Chapter 6 - Diverse Practice Settings

Question 1

Acute Care Settings for Mental Health Care

Answer 1

intensive tx
supervision in locked units for severe mental illness
stabilize mental illness
promote clients’ return to community

Question 2

Community Settings for Mental Health Care

Answer 2

clinics, schools, day-care centers, partial hospitalization programs, drug and alcohol tx facilities, forensic settings, psychosocial rehabilitation programs, telephone crisis counseling centers, home health care
stabilize/improve clients’ mental functioning within community
teach, support, make referrals to promote positive social activities
nursing interventions provide for primary tx, primary/secondary/tertiary prevention of mental illness

Question 3

Forensic Nursing

Answer 3

combo of biophysical ed. and forensic science
RN uses scientific investigation, collection of evidence, analysis, prevention, tx of trauma/death of perpetrators/victims

Question 4

National Alliance on Mental Illness (NAMI)

Answer 4

grassroots org with goals of improving quality of life for persons with mental illness and provides research to better treat or eradicate mental illness

Question 5

Criteria to admit to Acute Care Facility

Answer 5

clear risk of danger to self/others
failure of community-based tx
dangerous decline in mental health status of client undergoing long-term tx
client having a medical need in addition to mental illness

Question 6

Implementing community care interventions

Levels of prevention

Answer 6

Primary prevention - promotes health and prevents MH problems from occurring
Secondary prevention - focuses on early detection of mental illness
Tertiary prevention - rehabilitation and prevention of further problems in clients previously diagnosed

Question 7

Community-Based Mental Health Programs

Partial hospitalization programs

Answer 7

intense short-term tx
clients go home every night with responsible person
(certain detox programs)

Question 8

Community-Based Mental Health Programs

Assertive community Tx (ACT)

Answer 8

nontraditional case management and tx by interprofessional team for severe mental illness and noncompliant with traditional tx
reduces reoccurrences of hospitalization
provides crisis intervention
assistance with independent living

Question 9

Community-Based Mental Health Programs

Community mental health centers

Answer 9

educational groups
med dispensing programs
individual counseling programs

Question 10

Community-Based Mental Health Programs

Psychosocial rehabilitation programs

Answer 10

residential services

day programs for older adults

Question 11

Community-Based Mental Health Programs

Home care

Answer 11

mental health assessment, interventions, family support in home
for children, older adults, clients with medical conditions