Author Question: Planning for clients with mental illness is facilitated by understanding that under behavioral ... (Read 59 times)

kaid0807 · **on:** Jul 19, 2018

Planning for clients with mental illness is facilitated by understanding that under behavioral health
managed care, inpatient hospitalization is generally reserved for clients who

a. are non compliant with medication at home.
b. present a clear danger to self or others.
c. develop new symptoms during the course of the illness.
d. have no support systems in the community.

Question 2

The nurse manager has the task of introducing staff to the use of clinical pathways. The nurse
manager will need to explain that clinical pathways are used in managed care settings to

a. identify obstacles to effective care.
b. stabilize aggressive clients.
c. relieve nurses of planning responsibilities.
d. streamline the care process and save money.

kbennett34 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Hospitalization is justified when the client is a danger to self or others, has dangerously
decompensated, or needs intensive medical treatment. Options A, C, and D do not necessarily
describe clients who would require inhospital treatment.

Answer to Question 2

ANS: D
Clinical pathways provide guidelines for assessments, interventions, treatments, and outcomes as
well as a designated timeline for accomplishment. Deviations from the timeline must be reported and
investigated. Clinical pathways streamline the care process and save money. Option A: Care
pathways do not identify obstacles; staff do this. Option B: Care pathways do not stabilize
aggressive clients; staff are responsible for the necessary interventions. Option C: Care pathways do
not relieve nurses of the responsibility of planning; pathways may, however, make the task easier.