A nurse is discussing schizophrenia spectrum disorders with a client.
The client states, "My friend says that before I started hearing voices, I stopped hanging out with them.
Why is that?" Which of the following responses should the nurse make?
"That is very interesting.We are not sure why people start to isolate themselves.”.
"Do you think of yourself as more of an introvert? That makes a difference with how you socialize.”.
"Before symptoms of schizophrenia begin, people often isolate themselves.This is an early warning.”.
"Were you avoiding your friend so that you could hear the voices more clearly?". .
The Correct Answer is C
Choice A rationale:
While it’s interesting to consider why people isolate themselves, this statement does not provide a clear explanation for the behavior.
Choice B rationale:
Being an introvert or extrovert doesn’t necessarily correlate with the onset of schizophrenia symptoms.
Choice C rationale:
Before symptoms of schizophrenia begin, people often isolate themselves. This is known as the prodromal phase of schizophrenia.
Choice D rationale:
Avoiding friends to hear voices more clearly is not a typical behavior associated with the onset of schizophrenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Assigning a staff member to stay with the client at all times is the priority action when a client declines to make a safety contract. This is because the immediate safety of the client is the primary concern in such situations.
Choice B rationale:
Locking the doors to the unit and securing windows so they cannot be opened might be considered a safety measure, but it is not the priority. The focus should be on direct supervision to ensure safety.
Choice C rationale:
Removing any objects from the client’s environment that could be used for self-harm is important, but it is not the priority. The immediate safety of the client through constant supervision is the priority.
Choice D rationale:
Providing the client with plastic eating utensils for meals is a safety measure, but it is not the priority. The immediate safety of the client through constant supervision is the priority.
Correct Answer is C
Explanation
Choice A rationale:
Taking lithium on an empty stomach is not necessary. Lithium can be taken with or without food.
Choice B rationale:
Excessive salivation is not a common side effect of lithium.
Choice C rationale:
Vomiting or diarrhea can lead to dehydration, which increases the risk of lithium toxicity by reducing the excretion of lithium. Therefore, it’s important to notify your provider if you experience these symptoms.
Choice D rationale:
Decreasing fluid intake can lead to dehydration and increase the risk of lithium toxicity. It’s recommended to maintain a normal fluid intake while taking lithium.
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