In arranging community services for a client who is diagnosed ...

[JMatthes]

In arranging community services for a client who is diagnosed schizophrenia, the nurse case manager discusses options with the Assertive Community Treatment (ACT) team.
 
  Which team disciplines should the nurse expect will be part of the client's ACT interdisciplinary team?
  A) Psychiatrists, nurses, social workers, employment specialists, substance abuse specialists
  B) Speech pathology, occupational therapy
  C) Teachers, school administrators
  D) Handi-Cab drivers

Question 2

The nurse is preparing to triage victims of a train derailment who are being transported to the emergency department. Which victims would need immediate care? Select all that apply.
 
  A) Holding broken arm, sitting in a chair
  B) Respiratory rate of 8 and irregular
  C) Bleeding from fractured limb with a blood pressure of 78/40 mmHg
  D) Bleeding from superficial facial wounds and talking to family
  E) Walking with a slight limp, asking for something to drink

[Liamb2179]

Answer to Question 1

Answer: A

The ACT program supports and treats individuals with serious mental illnesses and provides psychiatrists, nurses, social workers, employment specialists, and substance abuse specialists. The schizophrenic patient would not require speech pathology remediation or occupational therapy. The schizophrenic patient would not require teacher assistance or school administration intervention. Handi-Cab drivers may be utilized for transportation, but are not part of the healthcare team.

Answer to Question 2

Answer: B, C

Emergent or immediate care is needed for life-threatening issues that require prompt treatment and care. Stabilization of the client's condition is critical. A respiratory rate of 8 and a blood pressure of 78/40 mmHg would be emergent. Urgent or delayed care is for serious health conditions in which a delay of treatment and care would not result in life-threatening situations. Holding a broken arm sitting in a chair and bleeding from superficial facial wounds while talking with family would be urgent. Non-urgent or minor issues do not require prompt care. Many of these clients can ambulate and are stable in their conditions. The client walking with a limp and asking for something to drink would be non-urgent.