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Author Question: A patient with severe mental illness was admitted to an inpatient psychiatric unit for treatment for ... (Read 31 times)

mynx

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on: Jul 19, 2018
A patient with severe mental illness was admitted to an inpatient psychiatric unit for treatment for major depressive disorder and a co-occurring substance use disorder. The patient is progressing well on the unit but will require intensive,
 
  daily support on discharge. Which treatment option will the interprofessional team discuss with the patient as the best option after discharge?
  1. Supported employment
  2. Assertive community treatment
  3. Peer support
  4. Partial hospitalization program

Question 2

Which patient will the nurse case manager consider referring for supported employment services?
 
  1. A 55-year-old man diagnosed with schizophrenia who wants to continue his work as an artist
  2. A 35-year-old woman with bipolar disorder who was fired from her last job as a beautician and wants her job back
  3. A 47-year-old woman with major depression who wants to continue providing care for her three young children
  4. A 21-year-old man diagnosed with schizophrenia who dropped out of college and wants to continue his education


joneynes

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Reply #1 on: Jul 19, 2018
Answer to Question 1

Answer: 4
Explanation: Partial hospitalization programs offer intensive daily support and are often an appropriate step down in treatment following inpatient care. This level of care is most appropriate for the patient who continues to need daily treatment following discharge. The patient can continue to receive nurse case management services throughout recovery and in conjunction with the partial hospitalization program. Assertive community treatment will be more helpful once the patient no longer needs daily support. Peer support alone would be insufficient for this patient at this time.

Answer to Question 2

Answer: 2
Explanation: Supported employment services are based on the principles that everyone is eligible who is interested in working. Competitive employment is the goal. Even though she may not get her original job back, the beautician has expressed a clear interest in working. The artist already has a vocation and has not stated interest in competitive employment. The student and homemaker have not expressed any interest in competitive employment.


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mynx

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Reply #2 on: Jul 19, 2018
Correct answers!


joneynes

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Reply #3 on: Jul 19, 2018
Great! Please up vote :D


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