During the initial interview at the crisis center, a client ...

[ericka1]

During the initial interview at the crisis center, a client reveals that his wife asked him for a divorce.
  He is so anxious that he cannot think straight.. To assess personal coping skills, the nurse could say
 
  a. I can see you are upset. You can rely on us to help you feel better..
  b. What would you like us to do to help you feel more relaxed?
  c. In the past, how did you handle difficult or stressful situations?
  d. Do you think you deserve to have things like this happen to you?

Question 2

A client with severe and persistent paranoid schizophrenia has had several hospitalizations. He
  responds quickly to antipsychotic medication but stops taking the medication soon after discharge.
 
  Discharge planning after this hospitalization will include follow-up at the adult mental health clinic,
  placement in a group home, and daily attendance at a psychosocial rehabilitation program.
  Evidence-based pharmacologic guidelines recommend prescribing
  a. chlorpromazine (Thorazine).
  b. thioridazine (Mellaril).
  c. fluphenazine decanoate (Prolixin decanoate).
  d. long-acting risperidone (Risperdal).

[djpooyouma]

Answer to Question 1

C
Option C is the only option that assesses coping skills. Option A gives unrealistic reassurance, and
option B asks the client to decide on his own treatment at a time when, by his own admission, he
cannot think straight.. Option D is concerned with self-esteem.

Answer to Question 2

D
First-line treatment with atypical antipsychotics such as risperidone, olanzapine, or quetiapine is
recommended in evidence-based pharmacological guidelines. A long-acting form of risperidone is
available and appropriate given the client's propensity for medication nonadherence. The other
options are typical antipsychotics that are less effective in treating secondary symptoms of
schizophrenia.