A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

I should listen carefully to the voices to hear what they’re saying.

I should avoid being around others if I think I’m having a relapse.

I should avoid watching television when I am hearing voices.

I should let my counselor know if I am having trouble sleeping.

Answer and Explanation

The Correct Answer is D

Choice A reason: Listening to voices encourages engagement with hallucinations, a schizophrenia symptom that worsens during relapse, contradicting prevention strategies. Teaching focuses on reality-based coping, like distraction or reporting symptoms, not amplifying delusions. This statement shows misunderstanding, risking escalation rather than control of the condition.

Choice B reason: Avoiding others during a suspected relapse isolates the client, potentially worsening symptoms by cutting support, a key relapse buffer. Social connection aids monitoring and intervention in schizophrenia. This reflects poor understanding, as prevention involves seeking help, not withdrawal, making it incorrect.

Choice C reason: Avoiding TV when hearing voices is a coping tactic but not a broad prevention strategy. It addresses a symptom reactively, not proactively, like recognizing early signs (e.g., sleep issues). Teaching emphasizes reporting triggers, not just avoidance, so this shows partial, not full, understanding.

Choice D reason: Reporting sleep trouble to a counselor reflects understanding that insomnia is an early relapse sign in schizophrenia, enabling timely intervention. Prevention teaching highlights recognizing and communicating prodromal symptoms to adjust treatment. This proactive step aligns with managing the condition effectively, indicating correct learning.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Feelings of inferiority align with depression, not mania, in bipolar disorder, where self-esteem plummets, not elevates. Mania features grandiosity or confidence, opposite to this. This action reflects a low phase, so it doesn’t indicate mania here.

Choice B reason: Constant talking (pressured speech) is a classic mania sign in bipolar disorder, driven by racing thoughts and high energy. It’s disruptive, persistent, and aligns with elevated mood states, distinguishing it from normal chatter. This behavior clearly indicates mania, making it correct.

Choice C reason: Sleeping over 10 hours suggests hypersomnia, typical in bipolar depression, not mania, where sleep decreases (e.g., 3-4 hours). Mania energizes, not sedates. This action points to a depressive episode, so it’s not a mania indicator.

Choice D reason: Memory loss may occur in bipolar from meds or chronicity, but it’s not specific to mania, where focus shifts rapidly, not blanks out. It’s more tied to depression or dementia. This doesn’t reflect mania’s hyperactive state, so it’s incorrect.

A. Have you ever felt you should decrease your consumption of alcohol? B. Have you ever been told you have liver damage? C. Are you the result of a twin birth? D. Did anyone in your family drink alcohol when you were growing up?

Correct Answer is A

Explanation

Choice A reason: Feeling the need to cut alcohol use (CAGE question) flags potential abuse, a strong self-harm risk factor via impulsivity or depression. In mental health screening, this directly ties to behaviors linked to suicide or injury, making it the most relevant question here.

Choice B reason: Liver damage indicates past alcohol effects but not current intent or emotional state tied to self-harm. It’s a physical outcome, not a behavioral risk marker. This question misses the psychological focus needed for screening, so it’s not the best choice.

Choice C reason: Twin birth relates to genetics or early stressors, but no direct evidence links it to self-harm risk universally. It’s too vague for mental health screening without context. This question lacks specificity to harm, making it irrelevant here.

Choice D reason: Family alcohol use suggests environmental risk but not the client’s own behavior or feelings, key to self-harm assessment. It’s indirect, missing personal intent or distress. This historical focus is less urgent than current indicators, so it’s incorrect.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?

Correct Answer is B

Explanation

A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client’s risk for self-harm?

Correct Answer is A

Explanation

A nurse is caring for a school-age child who has conduct disorder and is in physical restraints after becoming physically aggressive toward other clients on the unit. Which of the following actions should the nurse take?

A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?

A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?

A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?

A nurse is providing teaching to a client who is newly diagnosed with Alzheimer’s disease. Which of the following treatment options should the nurse include in the teaching?

A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?

A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?

A nurse is caring for a client who is taking lithium and reports experiencing lethargy, muscle weakness, and blurred vision. Which of the following responses should the nurse make?