Exam 31: Living With Recurrent and Persistent Mental Illness

A consumer at a rehabilitative psychosocial program says to the nurse, "People are not cleaning up behind themselves in the bathrooms. The building is dirty and cluttered." How should the nurse respond?

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 which of the following?

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 which of the following?

A patient living independently had command hallucinations to shout warnings to neighbours. 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?

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

Serious mental illness is characterized as which of the following?

A nurse's neighbour 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 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 person diagnosed with a serious mental illness (SMI) living in the community was punched, pushed to the ground, and robbed of $7 during the day on a public street. Which statements about violence and SMI in general are accurate? Select all that apply.

After 5 years in a psychiatric 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 behaviour as the probable result of which of the following?

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?

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

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?

A family discusses the impact of having 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?

For patients diagnosed with serious mental illness, what is the major advantage of case management?

A patient diagnosed with serious mental illness was living successfully in a group home but wanted an apartment. The prospective landlord said, "People like you have trouble getting along and paying their rent." The patient and nurse meet for a problem-solving session. Which options should the nurse endorse? Select all that apply.

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 centre. Which interventions would the nurse suggest to reduce the risk of stressors to cause relapse? Select all that apply.

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

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