01 Ch 4 Treatment Settings And Therapeutic
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Programs Exam Questions With Verified d d d d d
Answers
Which client may be the most appropriate candidate for telepsychiatry? -
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A client whose depression does not warrant inpatient or outpatient care but who is
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motivated to maintain the client's health d d d d d
The nurse is caring for a group of clients in a residential treatment facility. While the
d d d d d d d d d d d d d d d d
intensive outpatient programs promote education in the areas of stress management and
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relapse prevention, the residential treatment facility emphasizes what? -
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Ensuring a sustainable living situation
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A client's living environment affects his or her level of functioning, rate of
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reinstitutionalization, and duration of the remaining time in the community setting. Finding a d d d d d d d d d d d d d
quality living situation requires ensuring sustainability of the placement as this minimizes the
d d d d d d d d d d d d d
possibility of future hospitalization due to decompensation of mental status.
d d d d d d d d d
Initiatives that strive to strengthen links between primary care and specialized mental health
d d d d d d d d d d d d d
services refer to ... - d d d d d
collaborative mental health care.
d d d d d d d d d d d d d
Which type of care provides periodic relief to caregivers of a mentally ill client? -
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Respite residential care
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Sometimes family members of a person with mental illness who lives at home may be unable
d d d d d d d d d d d d d d d d
to provide care continuously. In such cases, respite residential care can provide short-term,
d d d d d d d d d d d d d
necessary housing for the client and provide periodic relief for the caregivers.
d d d d d d d d d d d
Which is the most restrictive setting in the continuum? -
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Acute inpatient hospitalization
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Of the settings listed, acute inpatient hospitalization involves the most intensive treatment
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and is considered the most restrictive setting in the continuum. Inpatient treatment is reserved
d d d d d d d d d d d d d
dfor acutely ill clients who, because of a mental illness, meet one or more of three criteria: (1)
d d d d d d d d d d d d d d d d d d
high risk for harming themselves, (2) high risk for harming others, or (3) unable to care for
d d d d d d d d d d d d d d d d d
their basic needs. d d
A psychiatric client's nurse case manager best explains to the family that case management
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will facilitate the client's transition back into the community by providing which services? -
d d d d d d d d d d d d d d
Identifying and meeting the client's health and human service needs
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Case management is a collaborative process that assesses, plans, implements, coordinates,
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monitors, and evaluates the options and services required to meet an individual client's health
d d d d d d d d d d d d d d
and human service needs.
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Which best defines a community support system in relation to mental illness? -
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1|Page
, A network that helps to meet the needs of people with mental illness and to realize their
d d d d d d d d d d d d d d d d d d d d d d d d d d
d potential without unnecessary isolation d d d
A community support system is a network of people committed to helping a vulnerable
d d d d d d d d d d d d d d
population meet its needs and reach its potentials without unnecessary isolation or exclusion.
d d d d d d d d d d d d
A nurse has transferred recently to a forensic practice setting from an acute care medical
d d d d d d d d d d d d d d d
setting. During the orientation period, the nurse's mentor helps the nurse learn the culture of a
d d d d d d d d d d d d d d d d
forensic setting. The nurse learns to be alert to one of the most dominant barriers to building a
d d d d d d d d d d d d d d d d d
dtherapeutic relationship with forensic clients. What is this barrier? -
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Clients commonly struggle with trusting others.
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Recurring themes of power and control, negotiation, and trust building dominate therapeutic
d d d d d d d d d d d d
interventions in this setting; clients have, in varying degrees, learned to adapt to an
d d d d d d d d d d d d d d
environment that rewards distrust, manipulation, and deceit. The criminal history, frequent
d d d d d d d d d d d
diagnoses of antisocial and borderline personality disorder, and aggressive interpersonal style
d d d d d d d d d d d
of many forensic clients can evoke strong emotional responses, and countertransference and
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splitting reactions are common. d d d
Which client is suitable for psychiatric transitional care services? -
d d d d d d d d d d
An individual being discharged from hospital with residual symptoms of mania
d d d d d d d d d d d d d d d d d d d d
A homebound individual with bipolar illness who is having subacute symptoms would be the
d d d d d d d d d d d d d d
perfect candidate for home care services. The paralyzed veteran, the adolescent who took an
d d d d d d d d d d d d d d
overdose, and the schizophrenic woman under the freeway should receive home care due to
d d d d d d d d d d d d d d
the acuity of their situations.
