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The factor having the most influence on the current trend in treatment settings is the fact in recent years,
- A. Funding for community programs has been inadequate.
- B. Laws have enabled more people to be committed to treatment.
- C. State hospitals have expanded to meet the demand.
- D. Community programs have been fully developed to meet treatment needs.
Correct Answer: A
Rationale: Inadequate funding for community programs has limited their ability to replace state hospital care, driving trends toward community-based treatment. Commitment laws led to deinstitutionalization, state hospitals have not expanded, and community programs are not fully developed.
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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.
The priority of inpatient care for people with severe mental illness is
- A. Family issues.
- B. Insight into illness.
- C. Social skills.
- D. Symptom management.
Correct Answer: D
Rationale: Inpatient care prioritizes rapid assessment, symptom stabilization, and discharge planning for severe mental illness. Family issues, insight, and social skills are secondary to managing acute symptoms.
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.
What are the two essential components of transitional care discharge model that is used in Canada and Scotland?
- A. Peer support and bridging staff
- B. Collaboration and funding
- C. Relapse and hospitalization
- D. Poverty and entitlements
Correct Answer: A
Rationale: The transitional care model relies on peer support from community-living consumers and bridging staff to maintain therapeutic relationships during the transition. Collaboration and funding are supportive but not the core components.
The primary goal of a psychiatric rehabilitation program is to promote
- A. Return to prior level of functioning.
- B. Medication compliance.
- C. Complete recovery from mental illness.
- D. Stabilization and management of symptoms.
Correct Answer: C
Rationale: Psychiatric rehabilitation aims for recovery, personal growth, and community reintegration, beyond just symptom management or medication compliance.