A client, aged 30 years, tells his case manager I do not have ...

[justinmsk]

A client, aged 30 years, tells his case manager I do not have bipolar disorder anymore, so I do not
  need the medicine and the blood tests.
 
  I was in the hospital twice for a few days a year or so ago.
  Then you got into the act to get me a place to live and SSI checks. All that is wrong now is I am
  bored and I do not have any friends. The nurse should plan to refer the client to (more than one
  answer may be correct)
  A. psychoeducation classes.
  B. crisis intervention.
  C. social skills training.
  D. a homeless shelter.

Question 2

A secretary is asked by her boss to take on additional work. She initially agrees but feels resentful.
 
  A
  day later when the boss asks for the completed work, the secretary explains that she has been
  working on another priority job and hasn't been able to complete it. When asked several hours later,
  she states someone else was using the files and she hasn't been able to do the necessary research
  before typing the report. The secretary's behavior demonstrates
  a. acting out.
  b. projection.
  c. rationalization.
  d. passive aggression.

[Galvarado142]

Answer to Question 1

A, C
Rationale: The client does not understand his illness and the need for adherence to the medication
regimen. Psychoeducation for the client (and family) can address this lack of knowledge. The client,
who considers himself friendless, could also profit from social skills training to improve the quality
of interpersonal relationships. Many clients with severe mental illness have such poor
communication skills that others are uncomfortable interacting with them. Interactional skills can be
effectively taught by breaking the skill down into smaller verbal and nonverbal components. Option
B: The nurse case manager will function in the role of crisis stabilizer. Option E: The client
presently has a home and does not require the services of a homeless shelter.

Answer to Question 2

ANS: D
A passive-aggressive person deals with emotional conflict by indirectly and unassertively expressing
aggression toward others. Compliance on the surface masks covert resistance. Resistance is
expressed through procrastination, inefficiency, and stubbornness in response to assigned tasks.