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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.
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A nurse is reviewing information about the various types of outpatient mental health care programs. The nurse demonstrates understanding of these types when identifying which of the following as involved in providing the most intensive outpatient nursing care?
- A. Partial hospitalization programs
- B. Crisis intervention programs
- C. Outpatient detoxification programs
- D. Rehabilitation programs
Correct Answer: A
Rationale: Partial hospitalization programs provide the most intensive outpatient care, offering structured, daily therapeutic interventions for several hours, typically 5-7 days a week, for patients needing significant support.
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 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.
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.
A patient has threatened to kill his wife, and it is not anticipated that this crisis will resolve itself. The patient is to be admitted to an inpatient psychiatric unit on an involuntary basis. When explaining to the family about this plan, the nurse would identify which of the following as the focus of care?
- A. Long-term therapy
- B. Rehabilitative services
- C. Acute symptom stabilization
- D. 24-hour supervision
Correct Answer: C
Rationale: Inpatient psychiatric care for a patient with acute threats focuses on stabilizing symptoms to ensure safety, addressing immediate risks such as homicidal ideation before transitioning to longer-term care.