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 A

Explanation

A. "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning.": This response provides an accurate explanation of a common behavior associated with the early stages of schizophrenia. It normalizes the client's experience by indicating that social withdrawal can be an early warning sign of developing symptoms, helping the client understand their condition better.
B. "Were you avoiding your friend so that you could hear the voices more clearly?": This response may come across as accusatory and could increase the client's anxiety or defensiveness. It does not promote a supportive dialogue about the client's experience and symptoms.
C. "That is very interesting. We are not sure why people start to isolate themselves.": While acknowledging the client's comment, this response lacks helpful information and does not provide insight into the relationship between isolation and the onset of schizophrenia symptoms. It misses an opportunity to educate the client about their condition.
D. "Do you think of yourself as more of an introvert? That makes a difference with how you socialize.": This question may divert the conversation from the client's experience with schizophrenia to a discussion about personality traits. It does not directly address the client's concern about isolation and the onset of their symptoms, making it less relevant to the situation.

A. Personality Diagnostic Questionnaire B. Eysenck Personality Inventory C. Toxicology test D. Minnesota Multiphasic Personality Inventory (MMP)

Correct Answer is C

Explanation

A. Personality Diagnostic Questionnaire: This tool is specifically designed for assessing and diagnosing personality disorders, such as borderline or antisocial personality disorder. While it provides valuable insights into personality traits, it does not yield information on recent substance use and is not applicable for determining if the client has used illicit drugs.
B. Eysenck Personality Inventory: The Eysenck Personality Inventory focuses on measuring personality traits, particularly dimensions like introversion and extraversion. Although it may be useful in understanding the client's personality profile, it lacks the capability to assess or screen for substance use, making it irrelevant in this context.
C. Toxicology test: A toxicology test is the most appropriate screening tool in this situation as it directly analyzes the client’s biological samples (such as urine, blood, or saliva) to detect the presence of illicit substances. This test provides immediate and objective evidence of recent drug use, which is crucial for the nurse to make informed clinical decisions regarding the client's care and potential interventions.
D. Minnesota Multiphasic Personality Inventory (MMP): The MMPI is a comprehensive psychological assessment tool that evaluates various psychological conditions and personality traits. While it can provide insights into the client’s mental health, it does not specifically test for substance use, thus making it an unsuitable option for assessing recent illicit drug consumption.

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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 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?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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