When asked by a client's wife what characterizes severe mental illness, the nurse should reply, "It is
a. mental illness of more than 2 weeks' duration.".
b. mental illness accompanied by physical impairment and severe social problems.".
c. a major mental illness that is chronic and is marked by pervasive functional
impairment.".
d. a major mental illness that cannot be treated to prevent deterioration of cognitive
and social abilities.".
C
"Severe mental illness" has replaced the term "chronic mental illness.". Thus option C is the best
explanation. Neither option A nor option B considers the long-term aspect of severe mental illness.
Option D: Severe mental illness can, in fact, be treated, but remissions and exacerbations are part of
the course of the illness.
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What will be an ideal response?
Which patient is most likely to be seen at a clinic that services older adults who are at or below the poverty level?
a. A Hispanic male living with extended family b. An African American male living with a spouse c. A Hispanic female who lives alone d. An African American female who lives with her sister
The nurse is caring for a client who is taking a drug known to cause nephrotoxicity. Which interventions are appropriate to prevent drug-induced nephrotoxicity?
1. Encouraging hydration 2. Monitoring diagnostic lab tests for changes in kidney function 3. Identifying drugs that affect kidneys and discuss adjusting doses 4. Determining whether the client has kidney impairment 5. Providing proper nutrition
A patient diagnosed with schizophrenia had an exacerbation related to medication noncompliance and was hospitalized for 5 days. The patient's thoughts are now more organized, and discharge is planned. The patient's family says,
"It's too soon for discharge. We will just go through all this again." The nurse should: a. ask the case manager to arrange a transfer to a long-term care facility. b. notify hospital security to handle the disturbance and escort the family off the unit. c. explain that the patient will continue to improve if the medication is taken regularly. d. contact the health care provider to meet with the family and explain the discharge rationale.