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NR 548 Exam 2 – Questions With Verified Solutions
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NR 548 Exam 2 – Questions With Verified SolutionsWho the first organized training school within a hospital for the insane in
1882? ✔️Ans - Dr. Edward Cowles
Who developed the first nurse-organized training course for psychiatric
nursing at Johns Hopkins Hospital. ✔️Ans - Effie Jane Taylor
Who recommended standards of training for psychiatric nurses, which led
to improved education and standards of care? ✔️Ans - Laura
Fitzsimmons
What year brought a transition towards deinstitutionalization in care for
those with mental illnesses, which led to an increase in the number of
psychiatric patients receiving care in the community rather than hospitals?
✔️Ans - 1950s
What Act allowed for the expansion of the PMHCNS role into community
and ambulatory settings as they helped those who had been
deinstitutionalized adapt (ANA, 2014). ✔️Ans - The Community
Mental Health Centers Act of 1963
occur in a hospital, psychiatric facility or community setting. These
services focus on psychiatric and substance-related emergencies.
✔️Ans - Crisis intervention and psychiatric emergency services
is a short-term treatment. It occurs in the inpatient setting providing care
for acutely ill patients at risk for harming self or others or unable to meet
basic needs due to impairment. The focus is crisis stabilization. ✔️Ans -
Acute inpatient care
may admit clients directly or accept transfers from acute inpatient care.
They provide intermediate or long-term care for patients at chronic risk to
self or others or unable to function without supervision and support due to
mental disorders. They include treatment, habilitation and rehabilitation
and may be public, private, or state hospitals operated through the criminal
justice system. ✔️Ans - Intermediate and long-term care
, provide acute symptom management, intensive treatment, and safe
housing for patients who do not require 24-hour medical management or
nursing care. These programs can be free standing or step-down facilities.
✔️Ans - Partial hospitalization and intensive outpatient treatment (IOP)
provide 24-hour care and housing for an extended period. Services include
psychoeducation, vocational rehabilitation, and training for activities of
daily living. ✔️Ans - Residential Services
is provided in non-hospital community settings such as mental health
clinics, homes, worksites, shelters, crisis centers, senior centers, group
homes, or schools. It can also provide care in an integrative primary health
care setting. ✔️Ans - Community based Care
is a team treatment approach to provide comprehensive, community-based
psychiatric treatment, rehabilitation, and support to persons with severe
mental illness (SMI). It provides individualized service 24 hours a day, 7
days a week. ✔️Ans - Assertive Community Treatment (ACT)
provide healthcare at a basic level rather than a specialized level. These
providers address a majority of personal healthcare needs. Healthcare
consumers often seek care for mental health concerns at this level for
accessibility or to avoid the stigma associated with mental health services.
✔️Ans - Primary care
Has provided recommendations for licensure, accreditation, certification,
and education (LACE) pertaining to all APRN practice. PMHNP certification
exam criteria is set by the American Nurses Credentialing Center (ANCC).
✔️Ans - The consensus model
focuses on the application of competencies, knowledge, and experience to
individuals, families, or groups with complex psychiatric-mental health
problems ✔️Ans - Role of the PMHNP-APRN
involves a formally structured relationship between the therapist (PMHNP)
and the healthcare consumer that applies evidence-based methods to effect
negotiated outcomes. ✔️Ans - Psychotherapy
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