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When working within the continuum of care, which of the following occurs first?
- A. Referral
- B. Transfer
- C. Assessment
- D. Discharge planning
Correct Answer: C
Rationale: Assessment is the first step in the continuum of care, as it determines the patient?s needs, guiding appropriate referrals, transfers, or discharge planning.
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A nurse is developing a community education program for a local women?s club on the topic of managed care in mental health. Which of the following would the nurse include as the main focus?
- A. Cost savings
- B. Consistent third-party reimbursement
- C. Improved access to less costly services
- D. Individualized care for additional inpatient stays
Correct Answer: C
Rationale: Managed care in mental health focuses on improving access to cost-effective services, such as outpatient care, to reduce reliance on expensive inpatient stays while maintaining quality care.
The nurse is employed by a long-term residential treatment center that provides care to a variety of patients with chronic mental disorders. Which role would the nurse primarily assume when working with these patients?
- A. Therapist
- B. Medication administrator
- C. Mediator
- D. Educator
Correct Answer: D
Rationale: In a long-term residential treatment center, the nurse primarily acts as an educator, teaching patients skills for self-management, coping, and community reintegration, while also supporting medication administration and other roles.
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.
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.
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.