Author Question: A client with serious mental illness lives alone in a neighborhood in which she is well accepted as ... (Read 39 times)

Deast7027 · **on:** Jul 19, 2018

A client with serious mental illness lives alone in a neighborhood in which she is well accepted as
someone who can baby-sit for an hour or two or who will help with housekeeping chores if someone
is ill.

The client receives depot medication injections but lately has missed regular clinic
appointments, saying My life is so busy I couldn't find time to come in.. To prevent hospitalization
associated with noncompliance with medication regimen, the community mental health nurse should
arrange for
a. psychosocial club membership.
b. assertive community treatment.
c. an appointment with a nurse in private practice.
d. health maintenance organization authorization for changing to daily oral
medication.

Question 2

When asked by a client's wife what characterizes severe mental illness, the nurse should reply, It is

a. mental illness of more than 2 weeks' duration..
b. mental illness accompanied by physical impairment and severe social problems..
c. a major mental illness that is chronic and is marked by pervasive functional
impairment..
d. a major mental illness that cannot be treated to prevent deterioration of cognitive
and social abilities..

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

Answer to Question 1

ANS: B
The assertive community treatment team could bring the client's medication to her in her
neighborhood. Option D: Depot medication is a strategy to reduce noncompliance and is often
preferable to daily oral medication. Options A and C do not directly relate to the noncompliance
problem.

Answer to Question 2

C
Severe mental illness has replaced the term chronic mental illness.. Thus option C is the best
explanation. Neither option A nor option B considers the long-term aspect of severe mental illness.
Option D: Severe mental illness can, in fact, be treated, but remissions and exacerbations are part of
the course of the illness.