Chapter 05: Mental Health Care in the Community

Format: Multiple Choice

Client Needs: Safe, Effective Care Environment: Management of Care

Cognitive Level: Apply

Integrated Process: Nursing Process

Objective: 4

Page and Header: 46, Residential Services

1. The nurse is employed by a long-term residential treatment center that provides care to a variety of clients with chronic mental disorders. Which role would the nurse primarily assume when working with these clients?

A) Therapist

B) Medication administrator

C) Mediator

D) Educator

Page and Header: 45, Crisis Stabilization

2. A client has threatened to kill the client’s spouse, and it is not anticipated that this crisis will resolve itself. The client is to be admitted to an inpatient psychiatric unit on an involuntary basis. When explaining the plan to the family, the nurse would identify which as the focus of care?

A) Long-term therapy

B) Rehabilitative services

C) Crisis stabilization

D) 24-hour supervision

Page and Header: 47, Intensive Outpatient Programs

3. A client who has attempted suicide with a drug overdose has been released from an inpatient setting and has returned to school. The client continues to need routine psychiatric services. The nurse anticipates that this client will most likely be referred to what care setting?

A) A partial hospitalization program

B) An in-home mental health care

C) An intensive outpatient program

D) A crisis center in the community

Page and Header: 46, Partial Hospitalization

4. The nurse is caring for a group of clients in a partial hospitalization program. The nurse would most likely be involved in which activity?

A) Facilitating a drug abuse prevention group

B) Providing spiritually related interventions

C) Educating clients on menu planning and grocery shopping

D) Teaching about the nutritional content of canned foods

Page and Header: 47, Transitional Care

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

A) A need for continued intensive monitoring in the home

B) A need for crisis intervention services on an ongoing basis

C) A decrease in admission frequency to inpatient psychiatric hospitals

D) A dependence on parents to participate in the client’s care

Page and Header: 50, Personal Care Homes

6. The nurse is working as part of the interdisciplinary staff of a psychiatric inpatient facility. The staff is developing discharge plans for a client who requires alternative housing arrangements. The client will be referred to a personal care home. When explaining this housing arrangement to the client, which statement would the nurse include?

A) “You’ll be living with a family in their home, and the family will help supervise and support you.”

B) “You’ll be living in an apartment with a roommate, and a staff member will come by to check on you.”

C) “You’ll be living in a house with about 50 other people and receive 24-hour supervision and assistance.”

D) “You’ll be living in a house with about 6 to 10 other people, and a health care attendant will provide 24-hour supervision.”

Page and Header: 51, Managed Care

7. A nurse is developing a community education program for a local women’s club on the topic of managed care in mental health. Which topic would the nurse include as the main focus?

A) Cost savings

B) Consistent third-party reimbursement

C) Improved access to less costly services

D) Individualized care for additional inpatient stays

Page and Header: 51–52, Nursing Practice in the Continuum of Care

8. When working within the continuum of care, which process occurs first?

A) Referral

B) Transfer

C) Assessment

D) Discharge planning

Page and Header: 46, Respite Residential Care

9. The parents of a young adult diagnosed with schizophrenia are providing care for the client in their home. During a home visit, the parents state, “It’s been so difficult taking care of our child. We need a break. But our child needs constant supervision.” Which would be appropriate for the nurse to suggest?

A) Partial hospitalization

B) Acute inpatient care

C) Respite residential care

D) Intensive outpatient program

Page and Header: 48–49, Recovery-Oriented Rehabilitation Settings

10. A client is referred to a psychosocial rehabilitation program. When explaining this type of care to the client, what would the nurse emphasize?

A) Intensive treatment that prepares the client to live in the community

B) Services that promote the client’s reintegration into the community

C) Detoxification services for alcohol and drugs in an outpatient setting

D) Frequent monitoring within a therapeutic milieu for relapse prevention

Page and Header: 43, Least Restrictive Environment

11. When describing the continuum of care for mental health, which would the nurse identify as the primary goal?

A) Coordination of care

B) Care in the least restrictive environment

C) Case management

D) Crisis care

Page and Header: 47, Intensive Outpatient Programs

12. A nurse is describing the differences between a partial hospitalization program and an intensive outpatient program. Which would the nurse describe as the emphasis of partial hospitalization programs?

A) Social skills training

B) Stress management

C) Illness medication

D) Relapse prevention

Page and Header: 49, Self-Help Groups

13. A nurse is working with a client who is recovering from alcohol abuse. The client mentions participating in a 12-step recovery program. The nurse identifies this as which type of service?

A) Partial hospitalization

B) Outpatient detoxification

C) Self-help group

D) Supported employment

Page and Header: 49, Self-Help Groups

14. A psychiatric–mental health nurse is working with a local self-help group in the community. Which role would the nurse most likely fulfill?

A) Direct care provider

B) Counselor

C) Mentor

D) Consultant

Page and Header: 46, Residential Services

15. A client diagnosed with a mental illness is receiving supportive housing during a 24-hour period on an ongoing basis. Which type service is the client most likely receiving?

A) Peer support services

B) Community supportive housing

C) Supervised living services

D) Community-based residential services

Page and Header: 50, Therapeutic Foster Care

16. A psychiatric–mental health nurse is reviewing the medical record of a client diagnosed with a mental illness. The client is receiving care while living with a family who has been specially trained to handle mental illness. The nurse identifies this situation as which type of alternative housing?

A) Personal care home

B) Board-and-care home

C) Therapeutic foster care

D) Supervised apartment

Page and Header: 52, Assessment and Identification of Services

17. A psychiatric–mental health nurse has evaluated a client and determines that the client needs additional services. The nurse sends the client to another setting to obtain these services. Which action is the nurse demonstrating?

A) Transfer

B) Referral

C) Discharge planning

D) Assessment

Page and Header: 45, Crisis Intervention

18. A nurse is working in a crisis intervention unit. The nurse would most likely be involved with which activities? Select all that apply.

A) Administering medications

B) Assessing short-term interventions

C) Facilitating referrals for services

D) Providing 23-hour observation

E) Stabilizing the crisis

Page and Header: 47, In-Home Mental Health Care

19. A psychiatric–mental health nurse is reviewing the medical records of several clients. The nurse determines that in-home mental health care would be of most benefit for which clients? Select all that apply.

A) Client with chronic schizophrenia

B) Client with chronic major depression and heart failure

C) Client experiencing an acute crisis

D) Client who is to undergo alcohol detoxification

E) Client with anxiety receiving medication therapy

Page and Header: 47, In-Home Mental Health Care

20. A psychiatric–mental health nurse is providing in-home mental health care to a client. The nurse provides direct care and case management to the client to achieve which goal? Select all that apply.

A) Reduce hospital stays

B) Improve client’s ability to function

C) Reduce the number of medications prescribed

D) Increase family involvement in care

E) Improve standardization of care