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A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following is an appropriate statement by the nurse?
- A. Your provider has explained the causes of schizophrenia. Why do you feel guilty about your daughter's diagnosis?
- B. You said that you feel guilty about your daughter's diagnosis. Let's talk about what is causing you to feel this way.
- C. You should not feel guilty about your daughter's diagnosis. Schizophrenia is unpreventable.
- D. I'm sure your daughter's diagnosis is very difficult to deal with, but everything will be all right once she receives the proper treatment.
Correct Answer: B
Rationale: Rationale: Choice B is the correct answer because it acknowledges the parents' feelings of guilt and opens the door for communication. By reflecting the parents' emotions and offering to discuss the underlying reasons, the nurse is validating their feelings and promoting therapeutic communication. This approach fosters trust and allows the parents to express their concerns, ultimately leading to better understanding and support.
Incorrect Choices:
A: This response may come off as confrontational by questioning the parents' feelings of guilt, potentially making them defensive and hindering open communication.
C: While it is true that schizophrenia is not preventable, simply stating this does not address the parents' emotional needs or provide support.
D: This response minimizes the parents' feelings and offers false reassurance without addressing the root cause of their guilt.
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A nurse is providing teaching to a client diagnosed with schizophrenia and is prescribed haloperidol (Haldol). Which of the following information should the nurse include in the teaching?
- A. This medication will decrease your symptoms of OCD.
- B. This medication may cause excessive salivation.
- C. You can stop taking the medication if the side effects are bothersome.
- D. You may experience dizziness upon standing while taking this medication.
Correct Answer: D
Rationale: The correct answer is D: You may experience dizziness upon standing while taking this medication. This is important information to include because haloperidol can cause orthostatic hypotension, leading to dizziness upon standing. This is a common side effect that the client should be aware of to prevent falls. Option A is incorrect because haloperidol is not used to treat OCD. Option B is incorrect because excessive salivation is not a common side effect of haloperidol. Option C is incorrect because it is crucial not to stop taking antipsychotic medications abruptly without consulting a healthcare provider.
A nurse in the acute mental health unit is admitting a new client with an eating disorder. The nurse is aware that which of the following are considered comorbidities of eating disorders? (Select all that apply.)
- A. Anxiety
- B. Depression
- C. Obsessive-compulsive disorder
- D. Schizophrenia
- E. Breathing-related sleep disorder
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Anxiety, depression, and obsessive-compulsive disorder are commonly seen as comorbidities in individuals with eating disorders. Anxiety and depression are often present due to the psychological stress and emotional turmoil associated with the eating disorder. Obsessive-compulsive disorder can manifest in obsessive thoughts about food, weight, and body image, as well as compulsive behaviors related to eating and exercise. Schizophrenia and breathing-related sleep disorder are not typically associated with eating disorders, making choices D and E incorrect. It is essential for the nurse to be aware of these comorbidities to provide holistic care to the client.
Which of the following is a characteristic sign of hyperthyroidism?
- A. Cold intolerance
- B. Fatigue and lethargy
- C. Tremors and nervousness
- D. Weight gain
Correct Answer: C
Rationale: The correct answer is C: Tremors and nervousness. Hyperthyroidism is an overactive thyroid gland leading to an excess of thyroid hormones. Tremors and nervousness are classic symptoms due to the increased metabolic rate. Cold intolerance (A) is a symptom of hypothyroidism, not hyperthyroidism. Fatigue and lethargy (B) are common in hypothyroidism, not hyperthyroidism. Weight gain (D) is also more indicative of hypothyroidism. Therefore, the presence of tremors and nervousness (C) is the characteristic sign of hyperthyroidism.
A home health nurse is making a home visit to a client who has Alzheimer's disease and the client's partner. Which of the following observations indicates to the nurse that the partner is experiencing caregiver role strain?
- A. The partner has hired a house cleaner.
- B. The partner has placed locks at the top of the doors leading to the outside.
- C. The partner has lost 25 lb in the past 3 months.
- D. The partner redirects the client when the client is frustrated.
Correct Answer: C
Rationale: The correct answer is C because the partner losing 25 lb in the past 3 months indicates caregiver role strain. Weight loss can be a sign of stress and neglecting one's own needs while caring for someone with Alzheimer's. This choice reflects the physical toll caregiving can take.
A: Hiring a house cleaner (choice A) shows that the partner is seeking help and support, which is a positive coping strategy and does not necessarily indicate caregiver role strain.
B: Placing locks at the top of the doors (choice B) demonstrates safety measures for the client and does not directly indicate caregiver role strain.
D: Redirecting the client when frustrated (choice D) shows appropriate management of challenging behaviors and does not directly indicate caregiver role strain.
In summary, choice C is the best indicator of caregiver role strain as it reflects the physical impact of the caregiving responsibilities on the partner's well-being.
A nurse is caring for a client diagnosed with schizophrenia. The client states,Did you know that I am engaged to the Prince of England? The nurse should document that the client is experiencing which of the following types of delusions?
- A. Persecution
- B. Erotomanic
- C. Somatic
- D. Control
Correct Answer: B
Rationale: The correct answer is B: Erotomanic delusion. This type of delusion involves the false belief that someone, typically of higher status or unreachable, is in love with the individual. In this case, the client believes they are engaged to the Prince of England, indicating an erotomanic delusion. Choice A: Persecution delusion involves believing one is being targeted or mistreated. Choice C: Somatic delusion involves beliefs about bodily functions. Choice D: Control delusion involves beliefs about external control. These are not applicable in the scenario described.