A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

"A relapse plan addresses your living, housing, and working needs."

"A relapse plan describes how you use coping strategies for living in the community."

"A relapse plan explains how you can be hospitalized if needed."

"A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse."

Answer and Explanation

The Correct Answer is D

D. A relapse plan is an essential component of managing schizophrenia and other mental health conditions. It helps individuals recognize early warning signs of a potential relapse and outlines steps to take to prevent or mitigate the worsening of symptoms. By having a relapse plan in place, the client can actively participate in their own recovery process and take proactive steps to maintain stability and well-being.

A. This response focuses on practical aspects such as living arrangements and employment, which may be components of a comprehensive care plan but may not fully address the client's question about the need for a relapse plan.

B. This response acknowledges the purpose of a relapse plan in helping the client manage their symptoms and cope with challenges while living in the community. However, it may not fully address the client's question about the need for a relapse plan.

C. While hospitalization may be a component of a relapse plan in certain circumstances, focusing solely on this aspect may not fully address the client's question and may inadvertently increase anxiety or stigma associated with hospitalization.

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Correct Answer is A

Explanation

A. A serum lithium level of 1.6 mEq/L is above the therapeutic range, indicating lithium toxicity. Manifestations of lithium toxicity can include neurological symptoms such as blurred vision and jerking motor movements. Other symptoms may include nausea, vomiting, diarrhea, tremors, confusion, drowsiness, and muscle weakness.

B. Fever and fluctuating blood pressure are not typical manifestations of lithium toxicity.

C GI discomfort, such as nausea, vomiting, and diarrhea, is a common symptom of lithium toxicity. Poor coordination, along with tremors and muscle weakness, can also occur due to the effects of lithium on the central nervous system.

D. Lip smacking and tongue thrusting are repetitive and involuntary movements associated with certain types of seizures or seizure disorders, but they are not typically observed in lithium toxicity.

A. "it is a gene variant that increases the risk for development of a specific mental illness." B. "it is a gene variant that is responsible for an individual's resilience to stress." C. "It is a gene variant that is responsible for the development of a specific mental illness. D. it is a gene variant that determines an individual's likelihood of recovering from mental illness.

Correct Answer is A

Explanation

A. Vulnerability genes are genetic variants or factors that increase an individual's susceptibility or predisposition to developing a particular mental illness or disorder. These genes do not directly cause the illness but can increase the likelihood of its development when combined with environmental factors or stressors.

B. Resilience genes are genetic variations that confer resilience or the ability to adapt and cope effectively with stress, adversity, or traumatic experiences.

C. The effect of vulnerability genes is influenced by various factors, including environmental influences, lifestyle factors, and gene-environment interactions.

D. Vulnerability genes are associated with an increased risk of developing a specific mental illness rather than determining an individual's likelihood of recovering from mental illness.

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A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is A

Explanation

A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene?

Correct Answer is A

Explanation

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