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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.
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The parents of a young adult diagnosed with schizophrenia are providing care for the patient in their home. During a home visit, the parents state, It?s been so difficult taking care of our son. We need a break. But he needs constant supervision. Which of the following would be appropriate for the nurse to suggest?
- A. Partial hospitalization
- B. Acute inpatient care
- C. Respite residential care
- D. Intensive outpatient program
Correct Answer: C
Rationale: Respite residential care provides temporary relief for caregivers by offering short-term, supervised residential care for patients requiring constant supervision, allowing families a break while ensuring safety.
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.
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.
A patient who has attempted suicide with a drug overdose has been released from an inpatient setting and has returned to school. The patient continues to need routine psychiatric services. The nurse anticipates that this patient will most likely be referred to which of the following?
- A. Partial hospitalization program
- B. In-home mental health care
- C. Intensive outpatient program
- D. Crisis center in the community
Correct Answer: C
Rationale: An intensive outpatient program is appropriate for a patient needing routine psychiatric services post-inpatient care, offering structured therapy several times a week while allowing the patient to maintain daily activities like school.
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.