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.
