Author Question: A 27-year-old client was diagnosed 5 years ago with schizophrenia. What course of treatment should ... (Read 35 times)

audie · **on:** Jul 19, 2018

A 27-year-old client was diagnosed 5 years ago with schizophrenia. What course of treatment should the nurse expect to be implemented?

A. Eventual admission for long-term care in a psychiatric facility
B. Community-based care with numerous brief hospitalizations
C. Case management in the community with few relapses
D. Occasional contact with outpatient counselors and psychiatrists

Question 2

One evening, a client with schizophrenia leaves his room and begins marching in the hall. When approached by the nurse, the client says, God says I'm supposed to guard the area. Which of the following responses would be best?

A) I understand you hear a voice. You and I are the only ones in the hall, and I don't hear a voice.
B) The voices are part of your illness and they will leave in time.
C) This guarding responsibility can make you tired. You rest for now, and I'll guard a while.
D) You are just imagining these things. Do not pay any attention to the voices.

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

Answer to Question 1

B
Community-based care is the standard of treatment that followed the deinstitutionalizat ion movement. Schizophrenia is a chronic disease that includes both exacerbations and remissions in the course of the illness, leading to numerous brief hospitalizations.

Answer to Question 2

A
Feedback: Answer A validates that the client's experience is real to him, yet represents reality. Answer B is not appropriate to the client's statement. Answer C feeds into the client's statement. Answer D does not deal with the patient in a serious manner.