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. "The focus is on solving the patient's problems. Problems are discussed by the nurse and patient, and solutions are given by the nurse." This explanation highlights the nurse's role in problem-solving and providing solutions, which is characteristic of a therapeutic nurse-patient relationship where the nurse takes an active role in addressing the patient's needs and challenges.
B. "The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared." This explanation describes more of a social relationship where mutual needs are met, and feelings are shared openly, rather than focusing on problem-solving and addressing the patient's specific issues.
C. "The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other." While this explanation emphasizes a partnership and mutual concern for growth and satisfaction, it does not specifically highlight the nurse's role in problem-solving and providing solutions for the patient's problems.
D. "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." This explanation captures the essence of a therapeutic nurse-patient relationship, where the focus is on the patient's needs, and while problems are discussed collaboratively, the patient takes an active role in implementing solutions.
Correct Answer is A
Explanation
A. To deinstitutionalize state hospitals: The goal of the 1963 Community Mental Health Construction Act, also known as the Community Mental Health Centers Act, was to shift the focus of mental health care from large, centralized state hospitals to community-based care settings. This act aimed to deinstitutionalize state hospitals by providing funding for the establishment and expansion of community mental health centers, where individuals with mental illness could receive treatment and support services in a less restrictive environment.
B. To provide funds to build hospitals with psychiatric units: While the act did involve funding, its primary goal was not to build hospitals with psychiatric units. Instead, it sought to promote community-based care and reduce reliance on large psychiatric hospitals.
C. To ensure clients' rights for the mentally ill: While protecting clients' rights and advocating for humane treatment were important aspects of mental health reform, the specific goal of the 1963 Community Mental Health Construction Act was more focused on restructuring mental health care delivery through community-based services.
D. To treat people with mental illness in a humane fashion: While this goal aligns with broader principles of mental health reform and human rights, the specific objective of the 1963 Community Mental Health Construction Act was to transition away from institutionalized care towards community-based mental health services.
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