A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided at the center includes?

constant staff supervision.

medical management of symptoms.

daily psychotherapy.

psychological stabilization.

Answer and Explanation

The Correct Answer is B

Community mental health centers (CMHCs) provide care in the least restrictive environment for clients who are stable enough to live at home but require ongoing support. For a client with a mild anxiety disorder, the focus is on maintaining functional independence and preventing the escalation of symptoms through outpatient interventions.

Rationale:

A. Constant staff supervision is a hallmark of acute inpatient psychiatric units or residential treatment facilities. It is reserved for clients who are at risk of self-harm, violence, or are unable to perform basic self-care. A client with mild anxiety does not meet the clinical criteria for this level of restrictive care.

B. Medical management of symptoms is a primary service of CMHCs. This includes pharmacological interventions (such as SSRIs or benzodiazepines), medication education, and monitoring for side effects. Since the disorder is categorized as mild, the client can typically manage their condition with periodic appointments for medication checks and therapeutic support while remaining in the community.

C. Although psychotherapy is a common treatment for anxiety, daily psychotherapy is characteristic of partial hospitalization programs (PHP) or intensive outpatient programs (IOP). Standard community mental health treatment usually involves weekly or bi-weekly sessions, as daily attendance would be overly intrusive for a client with mild symptoms.

D. Psychological stabilization is the goal of crisis intervention or emergency psychiatric services. It involves intense, short-term treatment to bring a client back to their baseline after an acute breakdown. A client already diagnosed with a mild disorder is typically already stable and requires maintenance care rather than emergency stabilization.

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Correct Answer is D

Explanation

Flat affect is a pathological lack of emotional expression characterized by a near-total absence of facial movement and vocal inflection. It is frequently observed in schizophrenia and represents a severe deficit in the limbic system's external manifestation of internal emotional states.

Rationale:

A. Broad affect is considered the normative range of emotional expression. It describes a client who can display a full spectrum of emotions, such as joy or sadness, appropriately according to the social context or the topic being discussed.

B. Absent affect is not a standard clinical descriptor used in psychiatric documentation. It implies a total lack of response, but the medically standardized term for the complete absence of any facial or vocal emotional expression is flat affect.

C. Restricted affect, also known as blunted affect, involves a reduction in the intensity or range of emotional expression. However, it is less severe than a flat affect, as the client might still show minimal or muted emotional responses.

D. Flat affect is the specific term for a complete void of emotional expression. The nurse observes no facial movement or animation despite the stimulating nature of the park outing and peer interaction, making this the correct descriptor.

A. Sets limits on mundane life issues B. Offers services in offices C. Provides a problem-solving orientation D. Makes a wide range of referrals

Correct Answer is C

Explanation

Assertive Community Treatment (ACT) is an evidence-based, transdisciplinary model of community-based mental health care designed for individuals with severe and persistent mental illness (such as schizophrenia) who have not responded well to traditional outpatient services. Unlike standard programs, ACT provides direct services in the client's natural environment such as homes, parks, or workplaces, rather than requiring the client to visit a clinic.

Rationale:

A. ACT does not set limits on mundane life issues rather, it provides hands-on support for them. The team assists with practical tasks like grocery shopping, paying bills, and managing transportation. The goal is to support the client's autonomy in the community, not to exert control over their daily routine.

B. One of the defining features of ACT is that it minimizes office-based services. The team is mobile and delivers at least 75% to 80% of services in the community. This outreach approach ensures that clients who struggle with appointments or social anxiety still receive consistent pharmacological and psychological support.

C. ACT utilizes a problem-solving orientation to help clients navigate the challenges of daily life. The team works directly with the client to find practical solutions to immediate crises or barriers to stability. By focusing on functional outcomes and doing whatever it takes, the program reduces hospital readmissions and improves the client's quality of life.

D. A unique hallmark of the ACT model is that the team is self-contained. Instead of making referrals to outside agencies (which can be difficult for clients to follow up on), the ACT team includes its own psychiatrists, nurses, social workers, and vocational specialists who provide the treatment directly to the client.

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A client diagnosed with a mild anxiety disorder has been referred to treatment in a community mental health center. Treatment most likely provided at the center includes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is showing no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which term when documenting the client's affect?

Correct Answer is D

Explanation

The nurse wants the client to have some face-to-face interaction in the client's home or community. Assertive Community Treatment (ACT) is a program that can attend to the client's needs. What does this program include?

Correct Answer is C

Explanation

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