Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan. Which of the following are the purposes of the treatment plan? (Select all that apply.)
A means of monitoring the client's progress
A guide for planning and implementation of care
An instrument for communication and coordination of care
Evaluating the effectiveness of interventions
Ensure that the client follows their treatment
Correct Answer : A,B,C,D
Choice A rationale: the mental health treatment is designed to monitor and assess an individual’s progress and response to treatment over time by outlining measurable and realistic targets that are evaluated periodically.
Choice B rationale: the treatment plan can be used by healthcare providers as a guide while providing care to their clients by issuing a clear rationale behind the interventions chosen.
Choice C rationale: the treatment plan is a document outlining the objectives, interventions, and expected outcomes in the management of clients thus it serves as a communication tool amongst various healthcare providers across all the cadres involved in multi-disciplinary patient care.
Choice D rationale: the treatment plan evaluates the effectiveness of the interventions provided to a client by providing a comparison between the actual results and the expected outcomes thus guiding on the need for any necessary adjustments to be made when needed.
Choice E rationale: the treatment plan is not primarily responsible for ensuring that a client adheres to their treatment but instead it empowers and supports them during their recovery process. Therefore, the client’s needs and preferences should always be considered while developing the treatment plan which should be flexible to the changing needs of clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Transference involves the client projecting feelings or attitudes onto the healthcare provider and can affect the therapeutic relationship.
Choice B rationale: Environmental problems are external issues arising from the individual’s physical and social setting such as interruptions and noise and can affect the therapeutic environment, not the nurse's emotional responses.
Choice C rationale: Resistance refers to the situation where the client consciously or unconsciously opposes or is reluctant to engage in therapeutic interventions and hinders treatment progress and outcomes.
Choice D rationale: Countertransference occurs when the healthcare provider projects their feelings and emotions, experiences, or unresolved issues onto the client. The nurse's overprotective feelings interfere with the objectivity and effectiveness of the therapeutic relationship.
Correct Answer is C
Explanation
Choice A rationale: Both sodium and chloride are important for fluid balance but chloride has no effect on the blood lithium levels.
Choice B rationale: sodium has an effect on the blood lithium levels by competing with lithium for reabsorption in the kidneys but vitamins do not influence the lithium levels in blood.
Choice C rationale: dehydration increases the risk of lithium toxicity since it will result in oliguria hence increasing the risk of lithium toxicity since the drug is primarily excreted in urine. Sodium and lithium compete for reabsorption in the kidneys, so low sodium levels can increase lithium retention and lead to toxicity. Therefore, the client should maintain an adequate intake of sodium and water to prevent dehydration and sodium loss and to keep the lithium level within the therapeutic range.
Choice D rationale: water has an influence on blood lithium levels since adequate intake minimizes the risk of toxicity by increasing the drug’s excretion in urine.
However, potassium does not compete with lithium for reabsorption.
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