The community psychiatric nurse is attempting to facilitate ...

[fbq8i]

The community psychiatric nurse is attempting to facilitate medication compliance for a client by
  having the physician prescribe depot medication that will be given by injection every 3 weeks at the
  community mental health outreach clinic.
 
  For this plan to be successful, what factor will the nurse
  assess as being of critical importance?
  a. The attitude of significant others toward the client
  b. Nutrition services in the client's neighborhood
  c. A trusting relationship between the client and the nurse
  d. The availability of transportation to the clinic

Question 2

A principle that should guide the nurse in determining the extent of silence to allow during client
  interview sessions is that
 
  a. the nurse is responsible for breaking silences.
  b. clients withdraw if silences are prolonged.
  c. silence provides meaningful moments for reflection.
  d. silence helps clients know that what they said was understood.

[asware1]

Answer to Question 1

ANS: D
The ability of the client to get to the clinic is of paramount importance to the success of the plan.
The depot medication relieves the client of the necessity to take medication daily, but if he or she
does not receive the injection at 3-week intervals, noncompliance will again be the issue. Options A,
B, and C: Attitude toward the client, trusting relationships, and nutrition are important but not
fundamental to this particular problem.

Answer to Question 2

ANS: C
Silence can be helpful to both participants by giving each an opportunity to contemplate what has
transpired, weigh alternatives, and formulate ideas. Option A is not a principle related to silences.
Options B and D are not true statements. Feedback helps clients know they have been understood.