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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.
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Which element would be present in an assertive community treatment (ACT) program?
- A. 24-hour-a-day services
- B. Infrequent contact with clients
- C. Many clients to each staff member
- D. Limited length of service
Correct Answer: A
Rationale: ACT provides 24-hour, intensive, ongoing support in clients' communities, with low client-to-staff ratios and unlimited service duration.
Some residential treatment settings are transitional. This means that clients are eventually expected to
- A. Become self-sufficient.
- B. Find employment.
- C. No longer need medication.
- D. Relocate to another setting.
Correct Answer: D
Rationale: Transitional housing is temporary, with clients expected to move to another setting, not necessarily to achieve self-sufficiency, employment, or medication cessation.
A nurse is orienting to a new position working the infirmary in the state penitentiary. When working with prisoners who are also mentally ill, the nurse examines her own attitudes. Which of the following beliefs should the nurse discuss with her supervisor before caring for incarcerated patients?
- A. People with mental illness are inherently violent.
- B. The mentally ill can get better treatment in prison than in the community.
- C. People with mental illness are more vulnerable to victimization when incarcerated.
- D. Many mentally ill would not be in prison if they were stabilized on medication.
Correct Answer: A
Rationale: The belief that mentally ill individuals are inherently violent is a stereotype that needs addressing, as most are not significantly dangerous, unlike the other beliefs which align with evidence.
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.
A patient with bipolar disorder taking lithium returns from a walk outside and reports feeling shaky and dizzy. The nurse suspects the patient is experiencing a toxic reaction to the lithium and immediately notifies the
- A. Psychiatrist.
- B. Psychologist.
- C. Nurse manager.
- D. Recreation therapist.
Correct Answer: A
Rationale: The psychiatrist, responsible for prescribing and managing medications, must be notified for suspected lithium toxicity, a medical emergency.