Chapter 02 Current Mental Health Care Systems

Chapter 02 Current Mental Health Care Systems/ 1. Because mental health care is not covered in Australia under the basic health plan, which citizens are more likely to receive mental health care? a. Wealthy b. Homeless c. Disabled d. Low-income ANS: A Wealthy citizens, as well as those with private insurance, are more likely to receive mental health care in Australia because they are better able to afford the care than are homeless, disabled, or low-income citizens on the basic health plan with no mental health care coverage. PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 1 TOP: Mental Health Care in Australia KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 2. Mental health care is available under the universal health care system in Britain, which is funded primarily by: a. Employers b. Private donations c. Small businesses d. Tax revenues ANS: D Tax revenues are the primary funding source for Britain’s universal health care system. All aspects of health care, except for eye care and limited dental care, are covered under the standard benefit package for citizens of Britain. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: 1 TOP: Mental Health Care in Britain KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 3. The model views clients holistically with the goal of creating a support system designed to encourage independence in the client with a mental health disorder. a. Community support systems b. Case management c. Multidisciplinary health care team d. Client population ANS: A The community support systems (CSS) model works by coordinating social, medical, and psychiatric services. Case management refers to individual management of clients and takes into consideration psychosocial rehabilitation, consults, referrals, therapy, and crisis intervention. A multidisciplinary health care team is made up of all of the professionals who work within a mental health care system, and client population simply refers to individuals who may potentially seek mental health care. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 12 OBJ: 3 TOP: Outpatient Care KEY: Nursing Process Step: Assessment MSC: Client Needs: Psychosocial Integrity 4. The home mental health nurse visits a female client to assess her ability to care for herself at home after discharge from an inpatient setting. Which component of the case management system does this demonstrate? a. Consultation b. Crisis intervention c. Resource linkage d. Psychosocial rehabilitation ANS: D Psychosocial rehabilitation assists clients in gaining independence in activities of daily living to the best of their individual capabilities. Consultation refers to assistance obtained from specialists, such as a psychiatrist; crisis intervention refers to care provided during a crisis event; and resource linkage indicates referral to community resources. PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 14 OBJ: 5 TOP: Case Management Systems KEY: Nursing Process Step: InNteUrvRenStiIonNGMTSBC.: ClOieMnt Needs: Health Promotion and Maintenance 5. A client with a severe, treatment-resistant mental illness has been assigned to an assertive community treatment (ACT) team. An ACT treatment strategy that helps to prevent recurrent hospitalizations for mental health reasons is to meet with the client in the community setting: a. Once per week b. Two to four times per week c. Five to six times per week d. Seven to eight times per week ANS: B The continuous care team that meets with a client two to four times per week has been found to be effective in directing the client’s treatment on a more continuous basis, resulting in greater stability for the client who is living in the community with the help of appropriate systems. PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 15 OBJ: 5 TOP: Case Management Systems KEY: Nursing Process Step: Intervention MSC: Client Needs: Safe and Effective Care Environment 6. Which member of the multidisciplinary mental health care team is primarily responsible for evaluating the family of the client, as well as the environmental and social surroundings of the client, and plays a major role in the admission of new clients? a. Psychiatric nurse b. Clinical psychologist c. Psychiatrist d. Psychiatric social worker ANS: D These are the primary responsibilities of the psychiatric social worker. The psychiatric nurse’s primary responsibilities include assisting with the client’s activities of daily living and managing individual, family, and group psychotherapy. The clinical psychologist is involved in the planning of treatment and diagnostic processes, and the psychiatrist is the leader of the team.