23. 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? a. Encourage the consumer to discuss it at a meeting with everyone. b. Hire a professional cleaning service to clean the restrooms. c. Address the complaint at the next staff meeting. d. Tell the consumer, “That’s not my problem.” ANS: A
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Consumer-run programs range from informal “clubhouses,” which offer socialization and recreation, to competitive businesses, such as snack bars or janitorial services, which provide needed services and consumer employment while encouraging independence and building vocational skills. Consumers engage in problem solving under the leadership of staff. See related audience response question.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 32-20, 33 (Table 32-1) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
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MULTIPLE RESPONSE
1. A person diagnosed with a SMI living in the community was punched, pushed to the ground,
ANS: C, D, E, F
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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.) a. Persons with SMI are more likely to be violent. b. SMI persons are more likely to commit crimes than to be the victims of crime. c. Impaired judgment and social skills can provoke hostile or assaultive behavior. d. Lower incomes force SMI persons to live in high-crime areas, increasing risk. e. SMI persons experience higher rates of sexual assault and victimization than others. f. Criminals may believe SMI persons are less likely to resist or testify against them.
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Mentally ill persons are more likely to be victims of crime than perpetrators of criminal acts. They are often victims of criminal behavior, including sexual crimes, at a higher rate than others. When a mentally ill person commits a crime, it is usually nonviolent. Mental illnesses interfere with employment and are associated with poverty, limiting SMI persons to living in inexpensive areas that also tend to be higher-crime areas. SMI persons may inadvertently provoke others because of poor judgment or socially inappropriate behavior, or they may be victimized because they are perceived as passive, less likely to resist, and less likely to be believed as witnesses. See related audience response question.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 32-2, 8, 24 TOP: Nursing Process: Planning/Implementation MSC: Client Needs: Safe, Effective Care Environment
2. 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.) a. Maintain stable and consistent staff.
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