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.
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A patient has just begun daily participation in a community-based partial hospitalization program. The patient can expect the staff to assist with which of the following treatment goals?
- A. Stabilizing psychiatric symptoms
- B. Finding a better job
- C. Improving activities of daily living
- D. Learning to structure time
- E. Improved family support
- F. Developing social skills
Correct Answer: A,C,D,F
Rationale: Partial hospitalization programs focus on stabilizing symptoms, improving daily living skills, structuring time, and developing social skills to support transition to independent living.
Which type of community residential treatment setting is most likely to be permanent in any state?
- A. Halfway house
- B. Respite housing
- C. Independent living programs
- D. Evolving consumer household
Correct Answer: D
Rationale: Evolving consumer households provide permanent living arrangements, eliminating relocation needs. Halfway houses and respite housing are temporary, and independent living programs vary in permanence and services.
Which is the orientation of assertive community treatment (ACT)?
- A. Setting limits on mundane life issues
- B. Making a wide range of referrals
- C. Providing services in offices
- D. Problem-solving orientation
Correct Answer: D
Rationale: ACT adopts a problem-solving orientation, delivering direct services in clients' homes or communities, not through referrals or office-based care.
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 nurse documents that a patient has successfully acquired a job performing janitorial services at a local manufacturing company. The goal of which of the following levels of prevention has been achieved?
- A. Primary prevention
- B. Secondary prevention
- C. Tertiary prevention
- D. Community prevention
Correct Answer: C
Rationale: Tertiary prevention involves rehabilitation and reintegration, such as helping a patient secure employment, to support recovery and reduce relapse.
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