Psychiatric Mental Health Nursing Chap 4

Front 1

The introduction of __________________in the 1950s offered the first hope of successfully treating the symptoms of mental illness in a meaningful way.

Back 1

psychotropic medications

Front 2

By ___(time)______________, focus on client rights and changes in commitment laws led to deinstitutionalization and a new era of treatment. Institutions could no longer hold clients with mental illness indefinitely, and treatment in the “least restrictive environment” became a guiding principle and right. Large state hospitals emptied.

Back 2

the 1970s

Front 3

_________________________did not lessen veterans' days in the hospital, but did improve their self-esteem and feelings of self-control.

Back 3

Scheduled, intermittent hospital stays

Front 4

Impediments to successful discharge planning include :

Back 4

alcohol and drug abuse, criminal or violent behavior, noncompliance with medication regimens, and suicidal ideation

Front 5

three types of intervention are significant in preventing rehospitalization for individuals with four or more prior inpatient stays. These interventions are :

Back 5

symptom education, service continuity, and establishment of daily structure.

Front 6

Clients who can_________________________________________________________________________________ are least likely to require rehospitalization.

Back 6

1. recognize signs of impending relapse and seek help,
2. participate in outpatient appointments and services, 3.have a daily plan of activities and responsibilities

Front 7

A ____________________________to reintegrating persons into the community is the best way to prevent repeated hospital admissions and improve quality of life for clients.

Back 7

holistic approach

Front 8

____________________ programs provide many of the services that are necessary to stop the revolving door of repeated hospital admissions punctuated by unsuccessful attempts at community living.

Back 8

Assertive community treatment (ACT)

Front 9

____________________________ are designed to help clients make a gradual transition from being inpatients to living independently and to prevent repeat admissions.

Back 9

Partial hospitalization programs (PHPs)

Front 10

The _____________________is a group-living situation in which the residents make the transition from a traditional group home to a residence where they fulfill their own responsibilities and function without on-site supervision from paid staff.

Back 10

evolving consumer household

Front 11

,________________________ refers to services designed to promote the recovery process for clients with mental illness

Back 11

Psychiatric rehabilitation,
sometimes called psychosocial rehabilitation

Front 12

The essence of membership in the clubhouse is based on the four guaranteed rights of members:

Back 12

A place to come to
Meaningful work
Meaningful relationships
A place to return to (lifetime membership)

Front 13

The clubhouse focus is on ________ not ________. Taking prescribed drugs, for example, is not a condition of participation in the clubhouse.

Back 13

health, not illness.

Front 14

One of the most effective approaches to community-based treatment for people with mental illness is ______

Back 14

ACT
Assertive Community Treatment

Front 15

They believed that skills training, support, and teaching should be done in the ......

Back 15

community where it was needed rather than in the hospital.

Front 16

An ACT program has a _________________: Staff members attend to specific life issues, no matter how mundane.

Back 16

problem-solving orientation

Front 17

__________________provide most services directly rather than relying on referrals to other programs or agencies, and they implement the services in the clients' homes or communities, not in offices.

Back 17

ACT programs

Front 18

The team approach allows all staff to be equally familiar with all clients, so clients do not __________________________. ACT programs also make a_ long-term commitment to clients, providing services for as long as ________________________________

Back 18

have to wait for an assigned person.


the need persists and with no time constraints

Front 19

Providing __________ alone does not significantly alter the prognosis of homelessness for persons with mental illness

Back 19

housing

Front 20

Components of an ACT Program include:

Back 20

low staff-to-client ratio

Ameliorating or eliminating the debilitating symptoms of mental illness

Providing services 24 hours a day that would include respite care to deflect unnecessary hospitalization and crisis intervention to prevent destabilization with unnecessary emergency department visits

Front 21

____________________ refers to the practice of arresting and prosecuting mentally ill offenders, even for misdemeanors, at a rate four times that of the general population in an effort to contain them in some type of institution where they might receive needed treatment

Back 21

Criminalization of mental illness

Front 22

The public concern about the potential danger of people with mental illness is fueled by ...............

Back 22

the media attention that surrounds any violent criminal act committed by a mentally ill person.

Front 23

_____________is a physician; primary function of the psychiatrist is diagnosis of mental disorders and prescription of medical treatments.

Back 23

psychiatrist

Front 24

practice therapy, conduct research, and interpret psychological tests

Back 24

Psychologist

Front 25

have the primary responsibility for working with families, community support, and referral.

Back 25

Psychiatric social worker

Front 26

focuses on the functional abilities of the client and ways to improve client functioning, such as working with arts and crafts and focusing on psychomotor skills.

Back 26

Occupational therapist

Front 27

determining clients' interests and abilities and matching them with vocational choices

Back 27

Vocational rehabilitation specialist

Front 28

All the following are characteristics of ACT except
A. Services are provided in the home or community.
B. Services are provided by the client's case manager.
C. There are no time limitations on ACT services.
D. All needed support systems are involved in ACT

Back 28

B. Services are provided by the client's case manager

Front 29

Research shows that scheduled intermittent hospital admissions result in which of the following?
A. Fewer inpatient hospital stays
B. Increased sense of control for the client
C. Feelings of failure when hospitalized
D. Shorter hospital stays

Back 29

B. Increased sense of control for the client

Front 30

Inpatient psychiatric care focuses on all the following except
A. Brief interventions
B. Discharge planning
C. Independent living skills
D. Symptom management

Back 30

C. Independent living skills

Front 31

How many persons in the state prison population have severe mental illness?
A. Less than 9%
B. 16%
C. 33%
D. More than 45%

Back 31

B. 16%

Front 32

Which of the following interventions is an example of primary prevention implemented by a public health nurse?
A. Reporting suspected child abuse
B. Monitoring compliance with medications for a client with schizophrenia
C. Teaching effective problem-solving skills to high school students
D. Helping a client to apply for disability benefits

Back 32

C. Teaching effective problem-solving skills to high school students

Front 33

The primary purpose of psychiatric rehabilitation is to
A. Control psychiatric symptoms
B. Manage clients' medications
C. Promote the recovery process
D. Reduce hospital readmissions

Back 33

C. Promote the recovery process

Front 34

Managed care provides funding for psychiatric rehabilitation programs to
A. Develop vocational skills
B. Improve medication compliance
C. Provide community skills training
D. Teach social skills

Back 34

C. Provide community skills training

Front 35

The mentally ill homeless population benefits most from
A. Case management services
B. Outpatient psychiatric care to manage psychiatric symptoms
C. Stable housing in a residential neighborhood
D. A combination of housing, rehabilitation services, and community support

Back 35

D. A combination of housing, rehabilitation services, and community support