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 7380---Which statement indicates increased insight by the client about her newly diagnosed paranoid schizophrenia being stabilized on medications?

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

1. “Now that the voices are gone, I can decrease my medicines.”
2. “I would feel better if I knew there was not poison in my food.”
3. “Since I feel better, I know I can restart school next week.”
4. “The voices go away when I tell them to, except if I am really nervous.”

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正确答案:
4. “The voices go away when I tell them to, except if I am really nervous.”
解释 :
The statement about the voices occurring if the client is nervous reflects awareness that stress and anxiety can increase the positive symptoms of schizophrenia. Decreasing the medications because the voices are gone reveals a lack of awareness about the need for the medications to control the client’s symptoms. Stating that there is still poison in her food demonstrates a lack of insight into the client’s delusions. Restarting school in a week reflects an unrealistic expectation for a client who is newly diagnosed and being stabilized on medications.