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

Answer and Explanation

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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Correct Answer is D

Explanation

Rationale:

A. Feeling restless and needing to be active can be more indicative of anxiety or agitation rather than depression.

B. Increased alertness and improved focus are not typical symptoms of depression; rather, depression often involves decreased energy and focus.

C. High blood pressure is not directly related to depressive symptoms.

D. Difficulty sleeping and racing thoughts at night are consistent with depression, particularly when accompanied by poor sleep quality.

A. "My elevated heart rate could be the cause of my depressed mood." B. "My renal dysfunction could be the cause of my depressed mood." C. "My high blood pressure could be the cause of my depressed mood." D. "The stress from my new job could be the cause of my depressed mood."

Correct Answer is D

Explanation

Rationale:

A. An elevated heart rate alone is not commonly associated with depression.

B. While renal dysfunction can impact mood, the direct link between it and depression is not as strong as other factors.

C. High blood pressure is not a direct cause of depression, though it can contribute to overall health issues.

D. Stress from a new job is a common and recognizable factor that can lead to or exacerbate depressive symptoms, showing an understanding of how situational stress can impact mood.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a primary care clinic is assessing a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?

Correct Answer is D

Explanation

A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is D

Explanation

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