Varcarolis Ch. 5: Settings for Psychiatric Care Exam Practice Questions and Answers | All Correct
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Course
Varcarolis Psychiatric Mental Health Nursing
Institution
Varcarolis Psychiatric Mental Health Nursing
Varcarolis Ch. 5: Settings for Psychiatric
Care Exam Practice Questions and
Answers | All Correct
Planning for patients with mental illness is facilitated by understanding
that inpatient hospitalization is generally reserved for patients who:
a. present a clear danger to self or others.
b. ar...
Varcarolis Ch. 5: Settings for Psychiatric
Care Exam Practice Questions and
Answers | All Correct
Planning for patients with mental illness is facilitated by understanding
that inpatient hospitalization is generally reserved for patients who:
a. present a clear danger to self or others.
b. are noncompliant with medications at home.
c. have no support systems in the community.
d. develop new symptoms during the course of an illness. - Answer✔️✔️-a.
present a clear danger to self or others.
Hospitalization is justified when the patient is a danger to self or others,
has dangerously decompensated, or needs intensive medical treatment.
The incorrect options do not necessarily describe patients who require
inpatient treatment.
A patient is hospitalized for a reaction to a psychotropic medication and
then is closely monitored for 24 hours. During a predischarge visit, the case
manager learns the patient received a notice of eviction on the day of
admission. The most appropriate intervention for the case manager is to:
a. cancel the patients discharge from the hospital.
b. contact the landlord who evicted the patient to discuss the situation.
c. arrange a temporary place for the patient to stay until new housing can
be arranged.
d. document that the adverse medication reaction was feigned because the
patient had nowhere to live. - Answer✔️✔️-c. arrange a temporary place for
the patient to stay until new housing can be arranged.
The case manager should intervene by arranging temporary shelter for the
patient until suitable housing can be found. This is part of the coordination
and delivery of services that falls under the case manager role. The other
options are not viable alternatives.
A multidisciplinary health care team meets 12 hours after an adolescent is
hospitalized after a suicide attempt. Members of the team report their
assessments. What outcome can be expected from this meeting?
a. A treatment plan will be formulated.
b. The health care provider will order neuroimaging studies.
c. The team will request a court-appointed advocate for the patient.
d. Assessment of the patients need for placement outside the home will be
undertaken. - Answer✔️✔️-a. A treatment plan will be formulated.
Treatment plans are formulated early in the course of treatment to
streamline the treatment process and reduce costs. It is too early to
determine the need for alternative post-discharge living arrangements.
Neuroimaging is not indicated for this scenario.
The relapse of a patient diagnosed with schizophrenia is related to
medication noncompliance. The patient is hospitalized for 5 days,
medication is restarted, and the patients thoughts are now more organized.
The patients family members are upset and say, Its too soon for discharge.
Hospitalization is needed for at least a month. The nurse should:
a. call the psychiatrist to come explain the discharge rationale.
b. explain that health insurance will not pay for a longer stay for the
patient.
c. call security to handle the disturbance and escort the family off the unit.
d. explain that the patient will continue to improve if medication is taken
regularly. - Answer✔️✔️-d. explain that the patient will continue to improve
if medication is taken regularly.
Patients no longer stay in the hospital until every vestige of a symptom
disappears. The nurse must assume responsibility to advocate for the
patients right to the least restrictive setting as soon as the symptoms are
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