Author Question: The correctional mental health nurse learns that an inmate with bipolar II disorder ran out of ... (Read 58 times)

biggirl4568 · **on:** Jul 19, 2018

The correctional mental health nurse learns that an inmate with bipolar II disorder ran out of lithium
and did not seek an additional supply, leading to a relapse.

When the individual was psychotic she
assaulted several people in a convenience store. She was arrested, tried, convicted, and sentenced.
An outcome the nurse and the inmate might establish is that by release the inmate will
a. be agreeable to taking lithium.
b. identify community resources for obtaining medication.
c. understand that physical assault violates the rights of others.
d. agree to maintain contact with the nurse after discharge.

Question 2

A client with severe dementia can no longer recognize her only daughter and becomes anxious and
agitated when the daughter attempts to reorient her. An alternative the nurse could suggest to the
daughter is to

a. wear a large name tag.
b. visit her mother less often.
c. use validating techniques.
d. place clocks and calendars strategically.

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

Answer to Question 1

B
The individual should become aware of community resources that can be accessed for ongoing
treatment, medication refills, and crisis intervention once she is released from the correctional
facility. Option A is insufficient in scope because the individual has no objection to taking lithium
when it is available. Option C is not directly related to the problem of medication availability.
Option D is not appropriate.

Answer to Question 2

C
Reorientation may seem like arguing to a client with cognitive deficit and increases the client's
anxiety. Validating, talking with the client about familiar, meaningful things and reminiscing, gives
meaning to existence both for the client and family members. Option C is the only option that
addresses an interactional strategy. Options A and D are reorientation strategies. Option B is
inadvisable because clients with dementia profit from contacts with interested individuals whether or
not they can name the individual.