A nurse is caring for a client who has schizophrenia and is preparing for discharge.
The nurse is providing discharge teaching to the client. Which of the following information should the nurse include when educating the client about relapse prevention? Select all that apply.
Ask a trusted person to watch for manifestations of illness.
Notify your provider within 48 hr of manifestations of a relapse.
Go for a walk to decrease anxiety during times of increased stress.
Report any adverse effects of the medication to the provider immediately.
Limit alcohol consumption to no more than two drinks per week.
Take a dose of the medication as soon as delusions or hallucinations begin.
Correct Answer : A,B,C,D
Rationale for correct choices:
- Ask a trusted person to watch for manifestations of illness: Involving a trusted person in monitoring symptoms can help identify early signs of relapse. Sometimes, clients may not notice subtle changes in their mental state, so a reliable individual can alert the healthcare provider, allowing for early intervention.
- Notify your provider within 48 hr of manifestations of a relapse: Early detection and intervention are key to preventing a full relapse. By notifying the provider within 48 hours, the healthcare team can adjust medications or other interventions promptly, reducing the severity of symptoms.
- Go for a walk to decrease anxiety during times of increased stress: Physical activity, like walking, is beneficial for managing anxiety, which is a common trigger in individuals with schizophrenia. Regular exercise can also promote mental well-being, making it a helpful strategy for coping with stress.
- Report any adverse effects of the medication to the provider immediately: Antipsychotic medications like haloperidol can cause significant side effects, and reporting these early allows the provider to manage or adjust the treatment plan, preventing complications such as extrapyramidal symptoms or neuroleptic malignant syndrome.
Rationale for incorrect choices:
- Limit alcohol consumption to no more than two drinks per week: Alcohol should be avoided entirely, as it can interfere with the effectiveness of antipsychotic medications and worsen psychiatric symptoms.
- Take a dose of the medication as soon as delusions or hallucinations begin: Medications for schizophrenia, like haloperidol, should be taken as prescribed, and adjustments to dosage or frequency should only be made under the guidance of a healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "My boss fired me due to my frequent absence": This statement indicates a lack of support in the client's work environment, rather than a positive support system. Losing a job due to alcohol use suggests strained relationships and challenges in the client's social or professional life.
B. "My friends frequently drink alcohol, so I do not see them anymore": While the client is avoiding potentially harmful relationships, this statement indicates isolation rather than a supportive network.
C. "I have a sibling who attends Al-Anon": This statement indicates that the client has a family member actively involved in a support group (Al-Anon), which is designed for families and friends of individuals with alcohol use disorders. This suggests the client has a support system in place.
D. "I take care of my parent who has Wernicke-Korsakoff syndrome": While this indicates a sense of responsibility, it does not necessarily point to a supportive relationship. The client may be struggling with caregiving without the emotional or social support they need.
Correct Answer is D
Explanation
A. "Why are you having difficulty coping?": This question may sound accusatory and could make the client feel defensive. It is more effective to explore their feelings and concerns in a non-judgmental way.
B. "You should find a therapist who can help you.": While therapy can be helpful, this statement is directive and does not invite the client to express their feelings. It also may come across as dismissive of the client's current struggles.
C. "Everything will be okay if you give it some time.": This statement minimizes the client's feelings and may invalidate their experience. It's important to acknowledge their emotions and work with them to explore coping strategies rather than offering empty reassurances.
D. "Tell me about your support system.": This is the most appropriate response, it encourages the client to reflect on the resources and people they can rely on and provides an opportunity for the nurse to assess the client's support network and coping mechanisms.
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