Varcarolis Mental Health Chapter 4 Questions and Answers

Varcarolis Mental Health Chapter 4 Questions and Answers Which of the following structural safety precautions is most important when attempting to prevent a common type of inpatient suicide? A) Break-away closet bars to prevent hanging B) Bedroom and dining areas with locked windows to prevent jumping C) Double-locked doors to prevent escaping from the unit D) Platform beds to prevent crush injuries - Answer️️ -A Hangings are the most common method of inpatient suicide. The other options are important safety measures but don't directly address the suicide method of hanging. Which of the following patients would be appropriate to refer to a partial hospitalization program (PHP)? ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 2 A) A depressed patient with a suicidal plan B) A patient being discharged from an inpatient alcohol rehabilitation unit C) A client who has stopped taking his or her antipsychotic medication and is neglecting his or her basic needs D) Jeff, who has mild depression symptoms and is starting outpatient therapy - Answer️️ -B PHP is for patients who may need a "step-down" environment from inpatient status or for those who are being diverted from hospitalization with intensive, short-term care from which they return home each day. This patient would be a good candidate after completing alcohol rehab; PHP could possibly help prevent relapse in the early stages after rehab. This patient can be managed with regular outpatient therapy and does not need intensive short-term therapy such as PHP. Someone who is suicidal would require inpatient hospitalization for safety as would someone who is decompensated and not caring for herself. A patient exhibiting mild ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 3 depression would be managed with outpatient therapy and would not need intensive short-term therapy such as PHP. Which of the following patients meets the criteria for an involuntary admission to a psychiatric mental health unit? A) A 23-year-old college student who has developed symptoms of anxiety and is missing classes and work B) A 30-year-old accountant who has developed symptoms of depression C) A 26-year-old kindergarten teacher who is not in touch with reality and was found wandering in and out of traffic on a busy road D) A 76-year-old retired librarian who is experiencing memory loss and some confusion at times - Answer️️ -C Inpatient involuntary admission is reserved for patients who are at risk for self-harm or who cannot adequately protect themselves from harm because of their illness (e.g., a psychotic patient). The other options can all be ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 4 managed at this point in the community setting and don't meet criteria (risk of harm to self and/or others) for admission. When considering mental illness, recovery is best described to a client by which statement? A) Working, living, and participating in the community B) Never having to visit a mental health provider again C) Being able to understand the nature of the diagnosed illness D) A period of time when signs and symptoms are being managed - Answer️️ -A Recovery is described as the ability of the individual to work, live, and participate in the community. Never having to visit a mental health provider is unrealistic. While important to recovery understanding of the disorder is not a demonstration of recovery. Remission is a period of time when signs and symptoms are being managed. ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 5 The primary goal and benefit of assertive community treatment (ACT) is demonstrated by which situation? A) A client and family members attend counseling sessions together at a neighborhood clinic B) Implementation of a more flexible work schedule for staff C) Improved reimbursement for services provided in the community D) A client diagnosed with schizophrenia has avoided being rehospitalization for 16 months. - Answer️️ -D A primary goal of ACT is working intensely with the patient in the community to prevent rehospitalization. The other options are not goals of ACT. What is the primary advantage of using a case manager when considering the planning and implementation of client care? ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 6 A) Increases collaborative practice. B) Enhances resource management. C) Increases client satisfaction with care. D) Promotes evidence-based psychiatric nursing. - Answer️️ -B Case management coordinates and monitors the effectiveness of services appropriate for the client. While the other options are true statem