Which nursing action is most helpful in managing the positive symptoms of schizophrenia?

Physical activity

Drawing

Therapeutic communication

Medication administration

Answer and Explanation

The Correct Answer is D

A. Physical activity: Exercise may help reduce stress and improve overall well-being, but it does not directly target the positive symptoms of schizophrenia such as hallucinations or delusions.
B. Drawing: Art therapy can support emotional expression and reduce anxiety, but it is more beneficial for promoting general mental health and coping, not specifically controlling positive symptoms.
C. Therapeutic communication: Communication techniques are crucial for building trust and ensuring safety, but they are not sufficient on their own to manage hallucinations, delusions, or disorganized thinking.
D. Medication administration: Antipsychotic medications are the primary treatment for managing positive symptoms of schizophrenia. They help reduce hallucinations, delusions, and thought disturbances by modulating neurotransmitter activity in the brain.

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Correct Answer is C

Explanation

A. Blood pressure of 104/62 mm Hg: This is a mild drop that may be expected under anesthesia and is usually well tolerated. It does not typically require urgent intervention.
B. Respiratory rate of 18 breaths/min: A normal respiratory rate during an intraoperative procedure (especially with ventilatory support) is not alarming and does not require immediate action.
C. Temperature of 102.5 °F (39 °C): A rapid temperature rise may indicate malignant hyperthermia, a life-threatening reaction to anesthesia. The anesthesiologist must be alerted immediately to initiate emergency treatment.
D. Pulse rate of 110 beats/min: This is mildly elevated and may occur due to pain, anxiety, or medications. It should be monitored but is not as urgent as a rising temperature during surgery.

A. Suggest a consultation with a psychiatrist to treat the client's addiction. B. Inform the client that they will not be able to receive more medication than the health care provider has prescribed. C. Tell the client the nurse will ask the health care provider to prescribe a non-narcotic analgesic. D. Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration.

Correct Answer is D

Explanation

A. Suggest a consultation with a psychiatrist to treat the client's addiction: Tolerance is a physiological response to long-term opioid use, not necessarily a sign of addiction. Labeling the client as addicted without behavioral signs of misuse is inappropriate and stigmatizing.
B. Inform the client that they will not be able to receive more medication than the health care provider has prescribed: This response dismisses the client's need for adequate pain control. Tolerance may require dose adjustment, and concerns should be communicated compassionately to the prescriber.
C. Tell the client the nurse will ask the health care provider to prescribe a non-narcotic analgesic:
Switching to a non-narcotic medication may not provide effective relief for someone with a chronic condition and established tolerance. Medication adjustments should be based on the client’s needs and pain response.
D. Consult with the prescriber regarding the need for an increased dose of the drug and not to reduce the frequency of administration: Tolerance may require a dose increase to maintain pain relief. The nurse’s role includes advocating for appropriate pain management and collaborating with the provider for safe and effective adjustments.

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Which nursing action is most helpful in managing the positive symptoms of schizophrenia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client during an intraoperative procedure. When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately?

Correct Answer is C

Explanation

The nurse is caring for a client in the hospital who has been taking an analgesic for pain related to a chronic illness and has developed a tolerance to the medication. What is the appropriate action by the nurse?

Correct Answer is D

Explanation

Which nursing action is most helpful in managing the positive symptoms of schizophrenia?

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