A nurse is providing care to a client using assertive community treatment (ACT). Which of the following is accurate about this type of treatment?

The staff care for the client using a high staff-to-client ratio.

The staff care for the client in an acute care setting.

The client comes to a facility for day treatment programs and goes home at night.

The client receives services in the community or home where they live.

Answer and Explanation

The Correct Answer is D

A. The staff care for the client using a high staff-to-client ratio.
This statement is accurate regarding ACT. ACT teams consist of multidisciplinary professionals, including psychiatrists, nurses, social workers, and case managers, who work collaboratively with a small caseload of clients. The high staff-to-client ratio allows for personalized and intensive care, frequent contact, and ongoing support to address the complex needs of clients with severe and persistent mental illness. However, choice D is slightly more accurate as it addresses the fundamental principle of ACT, which is to provide services, interventions, and support directly to the community or home environment.

B. The staff care for the client in an acute care setting.
This statement is inaccurate regarding ACT. ACT is designed for clients with chronic and severe mental health conditions who require long-term support and interventions in community settings rather than acute care settings like hospitals.

C. The client comes to a facility for day treatment programs and goes home at night.
This statement is inaccurate regarding ACT. Clients receiving ACT services do not typically attend day treatment programs at a facility; instead, they receive services and support in their homes or communities as part of the ACT model's emphasis on community-based care.

D. The client receives services in the community or home where they live.
Assertive Community Treatment (ACT) is a model of mental health care that emphasizes providing comprehensive and intensive services to clients in their community or home environments. Clients receiving ACT services typically do not need to come to a facility for day treatment programs; instead, they receive support, treatment, and interventions in their own living environments. The goal of ACT is to promote stability, independence, and recovery by addressing the client's mental health needs within the context of their daily life and community settings

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Correct Answer is D

Explanation

A. Adult homeless woman with acute mania engaging in unsafe behaviors: Psychiatric transitional care services are typically designed to provide a bridge between acute hospital care and community-based care for individuals with mental health disorders. Clients who are experiencing acute symptoms or unsafe behaviors, such as the adult homeless woman with acute mania engaging in unsafe behaviors, may benefit from more intensive and structured care settings initially, such as inpatient psychiatric care, before transitioning to transitional care services.

B. Adolescent with conduct disorder who took an overdose of a benzodiazepine: Given the severity of the overdose and the presence of conduct disorder, this adolescent may require acute inpatient psychiatric care initially for stabilization and safety monitoring. Transitional care services may be considered after the acute phase has been addressed and the client's condition has stabilized.

C. Paralyzed veteran experiencing increased respiratory problems and infections: Transitional care services are not typically designed to address medical or physical health needs such as respiratory problems and infections. This client may require specialized medical care and rehabilitation services rather than psychiatric transitional care services.

D. Adult male being discharged from the hospital with chronic symptoms of schizophrenia: Clients with chronic mental health conditions such as schizophrenia who are being discharged from the hospital may benefit from psychiatric transitional care services. These services can help ensure continuity of care, medication management, psychoeducation, and support for community integration and daily living skills.

A. Parent Surrogate B. Caregiver C. Advocate D. Teacher

Correct Answer is A

Explanation

A. Parent Surrogate: A parent surrogate refers to someone who acts as a substitute or stand-in for a parent, making decisions and providing care in the absence of the actual parent. While nurses may provide parental guidance and support, especially in therapeutic settings for adolescents, imposing consequences for rule-breaking is not necessarily acting as a parent surrogate.

B. Caregiver: A caregiver is someone who provides physical and emotional care to individuals in need, such as patients or clients in healthcare settings. While nurses do fulfill the role of caregivers by providing support and meeting the needs of their patients, imposing consequences for rule-breaking is not primarily an aspect of the caregiver role.

C. Advocate: An advocate is someone who speaks up on behalf of another person to ensure their rights, preferences, and well-being are respected and promoted. While nurses do advocate for their patients in various ways, such as advocating for their healthcare needs or treatment preferences, imposing consequences for rule-breaking is not typically considered an advocacy role.

D. Teacher: A teacher is someone who imparts knowledge, skills, and guidance to others, typically in an educational or instructional setting. While nurses may provide education and guidance to their patients, especially regarding health-related topics, imposing consequences for rule-breaking is not directly related to the role of a teacher.

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A nurse is providing care to a client using assertive community treatment (ACT). Which of the following is accurate about this type of treatment?

Nursing Test Bank

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