A nurse is providing in-home mental health care and determines that the care is effective when the client demonstrates which response?

Dependence on parents to participate in the client’s care

A need for continued intensive monitoring in the home

A decrease in admission frequency to inpatient psychiatric hospitals

A need for crisis intervention services on an ongoing basis

Answer and Explanation

The Correct Answer is C

Choice A reason:
Dependence on parents to participate in the client’s care indicates that the client is not progressing towards independence. Effective in-home mental health care aims to empower clients to manage their own health and reduce reliance on others. Therefore, this response does not demonstrate effective care.
Choice B reason:
A need for continued intensive monitoring in the home suggests that the client’s condition remains unstable and requires constant supervision. Effective care should lead to improved stability and a reduction in the need for intensive monitoring.
Choice C reason:
A decrease in admission frequency to inpatient psychiatric hospitals indicates that the client’s condition is stabilizing and that they are managing their mental health more effectively at home. This outcome demonstrates that the in-home mental health care is effective in reducing the need for hospitalization.
Choice D reason:
A need for crisis intervention services on an ongoing basis suggests that the client continues to experience frequent crises. Effective in-home mental health care should help the client develop coping strategies and support systems to manage their condition, reducing the need for frequent crisis interventions.

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Correct Answer is D

Explanation

Choice A reason:
Agreeing to send the information without the client’s consent is a breach of confidentiality. Healthcare providers must protect patient privacy and cannot disclose medical information without explicit permission from the client.
Choice B reason:
While obtaining the client’s signed consent is necessary before releasing information, this response still acknowledges that the person in question is a client, which could be a breach of confidentiality.
Choice C reason:
Stating that the information cannot be given out is correct, but it still indirectly confirms that the person is a client, which could be a breach of confidentiality.
Choice D reason:
“I am unable to acknowledge whether or not your employee is a client on this unit” is the most appropriate response. This statement protects the client’s privacy by not confirming or denying their presence in the unit, thus maintaining confidentiality.

A. While you may not be completely symptom-free, you should still see an increase in your quality of life by continuing with the treatment plan. B. Why are you not seeing the value of this treatment plan for recovery? C. The medical model of recovery works to eliminate all symptoms. Maybe you should see a medical doctor. D. You may want to consider moving to a group home, since you will not be free of the troublesome symptoms.

Correct Answer is A

Explanation

Choice A reason:
This statement is supportive and realistic. It acknowledges that while complete symptom elimination may not be possible, adherence to the treatment plan can still significantly improve the client’s quality of life. It encourages the client to continue with their treatment in a positive and hopeful manner.

Choice B reason:
This statement is confrontational and may make the client feel defensive. It does not provide support or encouragement and may hinder the therapeutic relationship.

Choice C reason:
This statement is misleading and dismissive. The medical model does not guarantee the elimination of all symptoms, and suggesting the client see another doctor may undermine their confidence in the current treatment plan.

Choice D reason:
This statement is negative and may discourage the client. It implies that the client will not improve and suggests a drastic change without offering hope or support for their current treatment plan.

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A nurse is providing in-home mental health care and determines that the care is effective when the client demonstrates which response?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

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