a. b. c. d.
inadequate discharge planning. poor therapeutic alliance with clinicians. dislike of antipsychotic medication side effects. impaired reasoning secondary to the schizophrenia.
ANS: D
PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 32-10, 33 (Table 32-1), 37 (Box 32-2) TOP: Nursing Process: Diagnosis/Analysis MSC: Client Needs: Psychosocial Integrity
an ax
The patient’s ineffective management of the medication regime is most closely related to impaired reasoning associated with the thought disturbances of schizophrenia. The patient believes in being an exalted personage who hears God’s voice, rather than an individual with a serious mental disorder who needs medication to control symptoms. Data do not suggest any of the other factors often related to medication nonadherence.
_x
18. A patient living independently had command hallucinations to shout warnings to neighbors.
_a
nd
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? a. Grief b. Stigma c. Homelessness d. Nonadherence ANS: B
an
ks
The inability to obtain shelter because of negative attitudes about mental illness is an example of stigma. Stigma is defined as damage to reputation, shame, and ridicule society places on mental illness. Data are not present to identify grief as a patient problem. Data do not suggest that the patient is actually homeless. See relationship to audience response question.
es
tb
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 32-7, 8 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 19. A person diagnosed with a SMI enters a shelter for the homeless. Which intervention should
ay
:t
be the nurse’s initial priority? a. Find supported employment. b. Develop a trusting relationship. c. Administer prescribed medication. d. Teach appropriate health care practices.
eB
ANS: B
Basic psychosocial needs do not change because a person is homeless. The first step in caring for health care needs is establishing rapport. Once a trusting relationship is established, the nurse pursues other interventions. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 32-10, 37 (Box 32-2) TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity
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