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VARCAROLIS CH. 32: SERIOUS MENTAL ILLNESS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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VARCAROLIS CH. 32: SERIOUS MENTAL ILLNESS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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VARCAROLIS CH. 32: SERIOUS MENTALILLNESS QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
1.GAfterG5GyearsGinGaGstateGhospital,GanGadultGdiagnosedGwithGschizophreniaGwasGdischargedGtoGtheGcomm
unity.GThisGpatientGnowGrequiresGpersistentGdirectionGtoGaccomplishGactivitiesGofGdailyGlivingGandGexpectsG
othersGtoGprovideGmealsGandGdoGlaundry.GTheGnurseGassessesGthisGbehaviorGasGtheGprobableGresultGof:
a.GsideGeffectsGofGantipsychoticGmedications.
b.GdependencyGcausedGbyGinstitutionalization.
c.GcognitiveGdeteriorationGfromGschizophrenia.
d.GstressGassociatedGwithGacclimationGtoGtheGcommunity.G-
GANSWERGb.GdependencyGcausedGbyGinstitutionalization.
InstitutionsGtendGtoGimpedeGindependentGfunctioning,GforGexample,GdailyGactivitiesGareGplannedGandGdire
ctedGbyGstaff,GothersGprovideGmealsGandGonlyGatGsetGtimes.GOverGtime,GpatientsGbecomeGdependentGonGth
eGinstitutionGtoGmeetGtheirGneedsGandGadaptGtoGbeingGcaredGforGratherGthanGcaringGforGthemselves.GWhe
nGtheseGpatientsGreturnGtoGtheGcommunity,GmanyGcontinueGtoGdemonstrateGpassiveGbehaviorsGdespiteGeff
ortsGtoGpromote.GCognitiveGdysfunctionGandGantipsychoticGsideGeffectsGcanGmakeGplanningGandGcarryingGo
utGactivitiesGmoreGdifficult,GbutGtheGquestionGisGmoreGsuggestiveGofGadjustmentGtoGinstitutionalGcareGandG
difficultyGreadjustingGtoGindependenceGinstead.
PTS:G1GDIF:GCognitiveGLevel:GAnalyzeG(Analysis)
REF:GPageG585GTOP:GNursingGProcess:GAssessment
MSC:GClientGNeeds:GPsychosocialGIntegrity
,2.GAnGadultGdiagnosedGwithGaGseriousGmentalGillnessGsays,GIGdoGnotGneedGhelpGwithGmoneyGmanagement.G
IGhaveGexcellentGideasGaboutGinvestments.GThisGpatientGusuallyGdoesGnotGhaveGmoneyGtoGbuyGgroceriesGb
yGtheGmiddleGofGtheGmonth.GTheGnurseGassessesGtheGpatientGasGdemonstrating:
a.Grationalization.
c.Ganosognosia.
b.Gidentification.
d.Gprojection.G-GANSWERGc.Ganosognosia.
TheGpatientGscenarioGdescribesGanosognosia,GtheGinabilityGtoGrecognizeGonesGdeficitsGdueGtoGonesGillness.
GTheGpatientGisGnotGprojectingGanGundesirableGthoughtGorGemotionGfromGhimselfGontoGothers.GHeGisGnotGj
ustifyingGhisGbehaviorGviaGrationalizationGandGisGnotGidentifyingGwithGanother.
PTS:G1GDIF:GCognitiveGLevel:GUnderstandG(Comprehension)
REF:GPageG588GTOP:GNursingGProcess:GAssessment
MSC:GClientGNeeds:GPsychosocialGIntegrity
3.GWhichGserviceGwouldGbeGexpectedGtoGprovideGresourcesG24GhoursGaGday,G7GdaysGaGweekGifGneededGforG
personsGwithGseriousGmentalGillness?
a.GClubhouseGmodel
b.GCognitiveGBehavioralGTherapyG(CBT)
c.GAssertiveGCommunityGTreatmentG(ACT)
, d.GCognitiveGEnhancementGTherapyG(CET)G-GANSWERGc.GAssertiveGCommunityGTreatmentG(ACT)
G
AssertiveGcommunityGtreatmentG(ACT)GinvolvesGconsumersGworkingGwithGaGmultidisciplinaryGteamGthatGp
rovidesGaGcomprehensiveGarrayGofGservices.GAtGleastGoneGmemberGofGtheGteamGisGavailableG24GhoursGaGda
yGforGcrisisGneeds,GandGtheGemphasisGisGonGtreatingGtheGpatientGwithinGhisGownGenvironment.
PTS:G1GDIF:GCognitiveGLevel:GUnderstandG(Comprehension)
REF:GPageG590-591GTOP:GNursingGProcess:GImplementation
MSC:GClientGNeeds:GPsychosocialGIntegrity
4.GAnGoutpatientGdiagnosedGwithGschizophreniaGtellsGtheGnurse,GIGamGhereGtoGsaveGtheGworld.GIGthrewGaw
ayGtheGpillsGbecauseGtheyGmakeGGodGgoGaway.GTheGnurseGidentifiesGtheGpatientsGreasonGforGmedicationGn
onadherenceGas:
a.GpoorGallianceGwithGclinicians.
b.GinadequateGdischargeGplanning.
c.GdislikeGofGmedicationGsideGeffects.
d.GlackGofGinsightGassociatedGwithGtheGillness.G-GANSWERGd.GlackGofGinsightGassociatedGwithGtheGillness.
TheGpatientsGnonadherenceGisGmostGcloselyGrelatedGtoGlackGofGinsightGintoGhisGillness.GTheGpatientGbelieve
sGheGisGanGexaltedGpersonageGwhoGhearsGGodsGvoiceGratherGthanGanGindividualGwithGaGseriousGmentalGdis
orderGwhoGneedsGmedicationGtoGcontrolGhisGsymptoms.GWhileGtheGdistractersGmayGplayGaGpartGinGtheGpati
entsGnonadherence,GtheGcorrectGresponseGisGmostGlikely.
PTS:G1GDIF:GCognitiveGLevel:GAnalyzeG(Analysis)
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