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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 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.
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.
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 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.
A nurse who is working as part of an interdisciplinary team is looking at potential outpatient services for a patient. The patient requires a setting that provides a program of about 4 hours per day, three times per week with a 24-hour crisis and consultation service. The nurse would identify which of the following as appropriate?
- A. Primary care setting
- B. Ambulatory level one
- C. Ambulatory level two
- D. Multimodal outpatient setting
Correct Answer: C
Rationale: Ambulatory level two programs provide structured outpatient care, typically 3-4 hours per day, several days a week, with 24-hour crisis and consultation services, suitable for patients needing moderate support.