d d d d
The parents of a client with a mental illness being cared for at home tell the nurse that they
d d d d d d d d d d d d d d d d d d d
have been feeling overwhelmed lately. They say, "We need to get away for a few days to
d d d d d d d d d d d d d d d d d
recharge ourselves." Which care setting should the nurse recommend? -
d d d d d d d d d d
Respite residential care
d d d d d d d d d d d d
Which goal for an individual client is consistent with the overall objectives of community
d d d d d d d d d d d d d d
support service programs? - d d d d
The client's functional ability will improve.
d d d d d d d d d d d d d d d
The goal of community support service programs is to enable those with severe mental illness
d d d d d d d d d d d d d d
to remain in the community and function as independently as possible.
d d d d d d d d d d d
The nurse works for a psychiatric-mental health facility that utilizes traditional milieu
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therapy. Which stage of milieu therapy allows for control and limitation of maladaptive
d d d d d d d d d d d d d
behaviors including yelling and screaming? - d d d d d d
Structure
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Quality of case management is measured by outcomes that result from what? -
d d d d d d d d d d d d d
Level of functioning
d d d d d d d d d d d d
A nursing instructor is teaching a class about transitional psychiatric care. The instructor
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determines that additional education is needed when the class identifies which client as
d d d d d d d d d d d d d
appropriate for this care? - d d d d d
2|Page
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Programs Exam Questions With Verified d d d d d
Answers
Which client may be the most appropriate candidate for telepsychiatry? -
d d d d d d d d d d d
A client whose depression does not warrant inpatient or outpatient care but who is
d d d d d d d d d d d d d d d d d d d d d d d d
motivated to maintain the client's health d d d d d
The nurse is caring for a group of clients in a residential treatment facility. While the
d d d d d d d d d d d d d d d d
intensive outpatient programs promote education in the areas of stress management and
d d d d d d d d d d d d
relapse prevention, the residential treatment facility emphasizes what? -
d d d d d d d d d
Ensuring a sustainable living situation
d d d d d d d d d d d d d d
A client's living environment affects his or her level of functioning, rate of
d d d d d d d d d d d d d
reinstitutionalization, and duration of the remaining time in the community setting. Finding a d d d d d d d d d d d d d
quality living situation requires ensuring sustainability of the placement as this minimizes the
d d d d d d d d d d d d d
possibility of future hospitalization due to decompensation of mental status.
d d d d d d d d d
Initiatives that strive to strengthen links between primary care and specialized mental health
d d d d d d d d d d d d d
services refer to ... - d d d d d
collaborative mental health care.
d d d d d d d d d d d d d
Which type of care provides periodic relief to caregivers of a mentally ill client? -
d d d d d d d d d d d d d d d
Respite residential care
d d d d d d d d d d d d
Sometimes family members of a person with mental illness who lives at home may be unable
d d d d d d d d d d d d d d d d
to provide care continuously. In such cases, respite residential care can provide short-term,
d d d d d d d d d d d d d
necessary housing for the client and provide periodic relief for the caregivers.
d d d d d d d d d d d
Which is the most restrictive setting in the continuum? -
d d d d d d d d d d
Acute inpatient hospitalization
d d d d d d d d d d d d
Of the settings listed, acute inpatient hospitalization involves the most intensive treatment
d d d d d d d d d d d d
and is considered the most restrictive setting in the continuum. Inpatient treatment is reserved
d d d d d d d d d d d d d
dfor acutely ill clients who, because of a mental illness, meet one or more of three criteria: (1)
d d d d d d d d d d d d d d d d d d
high risk for harming themselves, (2) high risk for harming others, or (3) unable to care for
d d d d d d d d d d d d d d d d d
their basic needs. d d
A psychiatric client's nurse case manager best explains to the family that case management
d d d d d d d d d d d d d d
will facilitate the client's transition back into the community by providing which services? -
d d d d d d d d d d d d d d
Identifying and meeting the client's health and human service needs
d d d d d d d d d d d d d d d d d d d
Case management is a collaborative process that assesses, plans, implements, coordinates,
d d d d d d d d d d d
monitors, and evaluates the options and services required to meet an individual client's health
d d d d d d d d d d d d d d
and human service needs.
