Chapter 8 Continuum of Care

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Chapter 8  Continuum of Care

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

 

Which of the following differentiates community mental health from inpatient mental health care and is a primary goal of community mental health care?
A)
Emphasize crisis intervention and stabilize clients receiving psychotropic medications.
B)
Enlist citizen participation to determine need, policy changes, and evolution of mental health programs.
C)
Provide appropriate care for citizens of all ages in the least restrictive settings.
D)
Place chronically ill clients in comfortable family-like settings.
Ans:
B

Feedback:

The primary goal of community mental health care is to place the center of care into the hands of community members and elicit citizen participation in mental health care.

2.
Case management has been proposed as a cost-effective model of psychiatric care for mentally ill clients. Which of the following describe(s) the focus of case management?
A)
Return to the practice of institutionalizing chronically ill clients
B)
Short-term inpatient, crisis stabilization, and community referral
C)
Increased use of psychotropic medication to stabilize psychotic behavior quickly
D)
Infrequent use of partial hospitalization and increased use of inpatient treatment
Ans:
B

Feedback:

Case management is the coordination of the range of available services by a case manager, with the goal of crisis stabilization and maintenance of the client within the community.

3.
When conducting discharge teaching for a client who is being discharged from an acute psychiatric hospital, the nurse describes which of the following services provided by the local community mental health center (CMHC)?
A)
Medication, crisis intervention, vocational training, and social skills training
B)
Electroconvulsive therapy (ECT) and biofeedback training
C)
Residential care for long-term mentally ill elders
D)
Minor surgical procedures, first aid, diagnostic X-rays, and lab studies
Ans:
A

Feedback:

ECT, long-term care, and surgical procedures are not provided in a CMHC. The activities listed in the correct answer are provided within CMHCs.

4.
Crisis intervention, prevention of unnecessary hospitalizations, and reduced dependence on institutional care are goals of which of the following community mental health services?
A)
Psychiatric emergency care
B)
Day treatment and partial hospitalization
C)
Residential programs
D)
Psychiatric home care
Ans:
D

Feedback:

The goal of psychiatric home care is to reduce dependence on hospitalization as a treatment modality through crisis intervention and closely monitoring the client who is living in the community.

5.
Which of the following clients is suitable for psychiatric home care services?
A)
Paralyzed Vietnam veteran who is experiencing increasing respiratory difficulties and chronic infections
B)
Schizophrenic woman found living under the freeway
C)
Adolescent with conduct disorder who took an overdose of Xanax (alprazolam)
D)
Homebound individual with bipolar illness who is exhibiting manic symptoms
Ans:
D

Feedback:

The wrong answers would be inappropriate clients to receive home care due to the acuity of their situations, except for the woman who is homeless. A homebound individual with bipolar illness who is having subacute symptoms would be the perfect candidate for home care services.

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