What is Least Restrictive Environment (LRE)?
Which treatment setting would necessitate the most restrictive care environment? a. Partial hospitalization program b. Geropsychiatric unit c. Forensic hospital d. Group home
What are the treatment options for substance abuse in residential settings?
Which treatment setting would necessitate the most restrictive environment? a. Partial hospitalization b. Geropsychiatric unit c. Forensic hospital d. Group home ANS: C Patients in forensic hospitals have mental illness as well as conviction or charges for criminal activity. These settings must be therapeutic but also confine patients from society.
What is the duration of residential treatment?
The therapeutic community theory views substance abuse as a deviant behavior and offers individual, social, and vocational rehabilitation through the community method of social learning. This method is highly structured and its primary interventions include: [1] Behavioral modeling. Supportive peer confrontations.
What are the outpatient settings of case management?
restrictive setting (i.e., general education classroom) to the most restrictive ones (i.e., residential facilities). When using this continuum to determine where services and supports will be provided, the IEP team should first make an effort to place—and maintain—the student in the general education setting.
What are the elements of psychiatric home care as defined by Medicare regulations?
-defined by Medicare regulations in 1979 as requiring four elements: (1) homebound status of the patient, (2) presence of a psychiatric diagnosis, (3) need for the skills of a psychiatric registered nurse, and (4) development of a plan of care under orders of a physician.
Which does correctional nursing primarily provide?
Correctional nurses commonly provide holistic and comprehensive care for the incarcerated population.
Which credential would be expected of an expert witness in the area of forensic psychiatric nursing?
Expert testimony is based on evidence-based practice. Forensic nurses with advanced degrees are more likely to be called upon as expert witnesses.
What are three mental health diagnoses most commonly associated with crisis?
The most common mental illness diagnoses include depressive disorder, bipolar disorder, schizophrenia and anxiety disorders, but there are many others. Regardless of the diagnosis, symptoms can be similar and can overlap, especially in times of crisis.
What is the role of the correctional nurse?
A correctional nurse is a nursing professional that cares for and treats inmates and other detainees in correctional facilities and jails. These nursing professionals choose to go behind prison walls every day to attend to detainees' health needs. They treat perform both routine and emergency medical procedures.Oct 21, 2021
How does correctional nursing relate to community health?
Although incarceration is often counter-productive to the health and well-being of the affected population, it does create a public health opportunity: providing screening, diagnosis, treatment, and post-release linkage to care for members of a vulnerable population who may not seek or have access to services otherwise ...
When the court has subpoenaed a nurse to be a witness in a criminal case what can establish the expertise of the nurse?
When the court has subpoenaed a nurse to be a witness in a criminal case, what can establish the expertise of the nurse? The nurse has publications in professional journals.
What is the best treatment for mental illness?
Psychotherapy. Psychotherapy is the therapeutic treatment of mental illness provided by a trained mental health professional. Psychotherapy explores thoughts, feelings, and behaviors, and seeks to improve an individual's well-being. Psychotherapy paired with medication is the most effective way to promote recovery.
Which approach by the nurse is best when responding to a client in crisis?
Although a supportive approach (supporting the client's strengths) is part of crisis intervention, the overall method guiding the nurse is the problem-solving approach. 5.
What is crisis intervention management?
Crisis intervention is a short-term management technique designed to reduce potential permanent damage to an individual affected by a crisis. A crisis is defined as an overwhelming event, which can include divorce, violence, the passing of a loved one, or the discovery of a serious illness.May 3, 2021
A person diagnosed with bipolar disorder ran out of money, did not refill a lithium prescription, and then relapsed. After assaulting several people in the community, this person was convicted and sentenced. Prior to parole, which outcome has priority for the correctional nurse to achieve? The person: a. agrees in writing to continue lithium therapy. b. is reestablished on an appropriate dose of lithium. c. lists community resources for prescription assistance. d. agrees to a follow-up appointment in an outpatient clinic.
C: To increase medication adherence, reduce the risk of relapse, and prevent further criminal activity due to mental illness, the person’s awarenes...
An inmate was diagnosed with posttraumatic stress disorder (PTSD) caused by severe sexual abuse. One day this inmate sees a person with characteristics similar to the perpetrator, has a flashback, and then attacks the person. Correctional officers place the inmate in restraint. The correctional nurse should anticipate that the inmate would react to restraint by: a. committing to counseling to reduce the incidence of flashbacks. b. becoming less likely to assault others during future flashbacks. c. gradually calming and returning from the flashback to reality. d. becoming more frightened, agitated, and combative.
D: The correctional nurse recognizes that events occurring in the present reality are likely to be incorporated into a flashback, leading the inmat...
An inmate was diagnosed with posttraumatic stress disorder (PTSD) caused by severe sexual abuse. One day this inmate sees a person with similar characteristics to the perpetrator, has a flashback, and then attacks the person. Correctional officers place the inmate in restraint. Which action by the correctional nurse is most appropriate? a. Plan to meet with the inmate for debriefing after release from the required period of restraint. b. Support use of restraints as needed to control violent outbursts and assure the safety of all inmates. c. Contact a supervisor authorized to make an exception to the restraint policy and explain why an alternate response is needed. d. Confront the correctional officers who initiated the restraint, explain the inappropriateness of this action, and request the inmate’s release.
