Nokea
A patient with a psychiatric disorder is considering joining a clubhouse with other patients who have mental disorders. The patient asks the nurse to explain what services the clubhouses provide. Which response by the nurse would be most accurate?
- A. They are open 24 hours a day to provide care and support for the clubhouse members.
- B. They are run entirely by psychiatric mental health nurses.
- C. Their primary focus is on providing ongoing intensive psychotherapy for patients in a group setting.
- D. They are predominately run by psychiatric patients with minimal assistance from mental health staff.
Correct Answer: D
Rationale: Clubhouses are member-driven programs where individuals with mental disorders manage operations with minimal staff support, focusing on social, vocational, and community integration rather than intensive psychotherapy.
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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.
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.
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.
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 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.