Exam 31: Serious Mental Illness

An outpatient diagnosed with schizophrenia tells the nurse,"I am here to save the world.I threw away the pills because they make God go away." The nurse identifies the patient's reason for medication nonadherence as:

The sibling of a patient who was diagnosed with a serious mental illness asks why a case manager has been assigned.The nurse's reply should cite the major advantage of the use of case management as:

The nurse manager of a mental health center wants to improve medication adherence among the seriously mentally ill persons treated there.Which interventions are likely to help achieve this goal? Select all that apply.

The nurse wants to enroll a patient with poor social skills in a training program for patients diagnosed with schizophrenia.Which description accurately describes social skills training?

A person diagnosed with serious mental illness has frequent relapses,usually precipitated by situational stressors such as running out of money or the absence of key staff at the mental health center.Which interventions would the nurse suggest to reduce the risk of stressors to cause relapse? Select all that apply.

Which statements most clearly indicate the speaker views mental illness with stigma? Select all that apply.

A patient diagnosed with a serious mental illness died suddenly at age 52.The patient lived in the community for 5 years without relapse and held supported employment the past 6 months.The distressed family asks,"How could this happen?" Which response by the nurse accurately reflects research and addresses the family's question?

A patient diagnosed with schizophrenia tells the community mental health nurse,"I threw away my pills because they interfere with God's voice." The nurse identifies the etiology of the patient's ineffective management of the medication regime as:

After 5 years in a state hospital,an adult diagnosed with schizophrenia was discharged to the community.This patient now requires persistent direction to accomplish activities of daily living and expects others to provide meals and do laundry.The nurse assesses this behavior as the probable result of:

A patient living independently had command hallucinations to shout warnings to neighbors.After a short hospitalization,the patient was prohibited from returning to the apartment.The landlord said,"You cause too much trouble." What problem is the patient experiencing?

Serious mental illness is characterized as:

Which nursing diagnosis is likely to apply to an individual diagnosed with a serious mental illness who is homeless?

A nurse's neighbor says,"My sister has been diagnosed with bipolar disorder but will not take her medication.I have tried to help her for over 20 years,but it seems like everything I do fails.Do you have any suggestions?" Select the nurse's best response.

A person diagnosed with a serious mental illness enters a shelter for the homeless.Which intervention should be the nurse's initial priority?

A family discusses the impact of a seriously mental ill member.Insurance partially covered treatment expenses,but the family spent much of their savings for care.The patient's sibling says,"My parents have no time for me." The parents are concerned that when they are older,there will be no one to care for the patient.Which response by the nurse would be most helpful?

A homeless patient diagnosed with a serious mental illness became suspicious and delusional.Depot antipsychotic medication began,and housing was obtained in a local shelter.One month later,which statement by the patient indicates significant improvement?

An outpatient diagnosed with schizophrenia attends programming at a community mental health center.The patient says,"I threw away the pills because they keep me from hearing God." Which response by the nurse would most likely to benefit this patient?

The parent of a seriously mentally ill adult asks the nurse,"Why are you making a referral to a vocational rehabilitation program? My child won't ever be able to hold a job." Which is the nurse's best reply?

An adult diagnosed with a serious mental illness says,"I do not need help with money management.I have excellent ideas about investments." This patient usually does not have money to buy groceries by the middle of the month.The nurse assesses the patient as demonstrating:

A patient diagnosed with schizophrenia has had multiple relapses.The patient usually responds quickly to antipsychotic medication but soon discontinues the medication.Discharge plans include follow-up at the mental health center,group home placement,and a psychosocial day program.Which strategy should apply as the patient transitions from hospital to community?