A community mental health nurse visits a client who lives in a ...

[Kikoku]

A community mental health nurse visits a client who lives in a community residence. On two
  sequential visits, the client makes veiled references to receiving verbally abusive treatment at the
  hands of one of the residence aides.
 
  The action the nurse should take is to
  a. understand that psychiatric clients often feel abused.
  b. listen and wait to see if the client continues to report the abuse.
  c. confront the residence aide with the client's allegations.
  d. report the client's comments to the protection and advocacy agency.

Question 2

Select the outcomes most appropriate for a client in phase III of treatment of schizophrenia who
  displays many negative symptoms of the disorder.
 
  The client will (more than one answer may be
  correct)
  A. take medication as ordered.
  B. maintain a regular sleep pattern.
  C. use alcohol and caffeine as desired.
  D. participate in self-care skills training.

[stano32]

Answer to Question 1

ANS: D
Nurses must advocate for the client's right to nonabusive treatment. Reporting to a protection and
advocacy agency is the ethical duty of the nurse. Options A and B do nothing to investigate and
resolve the situation. Option C: The investigation is best conducted by skilled professionals trained
to investigate such allegations.

Answer to Question 2

A, B, D
Rationale: The stabilization phase of schizophrenia is seen when the client is well enough to be
maintained in the community. It is a time for consolidating gains, learning relapse prevention
(options A and B), and promoting adaptation to deficits that still exist (option D). Option C: Use of
alcohol, caffeine, and other recreational drugs should be discouraged because these substances
interfere with therapeutic medication effects.

[Kikoku]

Excellent

[olderstudent]

TYSM