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Mental Health, Unit 1 > ATI Ch 6, Diverse Practice Settings > Flashcards

ATI Ch 6, Diverse Practice Settings Flashcards

1
Q

What is the purpose of acute care settings in mental health?

A

Acute care settings provide intensive treatment and supervision for clients with severe mental illness who present a danger to self or others.

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2
Q

What is the goal of care in acute care facilities?

A

The goal is to stabilize mental illness manifestations and promote the clients’ rapid return to the community.

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3
Q

Who makes up the staff in acute care facilities?

A

The staff is made up of an interprofessional team, with management provided by nurses developing individualized plans that are client and family centered.

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4
Q

What types of ownership can acute care facilities have?

A

Facilities might be privately owned, general hospitals, or state-owned.

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5
Q

How is funding provided for acute care facilities?

A

Funding can come from private funds, insurance, or state funding for homeless clients.

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6
Q

What additional services do state-run facilities often provide?

A

State-run facilities often provide full-time acute care for forensic clients who have severe mental illness.

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7
Q

What role do case management programs play in mental health care?

A

Case management programs assist with client transition to a community setting after discharge from the acute care facility.

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8
Q

What are community-based settings for primary care?

A

Community-based settings include clinics, schools, day-care centers, partial hospitalization programs, substance treatment facilities, forensic settings, psychosocial rehabilitation programs, telephone crisis counseling centers, and home health care.

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9
Q

What is the role of nurses in community care programs?

A

Nurses help to stabilize or improve clients’ mental functioning, teach, support, and make referrals to promote positive social activities.

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10
Q

What types of prevention do nursing interventions in community settings provide?

A

Nursing interventions provide primary treatment as well as primary, secondary, and tertiary prevention of mental illness.

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11
Q

What is forensic nursing?

A

Forensic nursing combines biophysical education and forensic science, utilizing nursing science in public or legal proceedings.

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12
Q

What do registered nurses do in forensic nursing?

A

Registered nurses use scientific investigation, collection of evidence, analysis, prevention, and treatment of trauma and/or death of perpetrators and victims of violence, abuse, and traumatic accidents.

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13
Q

What is the focus of rehabilitation settings?

A

Rehabilitation settings provide a structured environment for clients to focus on cognitive and behavioral changes related to substance use, non-suicidal self-injury, eating disorders, and other anxiety-related disorders.

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14
Q

What assistance may clients require in rehabilitation?

A

Clients may require assistance with activities of daily living, like adhering to a medication regimen, eating, and daily hygiene.

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15
Q

How long does treatment in rehabilitation typically last?

A

Treatment typically lasts from weeks to months.

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16
Q

What is the nursing role in acute care mental health facilities?

A

Overall management of the unit, safe administration of medications, implementation of treatment plans, documentation of the nursing process, managing crises, and case management

Nurses utilize a holistic approach and the nursing process to provide comprehensive care.

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17
Q

List the responsibilities of nurses in acute care mental health facilities.

A
  • Overall management of the unit
  • Ensuring safe administration and monitoring of medications
  • Implementation of individual treatment plans
  • Documentation of the nursing process
  • Managing crises
  • Case management

These responsibilities are crucial for effective client care.

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18
Q

Who are interprofessional team members in acute care mental health settings?

A
  • Nurses
  • Mental health technicians
  • Psychologists
  • Psychiatrists
  • General health care providers
  • Social workers
  • Counselors
  • Occupational therapists
  • Specialty therapists
  • Pharmacists

Each member plays a vital role in client care and treatment planning.

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19
Q

What is the primary responsibility of the interprofessional team in acute care?

A

Planning and monitoring individualized treatment plans or clinical pathways

This responsibility aligns with the facility’s philosophy and policy.

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20
Q

When do discharge plans begin for clients in acute care mental health facilities?

A

From the time of admission

Discharge planning continues with the implementation of the initial treatment plan.

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21
Q

Fill in the blank: A case manager helps the client to coordinate their _______.

A

[mental health treatment]

This includes medications, appointments, and transportation arrangements.

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22
Q

True or False: Nurses in acute care mental health facilities do not document the nursing process for each client.

A

False

Documentation is a key responsibility of nurses in these settings.

23
Q

What does the therapeutic milieu refer to in acute care mental health nursing?

A

The environment in which therapeutic interactions occur

It encompasses the overall management of client activities and interactions.

24
Q

What are the criteria to justify admission to an acute care facility?

A
  • A clear risk of the client’s danger to self or others
  • An inability to meet own basic needs
  • Failure to meet expected outcomes of community-based treatment
  • A dangerous decline in the mental health status of a client undergoing long-term treatment
  • A client having a medical need in addition to a mental illness

These criteria help ensure that individuals requiring immediate mental health support receive appropriate care in a controlled environment.

