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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Paranoia is a positive symptom of schizophrenia, characterized by excessive distrust and suspicion. Positive symptoms involve an excess or distortion of normal functions, such as hallucinations or delusions. Paranoia reflects an altered perception of reality rather than a diminished emotional or cognitive function.
B. Distorted beliefs, including delusions, are considered positive symptoms of schizophrenia. These beliefs are false, fixed, and not based on reality, often involving grandiosity, persecution, or somatic concerns. Positive symptoms represent an exaggeration of normal thought processes rather than a reduction in function.
C. Confusion is often associated with cognitive impairment in schizophrenia but is not classified as a negative symptom. Cognitive symptoms include deficits in memory, attention, and executive function, whereas negative symptoms involve the absence of normal emotional or behavioral responses. Confusion is more related to disorganized thinking rather than a loss of function.
D. Lack of emotions, or affective flattening, is a negative symptom of schizophrenia. Negative symptoms involve a reduction in normal functions, such as diminished emotional expression, social withdrawal, and decreased motivation. These symptoms contribute significantly to functional impairment and are often more resistant to treatment than positive symptoms.
Correct Answer is D
Explanation
A. Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat depression, anxiety, and obsessive-compulsive disorder. It does not alleviate tardive dyskinesia symptoms and is not indicated for managing extrapyramidal side effects.
B. Diphenhydramine. Diphenhydramine is an antihistamine that can help with acute dystonic reactions due to its anticholinergic effects, but it does not treat tardive dyskinesia. Long-term use may even worsen movement disorders.
C. Naloxone. Naloxone is an opioid antagonist used to reverse opioid overdose. It has no effect on tardive dyskinesia, as this condition is related to prolonged dopamine receptor blockade rather than opioid activity.
D. Valbenazine. Valbenazine is a vesicular monoamine transporter 2 (VMAT2) inhibitor specifically approved for the treatment of tardive dyskinesia. It helps regulate dopamine release and reduces involuntary movements associated with the condition.
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