Question

a nurse is meeting with an interprofessional team to discuss the clients who will be referred to assertive community treatment (act) upon discharge. which of the following clients should the nurse refer?
a client who was diagnosed with dementia this week
a client who sees a counselor for loneliness
a client who is socially awkward and will not speak in front of groups
a client who has schizophrenia and takes antipsychotic medication daily and has been hospitalized three times this year

Explanation:

Assertive Community Treatment (ACT) is for clients with severe mental illness (like schizophrenia) who have poor treatment adherence or frequent hospitalizations. The client with schizophrenia, daily antipsychotic use, and multiple hospitalizations fits this. Dementia (A) is a cognitive disorder not typically treated by ACT. Loneliness (B) is a common feeling not severe enough for ACT. Social awkwardness (C) is a personality - related trait, not a severe mental illness requiring ACT.

Answer:

D. A client who has schizophrenia and takes antipsychotic medication daily and has been hospitalized three times this year