Answer to Question 1
B
To increase medication adherence, reduce the risk of relapse, and prevent further criminal activity due to mental illness, the patient's awareness of community resources that can be accessed for medication refills and medication-related services is the most important outcome. Agreeing to take lithium, being reestablished on meds in the jail, and agreeing to follow-up mental health care are all important, but none of these will address the primary reason for her criminal behavior: the relapse caused by inability to access medication in the community.
Answer to Question 2
D
Identification of triggers to violent acting-out incidents allows the patient and nurse to plan interventions to avert such triggers and reduce frustration. This also provides practice in coping more adaptively in general. Benzodiazepines can reduce anxiety but would not give him skills that might also benefit him in other situations; benzodiazepines can also sometimes increase impulsiveness by disinhibiting the patient. Setting limits and indicating what consequences to expect can be a helpful adjunct, but as a primary intervention, it does not teach new skills to use to avoid problem behaviors in the first place; expecting the patient to behave differently without giving him the skills to do so is setting him up for failure and further frustration. Using security personnel would be expensive and disruptive to their work, but it would be a possible intervention if all other options prove unsuccessful.
The nurse needs to note the source of the patient health history
Health History Assessment Questions Pertinent to Drug Administration
Magnet hospital nurse requirements
Development encompasses both gains and losses. Sometimes a health crisis (loss) can result in a heal
Prevalence of serious mental illness among U.S. adults by sex, age, and race in 2008.
Key symptoms of generalized anxiety disorder.