Nokea
Discharge planning from inpatient care for people with severe mental illness must address which of the following to be effective?
- A. Finding housing for the client
- B. Finding a job for the client
- C. Finding transportation for the client
- D. Improving family support
- E. Identifying ideal recreational activities
Correct Answer: A,C
Rationale: Effective discharge planning focuses on environmental supports like housing and transportation to ensure community reintegration. Jobs, family support, and recreational activities are less critical at discharge.
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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.
Which element would be present in an assertive community treatment (ACT) program?
- A. 24-hour-a-day services
- B. Infrequent contact with clients
- C. Many clients to each staff member
- D. Limited length of service
Correct Answer: A
Rationale: ACT provides 24-hour, intensive, ongoing support in clients' communities, with low client-to-staff ratios and unlimited service duration.
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.
A psychiatric nurse is planning activities aimed at secondary prevention of mental illness. Which activity would be most appropriate to develop?
- A. Self-esteem building with a local after-school program
- B. Social skills training for chronic schizophrenics
- C. Parenthood classes at a local community center
- D. Depression screening in an assisted living facility
Correct Answer: D
Rationale: Secondary prevention involves early identification of mental health issues, such as depression screening, to intervene before conditions worsen.
The primary advantage of an evolving consumer household is that clients
- A. Are provided with adequate income to combat poverty.
- B. Do not have to relocate as they become more independent.
- C. Have on-site staff supervision 24 hours a day.
- D. Receive on-site medical care.
Correct Answer: B
Rationale: Evolving consumer households offer permanent living, eliminating the need for relocation as clients gain independence. They do not inherently provide income, 24-hour supervision, or on-site medical care.