Author Question: The parent of a seriously mentally ill adult asks the nurse, Why are you making a referral to a ... (Read 29 times)

segrsyd · **on:** Jul 19, 2018

The parent of a seriously mentally ill adult asks the nurse, Why are you making a referral to a vocational rehabilitation program? My child won't ever be able to hold a job. Which is the nurse's best reply?

a. We make this referral to continue eligibility for federal funding.
b. Are you concerned that we're trying to make your child too independent?
c. If you think the program would be detrimental, we can postpone it for a time.
d. Most patients are capable of employment at some level, competitive or supported.

Question 2

A person diagnosed with a serious mental illness (SMI) living in the community was punched, pushed to the ground, and robbed of 7 during the day on a public street. Which statements about violence and serious mental illness in general are accurate?

Select all that apply.

a. Persons with SMI are more likely to be violent.
b. SMI persons are more likely to commit crimes than to be the victims of crime.
c. Impaired judgment and social skills can provoke hostile or assaultive behavior.
d. Lower incomes force SMI persons to live in high-crime areas, increasing risk.
e. SMI persons experience higher rates of sexual assault and victimization than others.
f. Criminals may believe SMI persons are less likely to resist or testify against them.

Joc · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Studies have shown that most patients who complete vocational rehabilitation programs are capable of some level of employment. They also demonstrate significant improvement in assertiveness and work behaviors as well as decreased depression.

Answer to Question 2

ANS: C, D, E, F
Mentally ill persons are more likely to be victims of crime than perpetrators of criminal acts. They are often victims of criminal behavior, including sexual crimes, at a higher rate than others. When a mentally ill person commits a crime, it is usually nonviolent. Mental illnesses interfere with employment and are associated with poverty, limiting SMI persons to living in inexpensive areas that also tend to be higher-crime areas. SMI persons may inadvertently provoke others because of poor judgment or socially inappropriate behavior, or they may be victimized because they are perceived as passive, less likely to resist, and less likely to be believed as witnesses. See related audience response question.