statement is true concerning clients with dual diagnoses?

Integrated care is preferred over split care for the separate diagnoses

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.

A nurse working in a psychiatric inpatient facility correctly identifies the term "milieu therapy" to mean what?

Maintenance of the therapeutic environment

When clients are admitted to inpatient psychiatric settings, which member of the health care team is often the first whom they meet?

Nurse

Which type of setting is used for clients who continue to need supervision but not long-term admission?

Partial (day) hospitalization

Which would be most important for the nurse to do in order to maximize client adherence with the discharge plan?

Partnering with the client from the beginning

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 SUBMIT ANSWER

The nurse is conducting an admission assessment on a client in a forensic setting. Which is a priority care issue?

Risk assessment

Which is an appropriate description of social skills training available at a local mental health clubhouse?

Self-care skills such as learning to use a list of crisis hotline numbers or to cope with unexpected stressful situations

A client is referred to a psychosocial rehabilitation program. When explaining this type of care to the client, what would the nurse emphasize?

Services that promote the client's reintegration into the community

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

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

The client's functional ability will improve.

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

The nurse is discussing deinstitutionalization of mentally ill persons at a community forum. What is a consequence of the trend towards deinstitutionalization?

The number of persons with mental illness in prison has increased.

A 54-year-old with severe and persistent mental illness and has been referred to a community support system. What is the basic philosophy behind community support systems?

To address the needs of adults with mental illness and increase their ability to function

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

collaborative mental health care.