Which statements by patients diagnosed with a serious mental ...

[renzo156]

Which statements by patients diagnosed with a serious mental illness best demonstrate that the case manager has established an effective long-term relationship? My case manager: (select all that apply)
 
  a. talks in language I can understand.
  b. helps me keep track of my medication.
  c. gives me little gifts from time to time.
  d. looks at me as a whole person with many needs.
  e. lets me do whatever I choose without interfering.

Question 2

Which assessment finding for a patient in the community deserves priority intervention by the psychiatric nurse? The patient:
 
  a. receives Social Security disability income plus a small check from a trust fund every month.
  b. was absent from two of six planned Alcoholics Anonymous meetings in the past 2 weeks.
  c. lives in an apartment with two patients who attend partial hospitalization programs.
  d. has a sibling who was recently diagnosed with a mental illness.

[spencer.martell]

Answer to Question 1

ANS: A, B, D
Each correct answer is an example of appropriate nursing foci: communicating at a level understandable to the patient, providing medication supervision, and using holistic principles to guide care. The distracters violate relationship boundaries or suggest a laissez faire attitude on the part of the nurse.

Answer to Question 2

ANS: B
Patients who use alcohol or illegal substances often become medication noncompliant. Medication noncompliance, along with the disorganizing influence of substances on cellular brain function, promotes relapse. The distracters do not suggest problems.