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A patient is being transferred from a group home to an evolving consumer household. The goal of this transition is for the patient to eventually
- A. Meet with a therapist on a weekly basis.
- B. Resolve crises within a shorter time period.
- C. Fulfill daily responsibilities without supervision.
- D. No longer need medication.
Correct Answer: C
Rationale: Evolving consumer households aim for clients to achieve independence in daily responsibilities. Therapy, crisis resolution, and medication cessation are not primary goals of this transition.
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Some residential treatment settings are transitional. This means that clients are eventually expected to
- A. Become self-sufficient.
- B. Find employment.
- C. No longer need medication.
- D. Relocate to another setting.
Correct Answer: D
Rationale: Transitional housing is temporary, with clients expected to move to another setting, not necessarily to achieve self-sufficiency, employment, or medication cessation.
A patient is encouraged to join in daily outdoor games with peers on the unit. The interdisciplinary team member who will monitor the patient's involvement will be the
- A. Occupational therapist.
- B. Recreation therapist.
- C. Vocational rehabilitation therapist.
- D. Psychiatric nurse.
Correct Answer: B
Rationale: The recreation therapist oversees activities like outdoor games to promote leisure and balance, distinct from the roles of occupational, vocational, or psychiatric nursing.
Which of the following are advantages of a crisis resolution team or home treatment team?
- A. It is a residential treatment setting.
- B. It is more likely to help a client to perceive his or her situation more accurately.
- C. It is designed to assist clients in dealing with mental health crises without hospitalization.
- D. The client may feel better about asking for help.
- E. The client must meet multiple criteria to receive this type of care.
Correct Answer: B,C,D
Rationale: Crisis resolution teams help clients accurately perceive crises, encourage help-seeking, and avoid hospitalization, offering non-residential, accessible support.
A patient has just been referred to a psychosocial rehabilitation program. The nurse explains that the benefits of being involved in such a program include.
- A. Continuous monitoring of symptoms.
- B. Increased independence.
- C. Increased involvement in treatment decisions.
- D. Recovery from mental illness.
- E. Increased community integration.
- F. Greater opportunities for personal growth.
Correct Answer: B,C,D,E,F
Rationale: Psychosocial rehabilitation promotes recovery, independence, community integration, treatment involvement, and personal growth, not continuous symptom monitoring.
Which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?
- A. Progress in treatment options for mentally ill persons
- B. The growth of managed care
- C. Less stigma associated with mental illness
- D. The current use of milieu therapy
Correct Answer: B
Rationale: Managed care introduced cost-control measures like recertification, utilization review, and case management, significantly altering inpatient treatment. While treatment options and stigma have evolved, they are not the primary drivers. Milieu therapy, common in the 1980s, required longer stays and is less relevant today.