The nurse interviewing a client with severe and persistent mental ...

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The nurse interviewing a client with severe and persistent mental illness asks, Have there been times when you felt life wasn't worth living? The purpose in asking this question is to determine:
 
  1. Patterns of violence
  2. The presence of hopelessness
  3. Content of hallucinations
  4. Adequacy of living arrangements

Question 2

The community mental health nurse planning programs for care of clients with severe and persis-tent mental illness points out to the interdisciplinary team that the similarities
 
  between young adults with severe and persistent mental illness and clients institutionalized with severe and persistent mental illness include:
  1. High levels of internal control
  2. Excessive drug and alcohol abuse
  3. Readiness to take psychotropic medication
  4. Less overt, milder forms of mental illness

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Answer to Question 1

ANS: 2
The client's response would be an indicator of hopelessness and depression. The question would not elicit information about any of the other options.

Answer to Question 2

ANS: 2
It is thought that both groups abuse alcohol and other drugs as a means of self-medicating. 1. Both groups have low impulse control. 3. Both groups rarely take psychotropic medications. 4. Both groups have severe, overt disorders.