Author Question: A client with severe and persistent mental illness who has just moved into a homeless shelter tells ... (Read 81 times)

burchfield96 · **on:** Jul 19, 2018

A client with severe and persistent mental illness who has just moved into a homeless shelter tells
the nurse that his life just got out of control.. Then he added I am like a leaf at the mercy of the
wind..

The nurse formulates the nursing diagnosis of powerlessness. An appropriate outcome
indicator to monitor is that the client will
a. participate in health care decisions.
b. demonstrate low anxiety levels.
c. express satisfaction with stress level.
d. process information accurately.

Question 2

A correctional mental health nurse working in the jail of a large city assesses new inmates with
symptoms of psychiatric disorder and those who report that they currently take psychotropic
medication.

Because of the high number of newly incarcerated individuals the nurse sees, a priority
skill for the nurse to have is the ability to
a. establish chain-of-custody of evidence.
b. make an assessment of suicide risk.
c. access community resources.
d. provide spiritual support.

Joc · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Personal autonomy is a desired outcome for powerlessness. An indicator of personal autonomy is
participation in decision making. The other options, although desirable, are not as clearly related to
the nursing diagnosis of powerlessness.

Answer to Question 2

B
Newly incarcerated prisoners are often in crisis and may be suicidal. Being able to perform an
assessment of suicide risk is an essential skill for the forensic nurse. Option A: This is not a skill
needed in the scenario mentioned. Option C: Community resource identification is not a priority
until the end of the sentence. Option D: This would not be a priority need.