A person with serious and persistent mental illness enters a ...

[Chloeellawright]

A person with serious and persistent mental illness enters a shelter for the homeless. Which intervention should be the nurse's initial priority?
 
  a. Develop a relationship
  b. Find supported employment
  c. Administer prescribed medication
  d. Teach appropriate health care practices

Question 2

A patient who is severely and persistently mentally ill and lives in a homeless shelter has the nursing diagnosis Powerlessness. Which intervention should be included in the plan of care?
 
  a. Encourage mutual goal setting.
  b. Verbally communicate empathy.
  c. Reinforce participation in activities.
  d. Demonstrate an accepting attitude.

[yahahah24021]

Answer to Question 1

ANS: A
Basic psychosocial needs do not change because a person is homeless. The nurse's initial priority should be establishing rapport. Once a trusting relationship is established, then the nurse can pursue other interventions.

Answer to Question 2

ANS: A
Mutual goal setting is an intervention designed to promote feelings of personal autonomy and dispel feelings of powerlessness. Although it might be easier and faster for the nurse to establish a plan and outcomes, this action contributes to the patient's sense of powerlessness. Involving the patient in decision making empowers the patient and reduces feelings of powerlessness.

[Chloeellawright]

Excellent

[JaynaD87]

Gracias!