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 D

Explanation

A. Male of Hispanic descent, age 28 years: While chronic fatigue syndrome (CFS) can affect anyone, it is less common in young males. This demographic is not considered to be at high statistical risk compared to others.
B. Female of African descent, age 42 years: Middle-aged women are at increased risk for CFS; however, epidemiological data show a higher prevalence among Caucasian women, especially in their 40s to 50s.
C. Female of Chinese descent, age 18 years: CFS is less frequently diagnosed in adolescents and young adults. While females are more commonly affected, age and ethnicity make this client a lower-risk candidate.
D. Female of Caucasian descent age 47 years: CFS most commonly affects middle-aged women, particularly those of Caucasian descent. This demographic profile aligns closely with known risk patterns for chronic fatigue syndrome.

A. "What makes you most angry about getting the disease?" B. "Let's review the laboratory results and compare them with the diagnostic tests." C. "I understand that it would be wonderful to see your daughter's graduation." D. "I like your idea of living for today and enjoying those around you."

Correct Answer is C

Explanation

A. "What makes you most angry about getting the disease?": This response aligns with the anger stage, which is the second stage in the Kübler-Ross model. It helps validate frustration but is not appropriate in the bargaining phase. At this point, the client is more focused on negotiating for more time or outcomes. Encouraging anger expression may be less helpful now.
B. "Let's review the laboratory results and compare them with the diagnostic tests.": This is a logical, data-focused statement that doesn’t address the client’s emotional needs. During bargaining, clients are seeking emotional reassurance and often making "if only" or "I wish" statements. Reviewing labs lacks therapeutic value in this emotional stage.
C. "I understand that it would be wonderful to see your daughter's graduation.": This statement acknowledges a common bargaining response — hoping to live long enough for an important event. It reflects empathy and connects with the client's emotional state. Supporting these goals helps the client feel heard and validated during this stage.
D. "I like your idea of living for today and enjoying those around you.": This statement reflects the mindset seen in the acceptance stage of grief. While it promotes positivity, it does not resonate with the bargaining phase, where clients are still negotiating with fate or a higher power. It may feel dismissive of the client’s current emotional struggle.

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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 has four clients who are scheduled to see the physician for "fatigue" and other general symptom complaints. Which client does the nurse determine is at most risk for having chronic fatigue syndrome?

Correct Answer is D

Explanation

Which statement, made by the nurse, can be most helpful when caring for a client in the third stage of Kubler-Ross' emotional reactions to dying?

Correct Answer is C

Explanation

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