NUR 239 TEST 1 | QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
1 of 74
Definition
Community-based rehabilitation; an "intentional community" based
on the belief that men and women with serious and persistent
psychiatric disability can and will achieve normal life goals when
given the opportunity, time, support, and fellowship.
1. Patients are stable
2. Attends routinely
3. Established living situation
Key Features for patient:
1. A place to come to
, 2.Meaningful work
3. Meaningful relationships
4.A place to return to (lifetime membership)
Give this one a try later!
Psychiatric Rehabilitation Clubhouse Model
Informed Consent Education Groups
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2 of 74
Term
Following the release of a seclusion or restraint:
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a Follow-up assessment is a mandatory evaluation session is
required within 7 days needed immediately
a DEBRIEFING session is a Review meeting is scheduled
required within 24 hours within 3 days
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3 of 74
,Term
Roles of a Nurse in the Therapeutic Relationship:
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Client Does Not Have To Be Hospitalized If He Or She Can Be Treated In An
Outpatient Setting Or A Group Home. If They Are Hospitalized They Must Be
Restraint Free Unless It Is Absolutely Necessary. Examples: Using Outpatient
Versus Inpatient Using The Least Sedating Medication Using The Least
Restrictive Restraint
Teacher
Caregiver
Advocate
Parent Surrogate
Participating In Therapy Sessions With A Group Of People.
ALL STAFF MUST BE PROPERLY TRAINED ON THEM. 1. Patient's Can Request
Seclusion If Too Much Stimulation. (temporarily) 2. Restraint Can Be Physical Or
Chemical 3. Seclusion Must Never Be Used For Convenience Of Staff,
Punishment Of Client, Patients Who Are Extremely Physically Or Mentally
Unstable, Cannot Tolerate Decreased Stimulation. ORDERS: 1. Must Have An
Order To Put Someone In Seclusion Or Restraints 2. Adults: New Order Every 4
Hours 3. Face To Face Evaluation By MD Within 1 Hour Of Restraint Or Seclusion
Start Time 4. Nurse Must Assess Patient Every 1 To 2 Hours For Adults 5. If
Restraint/seclusion Continues MD Must Reassess Every 8 Hours. 6. Nurse Must
Assess Skin, RR, Circulation & Offer Fluids, Bathroom Break And Document Every
2 Hours 7. Staff Must Monitor Client On A 1:1 Basis For Duration Of
Restraint/seclusion Period
Don't know?
, 4 of 74
Definition
Client does not have to be hospitalized if he or she can be treated in
an outpatient setting or a group home. If they are hospitalized they
must be restraint free unless it is absolutely necessary.
Examples:
Using outpatient versus inpatient
Using the least sedating medication
Using the least restrictive restraint
Give this one a try later!
Free and appropriate
public education (fape) Restraint
Least Restrictive Free and appropriate education
Environment (LRE) (fape)
Don't know?
5 of 74
Definition
Benefits after long hospitalization.
Ex. Halfway house
Features:
1. Peer support & Bridging staff
UPDATE | WITH COMPLETE SOLUTION
1 of 74
Definition
Community-based rehabilitation; an "intentional community" based
on the belief that men and women with serious and persistent
psychiatric disability can and will achieve normal life goals when
given the opportunity, time, support, and fellowship.
1. Patients are stable
2. Attends routinely
3. Established living situation
Key Features for patient:
1. A place to come to
, 2.Meaningful work
3. Meaningful relationships
4.A place to return to (lifetime membership)
Give this one a try later!
Psychiatric Rehabilitation Clubhouse Model
Informed Consent Education Groups
Don't know?
2 of 74
Term
Following the release of a seclusion or restraint:
Give this one a try later!
a Follow-up assessment is a mandatory evaluation session is
required within 7 days needed immediately
a DEBRIEFING session is a Review meeting is scheduled
required within 24 hours within 3 days
Don't know?
3 of 74
,Term
Roles of a Nurse in the Therapeutic Relationship:
Give this one a try later!
Client Does Not Have To Be Hospitalized If He Or She Can Be Treated In An
Outpatient Setting Or A Group Home. If They Are Hospitalized They Must Be
Restraint Free Unless It Is Absolutely Necessary. Examples: Using Outpatient
Versus Inpatient Using The Least Sedating Medication Using The Least
Restrictive Restraint
Teacher
Caregiver
Advocate
Parent Surrogate
Participating In Therapy Sessions With A Group Of People.
ALL STAFF MUST BE PROPERLY TRAINED ON THEM. 1. Patient's Can Request
Seclusion If Too Much Stimulation. (temporarily) 2. Restraint Can Be Physical Or
Chemical 3. Seclusion Must Never Be Used For Convenience Of Staff,
Punishment Of Client, Patients Who Are Extremely Physically Or Mentally
Unstable, Cannot Tolerate Decreased Stimulation. ORDERS: 1. Must Have An
Order To Put Someone In Seclusion Or Restraints 2. Adults: New Order Every 4
Hours 3. Face To Face Evaluation By MD Within 1 Hour Of Restraint Or Seclusion
Start Time 4. Nurse Must Assess Patient Every 1 To 2 Hours For Adults 5. If
Restraint/seclusion Continues MD Must Reassess Every 8 Hours. 6. Nurse Must
Assess Skin, RR, Circulation & Offer Fluids, Bathroom Break And Document Every
2 Hours 7. Staff Must Monitor Client On A 1:1 Basis For Duration Of
Restraint/seclusion Period
Don't know?
, 4 of 74
Definition
Client does not have to be hospitalized if he or she can be treated in
an outpatient setting or a group home. If they are hospitalized they
must be restraint free unless it is absolutely necessary.
Examples:
Using outpatient versus inpatient
Using the least sedating medication
Using the least restrictive restraint
Give this one a try later!
Free and appropriate
public education (fape) Restraint
Least Restrictive Free and appropriate education
Environment (LRE) (fape)
Don't know?
5 of 74
Definition
Benefits after long hospitalization.
Ex. Halfway house
Features:
1. Peer support & Bridging staff
