The greatest barrier to treatment for the mentally ill can be minimized by:
a. possessing adequate insurance coverage.
b. implementing effective treatment modalities.
c. employing sufficient numbers of mental health practitioners.
d. formulating appropriate, accurate assessment tools for diagnosis.
A
The initial barrier to a patient seeking mental health treatment is insufficient or nonexistent health care insurance coverage for the treatment of mental illness. While the other options are factors that have a positive effect on mental health care delivery, they become relevant only after a patient seeks and/or begins treatment.
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A patient who has had a temporary colostomy to rest his ulcerated bowel says, "I don't know how I will continue to work at my job with this thing stuck to my stomach." Which response by the nurse is most likely to stimulate communication?
a. "This is only a temporary adjustment for you, and the colostomy will be reanasto-mosed in less than 6 months." b. "A nurse with special training will be in to help you." c. "What is there about your job that you feel you cannot do?" d. "Many people feel as you do, but they learn to dress and act and work just like they did before the surgery."
Which would help a client establish a trusting relationship with the nurse and to develop a rapport so that feelings and thoughts could be shared?
a. Ask the most sensitive questions first to get right to client's concerns. b. Ask open-ended questions allowing time for the client to answer. c. Ask closed questions to facilitate the completion of nursing assessment. d. Meet with a client for a very short time.
From which of the following are middle range theories derived or developed?
A) Grand Theory B) Practice C) Interdisciplinary Theory D) Education
Which of the following factors is associated with decreased blood alcohol concentration?
1. Increased concentration of alcohol in the drink 2. Drinking without consuming food 3. Female gender 4. Increased body weight