Test Bank Chapter 41 Crisis Support To Community Living

Chapter 41: Supporting Individuals Through Crisis to Community Living: Meeting a Continuum of Service Needs

Multiple Choice

1. Individuals with mental illness may require a variety of services ranging from inpatient care to supporting function in the community. This range of services may best be described as which of the following?

a. Continuum of needs

b. Transitional care services

c. Health-care delivery models

d. Accountable care organizations

Topic: Introduction

LO: 41.1

2. Hospital admissions in which the individual agrees to treatment and to stay as long as treatment is deemed necessary is identified as which of the following?

a. Outpatient commitment

b. Involuntary commitment

c. Emergency hospitalization

d. Voluntary admission

Topic: Inpatient Hospital Admission

LO: 41.2

3. A dementia care inpatient program most accurately represents which of the following inpatient mental health settings?

a. Acute care

b. Inpatient hospital program

c. Specialized hospitalization program

d. Geriatric hospitalization program

Topic: Inpatient Mental Health Settings

LO: 41.3

4. As an occupational therapy practitioner working in an acute care mental health setting, which of the following intervention strategies that has been shown to increase patient satisfaction and occupational participation after discharge would you want to implement?

a. Social skills development

b. Incorporating stress management skills while performing everyday tasks

c. Vocational skills training

d. Cognitive behavioral strategies

Topic: Inpatient Mental Health Settings

LO: 41.4

5. You are an occupational therapy practitioner working in an outpatient setting where clients attend Monday through Friday for 6 hours a day. Your interventions focus on skills related to increasing your clients’ success in independent living, such as money management, cooking, and household management. Which outpatient setting does this best describe?

a. Partial hospital program

b. Intensive outpatient program

c. Residential outpatient program

d. Transitional housing program

Topic: Partial Hospitalization Programs and Intensive Outpatient Programs

LO: 41.5

6. Which of the following is a critical determinant of where a person goes after discharge from an inpatient setting?

a. Level of social support

b. Prehospitalization living situations

c. Insurance

d. Medication compliance

Topic: Discharge From Inpatient Care

LO: 41.6

7. As an occupational therapy practitioner working in a community mental health center, you adopt an intervention approach that is client-centered and focuses on developing daily living and vocational skills that promote recovery and community integration. Which of the following community approaches would you choose?

a. Supportive employment

b. Psychiatric rehabilitation

c. Assertive community treatment

d. Patient outcomes research team

Topic: Community Approaches

LO: 41.7

8. You are an occupational therapy practitioner working on a case management team that is available to their clients 24 hours a day. Responsibilities include working with clients in a variety of settings and facilitating skill development to increase successful community participation. Because you may find yourself engaging in responsibilities typically associated with social work, it is important you have a strong professional identity and ground your interventions in the philosophy of occupational therapy. Which of the following case management approaches does this best represent?

a. Strengths based

b. Broker model

c. Assertive community treatment

d. Psychiatric rehabilitation

Topic: Community Approaches

LO: 41.7

9. As a member of an Assertive Community Treatment (ACT) team, you are working with an individual who currently lives in a skilled nursing facility. She has expressed an interest in getting her own apartment. The team begins to collaborate to help this individual achieve her goal. Based on this individual’s goal, you decide you want to assess which of the following?

a. Social skills

b. Occupational competence

c. Vocational skills

d. Activities of daily living/instrumental activities of daily living skills

Topic: Occupational Therapy Across the Continuum of Needs—Assessment

LO: 41.8

10. You are an occupational therapist working in an acute care setting. Which of the following best reflects group interventions in this setting?

a. Focus on assisting clients to apply for benefits such as Social Security

b. Focus on vocational skills development

c. Focus on occupational concerns shared by other patients on the unit

d. Focus on activities of daily living/instrumental activities of daily living skill development

Topic: Occupational Therapy Across the Continuum of Needs—Interventions

LO: 41.9

11. Janelle, a 22-year-old grad student, has come to the emergency department of a community hospital with her family. She is refusing to sign admission forms and will not talk to the doctor on call. The family states that Janelle has been scratching herself with her fingernails. For the last week she has been drinking more than usual and refusing to leave her apartment or eat anything. She has given several of her things away to her roommates. They fear she is suicidal and are asking that she be admitted to the hospital for her safety. Janelle can be admitted against her will based on what criteria?

a. Janelle is exhibiting behavior that indicates she is a danger to herself.

b. Her family will support and fund her admission so she can get some help.

c. Intervening early is important to avoid further decompensation.

d. Once Janelle feels better she will realize that admission was necessary.

Topic: Inpatient Hospital Admission

12. A person who is admitted to an inpatient unit will stay for only a brief time, often only 4 or 5 days, before starting or resuming community-based mental health services. Which of the following is the primary reason for brief admissions in an inpatient unit?

a. The doctor wants to reevaluate the person’s medications and make a change that requires stopping one or more of them.

b. Inpatient hospital stays can be very expensive and insurance often only pays for a few days.

c. The person is experiencing a safety crisis because of an environmental stressor or an increase in the intensity of the symptoms.

d. People can simply check themselves out when they want to or when they feel that they no longer need help.

Topic: Inpatient Hospital Admission

13. Mario was recently readmitted to the inpatient hospital with an acute episode of mania. He has been living in the community with support from a community mental health center for a year, has followed his treatment recommendations, and had finally started to believe he would never go back to the hospital again. Mario is talking in group about his experience, stating he doesn’t understand why he has to start all over. What might be the group leader’s response to Mario’s concerns?

a. The therapist would tell Mario that his recovery process, and his need for mental health services, will probably not follow a linear path.

b. The therapist might ask Mario what happened and help him figure it out so he can avoid coming back in the future.

c. Mario will be encouraged to identify his triggers and adjust his medications accordingly so he can reduce the recidivism.

d. The therapist can discuss how mental illness is a lifelong disease and he will probably need to come into the hospital periodically for the rest of his life.

Topic: Discharge From Inpatient Care

14. John is a 40-year-old male with the diagnosis of paranoid schizophrenia. He has been homeless for the past 6 months. He has no family support and is dependent on social services for shelter and meals. He has no means of transportation and spends most of his time in a day shelter. The shelter staff wants to connect him with the appropriate case management team. An appropriate case management model to set him up with would be which of the following?

a. Broker model

b. Assertive Community Treatment

c. Stand-alone strengths-based model

d. Psychiatric rehabilitation services

Topic: Assertive Community Treatment and Program for Assertive Community Treatment