Author Question: The correctional mental health nurse assesses a new prisoner who is beginning his incarceration for ... (Read 56 times)

Hungry! · **on:** Jul 19, 2018

The correctional mental health nurse assesses a new prisoner who is beginning his incarceration for
committing a sex crime.

The prisoner speaks in a low voice, is tearful, and tells the nurse that his life
may as well be over as there is no hope that he will ever be able to fit into society after he is released
from prison. He states his family has disowned him and that wherever he goes his reputation will
follow him. The priority intervention would be to
a. arrange to meet with him weekly to discuss feelings.
b. offer to contact his family to speak of his remorse.
c. advise the guards to place him in solitary confinement.
d. arrange to implement suicide precautions.

Question 2

A 7-year-old with ADHD is being evaluated at the mental health clinic.

The nurse establishes the
nursing diagnosis of delayed growth and development related to neurological status, as evidenced by
hyperactivity and distractibility preventing participation in play. The plan for care includes
administration of methylphenidate (Concerta). The outcome indicator the nurse should monitor is
a. child socialization skills.
b. expressive communication.
c. participation in play activities.
d. anxiety self-control.

mjbamaung · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
Suicide attempts are often made in prison. The inmate shows evidence of hopelessness, an important
predictor of suicide. Options A, B, C: Safety is the primary issue. None of these options is
appropriate relative to suicide prevention.

Answer to Question 2

C
This outcome indicator is directly related to improvement in the child's hyperactivity and
distractibility. Options A and C are more relevant for a child with pervasive developmental disorder.
Option D is more relevant for a child with anxiety disorder.