A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
The client develops an inability to concentrate.
The client exhibits an inflated sense of self.
The client begins sleeping more than usual.
The client increases participation in social activities.
The Correct Answer is A
A. Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention.
B. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder.
C. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse.
D. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
Upon assessment, the nurse should recognize that the client is at risk for developing acute confusion or delirium as evidenced by the client's disorientation to time and place, inability to focus, agitation, and anxiety upon reorientation. These symptoms suggest a disruption in cerebral metabolism, which can be caused by a variety of factors such as infection, fluid or electrolyte imbalance, or medication side effects. It is crucial to identify the underlying cause to provide appropriate care and prevent further complications. The nurse's role includes monitoring the patient's mental status, ensuring safety, and implementing therapeutic interventions to create a calming environment.
Correct Answer is B
Explanation
A. Encouraging the client to sleep during the day disrupts the natural sleep-wake cycle and may not address the underlying issue of noise disturbances at night.
B. Minimizing conversations and activities during the nighttime promotes a quieter environment conducive to sleep, addressing the client's concern directly.
C. Using a television to cover up noise may not address the root cause of the client's sleep disturbance and could interfere with sleep hygiene.
D. Dismissing the client's concern and suggesting they will eventually get used to the noise does not address the immediate issue or offer practical solutions.
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