Author Question: The nurse knows when planning lifestyle interventions for patients with schizophrenia spectrum ... (Read 14 times)

Evvie72 · **on:** Jul 19, 2018

The nurse knows when planning lifestyle interventions for patients with schizophrenia spectrum disorders which aspect is most important?

1. Nicotine replacement
2. Spiritual counseling
3. Reduction of triggers
4. Reminders and repetition

Question 2

The nurse is assessing a patient who is experiencing a relapse of symptoms of schizophrenia. The nurse knows that the patient's abilities in which areas will have the greatest impact on the plan of care? Select all that apply.

1. Listening
2. Concentration
3. Decision making
4. Retaining new information
5. Maintaining adequate coping strategies

Hikerman221 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1
Explanation: Commonly recommended lifestyle interventions for patients with schizophrenia spectrum disorders include dietary changes, physical exercise, and smoking cessation. Smoking reduces plasma levels of medications, inhibiting drug efficacy, and nicotine replacement therapy has been shown to significantly improve the chances of smoking reduction or cessation in SSD patients. Patients may need repetition, reminders, and positive reinforcement for dietary teaching and changes to help offset the memory and attention deficits that come with SSDs. Nurses do not provide spiritual counseling, but can lend spiritual support to patients. Through treatment, patients learn to recognize and manage symptom triggers.

Answer to Question 2

Answer: 1, 2, 3, 4
Explanation: Nursing interventions depend on the patient's ability to concentrate and listen, retain new information, and make decisions. The patient experiencing symptom acuity associated with initial onset or relapse may experience impairment of these abilities, and this will affect the patient's plan of care. Through a multidisciplinary approach to treatment the patient will be able to develop and maintain adequate coping strategies.