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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.
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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 of the following are advantages of a crisis resolution team or home treatment team?
- A. It is a residential treatment setting.
- B. It is more likely to help a client to perceive his or her situation more accurately.
- C. It is designed to assist clients in dealing with mental health crises without hospitalization.
- D. The client may feel better about asking for help.
- E. The client must meet multiple criteria to receive this type of care.
Correct Answer: B,C,D
Rationale: Crisis resolution teams help clients accurately perceive crises, encourage help-seeking, and avoid hospitalization, offering non-residential, accessible support.
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.
What is an important role of the nurse with regard to residents opposing plans to establish a group home or residential facility in their neighborhood?
- A. To provide information to correct misinformation related to stereotypes of persons with mental illnesses
- B. To persuade neighborhood residents that mentally ill people need safe, affordable, and desirable housing
- C. To provide for the safety and security of the neighborhood
- D. To ensure the security of persons in the group home
Correct Answer: A
Rationale: Nurses advocate by educating communities to dispel stereotypes about mental illness, addressing fears about violence or property values. Persuasion, neighborhood safety, and group home security are not primary nursing roles.
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.