Which psychiatric nursing intervention shows an understanding of ...

[cdr_15]

Which psychiatric nursing intervention shows an understanding of integrated care?
 
  a. A chronically abused woman is assessed for anxiety.
  b. A manic patient is taken to the gym to use the exercise equipment.
  c. The older adult diagnosed with depression is monitored for suicidal ideations.
  d. A teenager who refuses to obey the unit's rules is not allow to play video games.

Question 2

When a patient's family asks why their chronically mentally ill adult child is being dis-charged to a community-based living facility, the nurse responds:
 
  a. It is a way to meet the need for social support.
  b. It is too expensive to keep stabilized patients in acute care settings.
  c. This type of facility will provide the specialized care that is needed.
  d. Being out in the community will help provide hope and purpose for living.

[Bsand8]

Answer to Question 1

ANS: A
The majority of health disciplines now recognize that mental disorders and physical illnesses are closely linked. The presence of a mental disorder increases the risk for the development of physical illnesses and vice versa. Assessing a chronically abused individual for anxiety call should attention to the psychiatric disorder that could develop from the abuse. The remaining options show interventions that are appropriate for the mental disorder.

Answer to Question 2

ANS: D
Hospitalization may be necessary for acute care, but, when patients are stabilized, they move into community-based, patient-centered settings or are discharged home with continued out-patient treatment in the community. Concentrated efforts are made to reduce the patient's sick role by providing opportunities for the development of a purposeful life and instilling hope for each patient's future. Although social support is important, such a living arrange-ment is not the only way to achieve it. Although acute care is expensive, it is not the major concern when determining long-term care options. Community-based facilities are not the only option for specialized care.