Author Question: A client accused of a serious crime is brought to the mental health unit with severe behavioral ... (Read 53 times)

rosent76 · **on:** Jul 16, 2018

A client accused of a serious crime is brought to the mental health unit with severe behavioral changes. The healthcare provider is performing a test to determine if the client is malingering.

What reason should the nurse provide for conducting this test? A) To determine the client's dependence on others
B) To rule out the client who is fabricating symptoms
C) To find if the client needs assistance with daily activities
D) To determine if the client is oriented to time and place

Question 2

The nurse is assisting a healthcare team to determine a client's ability to perform activities of daily living (ADL). Which of the following tests would be used to evaluate whether the client needs assistance with ADLs?

A) KELS
B) MCMI
C) MMPI
D) TAT

Hikerman221 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

B
Feedback:
Testing for malingering is performed to determine whether the client is fabricating symptoms to avoid arrest or stay in the hospital. Tests, such as the Millon Clinical Multiaxial Inventory and the Edwards Personal Preference Schedule, not the Structured Interview of Reported Symptoms, are used to determine the client's dependence on others. The Kohlman Evaluation of Living Skills is used to determine if the client needs assistance with daily activities. Tests, such as the Brief Psychiatric Rating Scale (BPRS) and the Mini Mental Status Examination (MMSE), not the Structured Interview of Reported Symptoms, are used to determine whether the client is oriented to time and place.

Answer to Question 2

A
Feedback:
One test to evaluate if a client needs assistance with ADLs is the KELS, the Kohlman Evaluation of Living Skills. Tests, such as the Millon Clinical Multiaxial Inventory (MCMI), the Situational Test of Dependency, and the Edwards Personal Preference Schedule, are used to determine the client's dependence on others (including a diagnosis of dependent personality disorder). Personality inventories include the Minnesota Multiphasic Personality Inventory (MMPI). Other projective and memory tests include the Rorschach inkblot, Draw-a-Person, sentence-completion, Bender-Gestalt, word-association, and thematic apperception tests (TAT).