Nokea
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?
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Community prevention
Correct Answer: C
Rationale: Tertiary prevention involves rehabilitation and reintegration, such as helping a patient secure employment, to support recovery and reduce relapse.
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What are the two essential components of transitional care discharge model that is used in Canada and Scotland?
- A. Peer support and bridging staff
- B. Collaboration and funding
- C. Relapse and hospitalization
- D. Poverty and entitlements
Correct Answer: A
Rationale: The transitional care model relies on peer support from community-living consumers and bridging staff to maintain therapeutic relationships during the transition. Collaboration and funding are supportive but not the core components.
The priority of inpatient care for people with severe mental illness is
- A. Family issues.
- B. Insight into illness.
- C. Social skills.
- D. Symptom management.
Correct Answer: D
Rationale: Inpatient care prioritizes rapid assessment, symptom stabilization, and discharge planning for severe mental illness. Family issues, insight, and social skills are secondary to managing acute symptoms.
Which element would be present in an assertive community treatment (ACT) program?
- A. 24-hour-a-day services
- B. Infrequent contact with clients
- C. Many clients to each staff member
- D. Limited length of service
Correct Answer: A
Rationale: ACT provides 24-hour, intensive, ongoing support in clients' communities, with low client-to-staff ratios and unlimited service duration.
A patient is encouraged to join in daily outdoor games with peers on the unit. The interdisciplinary team member who will monitor the patient's involvement will be the
- A. Occupational therapist.
- B. Recreation therapist.
- C. Vocational rehabilitation therapist.
- D. Psychiatric nurse.
Correct Answer: B
Rationale: The recreation therapist oversees activities like outdoor games to promote leisure and balance, distinct from the roles of occupational, vocational, or psychiatric nursing.
Which of the following are advantages of a crisis resolution team or home treatment team?
- A. It is a residential treatment setting.
- B. It is more likely to help a client to perceive his or her situation more accurately.
- C. It is designed to assist clients in dealing with mental health crises without hospitalization.
- D. The client may feel better about asking for help.
- E. The client must meet multiple criteria to receive this type of care.
Correct Answer: B,C,D
Rationale: Crisis resolution teams help clients accurately perceive crises, encourage help-seeking, and avoid hospitalization, offering non-residential, accessible support.