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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Encouraging the client to use personal support systems is a helpful intervention in a situational crisis, providing emotional and practical assistance. However, the immediate priority is to assess for safety.
Choice B rationale
Assisting with a client referral for social services can address long-term needs arising from the crisis. However, it is not the initial action when a client is experiencing a situational crisis.
Choice C rationale
Identifying if the client has thoughts of self-harm is the priority action in a situational crisis. Crisis situations can increase the risk of suicidal ideation, and ensuring the client's safety is paramount before addressing other needs.
Choice D rationale
Reinforcing teaching on the client's use of coping skills is important for managing the crisis. However, assessing for immediate safety concerns, such as self-harm, takes precedence.
Correct Answer is C
Explanation
Choice A rationale
Aripiprazole is an atypical antipsychotic medication primarily used to treat schizophrenia and bipolar disorder. It is not indicated for smoking cessation. While some individuals with mental health conditions also smoke, aripiprazole does not directly address nicotine dependence.
Choice B rationale
Quetiapine is another atypical antipsychotic medication used for the treatment of schizophrenia and bipolar disorder. Similar to aripiprazole, it does not have pharmacological properties that aid in smoking cessation.
Choice C rationale
Bupropion is an atypical antidepressant that has also been approved for smoking cessation. It is thought to work by affecting dopamine and norepinephrine levels in the brain, which are involved in nicotine addiction and withdrawal symptoms.
Choice D rationale
Risperidone is an atypical antipsychotic medication used to treat psychotic disorders. It does not have any known efficacy in aiding smoking cessation.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.