A patient is being treated in the inpatient unit for paranoid ...

[charchew]

A patient is being treated in the inpatient unit for paranoid delusions that his wife is un-faithful resulting in threats to get her for this whenever I get out.
 
  Which intervention to assure his wife's safety will his primary therapist include in the discharge plan?
  a. Sharing the threats he has made with his wife
  b. Requiring mandatory day hospital attendance
  c. Advising the patient that he needs continued outpatient services
  d. Informing the patient of the consequences of harming his wife

Question 2

The nurse is explaining the advantage of advanced directives to a patient diagnosed with schizophrenia. Which psychiatric outcome is a result of such preplanning?
 
  a. Allows healthcare providers to manage the patient's mental health care
  b. Decreases the possibility that the patient will be committed involuntarily
  c. Directly impacts the type of care the patient will receive as the disease progresses
  d. Assures that the patient will retain continued autonomy and independence of liv-ing

[mjenn52]

Answer to Question 1

ANS: A
The Tarasoff ruling established the necessity for a mental health professional treating a pa-tient who threatens to harm another individual to warn the person against whom the threat is made. The remaining options are not directly related to affecting his wife's safety.

Answer to Question 2

ANS: B
The implementation of psychiatric advance directives significantly decreases involuntary commitments. Healthcare management and treatments are not affected by psychiatric ad-vanced directives. The patient's continued autonomy and independence is more related to the condition not the directives.