Author Question: Which of the following statements regarding the impact of managed health care on the delivery of ... (Read 43 times)

melina_rosy · **on:** Jul 19, 2018

Which of the following statements regarding the impact of managed health care on the delivery of psychiatric services is true?

1. Managed mental health care has resulted in shorter, more intense psychiatric hospital stays to keep costs down.
2. Clients are admitted to hospitals in earlier stages of psychiatric illnesses.
3. Cost containment has created an entire range of ambulatory care services that are considered ineffective.
4. Shorter models for psychiatric services and outpatient treatment do not meet the lifestyle needs of clients and their employers.

Question 2

The nurse instructs the family and client on phenelzine (Nardil) about:

1. No risk for concomitant use with a Selective Serotonin Reuptake Inhibitor (SSRI).
2. No risk for concomitant use with opioids.
3. Use of a low glycemic diet.
4. Use of a low-tyramine diet.

izzat · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: In an effort to contain costs, managed mental health care has resulted in shorter, more intense psychiatric hospital stays. As a result of managed care, clients are admitted to hospitals in later stages of disease or illness, or perhaps not admitted at all. Shorter models of psychiatric services, outpatient treatment, and ambulatory care services have been effectively created to keep costs down and meet the lifestyle needs of clients and their employers.

Answer to Question 2

4
Rationale: Nardil is a monoamine oxidase inhibitor (MAOI) and requires the use of a low-tyramine diet, not a low glycemic diet. These diets are not the same. There is a death risk for concomitant use of a MAOI with a SSRI and/or opioid.