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
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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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Action involves actively making changes or implementing strategies to alter behavior. The client's refusal to follow dietary advice indicates they are not actively engaging in behavior change.
B. Preparation entails planning and getting ready to make a change. The client’s statement shows no intention of preparing for a change.
C. Contemplation involves recognizing the need for change and considering it but not yet committed to making it. The client’s dismissive attitude suggests they are not at this stage.
D. Precontemplation is characterized by a lack of awareness or denial of the need for change. The client’s indifference to the dietary recommendations reflects this stage, as they are not yet considering changing their behavior.
Correct Answer is B
Explanation
Rationale:
A. Not reporting a medication error could be indicative of various issues, but it is not specific to burnout.
B. Frequently calling in sick can be a sign of burnout, as it may reflect chronic stress, exhaustion, or a lack of engagement with work.
C. Taking regular lunch breaks is a healthy practice and does not indicate burnout.
D. Setting firm professional boundaries is a positive behavior and helps prevent burnout rather than indicating it.
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