A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?

Boundaries

Relapse

The SE model

Stigma

Answer and Explanation

The Correct Answer is B

Rationale:

A. Boundaries refer to maintaining professional limits in the nurse-client relationship, which is not directly related to the cause of hallucination exacerbation.

B. Relapse is the return of symptoms after a period of improvement, which is a common explanation for the recurrence of hallucinations in a client with schizophrenia.

C. The SE model (Social Ecological Model) is a framework for understanding the various levels of influence on health behaviors and is not a direct cause of hallucinations.

D. Stigma refers to the negative attitudes and beliefs about mental illness, which can affect a client’s self-perception but is not a direct cause of symptom exacerbation.

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Correct Answer is A

Explanation

Rationale:

A. Awareness of potential for self-harm is the priority as it directly impacts the safety and immediate well-being of the client with borderline personality disorder.

B. Medication compliance is important but secondary to immediate safety concerns.

C. Information about insurance coverage is relevant but does not address the immediate psychological safety needs.

D. Resources for group therapy are helpful but not as urgent as ensuring the family is aware of and can respond to self-harm risks.

A. The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with phobias. B. The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with feelings of fear. C. The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic. D. The amygdala-centered (ACC) circuit of the brain is associated with feelings of apprehension.

Correct Answer is C

Explanation

Rationale:

A. The cortico-striato-thalamo-cortical circuit (CSTC) is primarily associated with obsessive-compulsive disorder (OCD) and does not directly relate to phobias.

B. While the CSTC circuit is involved in OCD, it is not specifically linked to the broader spectrum of fear responses.

C. The amygdala-centered (ACC) circuit is involved in the processing of fear and panic, making it directly associated with feelings of panic, which are common manifestations of anxiety disorders.

D. The amygdala does play a role in anxiety and apprehension, but it is more specifically tied to the acute panic responses.

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A nurse is caring for a client who has schizophrenia with an exacerbation of hallucinations. The client states, "I do not understand why the hallucinations have come back." The nurse should explain that which of the following is the reason for the exacerbation of hallucinations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct?

Correct Answer is C

Explanation

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