Ch 4- Treatment Settings and Theraputic Programs

Ch 4- Treatment Settings and Theraputic Programs

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. Which of the following factors is primarily responsible for the changes in inpatient
hospital treatment between the 1980s and the present?
A) Progress in treatment options for mentally ill persons
B) The growth of managed care
C) Less stigma associated with mental illness
D) The current use of milieu therapy
Ans: B
Feedback:
Managed care exerts cost-control measures such as recertification of admissions,
utilization review, and case managementóall of which have altered inpatient treatment
significantly. There has been some progress in treatment options for mentally ill
persons, but that is not the primary factor that has changed mental health inpatient
hospital care. There is lesser stigma associated with mental illness, but that is not the
primary factor that has changed mental health inpatient hospital care. In the 1980s, a
typical psychiatric unit emphasized milieu therapy, which required long lengths of stay
because clients with more stable conditions helped to provide structure and support for
newly admitted clients with more acute conditions.
2. The factor having the most influence on the current trend in treatment settings is the fact
in recent years,
A) funding for community programs has been inadequate.
B) laws have enabled more people to be committed to treatment.
C) state hospitals have expanded to meet the demand.
D) community programs have been fully developed to meet treatment needs.
Ans: A
Feedback:
Adequate funding has not kept pace with the need for community programs and
treatment. Commitment laws have led to deinstitutionalization. Large state hospitals
emptied as a result. Treatment in the community was intended to replace much of state
hospital inpatient care, but funding has been inadequate.
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3. A patient who has continuously experienced severe symptoms of schizoaffective
disorder for the past 17 years is experiencing an acute psychotic episode. Which level of
care is most appropriate for this patient at this time?
A) Partial hospitalization
B) Residential treatment
C) Inpatient hospital treatment
D) Clubhouse
Ans: C
Feedback:
Long-stay clients in an inpatient setting are people with severe and persistent mental
illness who continue to require acute care services despite the current emphasis on
decreased hospital stays. This population includes clients who were hospitalized before
deinstitutionalization and remain hospitalized despite efforts at community placement. It
also includes clients who have been hospitalized consistently for long periods despite
efforts to minimize their hospital stays. Partial hospitalization is designed for patients
transitioning to independent living. Residential treatment and clubhouse model provide
supervised independent living.
4. A patient with depression is admitted to an inpatient hospital unit for treatment. The
type of therapy most likely provided in this setting includes
A) leisure skills.
B) self-monitoring of treatment.
C) skills for daily living.
D) talk therapy.
Ans: D
Feedback:
A typical psychiatric unit emphasizes talk therapy, or one-on-one interactions between
residents and staff, and milieu therapy, meaning the total environment and its effect on
the client’s treatment. Partial hospitalization programs teach skills for daily living.
Clubhouse models provide patients opportunities for leisure activities and self-
monitoring of treatment.