ATI Ch 6, Diverse Practice Settings Flashcards
What is the purpose of acute care settings in mental health?
Acute care settings provide intensive treatment and supervision for clients with severe mental illness who present a danger to self or others.
What is the goal of care in acute care facilities?
The goal is to stabilize mental illness manifestations and promote the clients’ rapid return to the community.
Who makes up the staff in acute care facilities?
The staff is made up of an interprofessional team, with management provided by nurses developing individualized plans that are client and family centered.
What types of ownership can acute care facilities have?
Facilities might be privately owned, general hospitals, or state-owned.
How is funding provided for acute care facilities?
Funding can come from private funds, insurance, or state funding for homeless clients.
What additional services do state-run facilities often provide?
State-run facilities often provide full-time acute care for forensic clients who have severe mental illness.
What role do case management programs play in mental health care?
Case management programs assist with client transition to a community setting after discharge from the acute care facility.
What are community-based settings for primary care?
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.
What is the role of nurses in community care programs?
Nurses help to stabilize or improve clients’ mental functioning, teach, support, and make referrals to promote positive social activities.
What types of prevention do nursing interventions in community settings provide?
Nursing interventions provide primary treatment as well as primary, secondary, and tertiary prevention of mental illness.
What is forensic nursing?
Forensic nursing combines biophysical education and forensic science, utilizing nursing science in public or legal proceedings.
What do registered nurses do in forensic nursing?
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.
What is the focus of rehabilitation settings?
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.
What assistance may clients require in rehabilitation?
Clients may require assistance with activities of daily living, like adhering to a medication regimen, eating, and daily hygiene.
How long does treatment in rehabilitation typically last?
Treatment typically lasts from weeks to months.
What is the nursing role in acute care mental health facilities?
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.
List the responsibilities of nurses in acute care mental health facilities.
- 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.
Who are interprofessional team members in acute care mental health settings?
- 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.
What is the primary responsibility of the interprofessional team in acute care?
Planning and monitoring individualized treatment plans or clinical pathways
This responsibility aligns with the facility’s philosophy and policy.
When do discharge plans begin for clients in acute care mental health facilities?
From the time of admission
Discharge planning continues with the implementation of the initial treatment plan.
Fill in the blank: A case manager helps the client to coordinate their _______.
[mental health treatment]
This includes medications, appointments, and transportation arrangements.
True or False: Nurses in acute care mental health facilities do not document the nursing process for each client.
False
Documentation is a key responsibility of nurses in these settings.
What does the therapeutic milieu refer to in acute care mental health nursing?
The environment in which therapeutic interactions occur
It encompasses the overall management of client activities and interactions.
What are the criteria to justify admission to an acute care facility?
- 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.
What are the goals of acute mental health treatment?
- 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.
True or False: Nurses play a vital role in linking acute care facilities with community care facilities.
True
Nurses facilitate the transition of clients from acute care to community-based settings.
What do intensive outpatient programs promote?
Community reintegration for clients
These programs are designed to provide structured treatment while allowing clients to remain in their community.
What is the role of mobile crisis teams?
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.
What has expanded to meet the needs of clients who cannot attend in-person treatment?
The role of telehealth services for client mental health care
What means do many clients use as their primary method of receiving treatment?
Telehealth
What have insurance companies done regarding telehealth services?
Expanded their coverage to include reimbursement for telehealth services
From whom may clients receive telehealth services?
A variety of members of the interprofessional team
What are the three levels of prevention used by nurses in community care interventions?
Primary prevention, Secondary prevention, Tertiary prevention
What does primary prevention focus on?
Promoting health and preventing mental health problems from occurring
Give an example of primary prevention in nursing.
A nurse teaches a community education program on stress reduction techniques
What is the focus of secondary prevention?
Early detection of mental illness
Give an example of secondary prevention in nursing.
A nurse screens older adults in the community for depression
True or False: Telehealth services are only used for in-person treatment.
False
What is the focus of tertiary prevention?
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.
What is the role of a nurse in a support group for clients with substance use disorder?
To lead the support group for clients who have completed a substance use disorder program
This leadership helps facilitate recovery and support among peers.
What are community-based mental health programs?
A continuum of mental health agencies with varying treatment intensity levels
These programs aim to keep clients safe in the least restrictive environment possible.
What is the purpose of partial hospitalization programs?
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.
What are certain detoxification programs a specialized form of?
Partial hospitalization
These programs require medical supervision, stress management, substance use disorder counseling, and relapse prevention.
What does Assertive Community Treatment (ACT) include?
Nontraditional case management and treatment by an interprofessional team
ACT is designed for clients with severe mental illness who are nonadherent with traditional treatment.
What are the goals of Assertive Community Treatment (ACT)?
Reduce recurrences of hospitalizations and provide crisis intervention
ACT also assists with independent living and provides information about necessary support services.
Where do ACT teams work with clients?
In their homes, agencies, hospitals, and clinics
This approach allows for tailored support in various environments.
What services do community mental health centers provide?
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.
What are psychosocial rehabilitation programs?
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.
What are home based services in mental health?
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.
What are the four criteria for psychiatric home care?
- Client must be homebound
- Client must have a psychiatric diagnosis
- Client needs the skills of the mental health nurse
- 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.
Fill in the blank: Community mental health centers offer _______ programs.
medication dispensing
True or False: Psychosocial rehabilitation programs include day programs for older adults.
True
What type of clients are most often served by home based services?
Children, older adults, and clients with medical conditions
These services aim to provide support in a familiar environment.
