When describing the continuum of care for mental health, which would the nurse identify as the primary goal?
Crisis care
Case management
Coordination of care
Care in the least restrictive environment
The Correct Answer is D
Choice A reason:
Crisis care is an important component of the mental health care continuum, providing immediate support during acute episodes. However, it is not the primary goal of the continuum of care. The goal is to provide ongoing, comprehensive support that promotes stability and recovery.
Choice B reason:
Case management is a crucial aspect of mental health care, ensuring that clients receive coordinated and continuous services. While it plays a significant role in the continuum of care, it is not the overarching primary goal.
Choice C reason:
Coordination of care is essential for effective mental health treatment, involving the integration of various services and providers. However, it is a means to an end rather than the primary goal itself.
Choice D reason:
Care in the least restrictive environment is the primary goal of the mental health care continuum. This principle emphasizes providing care in settings that allow the greatest level of independence and normalcy for the client while ensuring their safety and well-being. It aims to avoid unnecessary institutionalization and promote community-based care.
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Correct Answer is C
Explanation
Choice A reason:
Bizarre behavior is considered a positive symptom of schizophrenia. Positive symptoms are those that add abnormal experiences, such as hallucinations, delusions, and disorganized behavior. Bizarre behavior falls into this category as it represents an addition to normal behavior patterns.
Choice B reason:
Somatic delusions are also positive symptoms of schizophrenia. These delusions involve false beliefs about the body, such as believing one has a serious illness despite medical evidence to the contrary. Positive symptoms are characterized by the presence of abnormal thoughts or behaviors.
Choice C reason:
Affective flattening is a negative symptom of schizophrenia. Negative symptoms are characterized by the absence or reduction of normal functions, such as emotional expression, motivation, and social interaction. Affective flattening refers to a lack of emotional expression, where the individual shows little to no facial expressions or emotional responses.
Choice D reason:
Illogicality, or disorganized thinking, is considered a positive symptom of schizophrenia. It involves incoherent or nonsensical speech and thought patterns. Positive symptoms are those that reflect an excess or distortion of normal functions.
Correct Answer is A
Explanation
Choice A reason:
An advance care directive, or “living will,” is a legal document that specifies what medical treatments the client wishes to receive or omit if they become unable to make decisions for themselves. This document guides healthcare providers and family members in making decisions that align with the client’s preferences.
Choice B reason:
A client is not required to sign the “living will” document with an attorney present. While it is advisable to consult with an attorney when creating legal documents, it is not a requirement for the validity of an advance care directive.
Choice C reason:
An attorney may assist in drafting the advance care directive, but it is not necessary for the attorney to draw up the papers. The client can create the document with the help of healthcare providers or legal advisors.
Choice D reason:
The client’s physician does not need to act as a witness when the client signs the document. Typically, witnesses are required to ensure the document is signed voluntarily and without coercion, but they do not have to be the client’s physician.