Evolve Chapter 32 Serious Mental Illness

The role of a case manager working with severely and persistently mentally ill clients who are homeless would include which intervention?

Coordinate needed services

The goal of a nurse working in psychiatric rehabilitation would be to help clients in the community achieve which outcome?

Cope more effectively with their symptoms

The mother of a client with severe, persistent schizophrenia tells the nurse, "My child has slipped so far away from me over the past few years. We really don't have a relationship anymore. I miss my child terribly." The nursing diagnosis that best describes the mother's feelings using which term?

Grieving

The clinical nurse specialist should suggest which cognitive intervention initially for a client experiencing auditory hallucinations?

Initiating a distracting technique

Which interventions and/or goals related to planning for discharge of a client diagnosed with a serious mental illness (SMI) would support the recovery model of care?

Interventions will focus on the client's stated wish for independent living.

Which statement best reflects the way clients who are severely and persistently mentally ill generally perceive how others in the community see them?

Many feel stigmatized and alienated.

Which statement is true of the relationship between serious mental illnesses (SMIs) and substance abuse?

Of those diagnosed with SMI, substance abuse is high.

Institutionalization leads to what specific type of behaviors in adults old enough to have been confined to institutions before deinstitutionalization?

Passivity and dependence

The nurse working with a client diagnosed with severe and persistent mental illness will implement rehabilitation principles by concentrating on which intervention?

Reinforcing the client's strengths

Which statement by a young client diagnosed with a severe and persistent mental illness would alert the nurse to the need for psychoeducational intervention?

"I hear that marijuana helps calm you down."

Which remark would signal to the nurse that there is a teaching need for the family of a client diagnosed with schizophrenia?

"We always reprimand him whenever his behavior is bothersome."

Serious mental illness (SMI) affects how many adults in the United States?

11 million

The term dual diagnosis refers to having a severe mental illness and what other dysfunctional behavior?

A substance abuse problem

A 20-year-old Amish client was diagnosed with paranoid schizophrenia 1 year ago who lives with his parents. When the nurse attempts to educate him about his diagnosis and the need for medication, the client persistently mumbles, "I don't have mental illness. No, I am not sick." What term is used to describe this response?

Anosognosia

A client who has been prescribed an antipsychotic medication comes to the clinic 3 days after a scheduled visit and demonstrates evidence of restlessness and agitation. He states, "My medicine ran out, and I didn't remember where to get more." The client's case manager should initially implement which intervention to support medication adherence?

Arrange for a dose of the client's medication immediately.

An issue for severely and persistently mentally ill clients living in the community is inadequate long-term medication monitoring by community mental health workers. What is a remedy for this problem?

Shift follow-up from social workers to the ACT model

A client diagnosed with a severe and persistent mental illness tells the case manager, "I think people are laughing at me behind my back. I get real upset and anxious when I have to be around others in the group home. It's better when I just stay by myself." The nurse should consider which nursing diagnosis to address the client's concerns?

Social isolation

Severely mentally ill (SMI) clients often express a strong desire to be employed. According to the evidence-based research, what is the most effective model of employment for these clients?

Supported employment