A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

"You may want to consider moving to a group home, since you will not be free of the troublesome symptoms."

"While you may not be completely symptom-free, you should still see an increase in your quality of life by continuing with the treatment plan."

"Why are you not seeing the value of this treatment plan for recovery?"

"The medical model of recovery works to eliminate all symptoms. Maybe you should see a medical doctor."

Answer and Explanation

The Correct Answer is B

Choice A reason: Suggesting a move to a group home based on symptom presence may not be appropriate. Quality of life can be improved in various living situations, and the decision should be individualized.

Choice B reason: This statement is supportive and realistic, acknowledging that while symptoms may persist, quality of life can still improve with ongoing treatment.

Choice C reason: This question could be perceived as confrontational. It's important to discuss the treatment plan's value in a way that is supportive and understanding.

Choice D reason: The medical model aims to reduce symptoms, but it is not always possible to eliminate them entirely. Recovery involves managing symptoms and improving quality of life.

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Correct Answer is C

Explanation

Choice A reason: Other complaints are important but do not directly address the issue of sleep disturbance due to ADHD medication.
Choice B reason: Crushing a sustained-release tablet can release the medication too quickly, but it is not related to the timing of the medication aﬀecting sleep.
Choice C reason: This is the correct choice. The timing of ADHD medication is crucial as stimulants can cause sleep issues if taken too late in the day.
Choice D reason: While over-the-counter medications can aﬀect sleep, the timing of ADHD medication is more likely to be the cause of sleep problems.

A. Nonverbal communication provides additional client information that is acted out unconsciously. B. Psychiatric disorders generally aﬀect a client's ability to communicate verbally. C. Clients are guarded with both verbal and nonverbal communication. D. Psychiatric disorders are more likely to aﬀect thoughts than physical behaviors.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Nonverbal cues can provide insight into a client's emotional state and intentions that may not be expressed verbally, especially when a client may not be able to communicate eﬀectively due to their condition.
Choice B reason: While psychiatric disorders can aﬀect verbal communication, this is not the primary reason nurses are encouraged to be aware of nonverbal communication.
Choice C reason: Clients may be guarded, but the primary reason for nurses to be aware of nonverbal communication is to gain additional information, not just because clients are guarded.
Choice D reason: Psychiatric disorders aﬀecting thoughts more than physical behaviors does not explain why nonverbal communication is important.

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A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?

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