What is meant by "revolving door effect" in mental health care?

Shorter and more frequent hospital stays for persons with severe and persistent mental illness

Flexible treatment settings for mentally ill

Most effective and least expensive treatment settings

An overall reduction in incidence of severe mental illness

Answer and Explanation

The Correct Answer is A

A. Shorter and more frequent hospital stays for persons with severe and persistent mental illness. The "revolving door effect" in mental health care refers to the pattern of individuals with severe and persistent mental illness being repeatedly admitted and discharged from hospitals due to inadequate community-based support systems. This cycle often leads to poorer outcomes for patients, increased costs, and challenges in providing effective care
B. Flexible treatment settings for mentally ill is not accurate as it implies a positive approach to care, which is opposite to the revolving door effect.
C. Most effective and least expensive treatment settings is also incorrect as the revolving door effect is generally associated with higher costs and less effective care.
D. An overall reduction in incidence of severe mental illness: This is the opposite of the "revolving door effect," which implies ongoing issues with severe mental illness management.

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Correct Answer is C

Explanation

A. "If you don't participate in your care, you will not get better." This statement is not therapeutic as it may be perceived as judgmental or coercive. It could further discourage the client, especially if they are struggling with motivation due to depression.
B. "You can remain in bed until you feel well enough to join the group." While this response shows empathy, it might inadvertently reinforce the client's avoidance behavior and contribute to further isolation. It is generally more beneficial to encourage gradual participation rather than allowing complete withdrawal.
C. "I will assist you in getting out of bed and getting dressed." This option is appropriate because it offers support and encouragement in a gentle, non-coercive manner. Assisting the client in small steps can help them overcome inertia and begin to participate more actively in their care.
D. "The unit rules state that clients may not remain in bed." This approach is likely to be perceived as rigid and punitive. It does not address the client’s emotional state or offer support, which is crucial for someone struggling with depression.

A. Getting better treatment in larger, more urban areas B. Providing former patients with employment opportunities C. Moving patients to their home community for treatment D. Removing the stigma of living in an institution

Correct Answer is C

Explanation

A. Getting better treatment in larger, more urban areas: The Community Mental Health Center Act aimed to decentralize mental health care and improve community-based services, not specifically to enhance treatment in urban areas.

B. Providing former patients with employment opportunities: While employment is important, the primary goal of the Act was to provide community-based care rather than focusing solely on employment opportunities.

C. Moving patients to their home community for treatment: This is correct. The Community Mental Health Center Act aimed to integrate mental health care into local communities, providing treatment closer to home.

D. Removing the stigma of living in an institution: While reducing stigma was a factor, the primary goal was to provide community-based mental health services rather than focusing solely on stigma reduction.

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What is meant by "revolving door effect" in mental health care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newly admitted female client who has depression and refuses to get out of bed, dress, or participate in group therapy. Which of the following is an appropriate nursing response?

Correct Answer is C

Explanation

The primary purpose of the Community Mental Health Center Act of 1963 was

Correct Answer is C

Explanation

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