A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?
Boundaries
Relapse
The SE model
Stigma
The Correct Answer is B
Rationale:
A. Boundaries refer to maintaining professional limits in the nurse-client relationship, which is not directly related to the cause of hallucination exacerbation.
B. Relapse is the return of symptoms after a period of improvement, which is a common explanation for the recurrence of hallucinations in a client with schizophrenia.
C. The SE model (Social Ecological Model) is a framework for understanding the various levels of influence on health behaviors and is not a direct cause of hallucinations.
D. Stigma refers to the negative attitudes and beliefs about mental illness, which can affect a client’s self-perception but is not a direct cause of symptom exacerbation.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Clients with active tuberculosis should not be placed in a room with other clients, even if they require droplet precautions, as TB requires airborne precautions.
B. While PPE protocols are important, the most critical precaution for TB is ensuring the client is in the correct environment to prevent airborne transmission.
C. Wearing gowns, masks, and gloves is important, but the most essential measure is the room's ventilation system.
D. Active tuberculosis is an airborne infectious disease, so the client should be placed in a private room with a negative pressure ventilation system to prevent the spread of the bacteria through the air.
Correct Answer is B
Explanation
Rationale:
A. Not reporting a medication error could be indicative of various issues, but it is not specific to burnout.
B. Frequently calling in sick can be a sign of burnout, as it may reflect chronic stress, exhaustion, or a lack of engagement with work.
C. Taking regular lunch breaks is a healthy practice and does not indicate burnout.
D. Setting firm professional boundaries is a positive behavior and helps prevent burnout rather than indicating it.
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