A nurse is caring for a client who has schizophrenia and is preparing for discharge. Nurses' Notes

Admission:

25-year-old client admitted with positive symptoms of schizophrenia. Client has a history of substance use, anxiety, and depression. Client demonstrates alterations in speech and persecutory delusions. Client states that they hear voices that are warning them of danger and that they should stay away from a coworker because the coworker is conspiring against them. Day 5-Discharge:

No delusions or hallucinations noted. Speech coherent. Client has a well-groomed appearance. Individual therapy attended daily.

Medication Administration Record Haloperidol 3 mg PO twice daily

The nurse is providing discharge teaching to the client. Which of the following information should the nurse include when educating the client about relapse prevention? Select all that apply.

B is correct because reporting any adverse effects of the medication can help the provider  adjust the dosage or prescribe a different medication if needed. Some common adverse  effects of haloperidol are extrapyramidal symptoms, tardive dyskinesia, neuroleptic  malignant syndrome, and anticholinergic effects.

C is correct because notifying the provider within 48 hr of manifestations of a relapse can  help the client receive timely intervention and prevent further deterioration of their mental  health. Some signs of a relapse are increased anxiety, paranoia, social withdrawal,  insomnia, and mood swings. 

D is correct because going for a walk or engaging in other physical activities can help the  client cope with stress and reduce anxiety, which are common triggers for schizophrenia  symptoms. 

E is correct because asking a trusted person to watch for manifestations of illness can help  the client gain insight into their condition and seek help when needed. A trusted person can  be a family member, a friend, or a mental health professional. 

A is incorrect because taking a dose of the medication as soon as delusions or hallucinations  begin is not an effective strategy for relapse prevention. The client should take their  medication as prescribed by their provider and not adjust the dosage on their own. 

F is incorrect because limiting alcohol consumption to no more than two drinks per week is  not sufficient for relapse prevention. Alcohol can interact with haloperidol and increase its  sedative effects, impairing the client's judgment and cognition. Alcohol can also worsen  schizophrenia symptoms and interfere with recovery. The client should avoid alcohol  altogether or consult with their provider before consuming any alcohol.