A prison nurse is conducting a routine physical assessment when ...

[nmorano1]

A prison nurse is conducting a routine physical assessment when the client states, It doesn't matter if I am sick, no one cares anyway.
 
  The nurse learns that the prisoner has had no visitors for over a year and has made no friends while in prison. The nurse would identify which nursing diagnosis at this time? a. Risk for Self-Injury
  b. Hopelessness
  c. Social Isolation
  d. Powerlessness

Question 2

Capitation and managed care programs are likely to strongly influence health care delivery because they:
 
  a. provide intense services directed toward keeping clients in the community
  b. reduce the incidence of mental disorders within certain populations
  c. are prospective payment systems that contain rising costs of health care
  d. offer multiple providers for clients with mental illnesses

[pratush dev]

Answer to Question 1

C
The most appropriate diagnosis at this time would be one of social isolation. Social isolation is one of several diagnoses that are fairly common among inmates. The nurse bases this diagnosis on the assessment the nurse made of the client. This assessment may not be limited to just what the client tells her, but can also include additional resources (perhaps, in this case, checking the visitor logs to see that the client has not received visitors in over a year).

Answer to Question 2

C
Reimbursement mechanisms that favor cost containment are influencing the patterns of service delivery in community mental health. Capitation is increasingly evident in the general health sector. Capitation is an example of a prospective payment system.

[nmorano1]

Great answer, keep it coming

[gcook]

Thanks for the timely response, appreciate it