A nurse is reinforcing teaching with a client who has schizophrenia.
The nurse should identify which of the following manifestations as an indication of relapse?

Increased sleep.

Obsession with hygiene rituals.

Excessive appetite.

Increased suspiciousness.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Increased sleep can sometimes be associated with depression, which can co-occur with schizophrenia, but it is not a primary indicator of relapse of psychotic symptoms. Relapse typically involves an exacerbation of positive symptoms like hallucinations or delusions.

Choice B rationale

Obsession with hygiene rituals is more commonly associated with obsessive-compulsive disorder (OCD), which can be a comorbid condition in individuals with schizophrenia but is not a direct indicator of a psychotic relapse. While changes in behavior should be noted, this specific manifestation is less indicative of worsening schizophrenia.

Choice C rationale

Excessive appetite can be a side effect of certain antipsychotic medications or related to other factors, but it is not a core manifestation of a relapse of schizophrenia. Changes in appetite can occur, but increased suspiciousness is a more direct indicator of worsening psychotic symptoms.

Choice D rationale

Increased suspiciousness, paranoia, and mistrust are hallmark negative symptoms and often early indicators of a psychotic relapse in individuals with schizophrenia. Heightened suspicion can precede the return of more overt psychotic symptoms like hallucinations or delusions, signaling a destabilization of their mental state.

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 ["15"]

Explanation

Step 1 is: Determine the desired dose: 7.5 mg.

Step 2 is: Determine the concentration on hand: 2.5 mg ÷ 5 mL.

Step 3 is: Set up the calculation: (7.5 mg × 5 mL) ÷ 2.5 mg.

Step 4 is: Perform the multiplication: 37.5 mg·mL ÷ 2.5 mg.

Step 5 is: Perform the division: 15 mL.

Final answer: The nurse should administer 15 mL.

A. Tooth erosion. B. Hypotension. C. Diarrhea. D. Cold extremities. E. Lanugo.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Tooth erosion occurs in clients with anorexia nervosa due to the frequent vomiting associated with bulimic behaviors, which can be present in some individuals with anorexia. Gastric acid erodes tooth enamel over time, leading to sensitivity, discoloration, and decay. This is a direct physiological consequence of repeated exposure to stomach acid.

Choice B rationale

Hypotension, or low blood pressure, is a common finding in anorexia nervosa. Reduced food intake leads to decreased body mass and lowered metabolic rate. This can result in decreased cardiac output and peripheral vasodilation, causing systolic blood pressure below the normal range of 90-120 mmHg and diastolic blood pressure below 60-80 mmHg.

Choice C rationale

Diarrhea is not a typical finding in anorexia nervosa. Constipation is more common due to decreased food intake and slowed gastrointestinal motility. While laxative abuse can cause diarrhea, it is not a primary expectation in anorexia nervosa itself.

Choice D rationale

Cold extremities are often present in clients with anorexia nervosa due to poor circulation and a decreased metabolic rate. The body conserves energy by reducing blood flow to the periphery, leading to cold hands and feet. This is a physiological adaptation to conserve core body temperature in the face of inadequate caloric intake.

Choice E rationale

Lanugo, a fine, downy hair, can develop on the face and body of individuals with anorexia nervosa. This is a physiological response to significant weight loss and decreased body fat, as the body attempts to conserve heat. It is similar to the hair seen on newborns and is a sign of the body trying to insulate itself.

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 reinforcing teaching with a client who has schizophrenia.The nurse should identify which of the following manifestations as an indication of relapse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer fluphenazine 7.5 mg PO daily to a client who has schizophrenia. Available is fluphenazine elixir 2.5 mg/5 mL. How many mL should the nurse administer?

Correct Answer is ["15"]

Explanation

A nurse is collecting data from a client who has anorexia nervosa.Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is collecting data from a new client.Which of the following Questions should the nurse include when determining the client's psychosocial status?

A nurse is reviewing the treatment plan of a client who is receiving anger management therapy.Which of the following Questions should the nurse ask the client to evaluate the effectiveness of the treatment plan?

A nurse in a mental health clinic is collecting data from a client to determine the client's risk for suicide.Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.)

A client who delivered a healthy newborn 4 weeks ago calls her provider's office and tells the nurse, "This baby constantly cries. My partner works all the time, and I can't take any more.”. Which of the following responses is the nurse's priority?

A nurse is collecting data from an adult client in an outpatient mental health clinic.The nurse should identify which of the following events as a potential cause of a maturational crisis?

A nurse is caring for a male client who is to begin therapy with valproic acid.Which of the following diagnostic results should the nurse plan to review before administering the first dose?

A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication.The client has prescriptions for an anxiolytic and an SSRI antidepressant.Which of the following precautions should the nurse take?

A nurse is reinforcing teaching with a client who has schizophrenia.
The nurse should identify which of the following manifestations as an indication of relapse?