The brother of a client with schizophrenia says to the nurse: "I would like to help my brother, but he just doesn't seem to understand he has a serious psychological problem. He tells me he is fine and just gets a little weird occasionally"
The nurse explains: A)
"Many people with schizophrenia use denial as a coping mechanism."
B)
"This is why it is so difficult to treat since lack of insight is a large part of the disease."
C)
"Because of the stigma attached to mental illness most people with schizophrenia won't tell others they have the disease."
D)
"They need to take their medications when having psychotic episodes."
B
Explanation:
A)
Lack of insight is one of the cognitive defects present and keeps clients from seeking and maintaining treatment, because they do not see themselves as being sick. Denial is not the problem, but rather a lack of self-understanding. Because of the lack of insight they are often not aware of the stigma attached to the illness. Since they do not see themselves as ill they frequently stop medications, especially when stable; medications need to be take even when not having psychotic episodes.
Analysis
Implementation
Psychosocial Integrity: Psychosocial Adaptation
B)
Lack of insight is one of the cognitive defects present and keeps clients from seeking and maintaining treatment, because they do not see themselves as being sick. Denial is not the problem, but rather a lack of self-understanding. Because of the lack of insight they are often not aware of the stigma attached to the illness. Since they do not see themselves as ill they frequently stop medications, especially when stable; medications need to be take even when not having psychotic episodes.
Analysis
Implementation
Psychosocial Integrity: Psychosocial Adaptation
C)
Lack of insight is one of the cognitive defects present and keeps clients from seeking and maintaining treatment, because they do not see themselves as being sick. Denial is not the problem, but rather a lack of self-understanding. Because of the lack of insight they are often not aware of the stigma attached to the illness. Since they do not see themselves as ill they frequently stop medications, especially when stable; medications need to be take even when not having psychotic episodes.
Analysis
Implementation
Psychosocial Integrity: Psychosocial Adaptation
D)
Lack of insight is one of the cognitive defects present and keeps clients from seeking and maintaining treatment, because they do not see themselves as being sick. Denial is not the problem, but rather a lack of self-understanding. Because of the lack of insight they are often not aware of the stigma attached to the illness. Since they do not see themselves as ill they frequently stop medications, especially when stable; medications need to be take even when not having psychotic episodes.
Analysis
Implementation
Psychosocial Integrity: Psychosocial Adaptation
You might also like to view...
Which of the following led to school nurses moving beyond the role of screening, assessment, intervention, and exclusion of children for communicable diseases?
a. A communicable disease outbreak, which led to the requirement that all children be vaccinated against common infectious diseases b. Federal legislation, which required immunizations for communicable diseases c. Political movements such as temperance, which led schools to educate about the effects of alcohol and tobacco d. The need for inspecting schools to identify children who were ill and exclude them until they were no longer infectious
The patient diagnosed with anorectal incontinence should be taught by the nurse to:
1. take a laxative daily. 2. increase fiber in the diet. 3. do pelvic muscle exercises. 4. administer daily enemas.
The nurse is teaching parents of a child being discharged from the hospital after a splenectomy about the risk of infection. What should the nurse include in the teaching session? (Select all that apply.)
a. Avoid obtaining the pneumococcal vaccination for the child. b. Avoid obtaining the meningococcal vaccination for the child. c. The child should receive prophylactic penicillin for certain procedures. d. Have the child immunized with the Haemophilus influenzae type b vaccination. e. Notify the health care provider if your child develops a fever of 38.5° C (101.3° F).
Medications that have been demonstrated to reduce suicide risk include all EXCEPT which of the following?
a. antidepressants b. atypical antipsychotics c. lithium d. sedative-hypnotics