Nokea
A nurse is developing a community education program for a local women?s club on the topic of managed care in mental health. Which of the following would the nurse include as the main focus?
- A. Cost savings
- B. Consistent third-party reimbursement
- C. Improved access to less costly services
- D. Individualized care for additional inpatient stays
Correct Answer: C
Rationale: Managed care in mental health focuses on improving access to cost-effective services, such as outpatient care, to reduce reliance on expensive inpatient stays while maintaining quality care.
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As part of an interdisciplinary team, a nurse is assisting with a patient assessment to determine the most appropriate setting for treatment. The team decides that an acute ambulatory setting would be most appropriate. Which of the following would support the team?s decision?
- A. The patient exhibits moderate to severe symptoms.
- B. The patient demonstrates marked impairment in two areas of daily life
- C. The patient is unable to contract for treatment beyond initial care.
- D. The patient demonstrates a limited ability to seek support.
Correct Answer: A
Rationale: An acute ambulatory setting, such as a partial hospitalization program, is appropriate for patients with moderate to severe symptoms who can still function with structured outpatient support, avoiding inpatient care.
The nurse is employed by a long-term residential treatment center that provides care to a variety of patients with chronic mental disorders. Which role would the nurse primarily assume when working with these patients?
- A. Therapist
- B. Medication administrator
- C. Mediator
- D. Educator
Correct Answer: D
Rationale: In a long-term residential treatment center, the nurse primarily acts as an educator, teaching patients skills for self-management, coping, and community reintegration, while also supporting medication administration and other roles.
A patient has threatened to kill his wife, and it is not anticipated that this crisis will resolve itself. The patient is to be admitted to an inpatient psychiatric unit on an involuntary basis. When explaining to the family about this plan, the nurse would identify which of the following as the focus of care?
- A. Long-term therapy
- B. Rehabilitative services
- C. Acute symptom stabilization
- D. 24-hour supervision
Correct Answer: C
Rationale: Inpatient psychiatric care for a patient with acute threats focuses on stabilizing symptoms to ensure safety, addressing immediate risks such as homicidal ideation before transitioning to longer-term care.
A nurse who is working as part of an interdisciplinary team is looking at potential outpatient services for a patient. The patient requires a setting that provides a program of about 4 hours per day, three times per week with a 24-hour crisis and consultation service. The nurse would identify which of the following as appropriate?
- A. Primary care setting
- B. Ambulatory level one
- C. Ambulatory level two
- D. Multimodal outpatient setting
Correct Answer: C
Rationale: Ambulatory level two programs provide structured outpatient care, typically 3-4 hours per day, several days a week, with 24-hour crisis and consultation services, suitable for patients needing moderate support.
After teaching a group of students about the service and patient variables used when determining settings along the continuum of behavioral care, the instructor determines that the teaching was successful when the students identify which of the following as a service variable?
- A. Signs and symptoms
- B. Milieu
- C. Risk
- D. Social support
Correct Answer: B
Rationale: Service variables in the continuum of care include the treatment environment or milieu, which refers to the therapeutic setting, whereas signs and symptoms, risk, and social support are patient variables.