A client is attending a psychiatric rehabilitation program after having been in inpatient care for the treatment of relapsing schizophrenia. When creating the plan of care, which will be the primary outcome for this client?

The client will have stabilization and management of symptoms.

The client will have an improvement in the quality of life.

The client will return to prior level of functioning

The client will be adherent to the medication regimen.

Answer and Explanation

The Correct Answer is B

a. Stabilization and management of symptoms are critical goals for any client with schizophrenia. However, in psychiatric rehabilitation, the focus goes beyond merely stabilizing symptoms. The goal is often to enhance the client’s ability to function in daily life and improve their overall well-being, not just manage symptoms.

b. The primary outcome of a psychiatric rehabilitation program is to help clients improve their overall quality of life. This includes helping them develop skills for independent living, managing their symptoms effectively, enhancing social interactions, and improving their sense of purpose and well-being.

c. In cases of chronic mental health conditions like schizophrenia, it may not always be realistic or possible for clients to return to their prior level of functioning before the onset of the illness. The focus is more on helping the client achieve the best possible level of functioning within the limits of their condition, rather than returning to a specific previous state.

d. While medication adherence is crucial in the treatment of schizophrenia, it is just one component of managing the condition. Psychiatric rehabilitation is a holistic process that includes psychosocial interventions, skills training, and social support. Medication adherence supports symptom management, but it is not the primary outcome.

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Correct Answer is C

Explanation

Systematic desensitization is a therapeutic technique used to help individuals gradually overcome their fears or phobias by exposing them to the feared stimulus in a controlled and systematic way. The goal is to reduce anxiety and increase relaxation through a step-by-step process.

The statement "What is the worst that will happen if you confront this fear?" aligns with the principle of systematic desensitization because it encourages the client to explore and challenge their negative beliefs or catastrophic thinking associated with their fear. By questioning the potential negative outcomes, the nurse is helping the client to reevaluate their fear response

and consider more realistic expectations. This process can contribute to the client's ability to confront their fear gradually and reduce anxiety over time.

The other statements are still helpful and supportive, but they do not specifically address the principles of systematic desensitization:

“I can see you are anxious. Let's stop for a minute." acknowledges the client's anxiety but does not actively engage in the technique of systematic desensitization.

"Use the deep breathing techniques we practiced yesterday." focuses on relaxation techniques, which can be helpful in managing anxiety but does not specifically address the principles of systematic desensitization.

“Tell me how you are feeling right now." encourages the client to express their feelings but does not directly engage in the technique of systematic desensitization.

A. It is easy to determine if a person is mentally healthy or mentally ill. B. Persons who engage in fantasies are mentally C. In most cases, mental health is a state of emotional, psychological and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability D. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures.

Correct Answer is C

Explanation

This definition highlights the importance of positive relationships, effective coping strategies, a positive self-concept, and emotional stability in determining mental health.

The others are incorrect:

1. It is not easy to determine if a person is mentally healthy or mentally ill: Assessing mental health and diagnosing mental illness requires a comprehensive evaluation by trained professionals. Mental health is a complex and multifaceted aspect of overall well-being that involves various factors, and determining someone's mental health status is not a simple or straightforward process.

2. Persons who engage in fantasies are mentally ill: Engaging in fantasies is not necessarily indicative of mental illness. Fantasies can be a normal part of human imagination and creativity. However, the context and intensity of fantasies, along with other psychological and behavioral indicators, would need to be considered in a comprehensive assessment to determine if there are any underlying mental health concerns.

3. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures: Cultural norms and values vary across societies, and what may be deemed acceptable or unacceptable behavior can differ significantly. There is no

universal standard for judging the acceptability of behavior across all cultures. Cultural relativism recognizes that behaviors and norms should be understood within their cultural context.

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A client is attending a psychiatric rehabilitation program after having been in inpatient care for the treatment of relapsing schizophrenia. When creating the plan of care, which will be the primary outcome for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client who is working on the technique of systematic desensitization. Which statement made by the nurse best uses the principle of technique?

Correct Answer is C

Explanation

Which is true regarding mental health and mental illness?

Correct Answer is C

Explanation

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1 oz (ounce)=_____mL

A nurse is assisting a client who is working on the technique of systematic desensitization. Which statement made by the nurse best uses the principle of technique?

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