The wife of a client newly diagnosed with paranoid schizophrenia asks the nurse, "My husband was well adjusted until a month ago, and then, after a lot of work stress, he got sick. What can I expect?
Will he be this sick for the rest of his life?" What information can the nurse provide about prog-nosis?
1. "This disorder responds well to treatment and, with follow-up, may not recur."
2. "All types of schizophrenia are chronic relapsing disorders."
3. "Outcomes are poor related to client prehospital disorganization."
4. "The usual outcome is that only partial remission is achieved."
ANS: 1
Option 1 is a true statement about the prognosis of paranoid schizophrenia. In certain instances, the client has been productive prior to the illness and has suffered severe stress that results in on-set of illness. Good premorbid adjustment is a positive factor, suggesting a good prognosis. 2. This is not strictly the case. 3. This is truer of disorganized type schizophrenia. 4. This is truer of undifferentiated schizophrenia.
You might also like to view...
Which statement by a nurse would indicate a nonjudgmental attitude toward violence and abuse?
1. "Parents should not allow their children to party in the middle of the night; this is when most date rapes happen." 2. "I admitted an 18-year-old for a suicide attempt following a date rape." 3. "Most people who have sex when drunk tend to perceive it as rape." 4. "Most adolescents call it rape when they don't enjoy a sexual experience."
The nurse is working with a male patient who has diagnoses of coronary artery disease and angina pectoris
During a clinic visit, the nurse learns that he has only been taking his prescribed antiplatelet medication when he experiences chest pain and fatigue A) Acute pain related to myocardial ischemia B) Confusion related to mismanagement of drug regimen C) Ineffective health maintenance related to inappropriate medication use D) Ineffective role performance related to inability to manage medications
A patient who is being treated for malignant lymphoma is experiencing pruritus. What interventions would be appropriate for this patient?
Select all that apply. 1. bathing with cool water 2. vigorously rubbing the skin after bathing 3. applying lavender-scented body lotion 4. keeping the room temperature above normal 5. cleansing bedding and clothing in mild detergent with a second rinse cycle
A client with chronic obstructive pulmonary disease (COPD) is experiencing difficulty with copious amounts of tenacious sputum. A mucolytic drug is prescribed. The outcome the nurse would track is:
1. increase in clearance of sputum. 2. decrease in respiratory rate with increase in depth. 3. resolution of atrial tachycardia. 4. decrease in wheezing.