Nokea
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.
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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.
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.
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.
The primary advantage of an evolving consumer household is that clients
- A. Are provided with adequate income to combat poverty.
- B. Do not have to relocate as they become more independent.
- C. Have on-site staff supervision 24 hours a day.
- D. Receive on-site medical care.
Correct Answer: B
Rationale: Evolving consumer households offer permanent living, eliminating the need for relocation as clients gain independence. They do not inherently provide income, 24-hour supervision, or on-site medical care.
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.