A nurse is discussing schizophrenia spectrum disorders with a client.
The client states, "My friend says that before I started hearing voices, I stopped hanging out with them.
Why is that?" Which of the following responses should the nurse make?
"That is very interesting.We are not sure why people start to isolate themselves.”.
"Do you think of yourself as more of an introvert? That makes a difference with how you socialize.”.
"Before symptoms of schizophrenia begin, people often isolate themselves.This is an early warning.”.
"Were you avoiding your friend so that you could hear the voices more clearly?". .
The Correct Answer is C
Choice A rationale:
While it’s interesting to consider why people isolate themselves, this statement does not provide a clear explanation for the behavior.
Choice B rationale:
Being an introvert or extrovert doesn’t necessarily correlate with the onset of schizophrenia symptoms.
Choice C rationale:
Before symptoms of schizophrenia begin, people often isolate themselves. This is known as the prodromal phase of schizophrenia.
Choice D rationale:
Avoiding friends to hear voices more clearly is not a typical behavior associated with the onset of schizophrenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Using bargaining to improve behavior is not recommended for individuals with Antisocial Personality Disorder. It can reinforce manipulative behaviors.
Choice B rationale:
Providing rewards for positive behavior can be beneficial. It can encourage the development of healthier behaviors.
Choice C rationale:
Ignoring negative behavior is not recommended. It’s important to address these behaviors directly and establish clear consequences.
Choice D rationale:
Maintaining a low-stimuli environment can be beneficial for individuals with Antisocial Personality Disorder. It can help reduce agitation and aggressive behaviors.
Correct Answer is F
Explanation
Choice A rationale:
Instructing the client to avoid foods with tyramine is not relevant in this case. Tyramine is associated with certain antidepressants known as MAOIs, but the client is taking Fluoxetine, which is an SSRI2.
Choice B rationale:
Applying wrist restraints might be necessary in extreme situations to ensure the client’s safety, but it should be a last resort and not the first response to self-harm.
Choice C rationale:
Offering sympathy and attention to maladaptive behavior could reinforce negative behaviors and is not recommended.
Choice D rationale:
Encouraging the client to talk about feelings prior to maladaptive behavior can be beneficial. It can help the client develop healthier coping mechanisms.
Choice E rationale:
Maintaining the same staff members caring for the client can provide consistency and stability, which can be beneficial for individuals with Borderline Personality Disorder.
Choice F rationale:
Initiating suicide precautions is crucial in this situation. The client has a history of suicidal ideation and is exhibiting self-harming behavior.
Choice G rationale:
Offering the client opportunities for physical exercise can be beneficial as it can help manage stress and improve mood.
Choice H rationale:
Exploring feelings of abandonment with the client can be beneficial. It can help the client process these feelings in a healthier way.
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