A nurse is developing a care plan for a client who has schizophrenia and is taking chlorpromazine. Which of the following actions should the nurse include in the plan?

 

Choice A reason: Have you had a recent influenza infection?

Guillain-Barré syndrome (GBS) is often preceded by an infection, most commonly respiratory or gastrointestinal infections. Influenza is a significant respiratory infection that can trigger GBS. Asking about recent influenza infection helps in identifying a potential cause of the syndrome. According to the Mayo Clinic, many cases of GBS occur after a respiratory or gastrointestinal infection1. Therefore, this question is crucial in the assessment of a client with suspected GBS.

Choice B reason: Have you traveled overseas recently?

While travel history can be relevant in diagnosing various conditions, it is less directly related to Guillain-Barré syndrome. GBS is not typically associated with travel but rather with infections that can occur anywhere. Therefore, this question is less pertinent compared to asking about recent infections.

Choice C reason: Do you have a history of chronic alcohol abuse?

Chronic alcohol abuse can lead to various neurological conditions, but it is not specifically linked to Guillain-Barré syndrome. GBS is an acute condition often triggered by an infection, not by chronic alcohol use. Thus, while this question might be relevant in a broader neurological assessment, it is not directly related to GBS.

Choice D reason: Are you taking a multivitamin?

The use of multivitamins is generally not related to the development of Guillain-Barré syndrome. This question does not help in identifying the cause or confirming the diagnosis of GBS. It is more relevant to a general health assessment rather than a specific inquiry for GBS.

Choice A reason: Sees himself as inferior to others is not typically associated with paranoid personality disorder. Individuals with this disorder often have a pervasive distrust and suspicion of others but do not necessarily view themselves as inferior.

Choice B reason: Persistently holds grudges is a common characteristic of paranoid personality disorder. These individuals often harbor long-term grudges and are unwilling to forgive perceived insults or slights.

Choice C reason: Demonstrates a grandiose sense of self-importance is more characteristic of narcissistic personality disorder rather than paranoid personality disorder. Paranoid individuals are more focused on the perceived intentions of others rather than their own self-importance.

Choice D reason: Desires to be the center of attention is typically associated with histrionic personality disorder, not paranoid personality disorder. Paranoid individuals are more likely to be suspicious and distrustful rather than seeking attention.

Choice E reason: Believes that others are deceiving him is a hallmark of paranoid personality disorder. These individuals often believe that others are out to harm or deceive them, leading to pervasive mistrust and suspicion.