ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 4 Questions
Question 1 of 5
Which of the following factors is primarily responsible for the changes in inpatient hospital treatment between the 1980s and the present?
Correct Answer: B
Rationale: Managed care introduced cost-control measures like recertification, utilization review, and case management, significantly altering inpatient treatment. While treatment options and stigma have evolved, they are not the primary drivers. Milieu therapy, common in the 1980s, required longer stays and is less relevant today.
Question 2 of 5
The factor having the most influence on the current trend in treatment settings is the fact in recent years,
Correct Answer: A
Rationale: Inadequate funding for community programs has limited their ability to replace state hospital care, driving trends toward community-based treatment. Commitment laws led to deinstitutionalization, state hospitals have not expanded, and community programs are not fully developed.
Question 3 of 5
The priority of inpatient care for people with severe mental illness is
Correct Answer: D
Rationale: Inpatient care prioritizes rapid assessment, symptom stabilization, and discharge planning for severe mental illness. Family issues, insight, and social skills are secondary to managing acute symptoms.
Question 4 of 5
Discharge planning from inpatient care for people with severe mental illness must address which of the following to be effective?
Correct Answer: A,C
Rationale: Effective discharge planning focuses on environmental supports like housing and transportation to ensure community reintegration. Jobs, family support, and recreational activities are less critical at discharge.
Question 5 of 5
Which type of community residential treatment setting is most likely to be permanent in any state?
Correct Answer: D
Rationale: Evolving consumer households provide permanent living arrangements, eliminating relocation needs. Halfway houses and respite housing are temporary, and independent living programs vary in permanence and services.