Which functions are often simultaneously impaired when a patient is experiencing a serious mental illness? Select all that apply.

a. Cognition

b. Emotions

c. Perceptions

d. Social interactions

e. Self-care

Due to the need to self-medicate for anxiety, a patient diagnosed with schizophrenia smokes two packs of cigarettes a day. What unique risk does nicotine pose to this patient's health?

a. Lung cancer

b. Cardiovascular constriction

c. Impaired psychotropic medication therapy

d. Increased incidence of lung-reacted disorders

A 73-year-old man was diagnosed with a serious mental illness at age 20. Subsequently, he was frequently hospitalized. Two years ago, he was transferred to a group home. When considering the effects of institutionalization, which behavior demonstrates ad aptation to the new environment?

a. Willingly takes his medications

b. Keeps his room neat and clean

c. Makes himself lunch when he is hungry

d. Enjoys spending the afternoon watching television

In your psychiatric rotation in a state hospital, many of the patients are diagnosed with schizophrenia. Although you had been apprehensive about this rotation, you are surprised that patients respond well to you, that you are fascinated by this specialty, and that you're considering it as a career. A fellow student remarks, "You must be crazy to want to work with these people."

Identify other social prejudices that have been significant problems in the United States. What responses were effective in countering these and reducing their impact?

In your psychiatric rotation in a state hospital, many of the patients are diagnosed with schizophrenia. Although you had been apprehensive about this rotation, you are surprised that patients respond well to you, that you are fascinated by this specialty, and that you're considering it as a career. A fellow student remarks, "You must be crazy to want to work with these people."

What social and other issues might be reflected in this student's remark?

What is the primary reason the nurse should include the family of a patient with a serious mental illness in treatment planning?

a. They know the patient better than anyone.

b. The patient is likely willing to listen to them.

c. They are likely the patient's support system.

d. The patient will tum to them first when needing help.

John Yang, 42, dually diagnosed with schizophrenia and cannabis (marijuana) use disorder, is brought to the clinic by his mother, Mrs. Yang. Because they are new in town, she does not know what is available in the community. John takes haloperidol (Haldol), but Mrs. Yang says he often refuses it because of muscle rigidity and sexual side effects. They have tried several first-generation antipsychotic drugs without success.

Identify three areas of psychoeducation you'd provide for John and his mother.

John Yang, 42, dually diagnosed with schizophrenia and cannabis (marijuana) use disorder, is brought to the clinic by his mother, Mrs. Yang. Because they are new in town, she does not know what is available in the community. John takes haloperidol (Haldol), but Mrs. Yang says he often refuses it because of muscle rigidity and sexual side effects. They have tried several first-generation antipsychotic drugs without success.

Which resources mentioned in this chapter might be appropriate for John?

John Yang, 42, dually diagnosed with schizophrenia and cannabis (marijuana) use disorder, is brought to the clinic by his mother, Mrs. Yang. Because they are new in town, she does not know what is available in the community. John takes haloperidol (Haldol), but Mrs. Yang says he often refuses it because of muscle rigidity and sexual side effects. They have tried several first-generation antipsychotic drugs without success.

What obstacles to adherence exist for a dually diagnosed patient? What approach or change in treatment would offer John the best chance of success?

John Yang, 42, dually diagnosed with schizophrenia and cannabis (marijuana) use disorder, is brought to the clinic by his mother, Mrs. Yang. Because they are new in town, she does not know what is available in the community. John takes haloperidol (Haldol), but Mrs. Yang says he often refuses it because of muscle rigidity and sexual side effects. They have tried several first-generation antipsychotic drugs without success.

As a patient advocate, how might you respond to John's medication nonadherence with firstgeneration antipsychotics?

John Yang, 42, dually diagnosed with schizophrenia and cannabis (marijuana) use disorder, is brought to the clinic by his mother, Mrs. Yang. Because they are new in town, she does not know what is available in the community. John takes haloperidol (Haldol), but Mrs. Yang says he often refuses it because of muscle rigidity and sexual side effects. They have tried several first-generation antipsychotic drugs without success.

What areas of John's life might you want to explore in your assessment? Consider relationships, employment history, cognitive abilities, coping, and behavior. How would you use this information for long-term planning?

Isadora is a middle-aged woman living in a group home after being discharged from a psychiatric institution nearly 20 year ago. Isadora keeps to herself, stays in her room most of the day, and only ventures out for meals. Cassandra, the house manager, encourages Isadora to:

a. Begin looking for a job

b. Join a day program clubhouse

c. Assist in the kitchen washing dishes

d. Take on a roommate so as not to be alone

Which statement made by a patient diagnosed with a serious mental illness reflects a common situation associated with this disorder in today's healthcare system? Select all that apply.

a. "I have been in a state institution most of my life."

b. "I've been homeless for years."

c. "Once a care provider knows my psychiatric history, my physical problems are not taken seriously."

d. "No one wants to hire a person with mental issues."

e. "My family doesn't want to be around me because I hear voices."

How does leukemia affect a person's entire body?