Which of the following clients exhibits the characteristics that ...

[future617RT]

Which of the following clients exhibits the characteristics that are typical of the prodromal phase of schizophrenia?
 
  A) A 25-year-old woman does not express any of the symptoms of schizophrenia.
  B) A 20-year-old man is experiencing a gradual decrease in his ability to concentrate, be productive, and sleep restfully.
  C) A 30-year-old man has experienced a relapse after deciding that his atypical antipsychotic is unnecessary.
  D) A 28-year-old woman has been displaying the behaviors characteristic of schizophrenia for many months and has just been diagnosed with the disease.

Question 2

A student nurse has been assigned to provide care for an inpatient psychiatricmental health patient who has a diagnosis of schizophrenia, paranoid type.
 
  This student is apprehensive about interacting with this patient, and the patient's detailed explanations of his delusions accompanied by unpredictable movements have prompted fear in the student. How should this nursing student interpret such feelings?
 
  A) Despite their unusual behavior, patients with schizophrenia do not pose a safety risk to care providers.
  B) Being afraid of a patient who has schizophrenia is a result of stereotyping.
  C) It is natural to feel fear when a patient exhibits unpredictable behavior, and this can cause the student to be reasonably cautious.
  D) These feelings are best divulged to the patient himself, and doing so can foster the openness that promotes a therapeutic relationship.

[patma1981]

Answer to Question 1

Ans: B
Gradual, subtle behavioral changes appear during the prodromal phase of schizophrenia, such as tension, the inability to concentrate, insomnia, withdrawal, or cognitive deficits. No symptoms are present in the premorbid phase, and relapses occur in the progressive and chronic phases. Diagnosis of the disease marks the beginning of the onset phase.

Answer to Question 2

Ans: C
A student may experience fear if the client exhibits unpredictable behavior. Fear is a normal response that results in the exercise of caution. Experiencing fear is not evidence of stereotyping, and divulging fear to the patient or client is unlikely to benefit either the student or the client. The risk of violence is a reality, though the risk differs with each client.

[future617RT]

TYSM

[triiciiaa]

Excellent