A prison inmate has paranoid schizophrenia, for which he is given ...

[renzo156]

A prison inmate has paranoid schizophrenia, for which he is given fluphenazine. He meets with a
  small group of inmates and the correctional mental health nurse to talk about problems with
  returning to the community.
 
  This inmate and several others speak openly of abusing alcohol when
  they are living in the community. The nurse should plan to
  a. continue to focus on problems anticipated by the group when released.
  b. advocate in the prison system for treatment for prisoners with dual diagnosis.
  c. suggest the prisoners keep in mind joining AA on release.
  d. recognize the probability of reincarceration for the inmate.

Question 2

A client has sat in stony silence in the day room for 20 minutes after her appointment with her
  psychiatrist. She appears tense and vigilant.
 
  The nurse sees the client abruptly stand up and pace
  back and forth across the day room, clenching and unclenching her fists, then stop and stare intently
  into the face of the psychiatric technician seated at a table. The assessment that can be made is that
  the client is
  a. working off angry feelings.
  b. attempting to use relaxation strategies.
  c. exhibiting clues to potential aggression.
  d. using withdrawal.

[mammy1697]

Answer to Question 1

B
The need for treatment for prisoners with dual diagnosis is great. Currently only a few such
programs exist. A poor outcome can be anticipated unless both diagnoses are addressed. Option A:
This is not optimal. Option C: Dual diagnosis treatment would be a better solution. Option D:
Planning an intervention would be more helpful.

Answer to Question 2

C
The description of the client's behavior shows the classic signs of someone whose potential for
aggression is increasing. Option A: this assumption cannot be made.
Option B: No evidence exists that the patient is using relaxation strategies. Option D: The client's
behavior cannot be described as typical of withdrawal.