The parents of a client with schizophrenia who also abuses alcohol asks the nurse, What can we do to help our son from relapsing after he is discharged from the hospital? Which response by the nurse would be most appropriate?

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Question 1 of 5

The parents of a client with schizophrenia who also abuses alcohol asks the nurse, What can we do to help our son from relapsing after he is discharged from the hospital? Which response by the nurse would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because it addresses the specific concern of the client with schizophrenia who also abuses alcohol. By monitoring and reporting any side effects, the nurse can ensure that the client's prescribed medications are adjusted or changed as needed to prevent him from stopping his medication, which could lead to relapse. This approach promotes medication adherence and overall stability, thus reducing the risk of relapse. Option A is incorrect because it lacks proactive measures to support the client's recovery. Option B focuses solely on avoiding triggers related to delusional thinking and does not address the dual diagnosis of schizophrenia and alcohol abuse. Option C, while beneficial, may not fully address the client's unique needs and challenges related to his dual diagnosis.

Question 2 of 5

A nurse is preparing to lead an older adult group. Which of the following would the nurse need to keep in mind when leading this group?

Correct Answer: B

Rationale: The correct answer is B: Keeping the pace of the group meetings slow. Older adults may require more time to process information due to cognitive changes. Slower pace allows for better understanding and participation. Choice A is incorrect as older adults may struggle with learning new information quickly. Choice C is incorrect because life review strategies can be beneficial for older adults. Choice D is incorrect as it may be challenging for older adults to learn entirely new coping methods.

Question 3 of 5

The nurse is caring for a 3½-year-old child with autism who has been hospitalized. The child rocks continuously without any danger present to the child's safety. Which intervention by the nurse would be most appropriate?

Correct Answer: C

Rationale: The correct answer is C: Ignore the child's rocking behavior. This is the most appropriate intervention because rocking without any danger does not require immediate intervention. It is a self-soothing behavior often seen in children with autism. By ignoring the behavior, the nurse avoids reinforcing it and allows the child to engage in self-regulation. Monitoring the behavior (choice A) is appropriate but does not actively address the behavior. Holding the child (choice B) may disrupt the child's coping mechanism. Placing the child in time out (choice D) is not appropriate as it may be perceived as punishment and increase distress.

Question 4 of 5

The parents of a client with schizophrenia who also abuses alcohol asks the nurse, What can we do to help our son from relapsing after he is discharged from the hospital? Which response by the nurse would be most appropriate?

Correct Answer: D

Rationale: The correct answer is D because it addresses the specific concern of the client with schizophrenia who also abuses alcohol. By monitoring and reporting any side effects, the nurse can ensure that the client's prescribed medications are adjusted or changed as needed to prevent him from stopping his medication, which could lead to relapse. This approach promotes medication adherence and overall stability, thus reducing the risk of relapse. Option A is incorrect because it lacks proactive measures to support the client's recovery. Option B focuses solely on avoiding triggers related to delusional thinking and does not address the dual diagnosis of schizophrenia and alcohol abuse. Option C, while beneficial, may not fully address the client's unique needs and challenges related to his dual diagnosis.

Question 5 of 5

The nurse is caring for a client in an inpatient mental health setting. The nurse notices that when the client is conversing with other clients, he repeats what they are saying word for word. The nurse interprets this finding and documents it as which of the following?

Correct Answer: D

Rationale: The correct answer is D: Echolalia. Echolalia is the repetition of words or phrases spoken by others, often seen in clients with mental health disorders. In this scenario, the client repeating others' words indicates a lack of original speech and a possible communication disturbance. Echopraxia (A) is the imitation of movements, not words. Neologisms (B) are made-up words lacking meaning. Tangentiality (C) is a thought disorder where the individual goes off on a tangent unrelated to the topic. Therefore, D is the most appropriate choice in this context.

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