Psych - Ch. 4 - PrepU

Which client is suitable for psychiatric transitional care services?

An individual being discharged from hospital with residual symptoms of mania

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.

Which are benefits of client education? Select all that apply.

- Prevention of complications - Reduction of hospital readmissions - Promotion of involvement

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

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.

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 community activity is an example of tertiary prevention in a community that experienced a massive fire?

A master plan was formulated for what to do in case of another fire.

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 a primary goal of community mental health care?

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

The client is a 46-year-old who is being admitted to a psychiatric-mental health facility. The client is angry, defensive, and paranoid. Which is the nurse's priority?

Ensuring client and personal safety

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

Assertive Community Treatment (ACT) reduces the use of which type of service?

In-patient Hospital

A psychiatric-mental health nurse is working as a case manager. The nurse understands that the quality of case management is measured by outcomes that result from what?

Level of functioning

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

Nurse

The goal of respite services as a prevention strategy includes what?

Preventing unnecessary long-term hospitalizations due to burnout of informal caregivers

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

Provide an alternative for inpatient admission

Which is considered the priority care for clients receiving inpatient care?

Safety

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

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

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

Therapeutic foster care