d d d
Which best defines a community support system in relation to mental illness? -
d d d d d d d d d d d d d
1|Page
, A network that helps to meet the needs of people with mental illness and to realize their
d d d d d d d d d d d d d d d d d d d d d d d d d d
d potential without unnecessary isolation d d d
A community support system is a network of people committed to helping a vulnerable
d d d d d d d d d d d d d d
population meet its needs and reach its potentials without unnecessary isolation or exclusion.
d d d d d d d d d d d d
A nurse has transferred recently to a forensic practice setting from an acute care medical
d d d d d d d d d d d d d d d
setting. During the orientation period, the nurse's mentor helps the nurse learn the culture of a
d d d d d d d d d d d d d d d d
forensic setting. The nurse learns to be alert to one of the most dominant barriers to building a
d d d d d d d d d d d d d d d d d
dtherapeutic relationship with forensic clients. What is this barrier? -
d d d d d d d d d d
Clients commonly struggle with trusting others.
d d d d d d d d d d d d d d d
Recurring themes of power and control, negotiation, and trust building dominate therapeutic
d d d d d d d d d d d d
interventions in this setting; clients have, in varying degrees, learned to adapt to an
d d d d d d d d d d d d d d
environment that rewards distrust, manipulation, and deceit. The criminal history, frequent
d d d d d d d d d d d
diagnoses of antisocial and borderline personality disorder, and aggressive interpersonal style
d d d d d d d d d d d
of many forensic clients can evoke strong emotional responses, and countertransference and
d d d d d d d d d d d d
splitting reactions are common. d d d
Which client is suitable for psychiatric transitional care services? -
d d d d d d d d d d
An individual being discharged from hospital with residual symptoms of mania
d d d d d d d d d d d d d d d d d d d d
A homebound individual with bipolar illness who is having subacute symptoms would be the
d d d d d d d d d d d d d d
perfect candidate for home care services. The paralyzed veteran, the adolescent who took an
d d d d d d d d d d d d d d
overdose, and the schizophrenic woman under the freeway should receive home care due to
d d d d d d d d d d d d d d
the acuity of their situations.
d d d d
The parents of a client with a mental illness being cared for at home tell the nurse that they
d d d d d d d d d d d d d d d d d d d
have been feeling overwhelmed lately. They say, "We need to get away for a few days to
d d d d d d d d d d d d d d d d d
recharge ourselves." Which care setting should the nurse recommend? -
d d d d d d d d d d
Respite residential care
d d d d d d d d d d d d
Which goal for an individual client is consistent with the overall objectives of community
d d d d d d d d d d d d d d
support service programs? - d d d d
The client's functional ability will improve.
d d d d d d d d d d d d d d d
The goal of community support service programs is to enable those with severe mental illness
d d d d d d d d d d d d d d
to remain in the community and function as independently as possible.
d d d d d d d d d d d
The nurse works for a psychiatric-mental health facility that utilizes traditional milieu
d d d d d d d d d d d d
therapy. Which stage of milieu therapy allows for control and limitation of maladaptive
d d d d d d d d d d d d d
behaviors including yelling and screaming? - d d d d d d
Structure
d d d d d d d d d d
Quality of case management is measured by outcomes that result from what? -
d d d d d d d d d d d d d
Level of functioning
d d d d d d d d d d d d
A nursing instructor is teaching a class about transitional psychiatric care. The instructor
d d d d d d d d d d d d d
determines that additional education is needed when the class identifies which client as
d d d d d d d d d d d d d
appropriate for this care? - d d d d d
2|Page
