Which patient would be most appropriate to refer for assertive community treatment (ACT)? A patient diagnosed with:

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Behavioral Questions for Nurse Questions

Question 1 of 5

Which patient would be most appropriate to refer for assertive community treatment (ACT)? A patient diagnosed with:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A person in the community asks, 'People with mental illnesses went to state hospitals in earlier times. Why has that changed?' Select the nurses accurate responses.Select one that does not apply.

Correct Answer: C

Rationale: The community is a less restrictive alternative than hospitals for treatment of persons with mental illness. Funding for treatment of mental illness remains largely inadequate but now focuses on community rather than institutional care. Antipsychotic medications improve more symptoms of mental illness; hence, management of psychiatric disorders has improved. Rates of mental illness have increased, not decreased. Hospitals were closed because funding shifted to the community. Conditions in institutions have improved.

Question 3 of 5

A Native American patient sadly describes a difficult childhood. The patient abused alcohol as a teenager but stopped 10 years ago. The patient now says,I feel stupid and good for nothing. I dont help my people. How should the treatment team focus planning for this patient?

Correct Answer: D

Rationale: Native Americans, because of their beliefs in the interrelatedness of parts and about being in harmony with nature, respond best to a holistic approach. No data are present to support dual diagnosis, because the patient has resolved the problem of excessive alcohol use. Psychopharmacological and somatic therapies may be part of the treatment, but the focus should be more holistic. Psychoanalysis is a long-term expensive therapy; cognitive therapy might be a better choice.

Question 4 of 5

A patient who has been hospitalized for 3 days with a serious mental illness says,I've got to get out of here and back to my job. I get 60 to 80 messages a day and Im getting behind on my email correspondence. What is this patients perspective about health and illness?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following statements is true of the component of a therapeutic relationship/acceptance?

Correct Answer: B

Rationale: Acceptance is avoiding judgments of the person, no matter what the behavior is. It means accepting the person but not necessarily the behavior. It does not involve punishment for inappropriate behavior. Empathy is the ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client.

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