A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make?

Relapse is an indication that you are not taking your medications properly.

You should keep your provider’s and therapist’s number with you.

Taking an additional dose of medication is appropriate as soon as signs of relapse appear.

You should be aware that excessive sleeping is an early sign of relapse.

Answer and Explanation

The Correct Answer is B

Choice A reason: Relapse is an Indication that You Are Not Taking Your Medications Properly

This statement is not entirely accurate. While non-adherence to medication can be a factor in relapse, it is not the only cause. Schizophrenia is a complex condition, and relapses can occur even when medications are taken as prescribed. Stress, changes in routine, and other factors can also contribute to a relapse.

Choice B reason: You Should Keep Your Provider’s and Therapist’s Number with You

This statement indicates an understanding of the importance of having immediate access to professional help. Keeping contact information for healthcare providers and therapists readily available ensures that the client can quickly reach out for support if they notice early signs of relapse. This proactive approach can help manage symptoms before they escalate.

Choice C reason: Taking an Additional Dose of Medication is Appropriate as Soon as Signs of Relapse Appear

This statement is incorrect. Clients should not adjust their medication dosage without consulting their healthcare provider. Taking an additional dose can lead to adverse effects and may not address the underlying issue. It is crucial to follow the prescribed treatment plan and seek professional advice if symptoms worsen.

Choice D reason: You Should Be Aware that Excessive Sleeping is an Early Sign of Relapse

Excessive sleeping is not typically an early sign of schizophrenia relapse. Common early warning signs include insomnia, social withdrawal, difficulty concentrating, and increased paranoia. While changes in sleep patterns can be a symptom, it is more important to recognize the specific signs that have previously indicated a relapse for the individual.

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Correct Answer is D

Explanation

Choice A reason:

Stop taking the pills and switch to a different contraceptive method: This is not necessary for a single missed dose. Stopping the pills entirely and switching methods would be an overreaction and could lead to unnecessary complications. The standard recommendation for a missed dose is to take it as soon as remembered and continue with the regular schedule.

Choice B reason:

Take a home pregnancy test: Taking a home pregnancy test is not required immediately after missing a single dose of oral contraceptives, especially if it is the first week of the cycle. Pregnancy tests are typically recommended if there is a significant delay in the menstrual cycle or if multiple doses are missed.

Choice C reason:

Do not have vaginal intercourse until after your next period: This advice is overly cautious for a single missed dose. While it is important to use backup contraception if multiple doses are missed, abstaining from intercourse until the next period is not necessary for just one missed pill.

Choice D reason:

Take the missed dose now, then continue the medication as ordered: This is the correct course of action. According to guidelines, if a single hormonal pill is missed, it should be taken as soon as possible, and the next pill should be taken at the usual time. This may mean taking two pills in one day, but it ensures continuous contraceptive protection.

A. Distorted perceptual field. B. Urinary frequency. C. Rapid speech.

Correct Answer is C

Explanation

Choice A reason:

Distorted perceptual field is more commonly associated with severe anxiety or panic attacks rather than moderate anxiety. In severe anxiety, a person’s ability to perceive reality can be significantly impaired, leading to distorted perceptions and an inability to focus.

Choice B reason:

Urinary frequency can be a symptom of anxiety, but it is not specifically indicative of moderate anxiety. It can occur in various levels of anxiety, including mild, moderate, and severe. However, it is not as prominent a symptom as others like rapid speech or restlessness.

Choice C reason:

Rapid speech is a common symptom of moderate anxiety. Individuals with moderate anxiety often exhibit signs of increased nervousness and agitation, which can manifest as rapid or pressured speech. This symptom reflects the heightened state of arousal and the difficulty in controlling anxious thoughts.

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A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make?

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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