The parents of a young adult diagnosed with schizophrenia are providing care for the client in their home. During a home visit, the parents state, “it’s been so difficult taking care of our child. We need a break. But our child needs constant supervision.” Which would be appropriate for the nurse to suggest?

Respite residential care

Acute inpatient care

Intensive outpatient program

Partial hospitalization

Answer and Explanation

The Correct Answer is A

Choice A reason:
Respite residential care provides temporary relief for caregivers by offering short-term care for individuals with chronic conditions like schizophrenia. This option allows the parents to take a break while ensuring that their child receives the necessary supervision and care in a safe environment. Respite care can help prevent caregiver burnout and provide a much-needed rest for the family.

Choice B reason:
Acute inpatient care is designed for individuals experiencing severe psychiatric crises that require immediate and intensive treatment. While it provides comprehensive care, it is not typically used for respite purposes. This option is more appropriate for situations where the client poses a danger to themselves or others and needs stabilization.

Choice C reason:
An intensive outpatient program (IOP) offers structured treatment while allowing the client to live at home. It is suitable for clients who need more support than traditional outpatient care but do not require 24-hour supervision. However, it does not provide the temporary relief that respite care offers to caregivers.

Choice D reason:
Partial hospitalization programs (PHP) provide intensive treatment during the day, allowing clients to return home in the evening. While PHPs offer substantial support, they do not address the need for temporary relief for caregivers. Respite care is specifically designed to give caregivers a break from their responsibilities.

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Correct Answer is B

Explanation

Choice A reason:
A predictable social environment is important for providing stability and security, which can contribute to a client’s overall well-being. However, according to Maslow’s hierarchy of needs, physiological needs such as food and water must be met before higher-level needs like social stability can be addressed. Therefore, while important, a predictable social environment is not the immediate priority.
Choice B reason:
Adequate food is a fundamental physiological need according to Maslow’s hierarchy of needs. Physiological needs are the most basic and must be satisfied before an individual can focus on higher-level needs such as safety, love, and self-esteem. Ensuring that the client has adequate food is essential for their survival and overall health, making it the top priority in the plan of care.
Choice C reason:
A positive self-image is associated with self-esteem needs, which are higher up in Maslow’s hierarchy. While fostering a positive self-image is important for a client’s mental health and well-being, it cannot be effectively addressed until basic physiological needs are met. Therefore, it is not the immediate priority in the plan of care.
Choice D reason:
Acceptance from family relates to the need for love and belonging, which is also higher up in Maslow’s hierarchy. While family acceptance is crucial for emotional support and social well-being, it is not as immediate a priority as ensuring that the client’s basic physiological needs, such as adequate food, are met first.

A. Anhedonia B. Hallucinations C. Poor judgment D. Delusions E. Blunt affect

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

Explanation

Choice A reason:
Anhedonia, or the inability to experience pleasure, is a negative symptom of schizophrenia. Negative symptoms reflect a decrease or loss of normal functions and are often more challenging to treat than positive symptoms.
Choice B reason:
Hallucinations are positive symptoms of schizophrenia. Positive symptoms involve the presence of abnormal behaviors or experiences, such as hearing voices or seeing things that are not there.
Choice C reason:
Poor judgment is not classified as a negative symptom of schizophrenia. It can be a feature of cognitive impairment associated with the disorder but is not specifically a negative symptom.
Choice D reason:
Delusions are positive symptoms of schizophrenia. They involve false beliefs that are not based in reality, such as believing one has special powers or is being persecuted.
Choice E reason:
Blunt affect, or reduced emotional expression, is a negative symptom of schizophrenia. It involves a lack of emotional responsiveness and is indicative of the diminished capacity to express emotions.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care integrating Maslow’s hierarchy of needs. Which area would the nurse identify as the priority?

Correct Answer is B

Explanation

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)

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

Explanation

A nurse is performing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

When describing the continuum of care for mental health, which would the nurse identify as the primary goal?

When engaged in therapeutic communication with a client who has been diagnosed with a mental disorder, which is the most important principle for a nurse to keep in mind?

A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client’s confidentiality if the client makes which statement?

A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following actions should the nurse take? (Select all that apply).

A home health nurse drives up to the house of her client, who has schizophrenia with manic episodes. The client is sitting on his front porch with a shotgun in his arms. Which of the following actions should the nurse take?

A nurse is interviewing a client who is experiencing negative symptoms of psychosis about their family history of schizophrenia. In which of the following phases of the nursing process should this take place?

A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?