The nurse is evaluating several clients with a diagnosis of schizophrenia. Which client will be assessed as having the worst potential outcomes?
An adolescent client with alogia, anhedonia, and a flat or blunted affect.
A client who has a first cousin with bipolar I disorder.
A client with an exacerbation of hallucinations and delusions 2 years after diagnosis.
An older adult client with an onset of positive symptoms at age 35.
The Correct Answer is A
Choice A reason: This client presents with negative symptoms of schizophrenia, which are often associated with a poorer prognosis. Negative symptoms like alogia and anhedonia indicate a diminished emotional response and lack of motivation, which can severely impact the client's ability to function and respond to treatment.
Choice B reason: Having a first cousin with bipolar I disorder may suggest a genetic predisposition to mood disorders but does not directly influence the prognosis of a client already diagnosed with schizophrenia.
Choice C reason: While an exacerbation of hallucinations and delusions indicates a worsening of symptoms, it is the positive symptoms of schizophrenia that are often more responsive to treatment. Therefore, this client may not necessarily have the worst outcomes.
Choice D reason: An older adult with a late onset of schizophrenia typically has a better prognosis than those with an earlier onset. Late-onset schizophrenia is often less severe and may respond better to treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Frequent brief interactions can help build trust with a suspicious client by showing consistent and predictable behavior from the nurse.
Choice B reason: Disclosing personal information is not typically recommended as it can blur professional boundaries and may not be effective in establishing trust.
Choice C reason: This choice is a repetition of choice A and therefore does not provide a new approach.
Choice D reason: Waiting for the client to initiate interaction might lead to missed opportunities for engagement and could reinforce the client's suspicions.
Correct Answer is ["B","D","E","F"]
Explanation
Choice A reason: Physical health is a critical component of overall well-being and can affect mental health recovery.
Choice B reason: Mental health support, including therapy and support groups, is essential for managing depression and preventing relapse.
Choice C reason: Alcohol consumption can interfere with antidepressant efficacy and may worsen depression symptoms.
Choice D reason: Feelings of self-worth are often impacted in depression and can influence the client's motivation and engagement in treatment.
Choice E reason: Family history may provide insights into genetic predispositions and patterns that could affect the client's mental health.
Choice F reason: Access to lethal means is a significant risk factor for suicide and must be addressed in the safety planning for clients with depression.
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