25
Q

What are the goals of acute mental health treatment?

A
  • Prevention of the client harming self or others
  • Stabilizing mental health crises
  • Return of clients who are severely ill to some type of community care

These goals focus on immediate safety and stabilization before transitioning to less intensive care.

26
Q

True or False: Nurses play a vital role in linking acute care facilities with community care facilities.

A

True

Nurses facilitate the transition of clients from acute care to community-based settings.

27
Q

What do intensive outpatient programs promote?

A

Community reintegration for clients

These programs are designed to provide structured treatment while allowing clients to remain in their community.

28
Q

What is the role of mobile crisis teams?

A

Provide emergency psychiatric care on-site at the client’s location

These teams consist of specially trained mental health professionals who respond to crises in the community.

29
Q

What has expanded to meet the needs of clients who cannot attend in-person treatment?

A

The role of telehealth services for client mental health care

30
Q

What means do many clients use as their primary method of receiving treatment?

A

Telehealth

31
Q

What have insurance companies done regarding telehealth services?

A

Expanded their coverage to include reimbursement for telehealth services

32
Q

From whom may clients receive telehealth services?

A

A variety of members of the interprofessional team

33
Q

What are the three levels of prevention used by nurses in community care interventions?

A

Primary prevention, Secondary prevention, Tertiary prevention

34
Q

What does primary prevention focus on?

A

Promoting health and preventing mental health problems from occurring

35
Q

Give an example of primary prevention in nursing.

A

A nurse teaches a community education program on stress reduction techniques

36
Q

What is the focus of secondary prevention?

A

Early detection of mental illness

37
Q

Give an example of secondary prevention in nursing.

A

A nurse screens older adults in the community for depression

38
Q

True or False: Telehealth services are only used for in-person treatment.

A

False

39
Q

What is the focus of tertiary prevention?

A

Rehabilitation and prevention of further problems in clients with previous diagnoses

Tertiary prevention aims to prevent further deterioration or complications in individuals with existing mental illnesses.

40
Q

What is the role of a nurse in a support group for clients with substance use disorder?

A

To lead the support group for clients who have completed a substance use disorder program

This leadership helps facilitate recovery and support among peers.

41
Q

What are community-based mental health programs?

A

A continuum of mental health agencies with varying treatment intensity levels

These programs aim to keep clients safe in the least restrictive environment possible.

42
Q

What is the purpose of partial hospitalization programs?

A

To provide intense short-term treatment for clients who can go home every night

Clients must have a responsible person at home for support and safety.

43
Q

What are certain detoxification programs a specialized form of?

A

Partial hospitalization

These programs require medical supervision, stress management, substance use disorder counseling, and relapse prevention.

44
Q

What does Assertive Community Treatment (ACT) include?

A

Nontraditional case management and treatment by an interprofessional team

ACT is designed for clients with severe mental illness who are nonadherent with traditional treatment.

45
Q

What are the goals of Assertive Community Treatment (ACT)?

A

Reduce recurrences of hospitalizations and provide crisis intervention

ACT also assists with independent living and provides information about necessary support services.

46
Q

Where do ACT teams work with clients?

A

In their homes, agencies, hospitals, and clinics

This approach allows for tailored support in various environments.

47
Q

What services do community mental health centers provide?

A

A variety of services including educational groups, medication dispensing programs, individual and family counseling programs

These services aim to support a wide range of community clients.

48
Q

What are psychosocial rehabilitation programs?

A

Programs that provide a structured range of services for clients in a mental health setting, including:
* Residential services
* Day programs for older adults

These programs are designed to help individuals recover and manage their mental health.

49
Q

What are home based services in mental health?

A

Services that provide mental health assessments, interventions, and family support in the client’s home

These services are often implemented for children, older adults, and clients with medical conditions.

50
Q

What are the four criteria for psychiatric home care?

A
  1. Client must be homebound
  2. Client must have a psychiatric diagnosis
  3. Client needs the skills of the mental health nurse
  4. A plan of care must be developed by the health care provider

These criteria ensure that the client receives appropriate care in their home environment.

51
Q

Fill in the blank: Community mental health centers offer _______ programs.

A

medication dispensing

52
Q

True or False: Psychosocial rehabilitation programs include day programs for older adults.

A

True

53
Q

What type of clients are most often served by home based services?

A

Children, older adults, and clients with medical conditions

These services aim to provide support in a familiar environment.

Mental Health, Unit 1 (9 decks)

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