A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?

To keep the client's environment calm and with minimal daily stimuli

To be reoriented to their current environment as needed

To ensure the client participates in a walk with staff on a daily basis

To develop and acknowledge understanding of a relapse plan prior to discharge

Answer and Explanation

The Correct Answer is D

A. To keep the client's environment calm and with minimal daily stimuli: While a calm environment can help manage acute psychotic symptoms, it is a short-term intervention rather than a long-term goal. Long-term management focuses on adherence to treatment and relapse prevention.
B. To be reoriented to their current environment as needed: Reorientation is beneficial for clients experiencing disorientation due to acute psychosis, but it is a short-term intervention. A long-term goal should focus on maintaining stability and preventing future relapse.
C. To ensure the client participates in a walk with staff on a daily basis: Regular physical activity can improve mental health, but it does not directly address medication adherence or long-term relapse prevention. The goal should focus on strategies to maintain treatment compliance.
D. To develop and acknowledge understanding of a relapse plan prior to discharge: A relapse plan helps the client recognize early warning signs, understand medication importance, and seek support when needed, which is essential for long-term symptom management and prevention of future hospitalizations.

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Correct Answer is D

Explanation

A. "Electrical current will flow through electrodes placed on your torso." Electrodes are placed on the scalp, either bilaterally or unilaterally, rather than on the torso. These electrodes deliver a controlled electrical stimulus to induce a therapeutic seizure, which can help alleviate severe depressive symptoms.
B. "It is not necessary to fast before the procedure." Fasting is required before ECT to prevent aspiration, as the client will receive general anesthesia and a muscle relaxant. Typically, clients must avoid food and liquids for at least 6 to 8 hours prior to the procedure.
C. "You will be awake during the procedure." The client is not awake during ECT, as they receive general anesthesia and a muscle relaxant. These medications ensure the client remains unconscious and immobile throughout the procedure to enhance safety and comfort.
D. "Your provider will likely schedule you for several treatments over a period of weeks." ECT is not a one-time procedure; it is typically administered two to three times per week for a total of 6 to 12 sessions. The number of treatments varies based on the client’s response, with improvements often occurring after multiple sessions.

A. School-age B. Young adulthood C. Preschooler D. Older adulthood

Correct Answer is B

Explanation

A. School-age: Schizophrenia is rare in children, and early-onset cases before adolescence are uncommon. Symptoms that resemble schizophrenia in children often require further evaluation for other neurodevelopmental disorders.
B. Young adulthood: Schizophrenia typically manifests between late adolescence and early adulthood, usually between ages 18 and 25 in men and slightly later in women. This period is when individuals experience their first psychotic episode.
C. Preschooler: Schizophrenia is extremely rare in preschool-aged children. Symptoms such as hallucinations or disorganized behavior at this age are more likely related to other developmental disorders or trauma.
D. Older adulthood: Late-onset schizophrenia is rare, and when psychotic symptoms emerge in older adults, they are often due to conditions such as dementia, delirium, or medication effects rather than primary schizophrenia.

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A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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