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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.
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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.
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.
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.
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.