Nokea
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.
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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.
Which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?
- A. Progress in treatment options for mentally ill persons
- B. The growth of managed care
- C. Less stigma associated with mental illness
- D. The current use of milieu therapy
Correct Answer: B
Rationale: Managed care introduced cost-control measures like recertification, utilization review, and case management, significantly altering inpatient treatment. While treatment options and stigma have evolved, they are not the primary drivers. Milieu therapy, common in the 1980s, required longer stays and is less relevant today.
Which type of psychiatric rehabilitation relies on intentional communities and rehabilitation alliances?
- A. Clubhouse model
- B. Assertive community treatment
- C. Group homes
- D. Respite housing
Correct Answer: A
Rationale: The clubhouse model emphasizes intentional communities and alliances for rehabilitation, unlike ACT's problem-solving focus or group homes and respite housing's residential focus.
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.
A nurse is meeting with the city council to advocate for mentally ill persons and the establishment of a group home in a neighborhood where the plans have been strongly opposed. The nurse can effectively educate the public on the realities of group home by citing research that indicates
- A. Property values quickly rebound in neighborhoods that have group homes.
- B. Police surveillance will be increased to avert any violence by residents.
- C. Most people with mental illness do not represent a significant danger to others.
- D. Neighborhoods that provide park areas provide children a centralized and safe place to play.
Correct Answer: C
Rationale: Research shows most mentally ill individuals are not dangerous, countering community stereotypes about group homes, which is more relevant than property values or unrelated park areas.