A nurse is working with clients who were incarcerated and have recently been released from prison. Which of the following pieces of information regarding SMIs should the nurse be aware of?
The majority of people who have been incarcerated at state prisons are treated for a serious mental illness.
People who have SMIs and have been incarcerated are less likely to be victimized.
People who have been incarcerated rarely experience inadequate treatment while in prison.
People who have SMIS and have been incarcerated face a greater risk of discontinuing treatment and relapsing.
The Correct Answer is D
A. The majority of people who have been incarcerated at state prisons are treated for a serious mental illness: While many incarcerated individuals do have serious mental illnesses (SMIs), a significant number do not receive adequate treatment while in prison. This statement is not accurate as a majority of those incarcerated do not receive proper mental health care.
B. People who have SMIs and have been incarcerated are less likely to be victimized: Individuals with SMIs may actually be at greater risk of victimization while incarcerated due to their vulnerability. This statement does not accurately reflect the reality of their experiences.
C. People who have been incarcerated rarely experience inadequate treatment while in prison: Many individuals with SMIs do not receive adequate treatment while incarcerated, which can exacerbate their conditions and contribute to challenges upon release.
D. People who have SMIs and have been incarcerated face a greater risk of discontinuing treatment and relapsing. Individuals with SMIs often struggle with continuity of care after release, leading to higher rates of treatment discontinuation and relapse. The transition from prison to community care can be difficult, resulting in gaps in treatment and support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Interpersonal therapy: This type of therapy focuses on improving interpersonal relationships and social functioning, which is beneficial for clients with avoidant personality disorder. It helps individuals address their fears of rejection and develop healthier social interactions, making it a suitable therapeutic approach for this client.
B. Antidepressant medications: While antidepressants may be prescribed to help alleviate symptoms of anxiety or depression often associated with avoidant personality disorder, they do not specifically target the underlying interpersonal issues. Medication alone is not considered a primary treatment for this personality disorder.
C. Dialectical behavior therapy: Dialectical behavior therapy (DBT) is primarily designed for individuals with borderline personality disorder and focuses on emotion regulation and interpersonal effectiveness. While it may benefit some clients, it is not the first-line therapy for avoidant personality disorder.
D. Antipsychotic medications: Antipsychotic medications are generally not indicated for avoidant personality disorder, as the disorder does not typically involve psychotic symptoms. These medications are more appropriate for conditions like schizophrenia or severe mood disorders and do not address the core features of avoidant personality disorder.
Correct Answer is D
Explanation
A. Analyze and interpret laboratory and medical imaging data: The Clinical Opiate Withdrawal Scale (COWS) does not focus on analyzing laboratory or imaging data. Instead, it is a clinical tool designed specifically for assessing withdrawal symptoms in clients experiencing opiate withdrawal.
B. Determine the client's risk of developing severe manifestations: While the COWS can provide insights into the severity of withdrawal symptoms, its primary purpose is not to assess the risk of severe manifestations. It is more focused on current symptoms rather than predicting future complications.
C. Identify genetic factors that influence opiate withdrawal: The COWS does not address genetic factors related to opiate withdrawal. It is a behavioral assessment tool that evaluates observable symptoms rather than delving into the genetic underpinnings of withdrawal responses.
D. Collect data on the severity of manifestations from withdrawal and treat accordingly: The primary function of the COWS is to systematically collect data on the severity of withdrawal symptoms. This information helps healthcare providers determine appropriate treatment interventions based on the client's current condition, ensuring that care is tailored to their specific needs during withdrawal.
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