A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?

To keep the client's environment calm and with minimal daily stimuli

To be reoriented to their current environment as needed

To ensure the client participates in a walk with staff on a daily basis

To develop and acknowledge understanding of a relapse plan prior to discharge

Answer and Explanation

The Correct Answer is D

A. To keep the client's environment calm and with minimal daily stimuli: While a calm environment can help manage acute psychotic symptoms, it is a short-term intervention rather than a long-term goal. Long-term management focuses on adherence to treatment and relapse prevention.
B. To be reoriented to their current environment as needed: Reorientation is beneficial for clients experiencing disorientation due to acute psychosis, but it is a short-term intervention. A long-term goal should focus on maintaining stability and preventing future relapse.
C. To ensure the client participates in a walk with staff on a daily basis: Regular physical activity can improve mental health, but it does not directly address medication adherence or long-term relapse prevention. The goal should focus on strategies to maintain treatment compliance.
D. To develop and acknowledge understanding of a relapse plan prior to discharge: A relapse plan helps the client recognize early warning signs, understand medication importance, and seek support when needed, which is essential for long-term symptom management and prevention of future hospitalizations.

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Correct Answer is C

Explanation

A. Dialectical behavior therapy. Dialectical behavior therapy is primarily used for borderline personality disorder, focusing on emotional regulation, distress tolerance, and mindfulness. It is not the primary therapy for avoidant personality disorder.
B. Antipsychotic medications. Antipsychotic medications are typically used to manage symptoms of psychotic disorders such as schizophrenia. Avoidant personality disorder does not involve psychosis and is better managed with psychotherapy.
C. Interpersonal therapy. Interpersonal therapy is beneficial for avoidant personality disorder as it focuses on improving social skills, self-esteem, and communication. This therapy helps clients develop healthier relationships and overcome fears of rejection.
D. Antidepressant medications. While antidepressants may be used to treat co-occurring conditions such as depression or anxiety, they do not directly address the core features of avoidant personality disorder. Psychotherapy remains the primary treatment.

A. Provide reassurance and comfort ensuring the client is safe. B. Ensure the client goes to group activities as planned. C. Give PRN medications to treat increased hallucinations. D. Use distraction such as the television or music

Correct Answer is A

Explanation

A. "Provide reassurance and comfort ensuring the client is safe." Clients with schizophrenia experiencing confusion and thought distortions require reassurance and safety measures first. Confusion can increase the risk of self-harm or agitation, making safety a priority. Comforting the client and providing a structured environment can help reduce anxiety. Ensuring a calm and safe setting supports symptom management and overall well-being.
B. "Ensure the client goes to group activities as planned." While group activities can promote socialization, a client experiencing confusion and thought distortions may struggle to participate. Forcing group engagement without addressing immediate needs can increase distress. Individualized interventions should be prioritized before encouraging group involvement. Ensuring safety and reducing anxiety are more immediate concerns.
C. "Give PRN medications to treat increased hallucinations." PRN medications may help manage symptoms but are not the first priority. Assessing and ensuring safety takes precedence before administering medications. The nurse should first provide reassurance and evaluate the severity of symptoms. Medication is important, but nonpharmacological interventions should be attempted first when possible. Ensuring safety remains the immediate concern in managing schizophrenia-related confusion.
D. "Use distraction such as the television or music." While distraction techniques can be beneficial, they do not directly address confusion or distorted thinking. The client may require more structured interventions to reorient them and provide reassurance. Music or television might help in stable periods but may not be effective in acute distress. Ensuring the client’s safety and reducing distress are higher priorities in immediate care.

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A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?

Correct Answer is C

Explanation

A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?

Correct Answer is A

Explanation

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