Nokea
A nurse is providing in-home mental health care and determines that the care was effective when the patient demonstrated which of the following?
- A. A need for continued intensive monitoring in the home
- B. A need for crisis intervention services on an ongoing basis
- C. A decrease in admission frequency to inpatient psychiatric hospitals
- D. A dependence on parents to participate in the patient?s care
Correct Answer: C
Rationale: Effective in-home mental health care is evidenced by a patient?s increased stability, resulting in fewer inpatient psychiatric admissions, indicating improved self-management and reduced acute crises.
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When working within the continuum of care, which of the following occurs first?
- A. Referral
- B. Transfer
- C. Assessment
- D. Discharge planning
Correct Answer: C
Rationale: Assessment is the first step in the continuum of care, as it determines the patient?s needs, guiding appropriate referrals, transfers, or discharge planning.
A nursing instructor is explaining the concept of the continuum of care to a group of students. Which of the following would the nurse include in this description?
- A. Care provided in episodic intervals
- B. System of care that focuses primarily on wellness
- C. A single organization as responsible for care delivery
- D. Integrated system spanning illness to wellness states
Correct Answer: D
Rationale: The continuum of care in mental health is an integrated system that provides comprehensive services across a range of settings, from acute care for severe illness to outpatient support for wellness, ensuring seamless care delivery.
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.
A nurse is reviewing information about the various types of outpatient mental health care programs. The nurse demonstrates understanding of these types when identifying which of the following as involved in providing the most intensive outpatient nursing care?
- A. Partial hospitalization programs
- B. Crisis intervention programs
- C. Outpatient detoxification programs
- D. Rehabilitation programs
Correct Answer: A
Rationale: Partial hospitalization programs provide the most intensive outpatient care, offering structured, daily therapeutic interventions for several hours, typically 5-7 days a week, for patients needing significant support.
A patient is referred to a psychosocial rehabilitation program. When explaining this type of care to the patient, the nurse would emphasize which of the following?
- A. Intensive treatment that prepares the patient to live in the community
- B. Services that promote the patient?s reintegration into the community
- C. Detoxification services for alcohol and drugs in an outpatient setting
- D. Frequent monitoring within a therapeutic milieu for relapse prevention
Correct Answer: B
Rationale: Psychosocial rehabilitation programs focus on promoting reintegration into the community through skill-building, social support, and vocational training, helping patients live independently.