A client who has serious and persistent symptoms of schizophrenia ...

[P68T]

A client who has serious and persistent symptoms of schizophrenia lives in the community.
 
  On a
  home visit, the community psychiatric nurse case manager learns that the client:
   Will begin attending an activities group at the mental health outreach center
   Is worried that he may not have enough money to pay for the therapy
   Does not know how to get from home to the outreach center
   Has an appointment to have blood work at the same time the activities group meets
  The task listed below that is outside the coordinating role of the nurse would be
  a. negotiating the cost of therapy for the client.
  b. rearranging conflicting care appointments.
  c. arranging transportation to the outreach center.
  d. monitoring to ensure that client needs are met.

Question 2

A Vietnamese immigrant is a student at the local community college nursing program. The nursing
  instructor is concerned because the student has poor eye contact and has difficulty asking the direct
  questions necessary for client assessment.
 
  The nursing instructor arranges for the student to be
  assessed by the nurse practitioner in the college health service. This action reflects
  a. appropriate secondary prevention by the instructor.
  b. insufficient understanding of the student's culture.
  c. a violation of the student's civil rights.
  d. prejudice and discrimination.

[manuelcastillo]

Answer to Question 1

ANS: A
The actions mentioned in options B, C, and D reflect the coordinating role of the community
psychiatric nurse case manager. Negotiating the cost of therapy is an intervention the nurse would
not be expected to undertake.

Answer to Question 2

ANS: B
In the student's culture making eye contact can be perceived as disrespectful. In addition, asking
direct questions may seem to the student to be intrusive and disrespectful. Option A: This behavior
is not symptomatic of psychiatric illness; thus referral is inappropriate. Option C: Referral does not
violate civil rights, although it is insensitive on the part of the nursing instructor. Option D: No
evidence exists that the instructor was prejudiced rather than uninformed.