PSYCHIATRIC-MENTAL HEALTH NURSING 9TH EDITION

A client with the inability to work due to relapsing schizophrenia is receiving Social Security Benefits. Which benefit will this provide to the client experiencing serious mental illness? A. The client will be able to maintain some level of independence financially. B. The client will have the option to only obtain inpatient treatment. C. The client will be able to pay all of their bills as well as purchase medication. D. The client will have the ability to obtain psychiatric service regardless of setting. Answer: A Rationale: Federal legislation was passed to provide an income for disabled persons: supplemental security income (SSI) and Social Security disability income (SSDI). This allowed people with severe and persistent mental illness to be more independent financially and to not rely on family for money. This does not prevent the client in acute crisis from a relapse from being admitted to the inpatient setting if they are at risk of harm to self or others. Social security is limited and the client may still have some degree of financial difficulty. The client may be limited to state owned facilities and not be able to seek treatment at a private facility. This does not dictate to the client the level of care offered to the client. Question format: Multiple Choice Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process: Nursing Process Learning Objective: 3 Reference: p. 4, Development of Psychopharmacology 6. The nurse working in the ED of an urban hospital notifies the manager that there are several clients with mental health disorders still present in the ED that have been there over 48 hours. Which issue related to this phenomenon does the nurse discuss with the manager? A. Temporary detaining orders for clients B. Decision to practice boarding C. The revolving door for clients D. The cost of holding clients in the ED for over 48 hours Answer: B Rationale: The practice of boarding is frustrating to health care personnel in EDs since it may interfere with the acute care and emergencies that are required in that setting. Clients become dissatisfied with care, and their families feel as though clients are not receiving the care needed to move through the crisis and some believe an increase in suicide. Provision of an adequate number of psychiatric inpatient beds could better meet the needs of clients and might even decrease homelessness, incarceration, and violence. The revolving door phenomenon is the increase in short-stay admissions repeatedly. Having to obtain a temporary detaining order improves the transition into inpatient care. Cost is not the immediate issue of the nurse. Question format: Multiple Choice Chapter 1: Foundations of Psychiatric–Mental Health Nursing Cognitive Level: Apply Client Needs: Safe and Effective Care Environment: Management of Care Integrated Process: Communication and Documentation Learning Objective: 4 Reference: p. 3–4, Mental Illness in the 21st Century