Nokea
The nurse is working as part of the interdisciplinary staff of a psychiatric inpatient facility who are developing discharge plans for a patient who requires alternative housing arrangements. The patient will be referred to a personal care home. When explaining this housing arrangement to the patient, which of the following would the nurse include?
- A. You?ll be living with a family in their home, and the family will help supervise and support you.
- B. You?ll be living in an apartment with a roommate, and a staff member will come by to check on you.
- C. You?ll be living in a house with about 50 other people and receive 24-hour supervision and assistance.
- D. You?ll be living in a house with about six to 10 other people, and a health care attendant will provide 24-hour supervision.
Correct Answer: D
Rationale: A personal care home typically houses a small group (6-10 people) with mental health needs, providing 24-hour supervision by a health care attendant to support daily living and stability.
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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.
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 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 nurse is providing in-home mental health care and determines that the care was effective when the patient demonstrated which of the following?
- A. A need for continued intensive monitoring in the home
- B. A need for crisis intervention services on an ongoing basis
- C. A decrease in admission frequency to inpatient psychiatric hospitals
- D. A dependence on parents to participate in the patient?s care
Correct Answer: C
Rationale: Effective in-home mental health care is evidenced by a patient?s increased stability, resulting in fewer inpatient psychiatric admissions, indicating improved self-management and reduced acute crises.
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.