A trend in psychiatric nursing related to cost controls imposed ...

[Yolanda]

A trend in psychiatric nursing related to cost controls imposed in the managed care environment is:
 
  a. reduced emphasis on utilization review.
  b. a marked increase in the use of risk managers.
  c. reduced use of patient and family educators to promote compliance.
  d. a shift from acute inpatient to community-based positions.

Question 2

A college student who was nearly raped a month ago has worked with a rape crisis counselor three times a week for 3 weeks. During the final two sessions, the client and the counselor review the work they have done together.
 
  Which statement by the client indicates that the goals of crisis intervention have been met?
  A) Thanks a lot. You've really been helpful. I'll miss working with you.
  B) My instructor gave me a 3-week extension on my project.
  C) I'm really glad I didn't go home. It would have been hard to come back.
  D) I'm wearing the whistle my dad gave me when I go out walking. I've practiced using it, too.

[BAOCHAU2803]

Answer to Question 1

D
With cost consciousness, greater emphasis is being placed on the continuum of care. The number of inpatient hospitalization days will continue to decrease, and nurses will be needed to staff alternate treatment sites.

Answer to Question 2

D