A nursing instructor is preparing a class lecture about schizophrenia and outcomes focusing on recovery. Which of the following would the instructor include as a major goal?

Correct Answer: A

Rationale: The correct answer is A: Continuity of care. This is a major goal in the recovery process of schizophrenia as it emphasizes ongoing support and treatment beyond the acute phase. Continuity of care ensures consistent monitoring, medication management, therapy, and support services, which are essential for long-term recovery. Shorter in-patient stays (B) focus more on acute management rather than sustained recovery. Immediate crisis stabilization (C) is important but not the primary long-term goal. Social engagement (D) is beneficial but not as critical as continuity of care for sustained recovery.

Correct Answer: B

Rationale: The correct answer is B because it demonstrates active listening and empathy. By acknowledging the patient's conflicting nonverbal cues, the response shows understanding and encourages further exploration of the patient's feelings. This approach helps build rapport and trust. A: This response is overly optimistic and dismisses the patient's nonverbal cues, missing an opportunity to address underlying concerns. C: This response jumps to conclusions and may come across as judgmental, potentially shutting down communication. D: This response imposes a judgment on the patient without exploring the underlying reasons for the conflicting behavior, which can be counterproductive.

Correct Answer: A

Rationale: The correct answer is A: Compare the client's baseline blood pressure with the client's current blood pressure. This is the first step to assess for orthostatic hypotension which can be a side effect of psychiatric medications. It is important to rule out any potential medication-induced hypotension before making any changes to the client's medication regimen. Choice B is incorrect because abruptly stopping psychiatric medications can lead to withdrawal symptoms and exacerbate the client's condition. Choice C is incorrect because while assessing coping skills and stress levels is important, addressing the client's current symptoms of dizziness and difficulty walking takes precedence. Choice D is incorrect as using an alcohol-based mouthwash is unrelated to the client's symptoms and may not address the underlying cause of the client's issues.

Correct Answer: A

Rationale: The correct answer is A because placing a daily calendar in the kitchen helps individuals with Alzheimer's disease maintain a sense of time and routine. This aids in reducing confusion and anxiety. Choice B is incorrect as it does not directly address the cognitive needs of the individual. Choice C is incorrect as it may not be feasible or necessary for everyone. Choice D is incorrect as maintaining a consistent routine is beneficial for individuals with Alzheimer's disease to reduce disorientation.

Correct Answer: B

Rationale: The correct answer is B: Your child may seem unduly anxious in the presence of strangers. This response is most appropriate as it aligns with the typical behavior of young children who have experienced a traumatic event like an automobile accident. Children at this age may exhibit increased anxiety and fear when around unfamiliar individuals due to the stress and uncertainty of their situation. This behavior is a common reaction to trauma. Choice A is incorrect because while changes in appearance may impact the child, it is not the most immediate concern in this scenario. Choice C is incorrect as guilt feelings are less likely to be prominent in a 3-year-old child. Choice D is also incorrect as mood swings are not the primary behavior expected in this situation, and the statement lacks specificity compared to the appropriate response.