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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.
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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.
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.
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 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.