Question 1

A person in the community asks, "People with mental illnesses went to isolated hospitals in earlier times. Why has that changed?" Select the nurse's accurate responses. Select all that apply.

Accepted Answer

The community is a less restrictive alternative than hospitals for treatment of people with mental illness. Funding for treatment of mental illness remains largely inadequate but now focuses on community rather than institutional care. Antipsychotic medications improve more symptoms of mental illness; hence, management of psychiatric disorders has improved. Rates of mental illness have increased, not decreased. Hospitals were closed because funding shifted to the community. Conditions in institutions have improved.

Question 2

A patient diagnosed with schizophrenia lives in the community. On a home visit, the community psychiatric nurse case manager learns the following:
·The patient wants to attend an activity group at the mental health outreach centre
·The patient is worried about being able to pay for the therapy
·The patient does not know how to get from home to the outreach centre
·The patient has an appointment to have blood work at the same time an activity group meets
·The patient wants to attend services at a church that is about a kilometre from the patient's home
Which tasks are part of the role of a community mental health nurse? Select all that apply.

Accepted Answer

The correct answers reflect the coordinating role of the community psychiatric nurse case manager. Negotiating the cost of therapy and accompanying the patient to church services are interventions the nurse would not be expected to undertake. The patient can walk to the church services; the nurse can provide encouragement.

Quiz 6: Psychiatric Mental Health Nursing in Community Settings

A person in the community asks, "People with mental illnesses went to isolated hospitals in earlier times. Why has that changed?" Select the nurse's accurate responses. Select all that apply.