A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia. When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following?

Correct Answer: C

Rationale: The correct answer is C: Medication non-adherence. In clients with schizophrenia and substance abuse disorder, medication non-adherence is a common cause of relapse. Neuroleptic medications are crucial in managing schizophrenia symptoms, and stopping or not taking them as prescribed can lead to symptom exacerbation and relapse. Poor social skills (choice A) and lack of vocational skills (choice B) can contribute to challenges in managing the disorders but are not direct causes of relapse. Dysfunctional family systems (choice D) can impact the client's support system but are not the primary reason for relapse in this scenario.

Correct Answer: D

Rationale: The correct answer is D because anxiety and depression in an incest survivor are considered normal reactions to posttraumatic events. Survivors often experience these symptoms as a result of the trauma they have endured. It is important for the survivor to understand that these reactions are common and part of the healing process. Choice A is incorrect because complete eradication of these symptoms may not be realistic. Choice B is incorrect as it downplays the seriousness of the survivor's experience. Choice C is incorrect because labeling the symptoms as abnormal may further stigmatize the survivor.

Correct Answer: B

Rationale: The correct answer is B because the statement suggests a potential misunderstanding or negative perception of the baby's behavior. The nurse should explore further to address any underlying issues, provide education, and offer support. Choice A is a personal decision. Choice C reflects a common desire for support. Choice D is a general acknowledgment of the challenges of parenting. By exploring statement B, the nurse can ensure the well-being of both the mother and the baby.

Correct Answer: A

Rationale: The correct order of Maslow's hierarchy of needs is A: physiological, safety/security, belonging and love/social, esteem, self-actualization. This order follows Maslow's theory that individuals must satisfy lower level needs before progressing to higher level needs. Physiological needs like food and water are the most basic and must be met first, followed by safety/security needs. Belonging and love/social needs come next, then esteem needs such as recognition and respect, leading to self-actualization, the highest level of realizing one's potential. Choice B is incorrect as it starts with esteem and self-actualization, skipping physiological and safety needs. Choice C is incorrect as it starts with belonging and love/social needs, skipping physiological, safety, and esteem needs. Choice D is incorrect as it starts with safety/security, skipping physiological needs and has a different order of esteem and belonging needs.

Correct Answer: C

Rationale: The correct answer is C because using a sticker chart to document the child's accomplishments can provide positive reinforcement for desired behaviors in children with ADHD. This method helps track progress and rewards the child for their achievements, promoting self-esteem and motivation. It is an effective tool in behavior management. Incorrect answers: A: Using a strict discipline program may not be effective for children with ADHD as it can lead to negative outcomes and emotional distress. B: Giving plenty of options can overwhelm a child with ADHD, making decision-making challenging and potentially increasing impulsivity. D: Creating a lively environment is beneficial, but it may not address the specific needs of a child with ADHD in terms of behavior management and focus.