Which of the following trends should the psychiatric nurse ...

[stevenposner]

Which of the following trends should the psychiatric nurse consider when engaged in planning for
  future managed behavioral health organization services? (More than one answer may be correct.)
 
  A. Cost constraints will continue.
  B. Community-based care will evolve.
  C. Case management is a necessary skill.
  D. The prevalence of dementia is falling.
  E. Cultural diversity in the United States is decreasing.

Question 2

Regarding client use of psychotropic medication, the activities in which the basic level psychiatric
  mental health nurse can engage in include (more than one answer may be correct)
 
  A. listening to the client's concerns about medication dose.
  B. noting and addressing medication side effects.
  C. adjusting medication dosage as symptoms change.
  D. providing understandable medication teaching.

[jointhecircus]

Answer to Question 1

ANS: A, B, C
Rationale: Cost constraints will continue. More people will need mental health services, making
scarce services even more scarce. Costs will rise because of the sheer numbers of individuals
requiring care. Community-based care will continue to increase in an attempt to keep costs as low as
possible. New services will evolve as innovative responses to need. Case management is necessary
because it ensures that care is provided as efficiently and effectively as possible, thus saving scarce
dollars. Option D is incorrect. The prevalence of dementia is expected to rise as the population ages.
Increased need for institutions to care for clients with dementia is expected. Option E is incorrect.
Cultural diversity in the United States is increasing. Nursing cultural competence is necessary.

Answer to Question 2

ANS: A, B, D
Rationale: A basic level psychiatric mental health nurse does not have prescriptive privileges to
adjust medication dosages. All other activities are within the realm of the basic level psychiatric
mental health nurse and are important in promoting medication compliance.