Nokea
A patient with bipolar disorder has a long history of both hospitalizations and incarcerations. The patient has no permanent residence and has infrequent contact with his family. Upon admission to the inpatient psychiatric unit for stabilization, the nurse documents all of the following in the record. Which of the following data most suggests a positive outcome for this patient?
- A. Reporting meeting with the same case manager monthly for the last 3 years
- B. History of residential stays at several local homeless shelters
- C. Last contact with siblings 4 years ago
- D. Income from day labor for 10 days last month
Correct Answer: A
Rationale: Consistent case manager contact indicates stable support, a positive factor for outcomes, unlike transient shelter stays, family disconnection, or inconsistent income.
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Which of the following are core skill areas that are needed of any effective team member of an interdisciplinary team?
- A. Interpersonal skills
- B. Teamwork skills
- C. Communication skills
- D. The ability to work independently
- E. Risk assessment and risk management skills
Correct Answer: A,B,C,E
Rationale: Effective interdisciplinary team members need interpersonal, teamwork, communication, and risk assessment skills to collaborate and support clients, not independent work.
A nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. The goal of which of the following levels of prevention has been achieved?
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Community prevention
Correct Answer: C
Rationale: Tertiary prevention involves rehabilitation and reintegration, such as helping a patient secure employment, to support recovery and reduce relapse.
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.
A patient has been started on antidepressants. The interdisciplinary team member most responsible for monitoring effectiveness and side effects of this new medication is the
- A. Pharmacist.
- B. Psychiatrist.
- C. Psychiatric nurse.
- D. Psychologist.
Correct Answer: C
Rationale: The psychiatric nurse monitors medication effectiveness and side effects due to frequent patient interaction, unlike pharmacists, psychiatrists, or psychologists who have different primary roles.
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.