chapter 4: treatment settings and therapeutic programs

Question 1

All are characteristics of ACT except which?

a.Services are provided in the home or community.

b.Services are provided by the client’s case manager.

c.There are no time limitations on ACT services.

d.All necessary support systems are involved in ACT.

Answer 1

B

Question 2

Inpatient psychiatric care focuses on all the following except

a.brief interventions.

b.discharge planning.

c.independent living skills.

d.symptom management.

Answer 2

C

Question 3

Which intervention is an example of primary prevention implemented by a public health nurse?

a.Reporting suspected child abuse

b.Monitoring compliance with medications for a client with schizophrenia

c.Teaching effective problem-solving skills to high school students

d.Helping a client apply for disability benefits

Answer 3

C

Question 4

The primary purpose of psychiatric rehabilitation is to

a.control psychiatric symptoms.

b.manage clients’ medications.

c.promote the recovery process.

d.reduce hospital readmissions.

Answer 4

C

Question 5

Managed care provides funding for psychiatric rehabilitation programs to

a.develop vocational skills.

b.improve medication compliance.

c.provide community skills training.

d.teach social skills.

Answer 5

C

Question 6

The mentally ill homeless population benefits most from

a.case management services.

b.outpatient psychiatric care to manage psychiatric symptoms.

c.stable housing in a residential neighborhood.

d.a combination of housing, rehabilitation services, and community support

Answer 6

D

Question 7

what part of the interdisciplinary team works with families, community support, referrals ?

Answer 7

psychiatric social worker

Question 8

what part of the interdisciplinary team focuses on functional abilities and work using arts and crafts?

Answer 8

OT

Question 9

what part of the interdisciplinary team makes diagnoses and prescribes treatment?

Answer 9

psychiatrist

Question 10

what part of the interdisciplinary team emphasizes job-seeking and job-retention skills?

Answer 10

vocational rehab specialist

Question 11

_____ therapy looks at the total environment and its effect on the clients treatment

Answer 11

milieu

Question 12

_______ _______ treatment is one of the most effective approaches

Answer 12

assertive community

Question 13

in the clubhouse model, the ______- _____ relationship is the most important

Answer 13

physician-client

Question 14

what is the 5 year demonstration program that provided sites with outreach and case management to 100 homeless people with severe mental illnesses every year

Answer 14

ACCESS

Question 15

_____ more prevalent in veterans

Answer 15

OCD

Question 16

a nurse is caring for a client who smokes and has lung cancer. the client reports, “I’m coughing bc I have that cold everyone has been getting.” the nurse should identify that the client is using which of the following defense mechanisms?

a. reaction formation
b. denial
c. displacement
d. sublimation

Answer 16

B

Question 17

a nurse is providing preop teaching for a client who was informed of the need for emergency surgery. the client has a RR 30/min, and says, “this is difficult to comprehend. I feel shaky and nervous.” the nurse should identify that the client is experiencing which of the following levels of anxiety?

a. mild
b. moderate
c. severe
d. panic

Answer 17

B

Question 18

a nurse is caring for a client who is experiencing moderate anxiety. which of the following actions should the nurse take when trying to give necessary info to the client? select all that apply

a. reassure the client that everything will be ok
b. discuss prior use of coping mechanisms to the client
c. ignore the clients anxiety so that she will not be embarassed
d. demonstrate a calm manner while using simple and clear directions
e. gather info from the client using closed-ended questions

Answer 18

B
D

Question 19

what is dealing w unacceptable feelings or impulses by unconciously substituting acceptable forms of expression?

Answer 19

sublimation

Question 20

______ prevention promotes health and emphasizes efforts on preventing mental health problems from occurring

Answer 20

primary

Question 21

________ prevention focuses on early detection of mental illness

Answer 21

secondary

Question 22

_______ prevention focuses on the rehab and prevention of further problems in clients who have previous diagnoses. mental illness is present, the goal is to prevent further deterioration or complications

Answer 22

tertiary