Which service would be expected to provide resources 24 hours a ...

[Yolanda]

Which service would be expected to provide resources 24 hours a day, 7 days a week if needed for persons with serious mental illness?
 
  a. Clubhouse model
  b. Cognitive Behavioral Therapy (CBT)
  c. Assertive Community Treatment (ACT)
  d. Cognitive Enhancement Therapy (CET)

Question 2

An outpatient diagnosed with schizophrenia tells the nurse, I am here to save the world. I threw away the pills because they make God go away. The nurse identifies the patient's reason for medication nonadherence as:
 
  a. poor alliance with clinicians.
  b. inadequate discharge planning.
  c. dislike of medication side effects.
  d. lack of insight associated with the illness.

[allisonblackmore]

Answer to Question 1

ANS: C
Assertive community treatment (ACT) involves consumers working with a multidisciplinary team that provides a comprehensive array of services. At least one member of the team is available 24 hours a day for crisis needs, and the emphasis is on treating the patient within his own environment.

Answer to Question 2

ANS: D
The patient's nonadherence is most closely related to lack of insight into his illness. The patient believes he is an exalted personage who hears God's voice rather than an individual with a serious mental disorder who needs medication to control his symptoms. While the distracters may play a part in the patient's nonadherence, the correct response is most likely.