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. General anxiety disorder: General anxiety disorder (GAD) is commonly seen as a comorbidity with cluster B personality disorders, which include borderline, antisocial, histrionic, and narcissistic personality disorders. Individuals with these personality disorders may experience significant anxiety, particularly related to interpersonal relationships and emotional instability.
B. Schizophrenia: Schizophrenia is classified as a serious mental illness, but it is not typically considered a comorbidity of cluster B personality disorders. The symptomatology of schizophrenia is distinct from that of personality disorders.
C. Obsessive-compulsive disorder: While obsessive-compulsive disorder (OCD) can occur alongside various mental health conditions, it is more commonly associated with cluster C personality disorders (e.g., obsessive-compulsive personality disorder) rather than cluster B.
D. Anorexia nervosa: Anorexia nervosa is an eating disorder that may co-occur with various mental health conditions, but it is not specifically recognized as a common comorbidity with cluster B personality disorders. The focus of cluster B disorders is more on interpersonal dynamics and emotional regulation rather than eating behaviors.

A. To ensure the client participates in a walk with staff on a daily basis B. To keep the client's environment calm and with minimal daily stimuli C. To develop and acknowledge understanding of a relapse plan prior to discharge D. To be reoriented to their current environment as needed

Correct Answer is C

Explanation

A. To ensure the client participates in a walk with staff on a daily basis: While regular physical activity can be beneficial, this goal focuses more on physical activity rather than addressing the underlying issues related to medication adherence and relapse prevention.
B. To keep the client's environment calm and with minimal daily stimuli: Creating a calm environment can help manage symptoms, but it is a more immediate concern rather than a long-term goal focused on the client's overall management and understanding of their condition.
C. To develop and acknowledge understanding of a relapse plan prior to discharge: This goal is crucial for the client's long-term recovery and management of their condition. By understanding their relapse plan, the client can identify triggers, recognize early warning signs of relapse, and engage in proactive strategies to maintain their mental health after discharge.
D. To be reoriented to their current environment as needed: While reorientation may be necessary for managing acute symptoms, it does not address long-term strategies for preventing relapse or promoting the client's overall well-being. This goal is more focused on immediate needs rather than long-term outcomes.

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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 reinforcing education to a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity?

Correct Answer is A

Explanation

A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?

Correct Answer is C

Explanation

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