A nurse is providing discharge teaching about the 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 begins sleeping more than usual.
The client develops an inability to concentrate.
The client exhibits an inflated sense of self.
The client increases participation in social activities.
The Correct Answer is A
Choice A reason:
Excessive sleep or a significant change in sleep patterns can be an indicator of a relapse in schizophrenia. Schizophrenia can disrupt the regular sleep-wake cycle, leading to either insomnia or hypersomnia (excessive sleep). When a client with schizophrenia begins sleeping more than usual, it may suggest a worsening of symptoms or an impending relapse. It's essential for the nurse to include this information in the discharge teaching so that the family can monitor and seek help if the client's sleep patterns change significantly.
Choice B reason:
An inability to concentrate is another potential sign of a relapse in schizophrenia. Cognitive difficulties, including problems with concentration, are common in schizophrenia and can worsen during a relapse. This symptom can affect the client's ability to function daily and adhere to treatment plans. Therefore, it is crucial for the nurse to educate the family about this sign so they can recognize it early and consult with healthcare providers.
Choice C reason:
Exhibiting an inflated sense of self is not typically associated with schizophrenia relapse. While some individuals with schizophrenia might experience grandiose delusions, an inflated sense of self is not a common or specific sign of relapse. The family should be aware of more characteristic symptoms such as changes in sleep, concentration, mood, or behavior.
Choice D reason:
Increasing participation in social activities is generally not a sign of relapse in schizophrenia; in fact, it is often encouraged as part of the recovery process. Social withdrawal, rather than increased participation, would be more concerning and could indicate a relapse. It's important for families to support the client's social engagement as it can be beneficial for their overall well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Informing the client that they have the legal right to refuse treatment at any time is the correct action. Patients have the right to make decisions about their own healthcare, including the right to refuse treatment. This respects their autonomy and ensures that they are making informed decisions about their care.
Choice B reason:
Encouraging the client to have the procedure without addressing their concerns can be seen as coercive. It is important to understand the client's reasons for refusing the procedure and to provide information and support to help them make an informed decision.
Choice C reason:
Obtaining consent from the client's family member is not appropriate unless the client is unable to make decisions for themselves. If the client is competent, their decision should be respected, and family members should not be asked to override their wishes.
Choice D reason:
Requesting another nurse to review the procedure with the client might be helpful in providing additional information, but it should not be done with the intention of pressuring the client into agreeing to the procedure. The client's right to refuse should still be respected.
Correct Answer is C
Explanation
Choice A reason:
Telling a client to focus on themselves for a change may come across as dismissive and does not address the underlying feelings of hopelessness. It is important for the nurse to acknowledge the client's feelings and provide support rather than suggesting a shift in focus without understanding the root cause of their distress.
Choice B reason:
Asking the client why they feel like things will never work out can be a useful way to explore their thoughts and feelings. However, it may not be the most immediate concern if the client is experiencing severe hopelessness or suicidal ideation. The nurse should prioritize assessing the client's safety and risk of self-harm.
Choice C reason:
Asking if the client has been thinking about harming themselves is crucial in assessing their safety. Suicidal ideation is a serious concern, and it is important for the nurse to directly address this issue to determine if the client is at risk of self-harm. This response shows that the nurse is taking the client's feelings seriously and is concerned about their well-being.
Choice D reason:
Suggesting an antidepressant might make the client feel better can be helpful in the long term, but it does not address the immediate emotional distress the client is experiencing. Medication can be part of a treatment plan, but the nurse should first ensure the client's immediate safety and provide emotional support.
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