A patient diagnosed with schizophrenia lives in the community. On a home visit, the community psychiatric nurse case manager learns that the patient:
· wants to attend an activity group at the mental health outreach center.
· is worried about being able to pay for the therapy.
· does not know how to get from home to the outreach center.
· has an appointment to have blood work at the same time an activity group meets.
· wants to attend services at a church that is a half-mile from the patient's home.
Which tasks are part of the role of a community mental health nurse? Select all that apply.
a. Rearranging conflicting care appointments
b. Negotiating the cost of therapy for the patient
c. Arranging transportation to the outreach center
d. Accompanying the patient to church services weekly
e. Monitoring to ensure the patient's basic needs are met
ANS: A, C, E
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.
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