Referral to a psychiatric extended-care facility would be most ...

[karen]

Referral to a psychiatric extended-care facility would be most appropriate for which of the following patients?
 
  a. An adult with generalized anxiety disorder
  b. A severely depressed 70-year-old retiree
  c. A patient with personality disorder who frequently self-mutilates
  d. A severely ill person with schizophrenia who is regressed and withdrawn

Question 2

A male patient is diagnosed with mitochondrial encephalopathy. The patient's daughter asks, Since this is a genetic disorder, am I at risk for having it too? Select the nurse's best response.
 
  a. Your risk is related to exposure to environmental toxins.
  b. No, this problem is only passed on by the mother.
  c. You must be feeling very worried.
  d. Your risk is not predictable.

[sultansheikh]

Answer to Question 1

D
Extended care often serves those with severe and persistent mental illness and those with a combination of psychiatric and medical illnesses. Patients with anxiety disorders can be referred to outpatient services. Severely depressed patients would need more intensive care, as would a self-mutilating individual.

Answer to Question 2

B
Mitochondria are passed to the ovum only by the mother, so the patient is not at risk for receiving it from the father. It is important to provide information in response to the daughter's question.

[karen]

Thanks for the timely response, appreciate it

[amcvicar]

Wow, this really help