A nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why I need to have a relapse plan." Which of the following responses should the nurse make?
"A relapse plan addresses your living, housing, and working needs."
"A relapse plan describes how you use coping strategies for living in the community."
"A relapse plan explains how you can be hospitalized if needed."
"A relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse."
The Correct Answer is D
D. A relapse plan is an essential component of managing schizophrenia and other mental health conditions. It helps individuals recognize early warning signs of a potential relapse and outlines steps to take to prevent or mitigate the worsening of symptoms. By having a relapse plan in place, the client can actively participate in their own recovery process and take proactive steps to maintain stability and well-being.
A. This response focuses on practical aspects such as living arrangements and employment, which may be components of a comprehensive care plan but may not fully address the client's question about the need for a relapse plan.
B. This response acknowledges the purpose of a relapse plan in helping the client manage their symptoms and cope with challenges while living in the community. However, it may not fully address the client's question about the need for a relapse plan.
C. While hospitalization may be a component of a relapse plan in certain circumstances, focusing solely on this aspect may not fully address the client's question and may inadvertently increase anxiety or stigma associated with hospitalization.
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Related Questions
Correct Answer is A
Explanation
A. This response provides accurate information about the early warning signs of schizophrenia spectrum disorders. Social withdrawal and isolation are commonly observed before the onset of
psychotic symptoms, such as hearing voices. By acknowledging this pattern, the nurse validates the client's experience and offers insight into potential warning signs.
B. This fails to address the client's concern or provide meaningful information about the potential significance of their behavior.
C. While exploring the client's personality traits and how they relate to socialization is valid, this response does not directly address the client's concern about isolating themselves before experiencing symptoms of schizophrenia.
D. This response makes an assumption about the client's motivations for avoiding their friend and implies a connection between social isolation and hearing voices that may not be accurate.
Correct Answer is A
Explanation
A. When a nurse observes illegal or unethical behavior, such as stealing narcotics, it is their ethical and legal responsibility to report the incident promptly to the appropriate authorities.
B. While it's important to encourage the coworker to seek treatment for their substance abuse issue, withholding reporting of the incident compromises patient safety and violates organizational policies and legal obligations. It's essential to report the incident regardless of the coworker's actions afterward.
C. Reporting the incident to other RNs on the shift may not be sufficient action to address the seriousness of the situation. While it's important for colleagues to be aware of potential risks to patient safety, the primary responsibility lies with reporting the incident to the appropriate authorities within the organization.
D. Agreeing not to report the incident in exchange for the coworker promising to report themselves to the supervisor is not an appropriate course of action. It's essential to follow established reporting protocols and ensure that the incident is documented and addressed through the appropriate channels to protect patient safety and uphold professional standards.
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