C: Nurses have advocacy responsibilities, regardless of the setting. The optimum outcome in this situation would be to minimize the duration of the...
The correctional nurse assesses a new prisoner beginning incarceration after committing a sex crime. The prisoner speaks in a low voice and tearfully tells the nurse, “My life might as well be over. There is no hope I will ever fit into society after I get out of prison. My family disowned me.” Select the nurse’s priority action. a. Advise guards to place the inmate in solitary confinement. b. Offer to contact the inmate’s family to convey these feelings of remorse. c. Alert the guards of the risk for suicide and implement suicide precautions. d. Meet with the inmate weekly to discuss these feelings and explore coping strategies.
C: The inmate is experiencing significant shame and self-loathing, facing many significant losses (freedom, status in the community, perhaps his ca...
A correctional nurse working in a county jail assesses all new inmates who report taking psychotropic medication or have symptoms of psychiatric disorders. Because of the high volume of newly incarcerated individuals, which skill is most essential for this nurse? a. Documenting information that could be used as trial evidence b. Quickly and skillfully assessing risks for suicide and violence c. Having a comprehensive understanding of community resources d. Counseling inmates to promote successful adaptation to incarceration
B: Newly incarcerated prisoners are often in crisis and may be suicidal. Others may be mentally ill and experiencing relapse. Therefore, being able...
A psychiatric clinical nurse specialist works with a defendant as a competency evaluator. A staff member asks, “Why are you spending so much time with that defendant? You spend one-to-one time and write volumes. Usually, we give defendants some medication and return them to court.” Select the clinical nurse specialist’s most appropriate response. a. “My role is to be an advocate for the defendant, so I have to know him well and build a trusting relationship.” b. “My focus is providing intensive psychotherapy to ensure the defendant becomes competent before returning to court.” c. “The specialized assessments I make on behalf of the court require very lengthy and detailed interviews, so it takes a lot of time.” d. “I spend the time observing, assessing, and documenting competency, writing a report, and preparing expert testimony for the court.”
D: The competency evaluator has to determine the patient’s current competence to act on his own behalf during his trial; without competency, the in...
During arraignment, a defendant behaves bizarrely, fails to respond to the judge’s questions, and shouts obscenities. The judge orders an evaluation by a forensic nurse examiner. Which information provided by the examiner will be most important to the court at this time? a. The defendant’s mental state at the time of the crime b. The defendant’s competence to proceed with trial c. The cause of the defendant’s courtroom behavior d. The defendant’s history and cognitive abilities
B: Competence to proceed refers to one’s capacity to assist the attorney and understand legal proceedings. In the United States, no one is tried un...
A psychiatric forensic nurse examiner was asked by a defendant’s attorney to determine the defendant’s legal sanity. What is the priority task of the nurse examiner? a. Determine if the defendant understands the charges and can assist the attorney with the defense. b. Complete a risk assessment to determine if the defendant is a danger to self or others. c. Reconstruct the defendant’s mental state and motives at the time of the crime. d. Collect and compile evidence to determine whether a crime occurred.
C: Legal sanity is determined for the specific time of the alleged crime, so reconstructing the defendant’s mental state, motivation, thinking, and...
Select the best question for a psychiatric forensic nurse examiner to ask when assessing the legal sanity of an individual charged with a crime. a. “Tell me about what you were thinking at the time of the alleged crime.” b. “What would you do if you heard a fire alarm going off where you live?” c. “At this time, are you having any experiences that others might think strange?” d. “Do you feel as though you would like to harm yourself or anyone else at the present time?”
A: Legal sanity refers to the individual’s ability to know right from wrong with reference to the act charged, the capacity to know the nature and...
What is residential treatment?
Residential treatment is for individuals who do not meet the clinical criteria for hospitalization but have lives and social interactions dependent upon substance use. Residential treatment is also for those who currently do not have sufficient motivation and substance-free social supports to stay abstinent in an ambulatory setting. The duration of residential treatment should depend on the time it takes for the individual to meet specific criteria that would predict his or her successful transition to a less structured and restrictive treatment setting. Treatment in residential settings can include a wide array of psychosocial treatments as well as pharmacological treatments. [1]#N#Therapeutic Communities
What is a community residential facility?
Community residential facilities are often called ‘halfway houses’ or ‘sober houses,’ with the former usually offering more structure and supervision. These facilities provide an outpatient substance-free housing environment for those who are in recovery but cannot manage independent housing without a risk of relapse. [1]
What is case management?
Case Management. By definition, case management exists as an adjunctive treatment. The goals of case management are to provide advocacy and coordination of care and social services and to improve patient adherence to prescribed treatment and follow-up care. [1]
Is drug treatment mandated?
Substance abuse treatment may be legally mandated under a variety of circumstances, including substance- related criminal offenses such as selling narcotics, drug-related violence, and driving under the influence. In some cases, mandated treatment occurs in conjunction with drug court programs.