A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
"I should avoid watching television when I am hearing voices."
"I should let my counselor know if I am having trouble sleeping."
"I should listen carefully to the voices to hear what they're saying."
"I should avoid being around others if I think I'm having a relapse."
The Correct Answer is B
Choice A reason: Avoiding television when hearing voices is not a recognized strategy for relapse prevention in schizophrenia. While reducing stimuli during episodes of auditory hallucinations can be helpful, it is not a substitute for professional treatment and medication adherence, which are key to relapse prevention.
Choice B reason: Informing a counselor about trouble sleeping is important because sleep disturbances can be an early indicator of a potential relapse. Maintaining open communication with healthcare providers about changes in sleep patterns allows for timely interventions and adjustments in treatment to prevent a relapse.
Choice C reason: Listening to the voices is not advisable as it may reinforce the hallucinations. Instead, clients are encouraged to engage in reality-based activities and to discuss their experiences with their healthcare providers to manage symptoms effectively.
Choice D reason: Isolation can exacerbate symptoms of schizophrenia and increase the risk of relapse. It is important for individuals to maintain social contacts and support systems as part of a comprehensive relapse prevention strategy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Taking a 1-hour nap every day is not recommended for individuals with sleep disruptions, especially due to depressive disorder, as it can further disrupt nighttime sleep patterns.
Choice B reason: Exercising late in the day can be stimulating and may make it harder to fall asleep. It is generally advised to exercise earlier in the day to improve sleep quality.
Choice C reason: Keeping a sleep diary is a beneficial intervention for individuals with sleep disruptions. It can help identify patterns and behaviors that affect sleep and is a step towards establishing a consistent sleep schedule.
Choice D reason: Discontinuing medication without medical advice is not safe. Medications for depressive disorder should be managed by a healthcare provider, especially as abrupt changes can have serious consequences.
Correct Answer is C
Explanation
Choice A reason: This response is not therapeutic as it provides false assurance and may not be accurate. The return of the child depends on many factors beyond just attending counseling.
Choice B reason: While sedatives may be used to manage acute distress, this response does not address the client's expressed feelings of hopelessness and the risk of self-harm.
Choice C reason: This response directly addresses the client's statement about not wanting to live, which could indicate suicidal ideation. It is important to assess for the risk of self-harm or suicide.
Choice D reason: This response may be helpful in a long-term plan but does not address the immediate risk of harm to the client. It is also not guaranteed that a family member can obtain custody.
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