Author Question: The parent of an adult who is severely and persistently mentally ill asks the nurse, Why are you ... (Read 34 times)

mrsjacobs44 · **on:** Jul 19, 2018

The parent of an adult who is severely and persistently mentally ill asks the nurse, Why are you making a referral to that vocational rehabilitation program? My child won't ever be able to hold a job. Which is the nurse's best reply?

a. We make this referral to continue eligibility for federal funding.
b. Are you concerned that we're trying to make your child too independent?
c. If you think the program would be detrimental, we can postpone it for a time.
d. Most patients are capable of employment at some level, competitive or supported.

Question 2

For patients with severe and persistent mental illness, what is the major advantage of case management? A case manager can:

a. modify traditional psychotherapy.
b. more efficiently use resources as the only manager responsible for coordinating services.
c. focus on social skills training and self-esteem building.
d. bring groups of patients together to discuss common problems.

courtney_bruh · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Studies have shown that most patients who complete vocational rehabilitation programs are capable of some level of employment; also they demonstrate significant improvement in assertiveness and work behaviors, as well as decreased depression.

Answer to Question 2

ANS: B
The case manager not only provides entrance into the system of care, but he or she also coordinates the multiple referrals that so often confuse the patient who is severely and persistently mentally ill and the patient's family. Case management promotes the efficient use of services. The other options are lesser advantages or may be irrelevant.