CH 4 Final Review

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private insurance

Most clients who are diagnosed with chronic mental illness are not likely to have their psychiatric mental health experiences covered by which payment method?

Arranging for the client to have a screening for prostate cancer

The case manager is demonstrating an understanding of the primary goals of managed care when engaging in which client intervention?

"I am going to help you shower, so you will not smell so bad."

A client was admitted to the behavioral health unit for evaluation and diagnosis after being found wandering the streets. His personal hygiene is poor, and his responses to questions are bizarre and inappropriate. The client's constitutional rights are violated when the nurse makes which statement?

It provides for the client's safety and comfort.

A therapeutic inpatient milieu will include which characteristic?

nurses

In addition to physicians, what other members of the mental health disciplines have been identified as having the knowledge, skills, ability, and legal authority to intervene in the full range of mental health care?

Creative problem-solving and intervention skills

In order to be most effective, the community mental health nurse involved in assertive community treatment (ACT) needs to possess which characteristic?

To access all personal possessions

It is not always guaranteed that all clients who are voluntarily admitted to a behavioral health unit will have the right to which privilege?

Providing a safe place to practice coping skills

The nurse who provides therapeutic milieu management supports the clients best by concentrating on which client need?

A client diagnosed with schizophrenia has avoided being rehospitalization for 16 months.

The primary goal and benefit of assertive community treatment (ACT) is demonstrated by which situation?

Providing stress reduction seminars at the local senior center

The psychiatric community health nurse engages in secondary prevention when implementing which intervention?

membership on a multidisciplinary team

What function is shared by advanced practice and general practice psychiatric nurses?

Enhances resource management

What is the primary advantage of using a case manager when considering the planning and implementation of client care?

care is provided to clients in unconventional settings

When a nurse says, "I work with a mobile mental health unit," what assumption can a client accurately make about the care being provided?

Working, living, and participating in the community

When considering mental illness, recovery is best described to a client by which statement?

maintaining a therapeutic milieu

When considering the ongoing, crucial responsibilities of nurses working on an inpatient psychiatric unit, which activity has highest priority?

The client is able to return home each day

Which criterion must be met to refer a client to a partial hospitalization program?

A 26-year-old kindergarten teacher who is not in touch with reality and was found wandering in and out of traffic on a busy road

Which of the following clients meets the criteria for an involuntary admission to a psychiatric mental health unit?

A client being discharged from an inpatient alcohol rehabilitation unit

Which of the following clients would be appropriate to refer to a partial hospitalization program (PHP)?

Break-away closet bars to prevent hanging

Which of the following structural safety precautions is most important when attempting to prevent a common type of inpatient suicide?

negotiating with the clients HMO for extension of a 3 day hospitalization to 5 days

Which situation demonstrates the nurse functioning in the role of advocate?

All rights remain intact

Which statement regarding clients' rights after being voluntarily admitted to a behavioral health unit is true?


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