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 let my counselor know if I am having trouble sleeping."
"I should avoid being around others if I think I'm having a relapse."
"I should avoid watching television when I am hearing voices."
The Correct Answer is B
Choice A Reason:
Listening carefully to the voices to hear what they're saying is not a recommended strategy for managing schizophrenia. Engaging with hallucinations can reinforce them and increase distress. Instead, clients are often taught to use distraction techniques or reality-testing strategies to manage auditory hallucinations. It is important for clients to recognize that the voices are a symptom of their condition and not something to be engaged with.
Choice B Reason:
Letting the counselor know if the client is having trouble sleeping is an important aspect of relapse prevention. Sleep disturbances can be an early warning sign of a potential relapse in schizophrenia. By informing their counselor, the client can receive timely interventions to address sleep issues and prevent a full-blown relapse. This proactive approach helps in managing symptoms and maintaining stability.
Choice C Reason:
Avoiding being around others if the client thinks they are having a relapse is not advisable. Social isolation can exacerbate symptoms and increase the risk of relapse. It is important for clients to stay connected with their support network and seek help if they notice signs of relapse. Engaging with others can provide emotional support and help in managing symptoms more effectively.
Choice D Reason:
Avoiding watching television when hearing voices is not a comprehensive strategy for managing hallucinations. While reducing exposure to certain stimuli can be helpful, it is more important for clients to use coping strategies and seek support from their healthcare team. Effective management of hallucinations involves a combination of medication, therapy, and support from mental health professionals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Potential Condition The client is most likely experiencing b. Antisocial personality disorder. This is suggested by the client’s lack of remorse, impulsivity, deceitfulness, and aggressive behavior when denied something she wants.
Actions to Take To address this condition, the nurse should:
- a. Assess history of criminal behavior: This can provide insight into the severity and pattern of the client’s antisocial behavior.
- e. Establish clear and realistic boundaries regarding behavior: This can help manage the client’s impulsivity and aggressive behavior.
Parameters to Monitor To assess the client’s progress, the nurse should monitor:
- c. Aggressive and violent behavior: Any reduction in these behaviors can indicate improvement.
- e. Deceitfulness: A decrease in deceitful behavior can also signal progress.
Correct Answer is B
Explanation
Choice A reason:
The statement "Discuss adverse effects of antianxiety medications with a client who has an anxiety disorder" is not appropriate for delegation to assistive personnel. Discussing medication effects requires specialized knowledge and the ability to provide detailed explanations and answer questions, which falls within the scope of practice for licensed nurses or healthcare providers.
Choice B reason:
The statement "Participate in solitary activities with a client who has mania" is the correct response. Assistive personnel can engage clients in activities that do not require specialized medical knowledge or judgment. Participating in solitary activities can help manage the client's symptoms and provide therapeutic engagement.
Choice C reason:
The statement "Explain the benefits of light therapy to a client who has a depressive disorder" is not suitable for delegation to assistive personnel. Explaining treatment benefits and answering related questions requires a deeper understanding of the therapy and its implications, which is within the scope of practice for licensed nurses or healthcare providers.
Choice D reason:
The statement "Witness an informed consent for a client who is scheduled for electroconvulsive therapy" is not appropriate for delegation to assistive personnel. Witnessing informed consent involves ensuring that the client fully understands the procedure, its risks, and benefits, which requires professional judgment and is typically performed by licensed nurses or healthcare providers.
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