Author Question: A patient with schizophrenia is medication compliant and has well-controlled symptoms. He has, ... (Read 35 times)

waynest · **on:** Jul 19, 2018

A patient with schizophrenia is medication compliant and has well-controlled symptoms.

He has, however, never been successful in holding a job because of poor social skills and lack of understanding of basic job skills. The nurse case manager should consider refer-ring the patient:
a. For cognitive therapy
b. To assertiveness training
c. To a day hospital program
d. For psychosocial rehabilitation

Question 2

The wife of a patient newly diagnosed with paranoid schizophrenia is concerned that her husband will be this sick for the rest of his life. What information can the nurse provide to the wife?

a. This disorder generally responds well with treatment and follow-up.
b. All types of schizophrenia by their nature are chronic relapsing disorders.
c. Outcomes are related to the patient's pre-hospital symptoms of disorganization.
d. The typical outcome for this diagnosis is that total remission is not achievable.

Madisongo23 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Psychosocial rehabilitation helps patients readjust to community living by promoting devel-opment of necessary skills. Social skills training and job skills training programs are usually available. The patient does not need the more intensive services found in a day hospital. Cognitive therapy will not offer the needed community living skills training. Assertiveness training is only a small portion of the community living skills the patient needs.

Answer to Question 2

ANS: A
The prognosis for paranoid schizophrenia is good with appropriate treatment and effective follow-up. The remaining options are not correct when considering this type of schizophrenia