Outcomes established with the mentally ill client in the ...

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Outcomes established with the mentally ill client in the community compared with those planned for
  a hospitalized client will
 
  a. involve a longer time frame.
  b. require more psychoeducation.
  c. have greater focus on symptom absence.
  d. be more concerned with medication management.

Question 2

A client, aged 16 years, comes to the crisis clinic with several superficial cuts on her left wrist. She
  paces around the room and cries with convulsive sobs.
 
  She cowers when approached and responds to
  the nurse's questions with shrugs or monosyllables. After a few minutes spent with the nurse, the
  client is slightly calmer. To assess the client's perception of the precipitating event, the nurse should
  ask
  a. Why are you crying?
  b. Why did you injure your wrist?
  c. How can I help you feel more comfortable?
  d. What was happening just before you started to feel this way?

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Answer to Question 1

ANS: A
Community care is concerned with long-term outcomes, whereas hospital care is concerned with
short-term outcomes. Options B and D: Planning in either setting would be equally concerned with
medication management and necessary psychoeducation. Option C: Planning in either setting would
probably not set goals for absence of symptoms, which might be unrealistic.

Answer to Question 2

D
A clear definition of the immediate problem provides the best opportunity to find a solution. Asking
about recent upsetting events permits assessment of the precipitating event. Options A and B use a
poor communication technique, asking a why question. Option C asks the client to make a
decision that should be made by the nurse after assessment is completed.