PAPER 2026 COMPLETE RESPONSES GRADED
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◉ A 35-year-old client with a long history of schizophrenia who
often forgets to take his medication is admitted to an inpatient unit
after Police find him threatening passengers on a bus. This is his
fourth of mission in 3 months. This frequent re-hospitalization is an
example of. Answer: Recidivism
Unable to cope in the community setting, people with chronic
psychiatric problems often return to institutions or use community
services on a revolving-door basis. This behavior pattern is known
as recidivism and means a relapse (return) of a symptom, disease, or
behavior
◉ Which member of the multidisciplinary mental health care team is
primarily responsible for evaluating the family of the client, as well
as the environment and social surroundings of the client, and plays a
major role in the admission of new clients?. Answer: Psychiatric
social worker
These are the primary responsibilities of a psychiatric social worker.
The psychiatric nurse's primary responsibilities include assisting
with the client's activities of daily living and managing individual,
family, and group psychotherapy. The clinical psychologist is
involved in the planning of treatment and diagnostic processes, and
the psychiatrist is the leader of the team.
,◉ A female client who is undergoing therapy for depression is
divorced and has two children, ages two and four. She has just
enrolled in a local community college and is worried about
providing food and clothes for her family while holding down a
minimum wage job and devoting the time needed to be successful in
school. The nurse determines that the best community resource for
assisting this client to meet these needs is:. Answer: Women, Infants,
and Children (WIC)
WIC gives assistance to low-income women and children up to the
age of 5 who are at nutritional risk by providing food to supplement
the diet and information on healthy eating habits. The other options
do not address her situation because she has not voiced needs
related to domestic violence or family planning, and a family
recreation center will not meet her financial needs.
◉ The home care nurse is providing care to an older client with a
diagnosis of depression who is caring for his wife with Alzheimer's
disease. He states that he hardly has enough energy to cook and
clean the house. The couple has no children, and no relatives live
within a close distance. Which community agency would be of
greatest benefit to this client?. Answer: Meals on Wheels
By providing food, Meals on Wheels would remove one
responsibility for this client. A recreational club or an adult
education program is appropriate, but the priority need for this
couple is food. A daycare center for the elderly may be a maybe
necessary in the future, but it is not a priority at this time.
, ◉ When arranging community resource linkages for a client and her
children who are victims of domestic violence, which resources is
the most immediately appropriate?. Answer: Women's shelter
Women's domestic abuse shelter is the most appropriate resources
for the immediate safety needs of the family. While education
programs, family recreation centers, and mediation groups also
provide benefit to the family, they do not address the initial safety of
the women and her children.
◉ A male client with a diagnosis of bipolar disorder is admitted to
an inpatient unit during a severe manic episode. As a result of
guidelines implemented by the Health Care Financing
Administration in 1983, the clients Medicare will pay for his stay in
this unit for:. Answer: A predetermined length of time based on the
diagnosis
Medicare payment guidelines are based on the diagnosis, which is
classified under a diagnosis related group (DRG), and specify a pre-
determined payment for a particular diagnosis. The cost
containment strategy has also been adopted by some private
insurance companies. After the pre-determined time, the facility is
responsible for additional cost incurred by the client's stay.
◉ The client is feeling very anxious and has requested that a PRN
anti-anxiety medication be ordered. The nurse informed the client
that the medication can be administered only every 4 hours and was
given 3 hours ago. The nurse promises to give the client the