Author Question: At the clinic you meet a homeless man who has been living with paranoid schizophrenia for many ... (Read 27 times)

tth · **on:** Jul 19, 2018

At the clinic you meet a homeless man who has been living with paranoid schizophrenia for many years. You notice he is staying to himself and talking to himself.

He came to the clinic at the urging of a social case worker to receive his antipsychotic medicine. You want to begin exploring with him his willingness to attend a day program for the mentally ill, knowing that the structure and safety would benefit him. Your best approach to achieve this goal would be to do which of the following?
A) Call the mobile crisis team to mandate attendance in day treatment.
B) Build a trusting relationship with the client.
C) Give the client a written schedule for day treatment hours and suggest he attend.
D) Pair him up with a buddy at the clinic with whom he can attend day treatment.

Question 2

The nurse is serving as the case manager for a homeless client with schizophrenia. Knowing the homeless face unique barriers to health maintenance, the most appropriate instruction from the nurse would be which of the following?

A) You need to return to the clinic each week to get your medicine and to make sure that it is working for you.
B) You don't need to come back to the clinic as long as you are not having any symptoms.
C) Whenever you need to come to the clinic just call a cab. They can pick you up wherever you are.
D) I know you don't have many financial resources. As long as you feel good you can skip some doses of medicine. Just be sure to resume it if you start having symptoms.

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

Answer to Question 1

Ans: B
Feedback:
A homeless mentally ill client may distrust anyone who represents the mental health system. Thus, the nurse initiates the helping relationship in a nonthreatening manner, giving the client as much control as possible. He or she avoids wanting to fix the client's problems. Nurses advocate for their clients while knowing their own limits. They avoid making quick referrals before building trust with clients.

Answer to Question 2

Ans: A
Feedback:
Case management is the key intervention that connects the client with the community. The nurse case manager coordinates services to ensure that the client receives the structure and support needed to achieve and maintain optimal functioning. Case management encompasses health teaching, crisis intervention, symptom monitoring, assistance with federal or local entitlements, assistance with transportation, teaching about money management, and consumer advocacy.