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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Liver and pancreatic disease: While methamphetamine use can lead to various health issues, liver and pancreatic diseases are not directly linked to the acute effects of blood vessel constriction and spasming. These conditions are more commonly associated with substances like alcohol or certain prescription medications.
B. Heart disease and stroke: Methamphetamine use causes vasoconstriction and increased heart rate, significantly elevating the risk of cardiovascular complications. The combination of these factors can lead to heart disease, myocardial infarction, and stroke due to reduced blood flow and increased blood pressure, making this the most relevant risk for the client.
C. Brain trauma and injury: While methamphetamine can lead to cognitive impairment and increase the risk of accidents, blood vessel constriction specifically relates more directly to cardiovascular issues rather than immediate brain trauma or injury.
D. Bone loss and osteoporosis: Methamphetamine use can contribute to various health problems, but it is not directly associated with acute blood vessel constriction or spasming. Bone loss and osteoporosis are typically linked to chronic substance abuse, nutritional deficiencies, or hormonal changes rather than the immediate vascular effects of methamphetamine.

A. Administer a benzodiazepine to the client. B. Establish rapport with the client. C. Teach the client grounding techniques. D. Educate the client about their disorder.

Correct Answer is B

Explanation

A. Administer a benzodiazepine to the client: While benzodiazepines may be useful for managing anxiety, the first step in caring for a client with a dissociative disorder is to build a trusting relationship. Medications should not be prioritized over establishing rapport.
B. Establish rapport with the client: Building rapport is crucial in creating a safe environment for the client. It allows the nurse to gain the client’s trust, facilitating effective communication and treatment. A strong therapeutic alliance is essential for the client's willingness to engage in further interventions.
C. Teach the client grounding techniques: While grounding techniques can be beneficial for clients experiencing dissociation, they are most effective when the client feels safe and supported. Establishing rapport first will help the client be more receptive to learning and practicing these techniques.
D. Educate the client about their disorder: Education is important, but it should come after establishing a trusting relationship. The client may not be open to education about their disorder until they feel comfortable with the nurse and the therapeutic process.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who regularly uses methamphetamine and is experiencing blood vessel constriction and spasming. The nurse should identify that the client is at high risk for developing which of the following conditions?

Correct Answer is B

Explanation

A nurse is caring for a client who has a dissociative disorder. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

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A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

A nurse on a mental health unit is assisting with the care of a client. Exhibits The nurse is continuing to assist with the care of the client. Select the four actions the nurse should take.

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A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?

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