A nursing student is learning about the various types of treatment settings for clients with mental health disorders. Which client is suitable for psychiatric transitional care services?
Adult homeless woman with acute mania engaging in unsafe behaviors
Adolescent with conduct disorder who took an overdose of a benzodiazepine
Paralyzed veteran experiencing increased respiratory problems and infections
Adult male being discharged from the hospital with chronic symptoms of schizophrenia
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Individual psychotherapy: Individual psychotherapy typically focuses on exploring and addressing individual thoughts, feelings, and behaviors through therapeutic techniques such as talk therapy. It does not specifically involve the use of rewards or consequences for behavior modification, as seen in the scenario of giving tickets for good behavior.
B. Reality Therapy: Reality Therapy, developed by William Glasser, emphasizes personal responsibility and choices. It involves setting specific goals and evaluating behaviors in relation to these goals. In the context of the scenario, giving tickets for good behavior and not giving them for poor behavior aligns with Reality Therapy's focus on consequences and choices.
C. Cognitive Therapy: Cognitive Therapy focuses on identifying and changing negative thought patterns and beliefs that contribute to emotional distress and maladaptive behaviors. While it may incorporate behavioral techniques, such as behavioral activation, it primarily targets cognitive processes rather than directly using rewards or consequences for behavior modification.
D. Behavioral therapy: Behavioral therapy, including approaches like Applied Behavior Analysis (ABA), focuses on modifying behaviors through reinforcement (positive or negative) and shaping behavior using rewards or consequences. Giving tickets for good behavior and withholding them for poor behavior reflects a behavioral approach to therapy.
Correct Answer is ["2"]
Explanation
To calculate the number of vials needed to prepare the ordered dose of lorazepam 3 mg IV using the injectable form with a concentration of 2 mg/mL, we can use the formula:
Number of vials = Ordered dose divided by concentration per vial
Given:
Ordered dose of lorazepam: 3 mg IV
Concentration of lorazepam in each vial: 2 mg/mL
Plugging in the values:
Number of vials = 3 mg divided by 2 mg/mL
Number of vials = 1.5 vials
Since each vial contains 1 mL, and the ordered dose is 3 mg IV, the nurse will need to retrieve 1.5 mL of lorazepam. This means the nurse will need 2 vials (rounded up from 1.5 vials).
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