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 ["A","B","C","D","E","F","G","H"]
Explanation
Neurologic:
- Fatigue after being awake a few hours: Fatigue can be a symptom of various conditions, including anemia, depression, sleep disorders, and others. It’s important to investigate further to determine the cause.
- Feels “restless”: Restlessness can be a symptom of mental health disorders like anxiety or physical conditions like restless leg syndrome. Further evaluation is needed.
- Difficulty concentrating on work and other activities: This could be a symptom of stress, anxiety, depression, or other mental health conditions. It could also be related to the client’s reported fatigue.
- Difficulty falling asleep and wakes up “after a few hours”: This could indicate a sleep disorder such as insomnia, which could also be contributing to the client’s fatigue and difficulty concentrating.
- Worried about work and family needs: This could indicate stress or anxiety, which may need to be addressed with stress management strategies or counseling.
Musculoskeletal:
- Reports muscles feel tight and achy: This could be due to overuse, stress, or a medical condition like fibromyalgia. Further investigation is needed.
Gastrointestinal:
- Bowel sounds distant: This could indicate a slow-down in the digestive process and may require further investigation.
Cardiovascular:
- Apical 92/min and regular: While this is within the normal range, it’s at the higher end. If the client isn’t physically active, it might be worth investigating further.
Respiratory:
- Occasional dry cough: While this could be due to something benign like allergies, it could also be a symptom of a respiratory condition. If it persists, it should be investigated further.
Correct Answer is D
Explanation
Choice A reason:
The statement "Improving cognitive status with transcranial magnetic stimulation" is not typically included in the standard treatment options for Alzheimer's disease. While transcranial magnetic stimulation (TMS) is being researched for various neurological conditions, its efficacy in treating Alzheimer's disease is not well-established. Current treatments focus more on medications that can help manage symptoms and slow disease progression.
Choice B reason:
The statement "Controlling anxiety with barbiturate medications" is not recommended. Barbiturates are generally avoided in elderly patients, including those with Alzheimer's disease, due to their high risk of side effects and potential for dependence. Instead, other medications such as antidepressants or antipsychotics may be used to manage anxiety and other psychiatric symptoms associated with Alzheimer's.
Choice C reason:
The statement "Initiating hospice care services when the client has 6 months or less to live" is important but not relevant to the initial teaching for a newly diagnosed client. Hospice care is considered when the disease has progressed to a terminal stage, and the focus shifts to palliative care. Early-stage treatment focuses on managing symptoms and maintaining quality of life.
Choice D reason:
The statement "Delaying cognitive impairment with NMDA receptor agonist medications" is the correct response. NMDA receptor antagonists, such as memantine, are used to treat moderate to severe Alzheimer's disease. These medications help regulate glutamate activity in the brain, which can improve cognitive function and slow the progression of symptoms.
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