Chapter 4 Psych Nursing 2024/2025
Exam Questions and Verified Answers |
Already Graded A+
1. Which of the following factors is primarily responsible for the changes in
inpatient hospital treatment between the 1980s and the present?
A) Progress in treatment options for mentally ill persons
B) The growth of managed care
C) Less stigma associated with mental illness
D) The current use of milieu therapy - 🧠 ANSWER ✔✔Ans: B Feedback:
Managed care exerts cost-control measures such as recertification of
admissions, utilization review, and case managementóall of which have
altered inpatient treatment significantly. There has been some progress in
treatment options for mentally ill persons, but that is not the primary factor
that has changed mental health inpatient hospital care. There is lesser
stigma associated with mental illness, but that is not the primary factor that
has changed mental health inpatient hospital care. In the 1980s, a typical
psychiatric unit emphasized milieu therapy, which required long lengths of
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
1
STATEMENT. ALL RIGHTS RESERVED
,stay because clients with more stable conditions helped to provide
structure and support for newly admitted clients with more acute conditions.
2. The factor having the most influence on the current trend in treatment
settings is the fact in recent years,
A) funding for community programs has been inadequate.
B) laws have enabled more people to be committed to treatment.
C) state hospitals have expanded to meet the demand.
D) community programs have been fully developed to meet treatment
needs. - 🧠 ANSWER ✔✔Ans: A
Feedback:
Adequate funding has not kept pace with the need for community programs
and treatment. Commitment laws have led to deinstitutionalization. Large
state hospitals emptied as a result. Treatment in the community was
intended to replace much of state hospital inpatient care, but funding has
been inadequate.
3. A patient who has continuously experienced severe symptoms of
schizoaffective disorder for the past 17 years is experiencing an acute
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
, psychotic episode. Which level of care is most appropriate for this patient at
this time?
A) Partial hospitalization
B) Residential treatment
C) Inpatient hospital treatment
D) Clubhouse - 🧠 ANSWER ✔✔Ans: C
Feedback:
Long-stay clients in an inpatient setting are people with severe and
persistent mental illness who continue to require acute care services
despite the current emphasis on decreased hospital stays. This population
includes clients who were hospitalized before deinstitutionalization and
remain hospitalized despite efforts at community placement. It also
includes clients who have been hospitalized consistently for long periods
despite efforts to minimize their hospital stays. Partial hospitalization is
designed for patients transitioning to independent living. Residential
treatment and clubhouse model provide supervised independent living.
4. A patient with depression is admitted to an inpatient hospital unit for
treatment. The type of therapy most likely provided in this setting includes
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
Exam Questions and Verified Answers |
Already Graded A+
1. Which of the following factors is primarily responsible for the changes in
inpatient hospital treatment between the 1980s and the present?
A) Progress in treatment options for mentally ill persons
B) The growth of managed care
C) Less stigma associated with mental illness
D) The current use of milieu therapy - 🧠 ANSWER ✔✔Ans: B Feedback:
Managed care exerts cost-control measures such as recertification of
admissions, utilization review, and case managementóall of which have
altered inpatient treatment significantly. There has been some progress in
treatment options for mentally ill persons, but that is not the primary factor
that has changed mental health inpatient hospital care. There is lesser
stigma associated with mental illness, but that is not the primary factor that
has changed mental health inpatient hospital care. In the 1980s, a typical
psychiatric unit emphasized milieu therapy, which required long lengths of
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
1
STATEMENT. ALL RIGHTS RESERVED
,stay because clients with more stable conditions helped to provide
structure and support for newly admitted clients with more acute conditions.
2. The factor having the most influence on the current trend in treatment
settings is the fact in recent years,
A) funding for community programs has been inadequate.
B) laws have enabled more people to be committed to treatment.
C) state hospitals have expanded to meet the demand.
D) community programs have been fully developed to meet treatment
needs. - 🧠 ANSWER ✔✔Ans: A
Feedback:
Adequate funding has not kept pace with the need for community programs
and treatment. Commitment laws have led to deinstitutionalization. Large
state hospitals emptied as a result. Treatment in the community was
intended to replace much of state hospital inpatient care, but funding has
been inadequate.
3. A patient who has continuously experienced severe symptoms of
schizoaffective disorder for the past 17 years is experiencing an acute
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
, psychotic episode. Which level of care is most appropriate for this patient at
this time?
A) Partial hospitalization
B) Residential treatment
C) Inpatient hospital treatment
D) Clubhouse - 🧠 ANSWER ✔✔Ans: C
Feedback:
Long-stay clients in an inpatient setting are people with severe and
persistent mental illness who continue to require acute care services
despite the current emphasis on decreased hospital stays. This population
includes clients who were hospitalized before deinstitutionalization and
remain hospitalized despite efforts at community placement. It also
includes clients who have been hospitalized consistently for long periods
despite efforts to minimize their hospital stays. Partial hospitalization is
designed for patients transitioning to independent living. Residential
treatment and clubhouse model provide supervised independent living.
4. A patient with depression is admitted to an inpatient hospital unit for
treatment. The type of therapy most likely provided in this setting includes
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
