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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.
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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.
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.
A nursing instructor is explaining the concept of the continuum of care to a group of students. Which of the following would the nurse include in this description?
- A. Care provided in episodic intervals
- B. System of care that focuses primarily on wellness
- C. A single organization as responsible for care delivery
- D. Integrated system spanning illness to wellness states
Correct Answer: D
Rationale: The continuum of care in mental health is an integrated system that provides comprehensive services across a range of settings, from acute care for severe illness to outpatient support for wellness, ensuring seamless care delivery.
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.
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.