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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.
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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.
The nurse is caring for a group of patients in a partial hospitalization program. The nurse would most likely be involved in which of the following activities?
- A. Facilitating a drug abuse prevention group
- B. Providing spiritual assessment and related interventions
- C. Teaching patients how to plan a menu and to shop for groceries
- D. Providing an educational group about the nutritional content of canned foods
Correct Answer: C
Rationale: In a partial hospitalization program, nurses often focus on teaching practical life skills, such as menu planning and grocery shopping, to support patients? independence and community reintegration.
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 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.
The nurse is working as part of the interdisciplinary staff of a psychiatric inpatient facility who are developing discharge plans for a patient who requires alternative housing arrangements. The patient will be referred to a personal care home. When explaining this housing arrangement to the patient, which of the following would the nurse include?
- A. You?ll be living with a family in their home, and the family will help supervise and support you.
- B. You?ll be living in an apartment with a roommate, and a staff member will come by to check on you.
- C. You?ll be living in a house with about 50 other people and receive 24-hour supervision and assistance.
- D. You?ll be living in a house with about six to 10 other people, and a health care attendant will provide 24-hour supervision.
Correct Answer: D
Rationale: A personal care home typically houses a small group (6-10 people) with mental health needs, providing 24-hour supervision by a health care attendant to support daily living and stability.