ANS: A A psychoeducational group explores the causes of schizophrenia, the role of medication, the importance of medication compliance, support for the ill member, and hints for living with a person with schizophrenia. Such a group can be of immeasurable practical assistance to the family. The other types of therapy do not focus on psychoeducation.
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PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 12-30, 31, 43, 44, 93 (Box 12-2) | Page 221 TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
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28. A patient diagnosed with schizophrenia has been stable for a year; however, the family now reports the patient is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating. The patient says, “My computer is sending out infected radiation beams.” The nurse can correctly assess this information as an indication of a. the need for psychoeducation. b. medication nonadherence. c. chronic deterioration. d. relapse.
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ANS: D Signs of potential relapse include feeling tense, difficulty concentrating, trouble sleeping, increased withdrawal, and increased bizarre or magical thinking. Medication nonadherence may not be implicated. Relapse can occur even when the patient is taking medication regularly. Psychoeducation is more effective when the patient’s symptoms are stable. Chronic deterioration is not the best explanation.
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PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 12-32, 33, 93 (Box 12-2) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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29. A patient diagnosed with schizophrenia begins to talks about “macnabs” hiding in the warehouse at work. The term “macnabs” should be documented as a. a neologism. b. concrete thinking. c. thought insertion. d. an idea of reference.
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ANS: A A neologism is a newly coined word having special meaning to the patient. “Macnabs” is not a known common word. Concrete thinking refers to the inability to think abstractly. Thought insertion refers to thoughts of others are implanted in one’s mind. Ideas of reference are a type of delusion in which trivial events are given personal significance. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 12-18, 19 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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