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 D
Explanation
A. Paranoia: Paranoia is classified as a positive symptom of schizophrenia. It involves the presence of irrational fears and beliefs that others are plotting against the individual, which signifies an addition of abnormal thoughts or behaviors.
B. Distorted beliefs: Distorted beliefs, such as delusions, are also considered positive symptoms. They represent an alteration in thought processes and an addition of false beliefs that are not grounded in reality.
C. Confusion: Confusion may arise from various factors, including cognitive disturbances or acute psychotic episodes, but it is not classified as a negative symptom. It typically reflects disorganized thinking rather than a deficiency in emotional or behavioral responses.
D. Lack of emotions: A lack of emotions, also known as flat affect, is a clear example of a negative symptom of schizophrenia. Negative symptoms are characterized by a reduction or absence of normal emotional responses, which can impact the individual's ability to express feelings and engage socially.
Correct Answer is ["B","C","D","E"]
Explanation
A. Ask the provider for a PRN prescription for restraints: Restraints should only be used as a last resort when there is an imminent risk of harm to the client or others. In this situation, it is essential to first attempt to manage the client's anxiety and behavior through de-escalation strategies and appropriate interventions.
B. Administer diazepam when the client exhibits anxiousness: Diazepam can help manage anxiety and agitation, which is crucial for the client's safety and comfort. Monitoring for signs of anxiety allows for timely intervention with the prescribed medication.
C. Place the client in a room near the nurse's station: Keeping the client close to the nurse's station allows for increased monitoring and ensures that staff can respond quickly if the client's behavior escalates. This helps maintain safety for both the client and others on the unit.
D. Determine if the client is experiencing command hallucinations: Assessing for command hallucinations is important, especially given the client's recent aggressive behavior. Understanding the presence of such hallucinations can guide the treatment plan and safety measures.
E. Establish clear limits for expected behaviors: Setting clear expectations for behavior helps the client understand acceptable conduct and promotes a safer environment. This can be particularly important for clients with paranoid personality disorder who may struggle with interpersonal relationships.
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