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 B

Explanation

Choice A reason: This choice is incorrect. While postpartum depression can increase suicide risk, it does not have the highest correlation with completed suicide.

Choice B reason: This is the correct choice. Older male clients, especially those living in rural areas, have a higher risk of completing suicide due to factors like isolation and access to lethal means.

Choice C reason: This choice is incorrect. Being married and having a new baby can be protective factors against suicide.

Choice D reason: This choice is incorrect. While stress from school can contribute to suicide risk, it does not typically pose the highest risk compared to other factors.

A. A client with bipolar disorder who is not compliant with the blood testing necessary for lithium therapy. B. A client with a diagnosis of bipolar disorder who has recently begun experiencing a manic episode. C. A client whose recent strange behavior has been atributed to cyclothymic disorder. D. A client whose major depression has not responded appreciably to antidepressants.

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect. Non-compliance with blood testing does not typically indicate a need for ECT.
Choice B reason: This choice is incorrect. A recent onset of a manic episode is usually managed with medication adjustments, not ECT.
Choice C reason: This choice is incorrect. Cyclothymic disorder is a milder form of bipolar disorder and is not typically treated with ECT.
Choice D reason: This is the correct choice. ECT is often considered for clients with severe depression that is resistant to medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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