Asked by Jasmine Norfleet on Apr 23, 2024

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A patient diagnosed with a SMI lives independently and attends a psychosocial rehabilitation program. The patient presents at the emergency department seeking hospitalization. The patient has no acute symptoms but says, "I have no money to pay my rent or refill my prescription." Select the nurse's best action.

A) Involve the patient's case manager to provide crisis intervention.
B) Send the patient to a homeless shelter until housing can be arranged.
C) Arrange for a short in-patient admission and begin discharge planning.
D) Explain that one must have active psychiatric symptoms to be admitted.

Psychosocial Rehabilitation

A therapeutic approach aiming to improve the psychological and social functioning of individuals with mental health conditions or disabilities.

Crisis Intervention

Immediate and temporary support given during a crisis to address and alleviate the situation, typically focusing on emotional support and problem-solving.

Case Manager

A professional responsible for planning, assessing, facilitating, and advocating for options and services to meet an individual’s health needs.

  • Acknowledge the importance and positive outcomes of case management in orchestrating care for people with severe mental illness.
  • Offer recommendations on the crucial aspects and techniques for developing a supportive network and unified care for individuals with severe mental illness.
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PP
Pryshu PlaysApr 30, 2024
Final Answer :
A
Explanation :
Impaired stress tolerance and problem-solving abilities can cause persons with SMI to experience relatively minor stressors as crises. This patient has run out of money, and this has overwhelmed her ability to cope, resulting in a crisis for which crisis intervention would be an appropriate response. Inpatient care is not clinically indicated nor is the patient homeless (although she may fear she is). Telling the patient that she is not symptomatic enough to be admitted may prompt malingering.