ch 4

Question 1

all are characteristics of ACT except

Answer 1

-services are provided by the client’s case manager

Question 2

impatient psychiatric care focuses on all of the following except

Answer 2

-independent living skills

Question 3

which intervention is an example of primary intervention implemented by a public health nurse?

Answer 3

-teaching effective problem solving skills to high school students

Question 4

the primary purpose of psychiatric rehabilitation is to

Answer 4

promote recovery process

Question 5

managed care provides funding from psychiatric rehabilitation programs to

Answer 5

develop vocational skills

Question 6

the mentally ill homeless population benefits most from

Answer 6

-a combination of housing, rehabilitation services, and community support

Question 7

which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?

Answer 7

the growth of managed care

Question 8

the factor having the most influence on the current trend in treatment settings is the fact in recent years

Answer 8

funding for community programs has been inadequate

Question 9

a patient who has continuously experienced severe symptoms of schizoaffective disorder for the past 17 years is experiencing an acute psychotic episode. which level of care is most appropriate for this patient at this time?

Answer 9

inpatient hospital treatment

Question 10

a patient with depression is admitted to an inpatient hospital until for treatment. the type of therapy most likely provided in this setting includes

Answer 10

talk therapy

Question 11

which of the following is the highest priority for admission to inpatient care?

Answer 11

safety of self or others

Question 12

the priority of inpatient care for people with severe mental illness is

Answer 12

symptom management

Question 13

discharge planning for inpatient care for people with severe mental illness must address which of the following to be effective? select all that apply

Answer 13

-finding housing for the client

-finding transportation for the client

Question 14

which type of community residential treatment setting is most likely to be permanent in any state?

Answer 14

evolving consumer household

Question 15

a patient is being transferred from a group home to an evolving consumer household. the goal of this transition is for the patient to eventually

Answer 15

fulfill daily responsibilities without supervision

Question 16

what is an important role of the nurse with regard to resident opposing plans to establish a group home or residential facility in their neighborhood?

Answer 16

to provide information to correct misinformation related to stereotypes of persons with mental illness

Question 17

what are two essential components of transitional care discharge model that is used in canada and scotland?

Answer 17

peer support and bridging staff

Question 18

some residential treatment settings are transitional. this means that clients are eventually expected to

Answer 18

relocate to another setting

Question 19

the primary advantage of an evolving consumer household is that clients

Answer 19

do not have to relocate as they become more independent

Question 20

the primary goal of a psychiatric rehabilitation program is to promote

Answer 20

complete recovery from mental illness

Question 21

what is required for a transitional care model to be most effective in promoting the client’s health and well being and prevent relapse and rehospitalization? select all that apply

Answer 21

-collaboration

-administrative support

-adequate funding

Question 22

a patient has just begun daily participation in a community based partial hospitalization program. the patient can expect the staff to assist with which of the following treatment goals? select all that apply.

Answer 22

-stabilizing psychiatric symptoms

-improving activities of daily living

-learning to structure time

-developing social skills

Question 23

a patient has just been referred to a psychosocial rehabilitation program. the nurse explains that the benefits of being involved in such a program include: select all that apply

Answer 23

-increased independence

-recovery from mental illness

-increased community integration

Question 24

which type of rehab relies on intentional communities and alliances?

Answer 24

clubhouse model

Question 25

which is the orientation of assertive community treatment (ACT)?

Answer 25

problem solving orientation

Question 26

which of the following are advantages of a crisis resolution team or home treatment team? select all that apply

Answer 26

-it is more likely to help a client to perceive their situation more accurately -it is designed to assist clients in dealing with mental health crisis without hospitalization -the l feint may feel better about asking for help

Question 27

a nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed by the neighbors. the nurse can effectively educate the public on the realities of group home by citing research that indicates

Answer 27

most people with mental illness do not represent a significant danger to others

Question 28

a patient with bipolar disorder has a long history of both hospitalization and incarcerations. the patient has no permanent residence and has infrequent contact with his family. upon admission the nurse documental all of this in the record. which of the following data suggests a positive outcome for this patient?

Answer 28

reporting meeting with the same case manager monthly for the last 3 years

Question 29

which of the following beliefs should the nurse discuss with her supervisor before caring for incarcerated patients?

Answer 29

people with mental illness are inherently violent

Question 30

community education on which of the following this team will focus includes?

Answer 30

assisting police officers to recognize mental illness

Question 31

which of the following are core skill areas that are needed of any effective team member of an interdisciplinary team? select all that apply

Answer 31

-interpersonal skills -teamwork -communication -risk assessment and risk management

Question 32

the interdisciplinary team member most responsible for monitoring effectiveness of new medication is the

Answer 32

psychiatric nurse

Question 33

the team member who will monitor the patient’s involvement in group activities will be the

Answer 33

recreation therapist

Question 34

a patient with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. the nurse suspects toxicity and immediately notifies the

Answer 34

psychiatrist

Question 35

a nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. the goal of which of the following levels of prevention has been achieved?

Answer 35

tertiary prevention

Question 36

the nurse explores current research regarding which primary prevention health care need?

Answer 36

assisting high school students to effectively manage stress

Question 37

which activity would be most appropriate to develop secondary prevention?

Answer 37

depression screening in an assisted living facility

Question 38

which element would be present in an ACT program?

Answer 38

24/7 services