A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider.

Which of the following actions should the nurse take?

Change the subject when the client becomes upset.

Discourage the client from forming new relationships.

Allow the client unlimited time for the grieving process

Offer the client advice about various treatment choices.

Answer and Explanation

The Correct Answer is C

A.   Changing the subject when the client becomes upset may invalidate their feelings and hinder emotional expression and processing.
B.   Discouraging the client from forming new relationships may deprive the client of potentially meaningful connections during their remaining time.
C.   Allowing the client unlimited time for the grieving process acknowledges the client's emotional response to their diagnosis and respects their individual needs and coping mechanisms.

D. Offering advice about treatment choices may be appropriate in some situations but should be done in collaboration with the client's healthcare team and in consideration of their wishes and values.

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Correct Answer is A

Explanation

A. Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention.
B. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder.
C. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse.
D. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.

A. Speaks in rhyming sentences B. Makes inappropriate sexual comments C. States that he hasn't bathed in 2 days D. Reports eating twice in the past week

Correct Answer is D

Explanation

A. Speaking in rhyming sentences can be a manifestation of mania but may not necessarily require immediate reporting unless it escalates to disruptive or harmful behavior.
B. Making inappropriate sexual comments can indicate impulsivity and lack of social boundaries. It does not however precede managing the risk of hypoglycemia.
C. Poor hygiene, such as not bathing, is common in mania due to increased energy and decreased need for sleep, but it may not require immediate reporting unless it poses a significant risk to the client's health.
D. Decreased appetite and irregular eating patterns are common during mania due to increased activity levels. Eating twice in teh past is not sufficient to meet energy requirements and the client might be at risk of hypoglycemia.

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A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider.

Which of the following actions should the nurse take?