A nurse is providing discharge teaching about the manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
The client begins sleeping more than usual.
The client develops an inability to concentrate.
The client exhibits an inflated sense of self.
The client increases participation in social activities.
The Correct Answer is A
Choice A reason:
Excessive sleep or a significant change in sleep patterns can be an indicator of a relapse in schizophrenia. Schizophrenia can disrupt the regular sleep-wake cycle, leading to either insomnia or hypersomnia (excessive sleep). When a client with schizophrenia begins sleeping more than usual, it may suggest a worsening of symptoms or an impending relapse. It's essential for the nurse to include this information in the discharge teaching so that the family can monitor and seek help if the client's sleep patterns change significantly.
Choice B reason:
An inability to concentrate is another potential sign of a relapse in schizophrenia. Cognitive difficulties, including problems with concentration, are common in schizophrenia and can worsen during a relapse. This symptom can affect the client's ability to function daily and adhere to treatment plans. Therefore, it is crucial for the nurse to educate the family about this sign so they can recognize it early and consult with healthcare providers.
Choice C reason:
Exhibiting an inflated sense of self is not typically associated with schizophrenia relapse. While some individuals with schizophrenia might experience grandiose delusions, an inflated sense of self is not a common or specific sign of relapse. The family should be aware of more characteristic symptoms such as changes in sleep, concentration, mood, or behavior.
Choice D reason:
Increasing participation in social activities is generally not a sign of relapse in schizophrenia; in fact, it is often encouraged as part of the recovery process. Social withdrawal, rather than increased participation, would be more concerning and could indicate a relapse. It's important for families to support the client's social engagement as it can be beneficial for their overall well-being.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
While being oriented to person, place, and time is important, it does not necessarily indicate that the client is no longer a risk to themselves or others. Orientation alone does not ensure that the client can safely be without restraints.
Choice B reason:
Refusing medication unless released from restraints is a form of coercion and does not indicate that the client is safe to be without restraints. The decision to remove restraints should be based on the client's ability to follow commands and demonstrate safe behavior, not on their demands.
Choice C reason:
If a client states that they will harm themselves unless the restraints are removed, this indicates a high risk of self-harm. In such cases, restraints should not be removed until the client is assessed and deemed safe by a healthcare professional.
Choice D reason:
The ability to follow commands is a key indicator that the client can be safely managed without restraints. This demonstrates that the client is cooperative and can adhere to safety instructions, reducing the risk of harm to themselves or others.
Correct Answer is D
Explanation
Choice A reason:
Taking quetiapine with a meal can help reduce gastrointestinal side effects, but it does not specifically address dizziness. Dizziness is more commonly related to the medication's effect on blood pressure rather than its interaction with food.
Choice B reason:
Dizziness is not typically an indicator of an allergic reaction to quetiapine. Allergic reactions usually present with symptoms such as rash, itching, swelling, severe dizziness, and trouble breathing. Therefore, stopping the medication immediately due to dizziness alone is not warranted.
Choice C reason:
Taking quetiapine in the morning might not necessarily reduce dizziness. The timing of medication administration is usually based on the specific instructions from the healthcare provider and the patient's overall treatment plan. Dizziness is more related to the medication's pharmacological effects rather than the time of day it is taken.
Choice D reason:
Dizziness is a common adverse effect of quetiapine and is often related to orthostatic hypotension (a drop in blood pressure when standing up). This side effect is well-documented and usually occurs when starting the medication or increasing the dose. It is important for the nurse to reassure the client and provide strategies to manage this side effect, such as getting up slowly from a sitting or lying position.
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