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Setting for Psychiatric Care - Halter Chapter 4 questions and answers
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Setting for Psychiatric Care - Halter Chapter 4 questions and answers
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Setting for Psychiatric Care -Halter Chapter 4 questions and
answers 2025-2026(latest
update with verified solutions)
The primary advantage of using a case manager is to:
A) Increase collaborative practice.
B) Enhance resource management.
C) Increase client satisfaction with care.
D) Promote evidence-based psychiatric nursing. - answer B)
Enhance resource management.
Rationale: Case management coordinates and monitors the
effectiveness of services appropriate for the client. In the
community setting, for example, close monitoring permits rapid
assessment of the need for crisis intervention to avoid costly
readmission.
Most clients who are diagnosed with chronic mental illness are not
likely to have their psychiatric mental health experiences covered
by:
A) Private insurance
B) Medicare
C) Medicaid
D) Social Security - answer A) Private insurance
Rationale: Because most health insurance is employer based, few
chronically ill clients have private insurance.
,Which statement regarding clients' rights after being voluntarily
admitted to a behavioral health unit is true?
A. All rights remain intact.
B. Only rights that do not involve decision making remain intact.
C. The right to refuse treatment is no longer guaranteed.
D. All rights are temporarily suspended. - answer A. All rights
remain intact.
Rationale: The hospitalized client is not a convicted criminal. All civil
rights remain intact. Patients' rights are clearly posted in all
inpatient units.
It is not always guaranteed that all clients who are voluntarily
admitted to a behavioral health unit will have the right to:
A. Refuse treatment.
B. Send and receive mail.
C. Seek legal counsel.
D. Access all personal possessions. - answer D. Access all personal
possessions.
Rationale: A client has the right to keep personal belongings unless
they are dangerous. Items such as sharp objects, glass containers,
and medication are usually removed from the client's possession
and kept in a locked area to be used by the client under supervision
or returned at discharge.
For the psychiatric client, the greatest negative aspect of the
multidisciplinary treatment team approach to care is that it:
A. Is an expensive treatment model.
B. Can increase anxiety in the newly admitted client.
C. Requires the client to answer the same questions repeatedly.
, D. Puts demands on the client's time and energy. - answer B. Can
increase anxiety in the newly admitted client.
Rationale: Newly admitted clients can find the interaction with
numerous team members stressful or even threatening.
An ongoing, crucial responsibility of nurses working on an inpatient
psychiatric unit is:
A. Fostering research.
B. Maintaining a therapeutic milieu.
C. Sympathetic listening.
D. Providing constructive negative feedback. - answer B.
Maintaining a therapeutic milieu.
Rationale: Nursing is the discipline primarily responsible for
maintenance of a therapeutic milieu, an environment that serves as
a real-life training ground for learning about self and practicing
communication and coping skills in preparation for a return to the
community outside the hospital.
Which is a characteristic of a therapeutic inpatient milieu?
A. It provides for the client's safety and comfort.
B. Voluntarily admitted clients are generally allowed additional
privileges.
C. Rules and behavioral limits are flexibly enforced.
D. Staff provide frequent and ongoing negative feedback to clients.
- answer A. It provides for the client's safety and comfort.
Rationale: Because the acuity level on inpatient units is high, nurses
are responsible for ensuring that the environment is safe and that
elopement and self-harm opportunities are minimized. The other
choices are undesirable characteristics of a therapeutic milieu.
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