The family of a client with schizophrenia who has been stable for a year reports to the community

Question

mental health nurse that the client reports feeling tense and having difficulty concentrating.

He
sleeps only 3 to 4 hours nightly and has begun to talk about "volmers" hiding in the warehouse
where he works and undoing his work each night. The nurse can correctly assess this information as
an indication of
a. medication noncompliance.
b. the need for psychoeducation.
c. chronic deterioration.
d. relapse.

Answer 1

D
Signs of potential relapse include feeling tense, difficulty concentrating, trouble sleeping, increased
withdrawal, and increased bizarre or magical thinking. Option A: Medication noncompliance may
not be implicated. Relapse can occur even when the client is taking medication regularly. Option B:
Psychoeducation is better delivered when the client's symptoms are stable. Option C: Chronic
deterioration is not the most viable explanation.