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A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided at the center includes
- A. Medical management of symptoms.
- B. Daily psychotherapy.
- C. Constant staff supervision.
- D. Psychological stabilization.
Correct Answer: A
Rationale: Community mental health centers focus on rehabilitation, vocational needs, education, and socialization, as well as on management of symptoms and medication. Daily therapies, constant supervision, and stabilization require a more acute care inpatient setting.
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Which one of the following is one of the American Nurses Association standards of practice for psychiatric mental health nursing?
- A. Prescriptive authority is granted to psychiatric mental health registered nurses.
- B. All aspects of Standard 5. Implementation may be carried out by psychiatric mental health registered nurses.
- C. Some aspects of Standard 5. Implementation may only be carried out by psychiatric mental health advanced practice nurses.
- D. Psychiatric mental health advanced practice nurses are the only ones who may provide milieu therapy.
Correct Answer: C
Rationale: Prescriptive authority is used by psychiatric mental health advanced practice registered nurses in accordance with state and federal laws and regulations. Some aspects of Standard 5 are advanced practice interventions and may be performed by the psychiatric mental health advanced practice registered nurse. Psychiatric mental health registered nurses may provide milieu therapy according to Standard 5c.
One of the unforeseen effects of the movement toward community mental health services is
- A. Fewer clients suffering from persistent mental illnesses.
- B. An increased number of hospital beds available for clients seeking treatment.
- C. An increased number of admissions to available hospital services.
- D. Longer hospital stays for people needing mental health services.
Correct Answer: C
Rationale: Although people with severe and persistent mental illness have shorter hospital stays, they are admitted to hospitals more frequently. Although deinstitutionalization reduced the number of public hospital beds by 80%, the number of admissions to those beds correspondingly increased by 90%.
Which of the following is a standard of practice?
- A. Quality of care
- B. Outcome identification
- C. Collegiality
- D. Performance appraisal
Correct Answer: B
Rationale: Standards of practice include assessment, diagnosis, outcomes identification, planning, implementation, coordination of care, health teaching and health promotion, and milieu therapy. The standards of professional performance include quality of practice, education, professional practice evaluation, collegiality, collaboration, ethics, research, resource utilization, and leadership.
Which is included in Healthy People 2020 objectives?
- A. To decrease the incidence of mental illness
- B. To increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives
- C. To provide mental health services only in the community
- D. To decrease the numbers of people who are being treated for mental illness
Correct Answer: B
Rationale: One of the Healthy People 2020 objectives is to increase the number of people who are identified, diagnosed, treated, and helped to live healthier lives. It may not be possible to decrease the incidence of mental illness or to provide services only in the community.
A significant change in the treatment of people with mental illness occurred in the 1950s when
- A. Community support services were established.
- B. Legislation dramatically changed civil commitment procedures.
- C. The Patient's Bill of Rights was enacted.
- D. Psychotropic drugs became available for use.
Correct Answer: D
Rationale: The development of psychotropic drugs, or drugs used to treat mental illness, began in the 1950s.