The most important issue a nurse who wishes to become involved in ...

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The most important issue a nurse who wishes to become involved in political action on behalf of
  clients and families affected by mental illness could choose is
 
  a. the need to do away with utilization review.
  b. passing a national mental health parity law.
  c. stopping computerization of medical records.
  d. the need for accurate mental health information on the Internet.

Question 2

Which of the statements made by a nurse applying for a position as a case manager suggests the
  nurse does not have the requisite attitude or skill and should not be given the position?
 
  a. I most enjoy taking care of clients who are dependent..
  b. I am rewarded when I see a client functioning in the community..
  c. I am able to identify a client's changing needs and shift roles accordingly..
  d. My interpersonal skills are excellent and I know the resources of the
  community..

[Hdosisshsbshs]

Answer to Question 1

ANS: B
A national mental health parity law would provide better insurance benefits for insured clients with
mental health problems. Insurance equality would be achieved for clients with physical and mental
illness. Option A: Utilization review is an important cost-containment tool. The nurse would not
want to speak against this. Option C: The nurse should not adopt this cause. Communication
technology should be used to benefit clients and staff. Although confidentiality is currently an issue,
it is not insurmountable. Option D: This is not a cause for political action.

Answer to Question 2

ANS: A
A case manager must provide a consistent, supportive, one-to-one, long-term relationship that helps
clients develop their strengths and increase and maintain an optimal level of independence. The
nurse who prefers to work with dependent clients may unconsciously sabotage client movement
toward independence. The other statements refer to attitudes and skills consistent with Forchuck's
case management model.

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Excellent

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