A nurse is preparing an in-service program about schizophrenia ...

[karateprodigy]

A nurse is preparing an in-service program about schizophrenia for a group of psychiatricmental health nurses. Which of the following would the nurse include as a major reason for relapse?
 
  A) Lack of family support
  B) Accessibility to community resources
  C) Nonadherence to prescribed medications
  D) Stigmatization of mental illness

Question 2

A nurse is providing care to a client recently diagnosed with schizophrenia during an inpatient hospital stay. Throughout the day, the nurse observes the client drinking from the water fountain quite frequently,
 
  as well as carrying cans of soda and bottles of water with him wherever he goes. Upon entering the client's room, the nurse sees numerous empty cups that had been filled with fluids on his table and in the trash can. The room has an odor of urine. The nurse suspects which of the following?
 
  A) Risk for unstable blood glucose level related to diabetes
  B) Disturbed fluid and electrolyte balance
  C) Tardive dyskinesia
  D) Orthostatic hypotension

[Melissahxx]

Answer to Question 1

Ans: C
Although a lack of family or social support, accessibility to community resources, and stigmatization are factors that can contribute to relapse, one of the major reasons for relapse is failure to follow the medication regimen.

Answer to Question 2

Ans: B
Some persons with schizophrenia develop disturbed fluid and electrolyte balance. Nurses should observe for polydipsia (frequently drinking an excessive amount of fluids) or frequent incontinence. These individuals are obsessed with drinking water and compulsively consume fluids. Because of urgency and incontinence, especially at night, the client's clothing and room may smell of urine. Diabetes would be manifested by changes in glucose concentrations and possibly weight loss (as a result of polydipsia). Tardive dyskinesia would be indicated by involuntary movements; this condition is a late-appearing side effect of antipsychotic agents. Orthostatic hypotension would be suggested by changes in blood pressure, and dizziness upon position changes.