章节:Schizophrenia, Other Psychoses, and Cognitive Disorders

SC
正确指数:100% 正确的次数:0 错误的次数:0 7363---The parents of a 20-year-old female client diagnosed with paranoid schizophrenia admitted 4 days ago are attending a family psychoeducation group in the hospital. Which statement by the mother indicates that she understands her daughter’s illness and management?

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. “I know that I will have to do everything for my daughter when she comes home.”
2. “Tasks as simple as getting out of bed and showering in the morning may be difficult for her.”
3. “I know that visits from her friends at home should be discouraged for a while.”
4. “She will not experience a relapse as long as she takes her prescribed medication.”

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正确答案:
2. “Tasks as simple as getting out of bed and showering in the morning may be difficult for her.”
解释 :
Clients with paranoid schizophrenia experience alterations in thought resulting in introspection, confusion, and distraction from external reality. Simple tasks that require concentration and effort, including activities involving self-care, may be difficult for the client, especially during the acute phase of the illness. However, the mother should not need to do everything for her daughter. Rather, the mother should encourage the daughter to do things for herself with guidance. Visits from friends should be discussed with the client, and the client should be encouraged to visit with friends to minimize the risk of social isolation. Although relapse typically occurs with medication noncompliance, vulnerability to stress, a low threshold for stress, the number of stresses, and the client’s lack of adaptive coping behaviors contribute to relapse.