Author Question: A client with chronic paranoid schizophrenia was recently referred to a sheltered workshop and has ... (Read 21 times)

justinmsk · **on:** Jul 19, 2018

A client with chronic paranoid schizophrenia was recently referred to a sheltered workshop and has been participating in a supported employment program for three weeks.

Which of the following client outcomes would indicate that the client is demonstrating successful behaviors in this program? 1. The client attended 85 of recreational and educational group activities.
2. The client applied for and obtained subsidized housing from the local housing authority.
3. The client worked four hours per day making protective facemasks for a local company.
4. The client applied for and was approved by the Medicaid program for supplemental income.

Question 2

The staff observes that a young male manifests oppositional behavior when he interacts with male staff. He has recently been placed in the custody of his father, since his mother has been deployed in the military.

The client told the nurse that his mother relied on him a lot when he lived with her. He tells the nurse that his father is always on his case, never speaks to him without yelling, and tells him he can't do anything right. Identify the appropriate intervention for the client when he feels oppositional toward the staff. 1. Provide opportunities for the client to get to know the staff.
2. Encourage the client to take five to revive.
3. Have the client chose the consequences for his behavior.
4. Ask the client if he is upset.

jojobee318 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: Working four hours per day making products for a local company is an indicator of successful behavior in a supported employment program. Supported employment is an approach that provides training and support in the workplace. This approach is based on the principle that people with mental illness learn skills best in the environment where they will be practiced. Attending group activities and securing supplemental income or subsidized housing arrangements are client behaviors expected in other community support programs but are not goals within the supported employment program.

Answer to Question 2

2
Rationale: This is a component of a client's life script; the client is recreating his situation at home by his reaction to the male staff. The purpose of having the client take five to revive is to help him substitute a healthier way of dealing with his feelings. When the client is engaging in oppositional behavior, asking him if he is upset may further aggravate the situation. Providing opportunities for the client to get to know the staff will not help him deal with his feelings toward the staff. Having the client choose the consequences for his behavior is not an intervention designed to help him learn how to deal with his feelings.